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This medication requires careful consideration and adherence to safety guidelines to minimize health risks. The following points outline important precautions and potential hazards:

• Avoid using this medication if you are a smoker aged over 35. The combination of smoking and hormonal birth control (e.g., pills, patches, rings) significantly increases the risk of serious cardiovascular events, such as strokes, heart attacks, blood clots, and elevated blood pressure. These risks are exacerbated with age and the number of cigarettes smoked. It is crucial to refrain from smoking or using tobacco products while on this medication.

• Iron-containing products pose a severe risk to children under the age of 6, with accidental overdose being a leading cause of fatal poisoning in this age group. To prevent accidental ingestion, ensure this product is stored out of reach of children. In the event of an overdose, seek immediate medical assistance or contact a poison control center without delay.

By following these guidelines, users can help ensure their safety while using this medication.

When taking this medication, you may experience some common side effects such as nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles or feet due to fluid retention, or changes in weight. It's also possible to have vaginal bleeding between periods, missed, or irregular periods, particularly in the initial months of using the medication. These effects are generally mild, but if they persist or worsen, it's important to consult with a healthcare professional.

In some cases, this medication may lead to an increase in blood pressure, so it's advisable to monitor your blood pressure regularly and report any significant changes. More severe side effects, although less common, include breast lumps, mental or mood changes like depression, severe abdominal pain, and unusual vaginal bleeding patterns. Additionally, signs such as dark urine or yellowing of the eyes or skin require prompt medical attention.

A rare but serious risk associated with this medication is the development of blood clots, which can lead to life-threatening conditions like heart attacks or strokes. Symptoms to watch for include chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, swelling or warmth in the groin or calf, difficulty speaking, or sudden vision changes. Any of these symptoms necessitate immediate medical assistance.

Very rarely, this medication can cause a severe allergic reaction. Symptoms such as a rash, itching or swelling, particularly of the face, tongue, or throat, severe dizziness, or trouble breathing require urgent medical care. Always inform your healthcare provider of any other side effects you experience. While this summary covers many potential side effects, it is not exhaustive, and you should seek further advice if needed.