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This medication involves a combination of hormones that can elevate the risk of developing blood clots, which may occur in the legs, lungs, or heart. It is crucial to avoid using this medication if you are over 35 years old and smoke cigarettes or use tobacco products. Smoking significantly increases the likelihood of experiencing a stroke, heart attack, blood clots, and elevated blood pressure while taking this treatment. The danger of these severe conditions grows with age and the number of cigarettes smoked. Therefore, it is advised not to smoke or use tobacco while on this medication.

Key Points:

• Hormone treatment can raise the risk of blood clots.
• Do not use if you are over 35 and smoke.
• Smoking heightens the risk of stroke, heart attack, and high blood pressure.
• The risk increases with age and smoking frequency.
• Avoid smoking or using tobacco during treatment.

Some people taking this medication may experience hot flashes, increased sweating, night sweats, or changes in menstrual periods. These are common and usually mild, but if they persist or worsen, consult your healthcare provider. Hair thinning or loss might occur, and it's uncertain if hair will regrow after treatment. It's important to monitor blood pressure, as this medication can cause an increase; report high readings to your healthcare provider.

Serious side effects, though less common, require immediate medical attention. These include breast lumps, significant mood changes (like depression or anxiety), signs of liver damage (persistent nausea, loss of appetite, jaundice, dark urine), unusual vaginal bleeding, and symptoms of high blood sugar (increased thirst and urination). Additionally, this medication lowers estrogen levels, potentially leading to bone loss (osteoporosis), which may be permanent. Discuss with your healthcare provider about calcium and vitamin D supplements for bone health.

Rarely, the medication can cause severe complications due to blood clots, such as heart attack, stroke, or clots in the lungs or legs. Seek urgent medical help if you experience shortness of breath, chest pain, sudden dizziness, pain/swelling in the limbs, or sudden vision changes. Though rare, an allergic reaction is possible, manifesting as a rash, swelling, severe dizziness, or breathing difficulties. Immediate medical attention is crucial in such cases. Always inform your healthcare provider about any other unexpected effects you experience.