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It is important to note the following safety information regarding the use of this medication:

• Avoid using this medication if you are 35 years of age or older and smoke cigarettes or use tobacco products.
• Smoking while using hormonal birth control methods, such as the pill, patch, or ring, significantly heightens the risk of experiencing serious health issues including stroke, heart attack, blood clots, and elevated blood pressure.
• The likelihood of encountering these severe conditions escalates with age and the amount of tobacco consumed.
• It is crucial to refrain from smoking or using any form of tobacco while on this medication.

Please consider these guidelines carefully to minimize health risks associated with this medication.

When taking this medication, you may experience some mild side effects such as nausea, vomiting, headaches, bloating, or breast tenderness. Swelling of the ankles or feet due to fluid retention and changes in weight might also occur. It's common to notice vaginal spotting or irregular periods, particularly in the initial months of use. If these effects persist or worsen, consulting a healthcare provider is important.

Monitoring your blood pressure is advisable, as this medication can elevate it. If you notice consistently high readings, inform your healthcare provider. Although severe side effects are not typical, it's crucial to be aware of them. Contact a healthcare provider immediately if you experience unusual vaginal bleeding, signs of high potassium levels like muscle weakness or a slow heartbeat, or symptoms indicative of blood clots. These include sudden shortness of breath, chest pain, severe headaches, or swelling in the legs.

In rare cases, this medication may cause serious conditions such as lumps in the breast, significant abdominal pain, dark urine, yellowing of the skin or eyes, or mood changes like depression. Immediate medical attention is necessary if these occur. Additionally, though an allergic reaction is uncommon, seek help if you notice a rash, severe dizziness, or difficulty breathing. Always stay informed about potential side effects, and reach out to a healthcare provider if you experience any unusual symptoms.