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When using this medication, it is crucial to be aware of certain safety precautions and warnings to ensure your well-being:

• Individuals over 35 who 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 elevated blood pressure when using hormonal birth control methods like pills, patches, or rings. The likelihood of these complications rises with age and the amount of tobacco consumed. Therefore, it is strongly advised to refrain from smoking or using any tobacco products while on this medication.

• Additionally, be aware that accidental ingestion of iron-containing products can lead to fatal poisoning, especially in children under 6 years of age. It is crucial to store this medication out of children's reach to prevent accidental overdoses. In the event of an overdose, seek immediate medical attention or contact a poison control center for assistance.

By adhering to these guidelines, you can help manage the risks associated with this medication effectively.

When starting this medication, you might experience some common side effects such as nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles or feet due to fluid retention, and changes in weight. Occasionally, you may notice vaginal bleeding between periods or have missed or irregular periods, particularly during the initial months of use. Rest assured, many people taking this medication do not encounter serious side effects, and these common ones often subside as your body adjusts.

However, it is important to be aware of more serious side effects that require prompt medical attention. These include lumps in the breast, changes in mood or mental state like worsening depression, severe abdominal pain, and unusual changes in vaginal bleeding patterns. If you experience dark urine or yellowing of the eyes or skin, seek medical advice immediately as these could be signs of liver issues.

Also, this medication can rarely cause severe blood clot-related problems, which can be life-threatening. Be vigilant for symptoms such as chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, pain or swelling in the groin or calf, speech difficulties, shortness of breath, rapid breathing, sudden severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes. These symptoms necessitate urgent medical attention.

Although very rare, some individuals may experience a serious allergic reaction to this drug. If you notice a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing, seek emergency medical help. While not exhaustive, this overview covers key side effects. Always consult your healthcare provider if you experience any side effects or have concerns while taking this medication.