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When using this medication, it is crucial to be aware of certain risks and precautions to ensure safety:

• Smoking and Age Considerations: Individuals over 35 years old who smoke cigarettes or use tobacco should avoid this medication. Smoking significantly increases the likelihood of severe cardiovascular events such as stroke, heart attack, blood clots, and high blood pressure when combined with hormonal birth control methods like the pill, patch, or ring. The risk amplifies with age and the quantity of tobacco used. It is strongly advised not to smoke or use any tobacco products while on this medication.

• Iron Overdose Warning: Products containing iron pose a significant poisoning risk, especially for children under the age of 6. Accidental ingestion can lead to fatal poisoning. It is imperative to keep this product out of the reach of children. In the event of an overdose, seek immediate medical assistance or contact a poison control center immediately.

Adhering to these precautions can help prevent serious health complications. Please consult your healthcare provider for further guidance tailored to your specific health needs.

When taking this medication, you may experience mild side effects such as nausea, vomiting, headache, bloating, breast tenderness, or swelling of the ankles and feet due to fluid retention. Changes in weight and vaginal bleeding between periods, also known as spotting, or irregular periods might also occur, particularly in the initial months of use. It's important to monitor these symptoms, and if they persist or worsen, consult your healthcare provider. Missing two periods consecutively, or one period if the medication hasn't been used correctly, should prompt you to contact your healthcare provider for a pregnancy test.

This medication has the potential to elevate blood pressure, so regular monitoring is advised. Report any significant increases to your healthcare provider. Serious side effects that need immediate attention include breast lumps, mood changes such as worsening depression, severe abdominal pain, unusual vaginal bleeding, dark urine, or yellowing of the eyes or skin. In rare cases, this medication can lead to serious blood clot issues, including heart attack, stroke, or clots in the lungs or legs. Be alert to symptoms like chest pain, confusion, dizziness, pain or swelling in the legs, difficulty speaking, shortness of breath, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes.

Although serious allergic reactions are rare, they require immediate medical attention. Symptoms to watch for include rash, itching, swelling of the face, tongue, or throat, severe dizziness, and trouble breathing. While this list covers many potential side effects, it is not exhaustive. If you notice any other unusual symptoms, reach out to your healthcare provider.