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It is important to be aware of the safety concerns and warnings associated with certain medications, particularly hormonal birth control and iron-containing products. Please consider the following guidelines:

• Smoking can significantly increase your risk of stroke, heart attack, blood clots, and high blood pressure when using hormonal birth control methods such as the pill, patch, or ring. These risks are elevated with age and the number of cigarettes smoked.
• It is advised not to smoke or use tobacco products while on hormonal birth control. Individuals over the age of 35 who smoke should not use these forms of birth control.
• Accidental overdose of iron-containing products is a major cause of fatal poisoning in children under 6 years. Always store these products safely out of children's reach.
• In the event of an overdose, seek immediate medical attention or contact a poison control center for assistance.

By following these precautions, you can help mitigate potential risks associated with these medications.

Common side effects:

• nausea
• vomiting
• headaches
• abdominal cramps
• bloating
• breast tenderness
• swelling in the ankles or feet
• weight changes
• vaginal bleeding between periods

• missed/irregular periods

  Less common but important to monitor:

• lumps in the breast
• mood changes like new or worsening depression
• severe stomach pain
• unusual changes in menstrual bleeding patterns
• high blood sugar symptoms
• dark urine

• yellowing of the skin or eyes

  Serious side effects:

• blood clots
• heart attacks
• strokes
• shortness of breath
• chest pain
• unusual sweating
• confusion
• sudden dizziness
• pain or swelling in the groin or calf
• severe headaches
• trouble speaking
• weakness on one side of the body
• sudden vision changes
• allergic reactions (rash, itching, swelling of the face, tongue, or throat, severe dizziness, difficulty breathing)

Certain medications may interact with this drug. These include aromatase inhibitors like Anastrozole and Exemestane, as well as fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, some drugs can reduce the effectiveness of hormonal birth control by lowering hormone levels in the body, which could lead to pregnancy. Such drugs include griseofulvin, Modafinil, certain antibiotics like Rifampin and Rifabutin, the antiviral Ritonavir, St. John's wort, anti-seizure medications like barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate, as well as certain HIV medications like nelfinavir and Nevirapine.

It's important to inform your doctor whenever you begin taking a new medication and discuss whether you might need to use an additional method of birth control. If you notice any new instances of spotting or breakthrough bleeding, consult your doctor, as these could indicate that your birth control is not as effective.

This drug might also interfere with specific lab tests, such as those measuring clotting factors or thyroid levels, potentially leading to inaccurate results. Ensure that all healthcare providers and laboratory personnel are aware that you are using this medication.