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Please be advised of the following safety information regarding this medication:

• Avoid using this medication if you are over 35 years old and smoke cigarettes or use any form of tobacco.
• Smoking while on hormonal birth control, such as the pill, patch, or ring, significantly elevates your risk of experiencing a stroke, heart attack, blood clots, and high blood pressure.
• The likelihood of these serious health issues increases with age and the quantity of cigarettes smoked.
• It is strongly recommended to refrain from smoking or using any tobacco products.

This information is crucial for your safety and wellbeing.

You may experience mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, ankle or foot swelling due to fluid retention, or changes in weight. Spotting or irregular periods might occur, especially in the initial months. If these symptoms persist or worsen, it's important to consult your healthcare provider. Missing two consecutive periods, or one if the medication hasn't been used correctly, warrants a pregnancy test.

This medication can potentially raise blood pressure, so regular monitoring is advised. If you notice a significant increase, inform your healthcare provider. Serious side effects, though not common, require immediate attention. These include breast lumps, significant mood changes like depression, severe abdominal pain, unusual vaginal bleeding patterns, dark urine, or yellowing of the skin or eyes.

Rarely, this medication can lead to severe, sometimes fatal, blood clot-related issues, such as heart attacks or strokes. Seek urgent medical help if you experience symptoms like chest pain, sudden dizziness, fainting, pain or swelling in the legs, difficulty speaking, shortness of breath, severe headaches, unexpected sweating, weakness on one side of the body, or sudden vision changes.

Allergic reactions to this drug are rare but can be serious. Get immediate medical assistance if you experience symptoms such as a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing. Always consult your healthcare provider if you notice any other unusual symptoms.