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When taking this medication, you may experience some common side effects such as nausea, vomiting, headaches, bloating, breast tenderness, swelling of the ankles or feet due to fluid retention, or changes in weight. It is also normal to have vaginal bleeding between periods (spotting) or missed/irregular periods, particularly during the initial months of use. These side effects are typically mild and should not be a cause for concern unless they persist or worsen, in which case you should inform your healthcare provider.

This medicine can sometimes lead to an increase in blood pressure, so it is advisable to monitor your blood pressure regularly and consult your healthcare provider if you notice high readings. Though infrequent, some individuals may experience serious side effects. These include the appearance of lumps in the breast, significant mood changes like worsening depression, severe stomach or abdominal pain, unusual changes in vaginal bleeding such as continuous spotting or heavy bleeding, dark urine, or yellowing of the skin or eyes. Immediate consultation with a healthcare professional is recommended if these occur.

Rarely, this medication may cause serious, potentially life-threatening blood clot issues, such as heart attacks, strokes, or clots in the lungs or legs. Seek urgent medical assistance if you experience symptoms like chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, pain or swelling in the groin or calf, difficulty speaking, shortness of breath, rapid breathing, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes.

Although a severe allergic reaction is uncommon, it is critical to seek medical help right away if you notice symptoms such as rash, itching or swelling, particularly of the face, tongue, or throat, severe dizziness, or trouble breathing. While this list covers many potential side effects, it is not exhaustive. Any additional symptoms or concerns should be discussed with your healthcare provider.

Certain medications may interact with this drug, including aromatase inhibitors like Anastrozole and Exemestane, as well as fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, some drugs can reduce the effectiveness of hormonal birth control by lowering the levels of birth control hormones in your body, which may lead to pregnancy. These include griseofulvin, Modafinil, rifamycins such as Rifampin and Rifabutin, Ritonavir, St. John's wort, and medications for seizure control like barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate, as well as certain HIV medications like nelfinavir and Nevirapine.

It is important to inform your doctor when you begin any new medication, and discuss whether you need to use an additional form of birth control. Notify your doctor if you experience any spotting or breakthrough bleeding, as these could indicate that your birth control is not functioning effectively. Moreover, this medication can affect lab tests, specifically those measuring blood clotting factors and thyroid levels, potentially leading to incorrect test results. Ensure that all medical professionals involved in your care are aware that you are using this medication.