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When using hormonal birth control methods such as the pill, patch, or ring, it's important to be aware of certain health risks. Smoking can significantly increase your chances of experiencing a stroke, heart attack, blood clots, and high blood pressure. These risks are further elevated if you are obese, as well as with advancing age and the number of cigarettes smoked.

Please consider the following precautions:

• Avoid using this medication if you are obese.
• Refrain from using this medication if you smoke or use tobacco products and are over 35 years old.
• Be aware that the birth control patch delivers a higher dose of estrogen compared to most birth control pills, which may heighten the risk of blood clots or other side effects.

It is crucial to have a discussion with your healthcare provider to understand these risks fully and to determine the safest option for your individual health needs.

Common side effects:

• Skin irritation at the site of application
• Nausea
• Vomiting
• Headache
• Bloating
• Breast tenderness
• Swelling of the ankles or feet due to fluid retention
• Changes in weight

• Vaginal bleeding between periods (spotting)

  Less common but important to monitor:

• Increased blood pressure

  Serious side effects:

• Lumps in the breast
• Significant mental or mood changes
• Severe abdominal pain
• Unusual vaginal bleeding patterns
• Dark urine
• Yellowing of the eyes or skin
• Blood clots
• Chest pain
• Confusion
• Sudden dizziness
• Swelling or warmth in the groin or calf
• Difficulty speaking
• Shortness of breath
• Severe headaches
• Unexpected sweating
• Weakness on one side of the body
• Sudden vision changes
• Severe allergic reaction

This medication can interact with several other drugs. Some of these include aromatase inhibitors like Anastrozole and Exemestane, fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, certain medications can reduce the effectiveness of hormonal birth control by lowering hormone levels in the body, which could lead to pregnancy. These medications include griseofulvin, Modafinil, rifamycins (such as Rifampin, Rifabutin), Ritonavir, St. John's wort, and drugs used for treating seizures, like barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate. Some HIV medications, such as nelfinavir and Nevirapine, also fall into this category.

It is important to inform your doctor if you begin taking any new medications and to discuss the need for additional reliable birth control methods. If you experience any unexpected spotting or breakthrough bleeding, notify your doctor, as these symptoms may indicate your birth control is not functioning effectively.

Moreover, this drug may interfere with certain laboratory tests, including those for blood clotting factors and thyroid function, potentially leading to inaccurate results. Ensure that all healthcare providers and lab personnel are aware of your medication use.