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When using hormonal birth control methods such as the pill, patch, or ring, there are important safety considerations to be aware of. Smoking can significantly increase the risk of serious health issues like stroke, heart attack, blood clots, and high blood pressure. These risks are further elevated if you are obese or as you age, particularly if you smoke more cigarettes.

• Avoid using this medication if you are obese or if you smoke (or use tobacco) and are over the age of 35.
• The patch delivers a higher dose of estrogen compared to most birth control pills, potentially increasing the risk of blood clots and other side effects.
• It is crucial to discuss your medical history and any potential risks with your doctor to ensure the safest choice of contraception for you.

For more personalized advice, always consult with your healthcare provider.

When using this medication, you might experience mild side effects such as skin irritation at the application site, nausea, vomiting, headache, bloating, breast tenderness, or swelling of the ankles and feet due to fluid retention. Weight changes and spotting between periods are also possible, especially within the first few months. If these symptoms persist or worsen, consult with your healthcare provider.

It is important to monitor your blood pressure, as this medication can cause an increase. Report any significant changes to your healthcare provider. If you experience missed periods, especially if the patch is not used correctly, a pregnancy test may be necessary.

Serious side effects, though less common, require immediate attention. These include lumps in the breast, significant mood changes, severe abdominal pain, unusual vaginal bleeding, dark urine, or yellowing of the skin or eyes.

Rarely, this medication may lead to severe blood clot-related complications, such as heart attack or stroke. Seek urgent medical care if you notice symptoms like chest pain, sudden dizziness, pain or swelling in the legs, difficulty speaking, shortness of breath, or sudden vision changes.

Although very rare, allergic reactions can occur. Immediate medical help is needed if you experience symptoms like rash, swelling, severe dizziness, or trouble breathing. Always inform your healthcare provider if you notice any unusual symptoms not listed here.

Certain drugs and products can interact with this medication. Examples include aromatase inhibitors like anastrozole and exemestane, fezolinetant, ospemifene, tamoxifen, tizanidine, tranexamic acid, and specific combination treatments for chronic hepatitis C, such as ombitasvir/paritaprevir/ritonavir, with or without dasabuvir.

Some medications can 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 and rifabutin, ritonavir, St. John's wort, medications for seizures (such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate), and some HIV drugs like nelfinavir and nevirapine.

It's important to inform your doctor when you begin taking any new medication. Discuss whether you need an additional form of birth control and report any unusual bleeding or spotting, as these could indicate your birth control isn't working properly.

This drug might also affect certain lab tests, such as those for blood clotting and thyroid function, potentially leading to inaccurate results. Make sure all healthcare providers and lab staff know you are using this medication.