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It is crucial to adhere to the safety guidelines when using this medication. Below are important considerations to ensure its safe use:

• Avoid Use with Smoking: Individuals over the age of 35 who smoke or use tobacco should not use this medication. Smoking significantly increases the risk of severe cardiovascular events, including stroke, heart attack, and blood clots, especially when combined with hormonal birth control methods like pills, patches, or rings. These risks escalate with age and the quantity of cigarettes smoked. It is strongly advised to refrain from smoking or using tobacco products.

• Iron Overdose Warning: Products containing iron pose a significant risk of fatal poisoning in children under 6 years old. It is imperative to keep these products out of children’s reach. In the event of an accidental overdose, seek immediate medical attention or contact a poison control center.

These guidelines are vital for minimizing health risks and ensuring the safe use of the medication. Always follow these precautions closely.

When taking this medication, some common side effects you might experience include nausea, vomiting, headaches, bloating, breast tenderness, and swelling in the ankles or feet due to fluid retention. Additionally, changes in weight and menstrual irregularities, such as spotting between periods or missed periods, can occur, particularly during the initial months of use. These effects are generally mild, but if they persist or worsen, it's important to consult with a healthcare professional.

More serious side effects, though less common, require immediate attention. These include breast lumps, significant mood changes like depression, severe abdominal pain, unusual changes in vaginal bleeding, dark urine, or yellowing of the skin or eyes. These symptoms could indicate more serious conditions and should not be ignored.

This medication may also elevate blood pressure, so regular monitoring is advised. In rare instances, blood clots can occur, potentially leading to severe complications such as heart attack or stroke. Be vigilant for symptoms like chest pain, sudden dizziness, pain or swelling in the legs, difficulty speaking, shortness of breath, or sudden vision changes, and seek medical help immediately if they arise.

Although a severe allergic reaction to this drug is rare, it's crucial to be aware of symptoms like rash, swelling, severe dizziness, or trouble breathing. If any of these occur, seek emergency medical assistance. While this overview covers potential side effects, if you notice any unusual symptoms not listed, reach out to a healthcare provider for guidance.

Some medications can interact with this drug and may affect its efficacy or your health. Notable interactions include aromatase inhibitors like Anastrozole and Exemestane, as well as drugs such as fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid.

Certain drugs might reduce the effectiveness of hormonal birth control by lowering hormone levels in your body, increasing the risk of pregnancy. These include griseofulvin, Modafinil, rifamycins like Rifampin and Rifabutin, Ritonavir, St. John's wort, some seizure medications such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, Topiramate, and certain HIV medications like nelfinavir and Nevirapine.

Always inform your healthcare provider when starting any new medication and discuss the need for additional birth control methods. If you experience new spotting or breakthrough bleeding, this could indicate reduced birth control effectiveness, so consult your doctor. Additionally, this medication may interfere with lab tests related to blood clotting and thyroid function, potentially leading to inaccurate results. Ensure all your healthcare providers are aware that you are taking this medication.