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It is important to understand the safety information related to the use of this medication, especially concerning certain health risks and specific populations. Here are some key points to keep in mind:

• Individuals who are 35 years or older and smoke cigarettes or use tobacco should not use this medication. Smoking can significantly increase the risk of serious cardiovascular events, such as stroke, heart attack, blood clots, and high blood pressure, when combined with hormonal birth control methods like the pill, patch, or ring. The likelihood of these complications grows with age and the number of cigarettes smoked. It is strongly advised to avoid smoking or using tobacco products.

• For products containing iron, it is crucial to keep them out of reach of children under the age of 6, as accidental ingestion can lead to fatal poisoning. In the event of an overdose, it is imperative to seek medical assistance immediately or contact a poison control center for guidance.

These precautions are vital for ensuring safe use and minimizing potential health risks associated with this medication.

You might experience some mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, or swelling of the ankles and feet due to fluid retention. Weight changes and irregular menstrual cycles, including spotting or missed periods, are also possible, particularly in the initial months of usage. These effects are generally not serious, but if they persist or worsen, consult a healthcare professional.

Additionally, this medication can potentially increase blood pressure, so regular monitoring is advisable. Report high readings to a healthcare provider. Be alert for more serious side effects, like breast lumps, mood changes, significant abdominal pain, or unusual menstrual bleeding patterns. Dark urine or yellowing of the skin and eyes also warrant immediate medical attention.

Rarely, severe complications such as blood clots can occur, which may lead to heart attack, stroke, or clots in the lungs or legs. Urgent medical help is necessary if you experience symptoms like chest or jaw pain, confusion, sudden dizziness, leg pain or swelling, difficulty speaking, breathing problems, severe headaches, or vision changes. Although extremely uncommon, severe allergic reactions can happen, characterized by rash, itching, swelling, severe dizziness, or breathing difficulties. Seek immediate medical assistance if these occur.

This summary does not cover all potential side effects. If you notice other unusual symptoms, contact a healthcare provider for advice.