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It is important to be aware of certain risks and precautions when using this medication, especially for individuals over 35 years old who smoke or use tobacco products. The combination of smoking and hormonal birth control (such as pills, patches, or rings) can significantly increase the risk of serious health issues. Below are key points to consider:

• Smoking Risks: If you are over 35 and smoke or use tobacco, do not use this medication. Smoking can elevate the risk of stroke, heart attack, blood clots, and high blood pressure when combined with hormonal birth control. These risks grow with age and the number of cigarettes smoked. It is strongly advised to quit smoking and avoid tobacco use while on this medication.

• Iron-Containing Products: Be particularly cautious with iron-containing products, as accidental overdose is a leading cause of fatal poisoning in children under 6 years of age. Ensure that these products are kept out of reach of children.

• In Case of Overdose: If an overdose occurs, it is crucial to seek medical assistance immediately or contact a poison control center for guidance.

By adhering to these precautions, you can help mitigate potential risks and ensure safer use of this medication.

This medication may cause some mild side effects, such as nausea, vomiting, headaches, bloating, breast tenderness, and fluid retention leading to swelling of the ankles or feet. Some individuals might also experience changes in weight, spotting, or missed periods, particularly during the initial months of use. While these symptoms are usually not serious, it's important to monitor them and consult with a healthcare provider if they persist or worsen.

In some cases, this medication can elevate blood pressure, so regular monitoring is advisable. Serious side effects, though less common, require immediate medical attention. These include lumps in the breast, significant mood changes like worsening depression, severe abdominal pain, or unexpected changes in menstrual bleeding, such as continuous spotting or heavy bleeding. Additionally, symptoms like dark urine or yellowing of the skin or eyes should prompt a medical consultation.

There is a rare risk of serious, potentially life-threatening blood clots leading to heart attack, stroke, or clots in the lungs or legs. Seek emergency help if you experience chest pain, confusion, sudden dizziness, leg pain or swelling, difficulty speaking, shortness of breath, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes. Although very rare, an allergic reaction might occur, showing as a rash, severe dizziness, or breathing difficulties. If any allergic symptoms arise, seek medical help immediately.

While this summary includes key side effects, it is not exhaustive. If you experience any other unusual symptoms, it is crucial to contact a healthcare professional for guidance.