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This document outlines crucial safety information for individuals considering the use of Necon 7/7/7, a form of oral contraceptive. It is essential to thoroughly review these warnings and discuss any concerns with your healthcare provider.

• Cardiovascular Risks: Necon 7/7/7 can increase the risk of heart problems and strokes, particularly in women over 35 who smoke. This risk elevates with age, the amount of smoking, high blood pressure, high cholesterol, obesity, and diabetes. Women over 35 who smoke are advised against using this medication.

• Blood Clots: The likelihood of developing blood clots is heightened during the first year of use, or if the medication is restarted after a break of four weeks or more. Risks are elevated post-surgery, during prolonged immobility, or shortly after childbirth. It is advised to cease usage four weeks prior to surgery and for two weeks post-surgery or during bed rest. After childbirth, avoid starting Necon 7/7/7 until four weeks after delivery if not breastfeeding. Be alert for symptoms like sharp chest pain, coughing up blood, shortness of breath, or leg pain, and seek immediate medical attention if these occur.

• Metabolic Effects: This medication may increase blood sugar and cholesterol levels. Individuals with diabetes, prediabetes, or high cholesterol should consult their healthcare provider before starting Necon 7/7/7 and may require regular monitoring.

• Blood Pressure Concerns: Necon 7/7/7 can raise blood pressure, particularly in older individuals or those with prolonged use. Women with significantly high blood pressure should opt for alternative contraceptives. If blood pressure exceeds 160/100 mmHg, consult your provider to consider other birth control options.

• Cancer Risks: There is potential for an increased risk of breast and cervical cancer with the use of Necon 7/7/7, particularly for those with a history of breast cancer or prolonged use of combined oral contraceptives.

• Liver Health: Do not use Necon 7/7/7 if you have liver issues, such as viral liver infection, severe liver scarring, or liver tumors. Discontinue use and consult a provider if you experience symptoms of liver problems, such as jaundice, fever, fatigue, loss of appetite, or dark urine.

Contraindications highlight situations where the use of Necon 7/7/7 could be harmful:

• Blood Disorders: Current or historical blood clots or conditions that increase clotting risk.
• Cardiovascular Issues: History of heart attacks, strokes, or heart valve problems with complications.
• Hypertension: Consistent blood pressure readings over 160/100 mmHg.
• Diabetes Complications: Diabetes accompanied by blood vessel issues.
• Neurological Symptoms: Headaches with nerve complications.
• Post-Surgery: Major surgeries resulting in prolonged immobility.
• Cancer: Current or past breast cancer, uterine cancer, or tumors sensitive to estrogen.
• Unexplained Bleeding: Vaginal bleeding without a diagnosis.
• Liver Concerns: Jaundice during pregnancy or previous medication use, liver problems, or cancer.
• Pregnancy and Drug Interactions: Pregnancy or concurrent use of specific hepatitis C medications.

Always consult with a healthcare provider to ensure this medication is appropriate for your condition and health status.

Common side effects:

• Nausea
• Vomiting
• Stomach cramps
• Bloating
• Bleeding between periods
• Spotting
• Changes in menstrual flow
• Missed periods

Serious side effects:

• Chest pain (heart attack symptom)
• Stomach discomfort (heart attack symptom)
• Sweating (heart attack symptom)
• Nausea (heart attack symptom)
• Dizziness (heart attack symptom)
• Sudden numbness or weakness in the arm, leg, or face (stroke symptom)
• Confusion (stroke symptom)
• Vision problems (stroke symptom)
• Headaches (stroke symptom)
• Difficulty walking (stroke symptom)
• Leg cramps (deep vein thrombosis symptom)
• Swelling (deep vein thrombosis symptom)
• Pain (deep vein thrombosis symptom)
• Muscle tightness (deep vein thrombosis symptom)
• Coughing (pulmonary embolism symptom)
• Chest pain (pulmonary embolism symptom)
• Trouble breathing (pulmonary embolism symptom)
• Racing heart (pulmonary embolism symptom)