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While taking this medication, you might experience mild side effects such as nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles or feet due to fluid retention, or changes in weight. It's also possible to notice vaginal bleeding between periods, spotting, or missed/irregular periods, particularly during the initial months. These symptoms are generally manageable, but if they persist or worsen, it's important to consult with a healthcare professional.

This medication may cause a rise in blood pressure, so regular monitoring is advised. Notify a healthcare provider if your blood pressure readings are elevated. Serious side effects are uncommon but require immediate attention. These include lumps in the breast, significant mood changes like depression, severe stomach or abdominal pain, unusual patterns in vaginal bleeding, dark urine, or yellowing of the skin or eyes.

In rare cases, this drug can lead to severe blood clot issues, such as heart attacks, strokes, or clots in the lungs or legs. Urgent medical help is needed if you experience symptoms like chest pain, sudden dizziness or fainting, pain, swelling, or warmth in the calf or groin, trouble speaking, shortness of breath, sudden severe headaches, or visual changes.

Allergic reactions to this medication are rare but serious. Seek immediate medical assistance if you notice symptoms like rash, itching or swelling, especially of the face, tongue, or throat, severe dizziness, or trouble breathing. This summary does not include all possible side effects, so if you experience any other unusual symptoms, contact a healthcare provider.

Certain medications can interact with this drug, potentially affecting its effectiveness. These include aromatase inhibitors like Anastrozole and Exemestane, as well as drugs such as fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, some medications may reduce the effectiveness of hormonal birth control by lowering hormone levels, which could lead to unintended pregnancy. These include griseofulvin, Modafinil, certain antibiotics like Rifampin and Rifabutin, Ritonavir, St. John's wort, and various seizure medications, including barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate. Some HIV medications, such as nelfinavir and Nevirapine, may also have this effect.

It's important to inform your doctor about any new medications you start and discuss the need for additional reliable birth control methods. Notify your healthcare provider if you experience any unusual spotting or breakthrough bleeding, as these could indicate that your birth control is less effective.

This medication may also impact certain laboratory tests, like those for blood clotting factors and thyroid function, potentially leading to incorrect results. Ensure that all healthcare professionals involved in your care are aware of your medication use.