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This information outlines important safety considerations and warnings associated with the use of Sprintec, a combined oral contraceptive. It is crucial to review these details thoroughly and consult your healthcare provider if you have any concerns or questions.

• Smoking and Age: Avoid using Sprintec if you are over 35 years old and smoke cigarettes or use tobacco products. The combination of smoking and hormonal birth control significantly raises the risk of severe cardiovascular events such as stroke, heart attack, and blood clots. The risk increases with age and the number of cigarettes smoked.

• Blood Clots and Strokes: Sprintec may increase the likelihood of blood clots, which can lead to serious conditions like pulmonary embolism, deep vein thrombosis, stroke, and heart attack. Seek immediate medical attention if you experience symptoms such as numbness, swelling, chest pain, or difficulty breathing. Individuals at higher risk include those over 35 who smoke, have recently had surgery, are within a month of childbirth, or have conditions like high blood pressure, obesity, high cholesterol, or diabetes.

• Irregular Bleeding: Some users may experience irregular bleeding or spotting, particularly in the initial months of use. This may range from light staining to bleeding similar to a menstrual period. Continue the medication as prescribed and consult your provider if bleeding is problematic or if you miss periods.

• High Blood Pressure: Sprintec can elevate blood pressure, especially in older individuals or those who have used contraceptives long-term. It is contraindicated for those with uncontrolled high blood pressure or related vascular issues. Regular blood pressure monitoring is advised, and alternative birth control methods should be considered if blood pressure increases.

• Blood Sugar and Cholesterol: The medication can raise blood sugar and cholesterol levels, potentially increasing the risk of pancreatitis in those with high triglycerides. Discuss with your doctor if you have diabetes, prediabetes, or high cholesterol to ensure appropriate monitoring.

• Headaches: Report any new or worsening headaches or migraines to your healthcare provider. Discontinue use if headaches become severe or persistent.

• Cancer Risks: There is a potential increased risk for breast and cervical cancer with prolonged use of Sprintec. Women with a history of these cancers should avoid this medication. Regular screenings and self-examinations are recommended.

• Liver Issues: Do not use Sprintec if you have liver problems such as severe scarring, liver tumors, or viral infections. Discontinue use and seek alternative contraception if liver symptoms, including jaundice or dark urine, occur.

• Medication Interactions: If you are being treated for hepatitis C with medications like Viekira Pak, avoid using Sprintec due to potential liver complications. Consult your provider for alternative contraceptive methods during treatment.

Consult your healthcare provider if any of these conditions apply to you, or if you have any other health concerns or conditions not listed here.

When using this medication, you may experience some common side effects, typically mild in nature. These include nausea, vomiting, headaches, bloating, and breast tenderness. Some individuals may notice fluid retention leading to swelling of the ankles or feet, or experience changes in weight. It's also common to have changes in menstrual bleeding patterns, such as spotting or irregular periods, especially during the initial months of use. While these side effects are generally not severe, if they persist or worsen, consult your healthcare provider.

In some cases, users might experience mood changes, mild stomach pain, or headaches. Other possible side effects include vaginal infections, genital discharge, and skin rashes. Additionally, some may report nervousness, passing gas, or minor breast pain and swelling. If any of these symptoms trouble you or become persistent, reach out to your healthcare provider for guidance.

There are also more serious side effects, although they are rare, that require immediate medical attention. These include the development of blood clots, which could lead to heart attacks, strokes, or pulmonary embolisms. Be alert for symptoms like chest or jaw pain, sudden dizziness, severe headaches, or difficulty breathing. Furthermore, unusual symptoms like lumps in the breast, significant mood changes, or severe abdominal pain should be promptly discussed with a healthcare provider. In rare instances, serious allergic reactions may occur, characterized by rash, severe dizziness, or breathing difficulties, necessitating urgent medical care. If you experience any other unusual symptoms, don't hesitate to reach out to your healthcare provider for advice.

When using this medication, be aware that it can interact with a variety of other drugs. It is crucial to inform your doctor and pharmacist about all medications and supplements you are currently taking, including those that are prescribed, over-the-counter, vitamins, and herbal supplements.

Certain medications, such as aromatase inhibitors (Anastrozole, Exemestane), fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid, can interact with this drug. Additionally, some medications may reduce the effectiveness of hormonal birth control by lowering the levels of birth control hormones in your body, potentially leading to pregnancy. Examples include griseofulvin, Modafinil, rifamycins (like Rifampin and Rifabutin), Ritonavir, St. John's wort, and seizure medications (such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, Topiramate), as well as certain HIV drugs (such as nelfinavir and Nevirapine).

It is important to notify your doctor if you experience new spotting or breakthrough bleeding, as these could indicate that your birth control is not working effectively. Your doctor may also recommend using an additional form of birth control as a backup.

Furthermore, this medication may interfere with specific laboratory tests, potentially leading to false results. Ensure that all healthcare providers and lab personnel are aware that you are using this medication to prevent any misinterpretation of test results.