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When using hormonal birth control such as Camrese, it is important to be aware of potential risks and necessary precautions. Below is a summary of key safety information. Consult your healthcare provider with any concerns or questions.

• Smoking and Heart Risks: If you are over 35 and smoke, using this medication increases the risk of serious heart issues like heart attacks and strokes. Discuss alternative birth control methods with your healthcare provider if you smoke.

• Blood Clots: This medication may cause serious blood clots due to its estrogen content. The risk is higher for individuals over 35 who smoke, have recently had surgery, are obese, have high blood pressure or cholesterol, diabetes, are new to birth control use, or are restarting it post-pregnancy. Seek immediate medical attention if you notice signs of a blood clot.

• Cancer Risks: There is an unclear link between Camrese and increased risk of breast and cervical cancer. However, prolonged use may elevate the risk for cervical cancer. Do not use this medication if you have or have had breast or cervical cancer. Regular screenings and exams are advised if you're currently taking or have recently taken Camrese.

• Liver Health: Avoid this medication if you have liver issues, as it can increase the risk of liver tumors. Discontinue use and consult your provider if you show symptoms of liver problems such as jaundice or dark urine.

• Gallbladder Disease: There is a potential risk for gallbladder disease with this medication. Discuss your medical history with your provider if gallbladder issues are a concern.

• Blood Sugar and Triglycerides: Camrese can increase blood sugar and triglyceride levels, particularly if pre-existing conditions are present. Monitor these levels regularly.

• Blood Pressure: This medication may raise blood pressure, especially in older individuals or those with a history of kidney problems or uncontrolled hypertension. Regular blood pressure checks are recommended.

• Headaches: If you experience new or worsening headaches or migraines, consult your healthcare provider, as medication adjustment might be necessary.

• Irregular Bleeding: Some users may experience irregular bleeding within the first three months. If bleeding persists or becomes severe, contact your healthcare provider for further evaluation.

Contraindications: Do not use Camrese if you have a high risk for blood clots, a history of cardiovascular events, are over 35 and smoke, have certain types of migraines, uncontrolled medical conditions like high blood pressure or diabetes, liver disease, are pregnant, or have a history of breast cancer or unexplained vaginal bleeding. Additionally, certain hepatitis C medications may interact adversely with Camrese.

Always discuss your full medical history with your healthcare provider to ensure this medication is safe for you.

When taking this medication, some common side effects may occur but are generally mild. These include nausea, vomiting, headaches, bloating, breast tenderness, and weight changes. It's not uncommon to experience fluid retention leading to swelling in the ankles or feet, or to have changes in your menstrual cycle such as spotting or irregular bleeding, especially in the initial months.

There are more significant side effects to be aware of, though they are rare. These include serious allergic reactions, characterized by rash, itching, swelling of the face, tongue, or throat, severe dizziness, and breathing difficulties. The medication can also cause a rise in blood pressure, so regular monitoring is advised. Mood changes, such as depression, severe abdominal pain, and unusual bleeding patterns require prompt consultation with a healthcare provider.

In rare instances, the medication might lead to severe health problems, such as blood clots, which could result in a heart attack or stroke. Symptoms to watch for include chest pain, sudden dizziness, severe headaches, pain or swelling in the calf or groin, and difficulty speaking or breathing. Liver issues might manifest as yellowing of the skin or eyes and dark urine. If any of these symptoms occur, immediate medical attention is necessary.

Lastly, some users report mild side effects like acne, muscle spasms, fatigue, and difficulty tolerating contact lenses. If these persist or worsen, it is advisable to inform your healthcare provider.

Certain medications can interact with this drug, potentially affecting its effectiveness or your health. These include aromatase inhibitors like anastrozole and exemestane, as well as fezolinetant, ospemifene, tamoxifen, tizanidine, and tranexamic acid. Additionally, some medications may reduce the effectiveness of hormonal birth control by lowering hormone levels, which could lead to pregnancy. Examples of such medications include griseofulvin, modafinil, rifamycins (such as rifampin and rifabutin), ritonavir, St. John's wort, and medications used for seizures, like barbiturates, carbamazepine, felbamate, phenytoin, primidone, and topiramate, as well as certain HIV drugs such as nelfinavir and nevirapine.

It is essential to inform your doctor whenever you begin a new medication and to discuss whether you might need additional birth control methods. Also, notify your doctor if you experience any unusual bleeding or spotting, as these could indicate that your birth control is not working effectively. Furthermore, this drug might affect the results of certain laboratory tests, such as those for blood clotting factors or thyroid function. Ensure that all healthcare professionals involved in your care are aware that you are taking this medication.