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You may experience some common side effects such as nausea, vomiting, headaches, bloating, breast tenderness, fluid retention, or changes in weight. Additionally, spotting or irregular periods might occur, especially in the initial months. If any of these symptoms persist or worsen, it's advisable to consult your healthcare provider. Missing two consecutive periods, or one if the pill was not used correctly, should prompt a pregnancy test.

Monitoring your blood pressure is important as this medication can cause an increase. If you notice elevated readings, inform your healthcare provider. Be vigilant for serious side effects like breast lumps, mood changes, severe abdominal pain, or unusual vaginal bleeding, and report these immediately.

In rare instances, the medication could cause severe blood clot-related issues, which could be life-threatening. Seek urgent medical attention if you experience symptoms such as chest pain, sudden dizziness, severe headaches, or any signs of a stroke. Allergic reactions are also rare but require immediate medical help if you experience symptoms like a rash, swelling, or difficulty breathing.

This summary does not include all possible side effects. If you notice other concerning symptoms, reach out to your healthcare provider for guidance.

Certain medications may interact with this drug. These include aromatase inhibitors like anastrozole and exemestane, fezolinetant, ospemifene, tamoxifen, tizanidine, tranexamic acid, and some combination treatments for chronic hepatitis C (such as ombitasvir/paritaprevir/ritonavir, with or without dasabuvir).

Some medications might reduce the effectiveness of hormonal birth control by lowering the levels of contraceptive hormones in your body, which could lead to pregnancy. Examples of such drugs include griseofulvin, modafinil, rifamycins (including rifampin and rifabutin), ritonavir, St. John's wort, seizure medications (such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate), and certain HIV treatments (such as nelfinavir and nevirapine).

Inform your doctor when you begin taking any new medication, and discuss whether you should use a reliable backup birth control method. Additionally, notify your doctor if you experience any spotting or breakthrough bleeding, as these could indicate your birth control is not functioning effectively.

This drug might affect certain laboratory tests, such as those for blood clotting factors and thyroid function, potentially causing inaccurate results. Ensure lab personnel and all your healthcare providers are aware that you are using this medication.