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The following safety and warning information is essential for anyone considering the use of Vienva, a combined oral contraceptive (COC). It is important to review these points and discuss any concerns with your healthcare provider.

• Cigarette Smoking and Cardiovascular Risks: Smoking while using COCs like Vienva significantly increases the risk of severe cardiovascular issues, including strokes, heart attacks, and blood clots. The risk is notably higher for females over 35 who smoke. If you smoke, consult your provider about safer contraceptive options.

• Blood Clots and Strokes: Vienva can elevate the risk of developing blood clots in various parts of the body, such as the lungs, legs, brain, and heart. Immediate medical attention is required if symptoms of a blood clot appear. This risk is higher for females over 35 who smoke, those over 40 who do not smoke, individuals with recent surgeries requiring prolonged bed rest, those starting Vienva shortly after childbirth, and individuals with high blood pressure, obesity, high cholesterol, or diabetes.

• Cancer Risks: There is a potential increased risk of breast and cervical cancer with prolonged use of Vienva. Individuals with a history of breast cancer should be particularly cautious.

• Liver Concerns: Although rare, Vienva can lead to liver damage or tumors. It should not be used by individuals with existing liver issues. Contact your healthcare provider if symptoms such as fatigue, abdominal pain, or jaundice occur.

• Impact on Blood Sugar and Triglycerides: Vienva may increase blood sugar and triglyceride levels. Those with diabetes or a family history of high triglycerides should monitor their health closely and keep their healthcare provider informed of any changes.

• Blood Pressure: Users of Vienva may experience elevated blood pressure. Regular monitoring is advised, and those with uncontrolled high blood pressure should discuss alternative contraceptives with their provider.

• Headaches: While common, severe or recurring headaches, particularly migraines, should be reported to a healthcare provider.

• Irregular Bleeding: Spotting and breakthrough bleeding are usual during the initial months of use. Notify your provider if bleeding persists outside your menstrual cycle.

• Ectopic Pregnancy Risk: The risk of ectopic pregnancy increases if Vienva is not taken consistently at the same time daily. Symptoms like low back pain and abnormal bleeding should prompt a consultation with a healthcare provider.

• Depression: Any onset or worsening of depression should be communicated to your provider. In severe cases, discontinuation of Vienva may be necessary.

• Drug Interactions: Certain medications can reduce the effectiveness of Vienva or increase its side effects. Inform your healthcare provider of all medications you are taking to prevent interactions.

Contraindications: Vienva should not be used by individuals with the following conditions due to potential serious health risks:

• Current or past deep vein thrombosis (DVT) or other clotting disorders
• Coronary artery disease or cerebrovascular issues
• Specific heart valve or rhythm problems
• Recent major surgery with prolonged immobility
• Long-standing diabetes with vascular complications
• Certain migraine types, especially with aura or in individuals over 35
• Uncontrolled high blood pressure
• Current or past breast or endometrial cancer
• Unexplained abnormal genital bleeding
• Liver tumors or disease
• Pregnancy
• Concurrent use of specific hepatitis C medications

For any of these conditions, consult your healthcare provider before using Vienva to ensure your safety.

When taking Sronyx, it's important to be aware of potential interactions with other medications and certain foods, as these can affect the contraceptive's effectiveness or lead to unwanted side effects.

Medications That May Reduce Sronyx's Effectiveness:

• Antibiotics: Some antibiotics, such as Ampicillin and tetracyclines, may decrease the effectiveness of Sronyx.

• Anticonvulsants: Medications like Carbamazepine, Phenytoin, and Phenobarbital can increase the breakdown of contraceptive hormones, potentially reducing Sronyx's reliability.

• Antifungal Agents: Drugs such as griseofulvin may also diminish the contraceptive effect of Sronyx.

Medications That May Increase Side Effects:

• Acetaminophen: This common pain reliever can raise the levels of ethinyl estradiol in your blood, potentially leading to increased estrogen-related side effects.

• Caffeine: When taken with Sronyx, caffeine levels in the body may rise, which could intensify caffeine-related side effects like nausea or tremors.

Food Interactions:

• Grapefruit Juice: Consuming grapefruit juice can elevate the blood levels of levonorgestrel, one of Sronyx's active ingredients. It's advisable to limit grapefruit intake while using this contraceptive.

Recommendations:

• Consult Your Healthcare Provider: Before starting any new medication or supplement, discuss it with your doctor to ensure it doesn't interfere with Sronyx.

• Use Additional Contraception: If you're prescribed medications known to reduce Sronyx's effectiveness, consider using a backup contraceptive method, such as condoms, during the course of treatment and for a short period afterward.

• Monitor for Side Effects: Be vigilant for any unusual symptoms or side effects when combining Sronyx with other substances, and report them to your healthcare provider promptly.

By staying informed about these interactions and taking appropriate precautions, you can help ensure that Sronyx remains an effective and safe contraceptive choice for you.