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The following safety and warning information outlines potential risks and precautions associated with the use of this medication. Please read carefully and consult your healthcare provider with any questions or concerns.

• Cigarette Smoking and Heart Health: If you are over 35 years old and smoke, using hormonal birth control like Tilia Fe increases the risk of stroke, heart attack, and blood clots. It's crucial to discuss safer alternatives with your healthcare provider if you smoke.

• Blood Clots and Strokes: Tilia Fe may increase the risk of blood clots, which can lead to serious conditions such as pulmonary embolism, deep vein thrombosis, stroke, and heart attack. Individuals at higher risk include those over 35 who smoke, individuals over 40, those who have recently undergone surgery or childbirth, and those with conditions like high blood pressure, obesity, high cholesterol, or diabetes.

• Irregular Bleeding: Users of Tilia Fe might experience irregular bleeding or spotting, especially during the initial three months. If this becomes problematic, consult your provider for potential alternatives and ensure to monitor any missed periods with a pregnancy test.

• High Blood Pressure: Tilia Fe can elevate blood pressure, particularly in older individuals or those using it long-term. Regular monitoring is advised, and it should not be used by those with uncontrolled high blood pressure.

• Blood Sugar and Cholesterol: This medication can increase blood sugar and cholesterol levels. Those with diabetes, prediabetes, or high cholesterol should consult their provider and may require regular monitoring.

• Cancer Risks: There is a potential increased risk for breast and cervical cancer with prolonged use of Tilia Fe. Individuals with a history of these cancers should discuss this risk with their healthcare provider.

• Liver Issues: Avoid using Tilia Fe if you have liver problems, such as severe liver scarring, tumors, or hepatitis C. Symptoms of liver issues include jaundice, fatigue, and dark urine. Seek immediate medical advice if these occur.

• Headaches and Depression: Report any new or worsening migraines or depression symptoms to your provider. Severe cases may necessitate discontinuing the medication.

In case of an overdose, particularly of iron-containing products, seek immediate medical assistance or contact a poison control center, as this can be fatal in young children. Always keep medications out of children's reach.

Contraindications: Tilia Fe should not be used by individuals who are 35 or older and smoke, have a history of blood clots, heart attacks, strokes, certain types of migraines, uncontrolled high blood pressure, or specific liver issues. Additionally, those taking certain hepatitis C medications should avoid this contraceptive. Always consult your healthcare provider to ensure this medication is safe for your use.

When taking this medication, some common side effects may occur, but they are usually mild and manageable. These include nausea, vomiting, bloating, and stomach cramps. You might also experience changes in your menstrual cycle, such as spotting, bleeding between periods, or missed periods. Additionally, some individuals report breast tenderness, weight changes, and headaches.

Other side effects that have been noted include swelling of the ankles or feet, mood changes, and skin conditions like brown spots or patches. Temporary infertility after stopping the medication, vaginal yeast infections, and discomfort when wearing contact lenses may also be experienced. An allergic rash is possible but considered rare.

Serious side effects, although uncommon, demand urgent medical attention. These include signs of a heart attack, such as chest pain and dizziness, or a stroke, like sudden numbness or trouble speaking. Deep vein thrombosis may present as leg pain and swelling, while pulmonary embolism can cause chest pain and difficulty breathing. Liver issues may manifest as yellowing of the skin or eyes. In case of any severe reactions, such as sudden mood changes or severe allergic responses like facial swelling or breathing difficulties, seek medical help immediately.