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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 this medication, it's common for some individuals to experience mild side effects. These include nausea, vomiting, stomach cramps, bloating, spotting, breast tenderness, weight changes, headaches, raised blood pressure, and feelings of depression. While these symptoms are typically not severe, it's important to consult a healthcare provider if they persist or become bothersome, as they can help address any concerns.

In addition to the common side effects, there are others that have been reported by some users. These include yeast infections, spotty darkening of the skin, changes in sex drive, acne, and changes in appetite. Although these effects are less common, they can be troubling, and you should speak with a healthcare professional if you experience any of them.

There are also rare but serious side effects associated with this medication that require immediate medical attention. These include signs of a heart attack, such as chest pain, stomach discomfort, sweating, nausea, and dizziness. Symptoms of a stroke, like sudden numbness or weakness in the arm, leg, or face, confusion, trouble seeing, headache, and difficulty walking, also warrant urgent care. Deep vein thrombosis, which presents as leg cramps, swelling, pain, and muscle tightness, and pulmonary embolism, marked by cough, chest pain, trouble breathing, and a racing heart, are additional serious side effects that require prompt medical intervention.