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Common side effects:

• Nausea
• Vomiting
• Headaches
• Abdominal cramps or bloating
• Breast tenderness
• Swelling of the ankles or feet due to fluid retention
• Changes in weight
• Vaginal bleeding between periods

• Missed/irregular periods

  Less common but important to monitor:

• Increase in blood pressure
• Lump in the breast
• Mental or mood changes such as depression
• Unusual changes in vaginal bleeding
• Signs of high potassium levels like muscle weakness or irregular heartbeat
• Severe abdominal pain

• Yellowing of the eyes and skin

  Serious side effects:

• Blood clots leading to heart attacks, strokes, or clots in the lungs or legs
• Shortness of breath
• Chest pain
• Excessive sweating
• Confusion
• Sudden dizziness
• Pain or swelling in the groin or calf
• Severe headaches
• Difficulty speaking
• Weakness on one side of the body
• Sudden vision changes
• Serious allergic reactions including rash, itching or swelling, especially on the face, tongue, or throat, severe dizziness, or trouble breathing

Interactions with high risk of serious adverse effects and should be avoided:

• griseofulvin
• Modafinil
• Rifampin
• Rifabutin
• Ritonavir
• St. John's wort
• barbiturates
• Carbamazepine
• Felbamate
• Phenytoin
• Primidone
• Topiramate
• nelfinavir
• Nevirapine

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Anastrozole
• Exemestane
• Letrozole
• atazanavir/cobicistat
• fezolinetant
• ospemifene
• Tamoxifen
• Tranexamic Acid
• Aliskiren
• Enalapril
• Lisinopril
• Losartan
• Valsartan
• heparin
• Ibuprofen
• Naproxen
• Eplerenone
• Spironolactone
• Triamterene