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It is crucial to be aware of the safety and warning information when using this medication. Understanding the potential risks and taking necessary precautions can help you use it safely. If you have any concerns, please consult your healthcare provider.

• Smoking Risks: If you are over 35 years old and smoke cigarettes or use tobacco, do not use this medication. Smoking increases the risk of serious cardiovascular problems such as stroke, heart attack, blood clots, and high blood pressure, especially when combined with hormonal birth control like Camrese.

• Blood Clot Risk: Camrese contains ethinyl estradiol, which can elevate the risk of blood clots. This risk is higher for individuals over 35 who smoke, those over 40 who don't smoke, individuals with recent surgery, or those who have high blood pressure, obesity, high cholesterol, or diabetes. Immediate medical attention is advised if symptoms of blood clots appear.

• Cancer Risks: The use of Camrese may contribute to an increased risk of breast and cervical cancer, particularly if used for more than five years. If you have a history of these cancers, avoid using Camrese. Ensure regular screenings and report any unusual breast or cervical symptoms to your healthcare provider.

• Liver Issues: Those with liver problems or tumors should not use Camrese. It may increase the risk of benign liver tumors. Discontinue the medication and seek alternative options if you experience symptoms such as jaundice or dark urine.

• Gallbladder Concerns: The use of Camrese may slightly increase the risk of gallbladder disease. Discuss your medical history with your provider if you have had gallbladder issues before starting this medication.

• Blood Sugar and Triglycerides: Camrese can elevate blood sugar and triglyceride levels, particularly in those with pre-existing high levels. Monitor these levels and consult your provider as needed.

• Blood Pressure: This medication can raise blood pressure, especially in older individuals or long-term users. Regular monitoring is recommended, and those with unmanaged high blood pressure or kidney problems should avoid using Camrese.

• Headaches: Report any new or worsening migraines or headaches to your provider. Discontinuation of Camrese might be necessary if symptoms persist or worsen.

• Irregular Bleeding: Irregular bleeding is common during the first three months of using Camrese. If it continues, becomes heavy, or you miss a period, consult your provider for further evaluation.

Contraindications:

• Avoid if you have a high risk of blood clots, a history of clotting events, or are over 35 and smoke.
• Do not use if you have migraine headaches with aura, uncontrolled high blood pressure, certain liver conditions, or a history of breast cancer.
• Pregnant individuals, those with unexplained vaginal bleeding, or those taking specific hepatitis C medications should not use this medication.

Always discuss your medical history and current conditions with your healthcare provider before starting this medication to ensure it is safe for you.

When taking this medication, you may experience some common side effects, which are generally mild and often temporary. These include nausea, vomiting, headaches, bloating, breast tenderness, and weight changes. Some people also report swelling in the ankles or feet due to fluid retention, and vaginal bleeding between periods, known as spotting, especially in the initial months. You may have your period once every three months while on the estrogen-only pills, which is normal. Should any of these symptoms persist or worsen, it is advisable to consult your healthcare provider.

More noteworthy side effects include irregular or heavy vaginal bleeding, acne, mood changes, fatigue, muscle spasms, and difficulty with contact lenses. Bloating and swelling in the hands and feet, as well as a brownish patch on the face, have also been noted. These are less common but should be monitored, especially if they interfere with daily life.

Serious side effects are rare but require immediate medical attention. These include signs of heart attack, such as chest pain or dizziness, and indicators of stroke like sudden weakness or confusion. Blood clots, whether in the leg (deep vein thrombosis) or lung (pulmonary embolism), present as pain or swelling in the leg or trouble breathing, respectively. Issues with the liver or gallbladder can manifest as jaundice, dark urine, or upper abdominal pain. Additionally, a severe allergic reaction, though very rare, is characterized by rash, swelling, or difficulty breathing and requires prompt medical intervention. If you experience any of these severe symptoms, seek medical help right away.

Certain medications can interact with this drug, affecting its efficacy or your overall health. Interacting drugs include aromatase inhibitors like Anastrozole and Exemestane, as well as fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, some medications can reduce the effectiveness of hormonal birth control by lowering the hormone levels in your body, which may lead to unintended pregnancy. Such medications include griseofulvin, Modafinil, certain antibiotics like Rifampin and Rifabutin, Ritonavir, and St. John's wort. Drugs used for seizure control, such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate, and some HIV medications like nelfinavir and Nevirapine, can also affect birth control effectiveness.

It is important to inform your doctor whenever you start a new medication. Discuss if additional contraceptive methods are necessary and promptly report any unusual spotting or bleeding, as these may indicate reduced birth control effectiveness. This drug may also interfere with certain laboratory tests, such as those for blood clotting factors and thyroid function, potentially leading to inaccurate results. Ensure that all your healthcare providers and laboratory personnel are aware that you are taking this medication.