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This safety information outlines crucial warnings and precautions for the use of Leena, an oral contraceptive. It is essential to review these details carefully and consult your healthcare provider with any questions or concerns.

• Heart and Stroke Risks: Smoking while using Leena significantly increases the risk of heart problems and strokes, especially for women over 35 years old who smoke 15 or more cigarettes daily. It is advised not to smoke while taking this medication.

• Blood Clots: The risk of blood clots is heightened with Leena, particularly if you are immobile for extended periods, undergoing surgery, or have recently given birth. Consult your provider about discontinuing Leena at least four weeks before and two weeks after surgery or during periods of extended bed rest. After childbirth, wait at least four weeks before starting Leena if not breastfeeding. Be vigilant for symptoms like sharp chest pain, coughing up blood, shortness of breath, or leg pain, and contact your provider immediately if these occur.

• Irregular Bleeding: Users may experience irregular bleeding or spotting, particularly within the first three months of use. This may resolve on its own, but if it becomes problematic, discuss alternative birth control options with your provider. If you miss periods, take a pregnancy test to confirm you are not pregnant.

• High Blood Pressure: Leena may increase blood pressure. Regular monitoring is advised, and discuss with your provider if you have pre-existing high blood pressure or kidney issues. Blood pressure typically normalizes after stopping the contraceptive.

• Blood Sugar and Cholesterol: Leena can elevate blood sugar and cholesterol levels. If you have diabetes, prediabetes, or high cholesterol, consult with your provider before starting Leena. Regular monitoring is recommended.

• Cancer Risks: There is a potential increased risk of breast and cervical cancer with prolonged use of Leena. This risk may be higher for those with a history of breast cancer.

• Liver Concerns: Avoid Leena if you have liver issues such as hepatitis, severe scarring, or liver tumors, as it may increase the risk of benign liver tumors. Look out for symptoms like jaundice, fatigue, loss of appetite, or dark urine, and seek medical advice if these occur.

• Headaches: Report any new or worsening headaches to your provider. If migraines or headaches become severe or persistent, discontinuation of Leena may be necessary.

Contraindications: Do not use Leena if you have a history of blood clots, heart attack, stroke, breast cancer, unexplained vaginal bleeding, jaundice during pregnancy or previous use, liver tumors, or are pregnant. Additionally, avoid this medication if taking certain Hepatitis C treatments. Always discuss your medical history with your healthcare provider before starting Leena to ensure it is safe for you.

When taking this medication, you might experience common side effects such as nausea, vomiting, stomach cramps, and bloating. Some individuals may notice changes in their menstrual cycle, including bleeding between periods, spotting, or variations in period flow. While these side effects are generally mild, it's important to consult your healthcare provider if they persist or worsen.

Other side effects may include swelling, weight changes, and breast tenderness. Some users have reported skin conditions leading to brown spots, migraines, and mood changes. An allergic rash could also occur, but these side effects are typically less common. Should you experience any of these and find them troubling, it's advisable to seek medical advice.

More serious side effects, though rare, demand immediate medical attention. These include symptoms of a heart attack, such as chest pain and dizziness, or signs of a stroke, like sudden numbness or difficulty walking. Blood clots can occur in the legs or lungs, presenting as leg cramps, swelling, or breathing difficulties. In these cases, urgent medical care is crucial.

Allergic reactions are also rare but serious, with symptoms such as a rash, swelling, or trouble breathing requiring prompt medical help. This summary covers the primary side effects, and any unlisted effects should also be discussed with your healthcare provider.