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It is important to note the following safety information and warnings concerning the use of this medication:

• Avoid Use if Smoking: This medication is not recommended for individuals who smoke cigarettes or use tobacco products and are over the age of 35.
• Increased Health Risks: Smoking while using hormonal birth control methods like the pill, patch, or ring can significantly increase the risk of serious health issues such as stroke, heart attack, blood clots, and high blood pressure.
• Age and Consumption Factors: The likelihood of experiencing these severe health problems rises with age and the amount of tobacco consumed.
• Tobacco Use Warning: It is strongly advised to refrain from smoking or using any tobacco products while on this medication.

This information is crucial for ensuring your safety and should be taken seriously. Always consult with a healthcare professional for personalized advice.

Some individuals may experience mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, ankle or foot swelling due to fluid retention, or weight changes. It is also common to experience vaginal bleeding between periods, known as spotting, or to have missed or irregular periods, especially during the initial months of use. These effects usually subside over time, but if they persist or worsen, it is important to inform a healthcare provider.

There are also more serious side effects associated with this medication, though they are less common. These include lumps in the breast, mood changes like new or worsening depression, severe stomach or abdominal pain, and significant alterations in vaginal bleeding patterns, such as ongoing spotting, sudden heavy bleeding, or missed periods. Additionally, this medication can occasionally cause significant increases in blood pressure, so regular monitoring is advised.

In rare cases, this drug may cause severe issues related to blood clots, which can result in heart attacks, strokes, or clots in the lungs or legs. It is crucial to seek immediate medical attention if you experience symptoms such as chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, swelling or warmth in the groin or calf, trouble speaking, shortness of breath, rapid breathing, sudden severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes.

While very serious allergic reactions to this medication are rare, they can occur. Symptoms of such reactions include rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, and difficulty breathing. Immediate medical help is necessary if these symptoms are observed. If you notice any effects not listed here, it is advised to contact a healthcare provider for further guidance.

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

It's important to inform your doctor if you begin any new medication and discuss whether you need to use a reliable backup method of birth control. Report any new spotting or breakthrough bleeding to your doctor, as these could indicate your birth control is less effective.

This drug might also affect the results of certain laboratory tests, such as those assessing blood clotting factors and thyroid function, possibly leading to inaccurate results. Ensure that all your healthcare providers and laboratory staff are aware that you are using this medication.