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Please review the following safety and warning information for the use of Camrese carefully. It is crucial to understand the potential risks and necessary precautions. Always consult your healthcare provider if you have any questions or concerns.

• Smoking and Cardiovascular Risks: Smoking while taking Camrese can significantly increase the risk of heart attack, stroke, and blood clots, particularly if you are over 35 years old. It is advised not to smoke or use tobacco products while on this medication. Discuss alternative birth control options with your healthcare provider if you smoke.

• Blood Clots: Camrese contains ethinyl estradiol, which can lead to the formation of serious blood clots. Risks are heightened for individuals over 35 who smoke, those over 40 who don't smoke, people post-surgery with extended bed rest, those starting the medication less than a month after childbirth, individuals with high blood pressure, obesity, high cholesterol, diabetes, those using higher doses of estrogen, and those in their first year of taking COCs or restarting after a break. Seek immediate medical attention if you experience symptoms of a blood clot.

• Cancer Risks: There is concern about the potential increased risk of breast and cervical cancer with long-term use of Camrese. It should not be used by individuals with a current or past history of these cancers. Regular screenings are recommended, and any unusual signs, such as lumps or abnormal bleeding, should be reported to your healthcare provider.

• Liver Concerns: Avoid using Camrese if you have liver disease or tumors. Symptoms of liver issues include jaundice, fever, fatigue, loss of appetite, or dark urine. Discontinue use and consult your healthcare provider for alternatives if these symptoms occur.

• Gallbladder Issues: The use of Camrese may increase the risk of gallbladder disease. Discuss with your healthcare provider if you have a history of gallbladder problems before starting the medication.

• Blood Sugar and Triglycerides: Camrese can elevate blood sugar and triglyceride levels, especially in individuals with pre-existing conditions. Monitor these levels regularly.

• Blood Pressure: This medication can increase blood pressure, particularly in older adults or those with a history of hypertension or kidney problems. Regular monitoring is advised, and discuss potential risks with your provider.

• Headaches and Migraines: Report any new or worsening headaches or migraines to your healthcare provider. Severe headaches may require discontinuation of the medication.

• Irregular Bleeding: Irregular bleeding or spotting may occur, especially during the first three months of use. If bleeding persists or is heavy, contact your provider.

Contraindications:

• Do not use Camrese if you have a high risk of blood clots, a history of stroke or heart attack, are over 35 and smoke, have migraine headaches with aura, or have certain medical conditions like uncontrolled high blood pressure, diabetes, obesity, coronary artery disease, or atrial fibrillation.
• Avoid use if you have liver tumors, liver disease, are pregnant, have had breast cancer, or experience unexplained vaginal bleeding.
• Certain hepatitis C medications should not be taken with Camrese. Always consult your healthcare provider before starting any new medication.

While using this medication, some individuals may experience common side effects such as nausea, vomiting, headache, bloating, breast tenderness, and swelling of the ankles or feet due to fluid retention. Weight changes, acne, and irregular or heavy vaginal bleeding, particularly in the initial months, might also occur. It is normal to have your period once every three months while on this regimen, but if you miss a period during the estrogen-only pill weeks, consult your healthcare provider for a pregnancy test.

Mood changes, feeling tired, muscle spasms, and issues with contact lenses are other reported side effects. Some individuals might notice a brownish patch on the face or swelling in the hands and feet. Although these side effects are generally mild, if they persist or worsen, it's important to discuss them with your healthcare provider.

More severe side effects, although rare, require immediate medical attention. These include signs of heart attack or stroke, such as chest pain, severe headaches, sudden dizziness, weakness on one side of the body, and difficulty speaking. Blood clots, presenting as leg cramps, swelling, or pain, and pulmonary embolism symptoms like chest pain and trouble breathing, also necessitate urgent care.

In rare cases, severe allergic reactions may occur, characterized by rash, itching, swelling, severe dizziness, or trouble breathing. Additionally, liver or gallbladder issues can arise, indicated by yellowing of the skin or eyes, severe abdominal pain, or dark urine. While these serious effects are uncommon, seek prompt medical attention if they occur. Remember to monitor your blood pressure regularly, as this medication may cause an increase.