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This medication carries specific warnings and precautions that must be taken seriously to ensure safety and effectiveness:

• Smoking and Age Considerations: If you are over 35 years old and smoke cigarettes or use tobacco, do not use this medication. Tobacco use in combination with hormonal birth control methods, such as pills, patches, or rings, significantly elevates the risk of serious cardiovascular events, including stroke, heart attack, blood clots, and high blood pressure. These risks increase with age and the number of cigarettes smoked. It is strongly advised to refrain from smoking or using tobacco while on this medication.

• Iron Overdose Warning: Iron-containing products can be extremely dangerous if accidentally overdosed, particularly in children under the age of six. Such incidents are a leading cause of fatal poisoning in this age group. Therefore, it is crucial to store this product out of the reach of children. In the event of an overdose, immediate medical attention is necessary. Contact a healthcare professional or a poison control center without delay.

These instructions are vital for your safety and the safety of others. Always follow the guidance of your healthcare provider when using this medication.

When taking this medication, you may experience mild side effects like nausea, vomiting, headaches, bloating, breast tenderness, fluid retention (swelling of ankles/feet), or changes in weight. Some women might notice spotting or irregular menstrual periods, particularly in the initial months. These effects are generally manageable, but if they persist or worsen, consulting a healthcare provider is advisable. Additionally, monitoring your blood pressure is important, as this medication can cause it to rise. Inform your healthcare provider if you observe consistently high readings.

More serious side effects, though less common, require immediate medical attention. These include the development of breast lumps, significant mood changes or depression, severe abdominal pain, unusual changes in menstrual bleeding, dark urine, or yellowing of the skin/eyes. There is a rare risk of blood clots, which can lead to severe conditions like heart attacks or strokes. If you experience chest pain, confusion, sudden dizziness, swelling or warmth in the limbs, difficulty speaking, shortness of breath, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes, seek emergency medical help.

Allergic reactions to this medication are uncommon but can be serious. Watch for signs such as rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing, and obtain medical assistance immediately if they occur. While this is a comprehensive overview of potential side effects, others may occur. Always consult a healthcare provider if you notice any unusual symptoms.