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Please be aware of the following important safety information when using this medication:

• Individuals who are over the age of 35 and use tobacco products, including cigarettes, should not use this medication.
• Using tobacco while on hormonal birth control methods such as pills, patches, or rings significantly raises the risk of experiencing a stroke, heart attack, formation of blood clots, and increased blood pressure.
• The likelihood of these severe health issues escalates both with age and the quantity of tobacco consumed.
• It is strongly advised to refrain from smoking or using any tobacco products while on this medication.

Ensure you adhere to these guidelines to minimize health risks associated with this medication.

You might experience some mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, fluid retention leading to swelling of ankles or feet, or changes in weight. It's also common to have spotting or irregular periods, particularly in the initial months. These effects are usually temporary but inform your healthcare provider if they persist or worsen.

Keep in mind that while many individuals do not encounter severe side effects, this medication may increase blood pressure, so regular monitoring is important. Contact your healthcare provider if you notice significant changes in your blood pressure.

Serious side effects, although rare, require immediate medical attention. These include unusual changes in vaginal bleeding, high potassium symptoms like muscle weakness or an irregular heartbeat, and blood clot-related issues such as chest pain, shortness of breath, or sudden dizziness. Additionally, watch for signs of severe allergic reactions, like rash or breathing difficulties, and other critical symptoms like lumps in the breast, intense abdominal pain, or yellowing of the skin or eyes.

If you experience any serious side effects or notice symptoms not listed, seek medical help promptly. Your safety is paramount, and staying informed about potential side effects ensures a better treatment experience.

Certain medications may interact with this drug. These include aromatase inhibitors, such as Anastrozole and Exemestane, Atazanavir combined with cobicistat, fezolinetant, ospemifene, Tamoxifen, Tizanidine, Tranexamic Acid, and some chronic hepatitis C medications like ombitasvir/paritaprevir/Ritonavir, with or without dasabuvir. Drospirenone can increase potassium levels in your blood. Inform your doctor if you regularly use other medications that can also raise potassium levels, such as Aliskiren, ACE inhibitors like Enalapril and Lisinopril, angiotensin receptor blockers including Losartan and Valsartan, heparin, NSAIDs like Ibuprofen and Naproxen, and potassium-sparing diuretics such as Eplerenone, Spironolactone, and Triamterene.

Some medications may reduce the effectiveness of hormonal birth control by lowering hormone levels in your body, potentially leading to pregnancy. These include griseofulvin, Modafinil, certain antibiotics like Rifampin, ritonavir, St. John's wort, seizure medications such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, Topiramate, and some HIV medications like nelfinavir and Nevirapine. Consult your doctor or pharmacist for more information.

Inform your doctor if you start a new medication and discuss whether you should use additional birth control methods. Notify your doctor of any new spotting or breakthrough bleeding, as these could indicate reduced effectiveness of your birth control.

This drug may alter the results of certain laboratory tests. Ensure that all healthcare providers and lab personnel are aware that you are using this medication.