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This information outlines important safety considerations for the use of this medication. Please read carefully and consult your healthcare provider if you have any questions or concerns.

• Medication Interactions: Prior to starting norethindrone, inform your healthcare provider or pharmacist about all medications and supplements you are currently taking. This will help them to identify any potential interactions.

• Ectopic Pregnancy or Ovarian Cyst: If you become pregnant while taking norethindrone, there is a small risk that the pregnancy might be ectopic, occurring outside the uterus. This condition can be serious. Seek immediate medical attention if you experience symptoms such as cramping or pain in the lower abdomen or shoulder.

• Irregular Vaginal Bleeding: While irregular vaginal bleeding is a common side effect of progestin-only pills (POPs) like norethindrone, it can occasionally indicate a more serious issue such as an infection or cancer. If you have concerns about irregular bleeding or if you experience an absence of bleeding, consult your healthcare provider to rule out pregnancy.

• Possible Risk of Cancer: Some research suggests that combination birth control pills may increase the risk of breast or ovarian cancer. It is unclear if norethindrone or other POPs carry the same risk. Discuss any concerns about cancer risks with your healthcare provider.

Contraindications:

This medication should not be used under certain conditions, as it may pose significant health risks. If any of the following apply to you, consult your healthcare provider before use:

• Pregnancy
• Diagnosed or suspected breast cancer
• Undiagnosed bleeding between menstrual cycles
• Liver tumors, whether benign or cancerous
• Acute liver disease

When using this medication, you may encounter some side effects, which are typically mild but should be monitored. Commonly, individuals may experience irregular periods and spotting. These are generally not a cause for concern, but if they persist, it is advisable to seek guidance from a healthcare professional.

In addition to these common effects, there are other side effects that some users have reported. These include headaches, tender breasts, nausea, and dizziness. These symptoms can be uncomfortable, but they usually do not indicate a serious problem. However, if they become severe or bothersome, consulting with your healthcare provider is recommended.

There are rare but serious side effects associated with the medication that warrant immediate medical attention. One such serious condition is an ectopic pregnancy, which may present with symptoms such as stomach pain and spotting. If you suspect this condition, it is crucial to seek urgent medical care to address the issue promptly.