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This medication comes with important safety warnings and precautions, especially for individuals who smoke or have specific health conditions. These points are critical for ensuring safe and effective use. If you have any questions or concerns, please consult your healthcare provider.

• Smoking and Cardiovascular Risks: Smoking while using combined oral contraceptives (COCs) like Velivet significantly increases the risk of serious health issues such as strokes, heart attacks, and blood clots. This risk is especially pronounced in females over 35. It is advised to consider alternative birth control methods if you smoke.

• Blood Clots and Stroke: Velivet may elevate the risk of developing blood clots, which can lead to pulmonary embolism, deep vein thrombosis, stroke, or heart attack. Those at higher risk include individuals over 35 who smoke, those over 40 who don’t smoke, anyone with recent surgery requiring extended bed rest, postpartum individuals starting Velivet within a month of childbirth, and those with high blood pressure, obesity, high cholesterol, or diabetes.

• Cancer Risks: There is a potential association between COCs and increased risk of breast and cervical cancer, particularly with a history of breast cancer or prolonged use of COCs.

• Liver Concerns: Though rare, Velivet can cause liver damage or tumors. It is contraindicated for those with pre-existing liver issues. Seek medical attention immediately if you notice symptoms like fatigue, abdominal pain, or jaundice.

• Blood Sugar and Lipid Levels: COCs can increase blood sugar and triglyceride levels. Those with diabetes or a family history of high triglycerides should monitor changes closely and inform their provider.

• Blood Pressure: Velivet may raise blood pressure. Regular monitoring is advised, and it may not be suitable for individuals with uncontrolled hypertension.

• Headaches: Commonly experienced with COCs, any new or worsening migraines should be promptly evaluated by a provider.

• Irregular Bleeding: Breakthrough bleeding is common initially. Any unusual vaginal bleeding or cessation of periods must be discussed with a healthcare provider.

• Ectopic Pregnancy: There is a higher risk of ectopic pregnancy if the contraceptive is ineffective. Symptoms such as back pain, abnormal bleeding, or cramping warrant immediate medical consultation.

• Depression: Report any depressive symptoms to your healthcare provider, as Velivet may exacerbate depression.

• Drug Interactions: Certain medications can affect Velivet's efficacy, either decreasing its effectiveness or increasing side effects. Inform your provider about all medications you are taking to ensure no harmful interactions.

Contraindications: Avoid using Velivet if you:

• Smoke heavily (15+ cigarettes daily) and are over 35.
• Have a history of or current DVT or blood clotting disorders.
• Suffer from coronary artery or cerebrovascular diseases.
• Have severe hypertension or diabetes with vascular complications.
• Experience certain types of headaches or have had major surgery with prolonged immobilization.
• Have undiagnosed genital bleeding, endometrial cancer, breast cancer, liver disease, or are pregnant.
• Are on hepatitis C medication containing ombitasvir, paritaprevir, ritonavir, with or without dasabuvir.

In case of an overdose, seek emergency medical assistance immediately. Always follow your healthcare provider's instructions for safe and effective use of Velivet.

When taking this medication, some common side effects may include nausea, vomiting, bloating, stomach cramps, breast tenderness, headaches, and changes in weight. These effects are typically mild and often resolve on their own. If they persist or worsen, consult your healthcare provider. You might also experience spotting or irregular periods, especially in the initial months of use. Raised blood pressure is another potential side effect, so regular monitoring is advised.

In some cases, users may report yeast infections, changes in appetite, fluctuations in sex drive, acne, or skin darkening. Depression and mood changes have also been noted. While these side effects tend to be less common, it's important to inform your healthcare provider if they occur, especially if they intensify.

Serious side effects, though rare, require immediate medical attention. These include symptoms of heart attack, such as chest pain or dizziness, stroke indicators like sudden numbness or confusion, and signs of blood clots, such as leg pain or shortness of breath. Liver problems may manifest as yellowing of the skin or eyes and require urgent care.

Additionally, a severe allergic reaction to this medication is rare but serious. Seek emergency help if you experience symptoms such as rash, itching, swelling of the face, tongue, or throat, severe dizziness, or difficulty breathing. Always report any side effects to your healthcare provider, as this is not an exhaustive list.

When using Velivet, it's important to be aware of potential interactions with other medications and supplements. Inform your healthcare provider about any other medicines or supplements you are taking, whether they're prescribed, over-the-counter, vitamins, or herbal products. Here are some key interaction details:

Certain medications should not be combined with Velivet, as it may lead to significant interactions. Your doctor might choose to avoid prescribing Velivet or adjust your other treatments. These medications include Dasabuvir, Ombitasvir, Paritaprevir, Ritonavir, and Tranexamic Acid.

Some drugs are usually not recommended to be used with Velivet but might be necessary in certain circumstances. In such cases, your doctor may modify the dosage or frequency of either or both medications. These include Amifampridine, Amoxicillin, Ampicillin, and others like Carbamazepine, Griseofulvin, Modafinil, and Ritonavir.

Additionally, combining Velivet with certain drugs may heighten the risk of side effects. However, in some situations, using both may be the optimal treatment plan. If prescribed together, your healthcare provider may adjust the doses accordingly. Medications in this category include Amitriptyline, Atazanavir, Diazepam, and Warfarin.

Certain drugs can decrease the effectiveness of hormonal birth control by reducing hormone levels in your body, potentially leading to pregnancy. Notable examples include Rifamycins, St. John's Wort, and anti-seizure medications like Phenytoin.

Lastly, Velivet may interfere with some lab tests, potentially causing inaccurate results, particularly with blood clotting and thyroid tests. Ensure all healthcare professionals and lab staff are aware you are taking this medication. Always discuss with your doctor if you notice any unusual spotting or breakthrough bleeding, as these could indicate your birth control is not functioning effectively.