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When considering the use of hormonal birth control methods like pills, patches, or rings, it is important to be aware of the associated risks. Smoking can significantly increase the likelihood of experiencing severe health issues such as stroke, heart attack, blood clots, and high blood pressure. The danger of these conditions rises with age and the amount of cigarette consumption. To prioritize health and safety:

• Refrain from smoking or using any form of tobacco.
• Individuals over the age of 35 who smoke or use tobacco should not use hormonal birth control.

Additionally, be cautious with iron-containing products, particularly around young children, as accidental ingestion is a major cause of fatal poisoning in children under six years old. To ensure safety:

• Store these products out of children's reach.
• In case of an overdose, seek immediate medical attention or contact a poison control center.

You may experience some common side effects such as nausea, vomiting, headache, abdominal cramps or bloating, breast tenderness, and fluid retention, which can lead to swelling of the ankles or feet and weight changes. Occasionally, you might notice spotting or changes in your menstrual cycle such as missed or irregular periods, particularly in the initial months of use. These side effects are generally mild, but if they persist or worsen, consult your healthcare provider.

There is a possibility that this medication could increase your blood pressure, so it's important to monitor it regularly and inform your healthcare provider if you notice elevated readings. While serious side effects are uncommon, it is crucial to be aware of them. Notify your healthcare provider immediately if you experience any breast lumps, mood changes, severe abdominal pain, unusual vaginal bleeding, or symptoms of high blood sugar like increased thirst or urination, dark urine, or yellowing of the eyes or skin.

Though rare, this medication may lead to serious blood clot-related issues such as heart attacks, strokes, or clots in the lungs or legs. Seek urgent medical attention if you encounter symptoms like shortness of breath, chest pain, sudden dizziness, severe headaches, or any unusual swelling or warmth in the groin or calf. In very rare cases, an allergic reaction can occur. If you notice symptoms like a rash, swelling of the face, tongue, or throat, severe dizziness, or difficulty breathing, seek medical help immediately.

While this summary covers common and serious side effects, it is not exhaustive. If you experience any other unexpected effects, contact your healthcare provider for guidance.

Some substances that may interact with this medication include aromatase inhibitors like anastrozole and exemestane, as well as drugs like fezolinetant, ospemifene, tamoxifen, tizanidine, tranexamic acid, and certain combinations used for treating chronic hepatitis C, such as ombitasvir/paritaprevir/ritonavir, with or without dasabuvir.

Certain medications can reduce the effectiveness of hormonal birth control by lowering the levels of contraceptive hormones in your body, potentially leading to pregnancy. These include griseofulvin, modafinil, rifamycins like rifampin and rifabutin, ritonavir, St. John's wort, and some seizure treatments such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, and topiramate. Additionally, some HIV medications, including nelfinavir and nevirapine, may have this effect.

It's important to inform your doctor about any new medications you start and discuss whether you should use a reliable backup method of birth control. If you notice any new spotting or unexpected bleeding, let your doctor know, as this could indicate that your birth control is not functioning properly.

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