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The following safety information is crucial for users of hormonal birth control and iron-containing products. Carefully consider the risks and adhere to the precautions listed below:

• Smoking significantly increases the likelihood of experiencing a stroke, heart attack, blood clots, and elevated blood pressure when using hormonal birth control methods such as pills, patches, or rings. These risks are heightened with age and the quantity of cigarettes smoked.
• It is strongly advised to avoid smoking or using tobacco products while on this medication. Individuals over the age of 35 who smoke or use tobacco should not use these hormonal contraceptives.
• Accidental ingestion of iron-containing products is a major cause of fatal poisoning in children under 6 years old. It is imperative to store these products out of children's reach.
• In the event of an overdose, seek immediate medical attention or contact a poison control center without delay.

By following these guidelines, you can help ensure safe usage and minimize potential health risks.

When taking this medication, you might experience mild side effects such as nausea, vomiting, headaches, abdominal cramps, bloating, breast tenderness, fluid retention leading to swollen ankles or feet, and changes in weight. Some may notice spotting or irregular periods, which is more common during the initial months. These effects often do not require medical attention unless they persist or worsen.

It is important to monitor your blood pressure, as this medication can cause it to rise. Contact your healthcare provider if you notice consistently high readings. For more serious side effects, such as lumps in the breast, mental changes like depression, severe abdominal pain, unusual vaginal bleeding patterns, symptoms of high blood sugar like increased thirst or urination, dark urine, or yellowing of the skin or eyes, seek medical advice promptly.

In rare cases, the medication may lead to serious blood clot-related issues, such as heart attacks, strokes, and clots in the lungs or legs. Immediate medical help is necessary if you experience symptoms like shortness of breath, chest pain, unusual sweating, confusion, severe headaches, sudden dizziness, swelling or warmth in the groin or calf, or sudden vision changes.

Though rare, serious allergic reactions can occur, indicated by rash, itching, swelling of the face or throat, severe dizziness, or breathing difficulties. If you encounter such symptoms, seek emergency medical attention immediately. Always communicate with your healthcare provider about any side effects you experience, even if they are not listed here.

Certain medications can interact with this drug, including aromatase inhibitors like Anastrozole and Exemestane, fezolinetant, ospemifene, Tamoxifen, Tizanidine, Tranexamic Acid, and some combination drugs for chronic hepatitis C, such as ombitasvir/paritaprevir/Ritonavir, with or without dasabuvir. Additionally, some medications can reduce the effectiveness of hormonal birth control by lowering hormone levels in the body, which may lead to pregnancy. These include griseofulvin, Modafinil, certain antibiotics like Rifampin and Rifabutin, ritonavir, St. John's wort, seizure medications like barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, Topiramate, and some HIV treatments, including nelfinavir and Nevirapine.

It’s important to inform your doctor about any new medications you begin and discuss whether you need additional contraceptive measures. Additionally, report any new spotting or breakthrough bleeding, as these may indicate reduced birth control effectiveness. This medication might also interfere with certain lab tests, such as those assessing blood clotting or thyroid function, potentially leading to inaccurate results. Ensure your healthcare providers are aware that you are using this medication.