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It is crucial to be aware of the safety considerations when using this medication. Pay special attention to the following points to ensure safe use:

• Smoking and Tobacco Use: If you are over 35 and use tobacco products, it is advised not to use this medication. Smoking can significantly increase the risk of experiencing a 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 amount of tobacco consumed. It is strongly recommended to avoid smoking or using any tobacco products.

• Iron Overdose Risk in Children: Iron-containing products can pose a severe risk of poisoning in children under 6 years old. To prevent accidental ingestion, always store this medication out of children's reach. In the event of an overdose, seek immediate medical attention or contact a poison control center promptly.

These precautions are essential to avoid significant health risks. Always follow the advice of your healthcare provider and consult them if you have any concerns regarding the use of this medication.

You might experience mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, or swelling in the ankles and feet due to fluid retention. Some may notice a change in weight or irregular periods, including spotting or missed periods, especially in the initial months of use. These side effects are common and often become less bothersome over time.

It's important to monitor your blood pressure as this medication can cause an increase. Be sure to inform your healthcare provider if you notice any significant changes. Serious side effects, although less common, require immediate medical attention. These include lumps in the breast, mood changes like worsening depression, severe stomach pain, or unusual changes in vaginal bleeding.

A rare but serious risk associated with this medication is the formation of blood clots, which can lead to heart attacks, strokes, or clots in the lungs or legs. Seek urgent medical help if you experience chest pain, sudden dizziness, swelling in the groin or calf, difficulty speaking, shortness of breath, severe headaches, or any vision changes.

Allergic reactions to this medication are very rare but require immediate medical attention. Look out for symptoms such as rashes, itching, swelling, severe dizziness, or trouble breathing. If you notice any other unusual effects, contact your healthcare provider for advice.

Certain medications may 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 medicines may reduce the effectiveness of hormonal birth control by lowering hormone levels in your body, which could lead to pregnancy. Examples of such medications include griseofulvin, Modafinil, certain antibiotics like Rifampin and Rifabutin, ritonavir, St. John's wort, and drugs for seizures, such as barbiturates, Carbamazepine, and Phenytoin. Certain HIV treatments like nelfinavir and Nevirapine can also have this effect.

Always inform your doctor about any new medications you start and discuss whether you need to use additional birth control methods. Notify your doctor if you experience any new spotting or breakthrough bleeding, as this could indicate that your birth control is less effective. This drug may also affect the results of specific lab tests, including those for blood clotting and thyroid function. Ensure that all your healthcare providers and lab technicians are aware that you are taking this medication.