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It is important to note the following safety information if you are considering using this medication:

• Avoid using this medication if you are a smoker or use tobacco products and are over the age of 35.
• Smoking while using hormonal birth control methods like pills, patches, or rings increases the likelihood of serious cardiovascular problems, such as strokes, heart attacks, blood clots, and high blood pressure.
• The risk of these adverse effects escalates with age and the quantity of cigarettes smoked.
• It is strongly advised to refrain from smoking or using any tobacco products while on this medication.

Please adhere to these precautions to ensure your safety.

When taking this medication, you might experience mild side effects such as nausea, vomiting, headache, bloating, breast tenderness, or swelling of the ankles and feet due to fluid retention. Some individuals also report weight changes, spotting or vaginal bleeding between periods, or missed/irregular periods, particularly during the initial months of use. These effects are usually not serious, but if they persist or worsen, it is important to consult your healthcare provider.

The medication can also lead to an increase in blood pressure, so regular monitoring is advised. Serious side effects, although less common, require immediate attention. These include breast lumps, significant mood changes like worsening depression, intense stomach or abdominal pain, unusual vaginal bleeding patterns, dark urine, and yellowing of the eyes or skin.

There is a rare risk of severe and potentially fatal blood clots, which can result in a heart attack, stroke, or clots in the lungs or legs. Seek urgent medical care if you experience symptoms such as chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, calf pain or swelling, difficulty speaking, shortness of breath, rapid breathing, severe headaches, unusual sweating, weakness on one side of the body, or sudden changes in vision.

Allergic reactions to the drug are rare but can be serious. Symptoms like rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing require immediate medical attention. This summary does not cover all possible side effects, so be sure to communicate with your healthcare provider if you notice any other unusual symptoms.