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It is important to be aware of the potential risks and necessary precautions when using this medication. Below is a summary of critical safety and warning information:

• Smoking and Age Considerations: Avoid using this medication if you are over 35 years old and smoke cigarettes or use tobacco products. Smoking significantly increases the risk of stroke, heart attack, blood clots, and high blood pressure when using hormonal birth control methods such as the pill, patch, or ring. The likelihood of these severe health issues rises with age and the number of cigarettes smoked. It is strongly advised not to smoke or use any form of tobacco.

• Iron Overdose Warning: Accidental overdose of products containing iron is a leading cause of fatal poisoning in children under the age of 6. Ensure that this product is stored securely out of the reach of children. In the event of an overdose, seek immediate medical attention or contact a poison control center without delay.

Adhering to these guidelines helps ensure the safe use of this medication and minimizes potential health risks.

When taking this medication, you may experience some common side effects, such as nausea, vomiting, headaches, bloating, breast tenderness, and swelling in the ankles or feet due to fluid retention. Weight changes and irregular periods, including spotting or missed periods, might also occur, especially in the initial months of use. These effects are typically mild, but if they persist or worsen, consult your healthcare provider for guidance.

It's important to monitor your blood pressure regularly, as this medication may cause an increase. Should you notice elevated readings, inform your healthcare provider. Serious side effects, though less common, require immediate attention. These include the presence of lumps in the breast, significant mood changes like worsening depression, severe abdominal pain, unusual changes in vaginal bleeding patterns, dark urine, or yellowing of the skin or eyes.

Rarely, this medication can lead to serious blood clot issues that might be life-threatening, such as heart attacks or strokes. Seek urgent medical care if you experience chest pain, sudden dizziness, fainting, swelling or warmth in the calf, difficulty speaking, shortness of breath, severe headaches, sweating, weakness on one side of the body, or sudden vision changes. Additionally, if you notice symptoms of a severe allergic reaction, such as a rash, swelling particularly of the face, tongue, or throat, severe dizziness, or trouble breathing, seek immediate medical help.

Remember, this is not an exhaustive list of possible side effects. If you notice any other unusual symptoms, contact your healthcare provider for advice.