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It is important to be aware of the following safety information and warnings when using this medication:

• Avoid using this medication if you smoke or use tobacco products and are over the age of 35.
• Smoking can significantly increase your risk of developing severe health issues, such as stroke, heart attack, blood clots, and high blood pressure, particularly when using hormonal birth control methods like pills, patches, or rings.
• The likelihood of encountering these serious health complications rises with age and with the number of cigarettes you smoke.
• It is strongly advised not to smoke or use tobacco while on this medication.

This information is crucial to ensure your health and safety while using hormonal birth control.

When taking this medication, you may experience some mild side effects such as nausea, vomiting, headaches, bloating, and breast tenderness. These are quite common, along with possible swelling of the ankles or feet due to fluid retention and changes in weight. Some individuals may also notice vaginal bleeding between periods or experience irregular or missed periods, especially during the initial months of usage. These effects are generally manageable, but if they persist or worsen, it's important to seek medical advice.

There is a potential for an increase in blood pressure, so regular monitoring is advised, and any elevated readings should be discussed with a healthcare provider. More serious side effects, though not common, require immediate attention. These include lumps in the breast, mental or mood changes like depression, severe abdominal pain, significant changes in vaginal bleeding, dark urine, or yellowing of the skin or eyes.

Rare but severe risks involve blood clot-related complications, which can be life-threatening. Symptoms such as chest pain, difficulty speaking, sudden dizziness, severe headaches, or any signs of a stroke or heart attack should prompt urgent medical evaluation. An allergic reaction to this drug is also rare, but emergency help should be sought if you experience a rash, swelling, severe dizziness, or difficulty breathing.

While this medication is generally safe for most people, it is crucial to be aware of these potential side effects and to consult with a healthcare professional if you experience any concerning symptoms.

Certain medications can interact with this drug, potentially altering its effectiveness. 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 decreasing hormone levels, which could lead to unintended pregnancy. These medications include griseofulvin, Modafinil, rifamycins (such as Rifampin and Rifabutin), Ritonavir, St. John's wort, and drugs for seizures like barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate, as well as certain HIV medications such as nelfinavir and Nevirapine.

It's important to inform your doctor about any new medications you take and discuss whether you need an additional form of birth control. If you notice any unusual spotting or breakthrough bleeding, let your doctor know, as these could indicate that your birth control is less effective. This drug may also interfere with certain laboratory tests, such as those measuring blood clotting factors and thyroid function, potentially leading to inaccurate results. Ensure that all healthcare providers and laboratory personnel are aware that you are using this medication.