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When using Camrese, a type of combined oral contraceptive (COC), it is crucial to be aware of the associated safety risks and precautions. Below is a summary of essential warnings and contraindications to consider before starting this medication:

• Smoking and Cardiovascular Risks: Smoking while taking Camrese can significantly increase the risk of serious heart problems, such as heart attacks and strokes, especially in women over 35 years of age. It is highly advised that smokers discuss alternative birth control methods with their healthcare provider.

• Blood Clots: The estrogen component in Camrese can elevate the risk of developing serious blood clots, which can be life-threatening. This risk is higher for women over 35 who smoke, those over 40 who do not smoke, individuals recently having surgery with extended bed rest, those starting COCs shortly after childbirth, and people with high blood pressure, obesity, high cholesterol, or diabetes. Immediate medical attention is necessary if symptoms of a blood clot appear.

• Cancer Risks: There is a potential increased risk for breast and cervical cancer with long-term use of COCs. Individuals with a history of these cancers should avoid Camrese. Regular screenings for breast and cervical cancer are recommended for those currently taking or having recently taken the medication.

• Liver Problems: Camrese should not be used if you have liver issues or tumors, as it may exacerbate these conditions. Symptoms of liver problems, such as jaundice or dark urine, necessitate discontinuing the medication and consulting a healthcare provider.

• Gallbladder Disease: There is a low risk of developing gallbladder disease due to the increased hormone levels in Camrese. Those with a history of gallbladder issues should consult their provider before use.

• High Blood Sugar and Triglycerides: Camrese can increase blood sugar and triglyceride levels, especially in individuals with pre-existing conditions. Monitoring is advised if you are at risk.

• High Blood Pressure: Camrese may raise blood pressure, so regular monitoring is important. Those with kidney problems or uncontrolled high blood pressure should not use this medication.

• Headaches: Report any new or worsening migraines or headaches to your provider, as it may require discontinuing the medication.

• Irregular Bleeding: Irregular bleeding can occur initially and is usually temporary. Persistent or heavy bleeding should be evaluated by a healthcare provider.

Contraindications: Avoid using Camrese if you have a high risk for blood clots, a history of cardiovascular issues, are over 35 and smoke, experience migraines with aura, have uncontrolled chronic conditions like high blood pressure or diabetes, liver disease, are currently pregnant, or have a history of breast cancer. Additionally, avoid if you are taking certain hepatitis C medications.

Always consult your healthcare provider for personalized advice and to ensure this medication is appropriate for your specific health needs.

When taking this medication, you may experience some common side effects that are generally mild and may ease over time. These include nausea, vomiting, headaches, bloating, acne, and breast tenderness. Some individuals may also notice weight changes or swelling in the ankles and feet due to fluid retention. Vaginal bleeding between periods is possible, especially in the initial months of use, and irregular or heavy bleeding may occur as well. Mood changes, such as feeling tired or experiencing muscle spasms, might also be observed. A brownish patch on the face and issues tolerating contact lenses can occur.

While many side effects are mild, it's important to be aware of more serious reactions that require prompt medical attention. These include high blood pressure, lumps in the breast, severe mood changes, significant abdominal pain, and unusual menstrual changes like continuous spotting or sudden heavy bleeding. In rare cases, the medication can lead to severe complications from blood clots, such as heart attack, stroke, deep vein thrombosis, or pulmonary embolism. Symptoms like chest pain, difficulty breathing, sudden dizziness, vision changes, and weakness on one side of the body should be treated as emergencies.

Additionally, liver or gallbladder issues may arise, indicated by yellowing of the skin or eyes, dark urine, or persistent stomach pain. Although a severe allergic reaction is rare, symptoms such as a rash, itching, or swelling—especially of the face or throat—require immediate medical care. Always consult with your healthcare provider if you notice any unusual or concerning symptoms.

Some medications that can interact with this drug include aromatase inhibitors (like anastrozole and exemestane), fezolinetant, ospemifene, tamoxifen, tizanidine, and tranexamic acid. Additionally, certain drugs can lower the effectiveness of hormonal birth control by reducing the levels of contraceptive hormones in your body, which might lead to pregnancy. Such drugs include griseofulvin, modafinil, rifamycins (like rifampin and rifabutin), ritonavir, St. John's wort, and medications used for seizures (such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, and topiramate), as well as some HIV medications (including nelfinavir and nevirapine).

Always inform your doctor about any new medications you begin and discuss whether additional birth control methods are necessary. If you experience unusual spotting or breakthrough bleeding, notify your doctor, as these could indicate that your birth control might not be effective. This drug may also affect the results of certain laboratory tests, including those for blood clotting and thyroid function, potentially leading to inaccurate outcomes. Ensure that all medical personnel are aware that you are taking this medication.