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When using this medication, it is crucial to be aware of specific safety considerations. Below are key points to help guide its safe use:

• Smoking Caution: Individuals over the age of 35 who smoke cigarettes or use tobacco should not use this medication. Smoking in combination with hormonal birth control methods (like pills, patches, or rings) significantly increases the likelihood of experiencing severe health issues, including stroke, heart attack, blood clots, and high blood pressure. The risk escalates with age and the number of cigarettes smoked. It is strongly advised to refrain from smoking or using tobacco products.

• Children's Safety: Products containing iron can be highly toxic if accidentally ingested by children under the age of six, leading to fatal poisoning. Ensure that this medication is stored securely and out of the reach of children.

• Overdose Protocol: In the event of an overdose, immediate medical attention is essential. Contact healthcare services or reach out to a poison control center without delay.

These guidelines are provided to ensure the safe and effective use of the medication. Always follow your healthcare provider's instructions and consult them with any concerns or questions.

You may experience mild side effects such as nausea, vomiting, headaches, bloating, and breast tenderness. Some might also notice swelling in the ankles or feet due to fluid retention or changes in weight. Spotting or irregular periods are common, particularly when starting the medication. It's important to contact your healthcare provider if these symptoms persist or worsen. If you miss two consecutive periods, or one if the medication hasn't been used correctly, a pregnancy test might be necessary.

This medication can occasionally elevate blood pressure, so regular monitoring is advised. If your blood pressure readings are consistently high, inform your healthcare provider. Serious side effects, although uncommon, require immediate attention. These include breast lumps, significant mood changes like worsening depression, severe abdominal pain, and unusual vaginal bleeding patterns.

Rare but critical side effects include blood clot-related issues, such as heart attack or stroke. Seek urgent medical care if you encounter symptoms like chest pain, sudden dizziness, leg pain or swelling, speech difficulties, or severe headaches. Allergic reactions are very rare, but if you experience symptoms like a rash, severe dizziness, or difficulty breathing, seek immediate medical help.

While these are some potential side effects, not everyone will experience them, and many tolerate the medication well. If you notice any other unusual symptoms, reach out to your healthcare provider for advice.