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It is important to be aware of the safety information and warnings associated with Trivora. These guidelines are provided to help ensure safe use and to minimize potential health risks. Always discuss any concerns or questions with your healthcare provider.

• Smoking and Heart Risks: Avoid using Trivora if you smoke cigarettes and are over 35 years old. Smoking can significantly increase the risk of serious cardiovascular problems, such as heart attacks and strokes. This risk is amplified for individuals who smoke 15 or more cigarettes a day.

• Blood Clot Risk: Trivora may elevate the risk of blood clots, which can occur regardless of the duration of use. The risk is higher if you are undergoing surgery, are immobilized, or have recently given birth. Consult your healthcare provider about discontinuing Trivora at least four weeks before surgery and during periods of prolonged inactivity. If you experience symptoms like sharp chest pain, coughing up blood, or leg pain, seek medical attention immediately.

• High Blood Pressure: Trivora can cause an increase in blood pressure. Regular monitoring is advised, particularly for those with pre-existing hypertension. Consult your provider to explore alternative contraception methods if necessary.

• Blood Sugar and Cholesterol: The medication can raise blood sugar and cholesterol levels. Individuals with diabetes or high cholesterol should discuss potential risks with their healthcare provider, who may recommend regular monitoring.

• Irregular Bleeding: Some users may experience irregular bleeding or spotting, especially within the first three months. While this may be temporary, consult your provider if bleeding persists or is concerning.

• Headaches: Notify your healthcare provider if you experience new or worsening headaches while on Trivora. They may suggest discontinuing the medication if the headaches become severe.

• Cancer Concerns: Trivora should not be used by individuals with a history of breast or cervical cancer, as it may increase the risk of these conditions. Regular breast exams are recommended for monitoring.

• Liver Health: Though rare, liver problems, including damage or tumors, can occur. Avoid using Trivora if you have existing liver issues. Contact your provider if you notice symptoms such as fatigue, abdominal pain, or jaundice.

• Drug Interactions: Certain medications can affect Trivora's efficacy. Inform your healthcare provider of all medications you are taking to prevent interactions that could reduce birth control effectiveness or increase side effects.

Contraindications: Do not use Trivora if you have a history of blood clots, heart attack, or stroke; breast cancer; unexplained vaginal bleeding; liver tumors or cancer; or if you are pregnant. Additionally, avoid use if taking specific hepatitis C treatments. Always consult your healthcare provider for guidance tailored to your health needs.

When taking this medication, you might experience some side effects, though they are often mild and manageable. Commonly reported effects include nausea, vomiting, headaches, bloating, and breast tenderness. Additionally, you may notice swelling of the ankles or feet due to fluid retention, weight changes, or stomach cramps. Vaginal bleeding between periods, spotting, changes in menstrual flow, or missed periods are also possible, particularly during the initial months of use. If these effects persist or worsen, it is advisable to consult your healthcare provider.

There are other side effects that some users have reported. These may include temporary infertility after discontinuing the medication, skin conditions like brown spots, changes in breast size or tenderness, and allergic rashes. Some individuals might also experience mental depression, vaginal yeast infections, or discomfort with contact lenses. If these symptoms occur, especially if severe, seeking medical advice is recommended.

Serious side effects are rare but require immediate medical attention due to their potential severity. These include the formation of blood clots, which can cause symptoms like sharp chest pain, coughing up blood, sudden shortness of breath, or pain in the calf. Heart attack symptoms such as crushing chest pain, nausea, and dizziness, as well as stroke symptoms like severe headaches, vision or speech changes, and limb numbness, also warrant urgent care. Furthermore, signs of liver problems—such as yellowing of the skin or eyes, unexplained tiredness, and stomach pain—should prompt immediate medical consultation. Lastly, be aware of the signs of a serious allergic reaction, including rash, severe dizziness, swelling, or difficulty breathing, and seek help promptly if they occur.