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This medication comes with important safety warnings that must be considered prior to use:

• Individuals who smoke cigarettes or use tobacco products and are over the age of 35 should avoid using this medication. Smoking, in combination with hormonal birth control methods such as pills, patches, or rings, significantly increases the risk of stroke, heart attack, blood clots, and high blood pressure. These risks are heightened by both advancing age and the number of cigarettes smoked.
• It is strongly advised to refrain from smoking or using tobacco while using this medication.
• Additionally, products containing iron pose a high risk of fatal poisoning in children under 6 years of age. Ensure that this product is stored securely and out of children's reach.
• In the event of an overdose, seek immediate medical assistance or contact a poison control center without delay.

Adhering to these precautions is crucial to ensuring safety and minimizing health risks.

You might experience mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, fluid retention causing swelling of ankles/feet, or weight change. Spotting or irregular periods, especially in the first few months, are also common. These symptoms usually ease with time; however, if they persist or worsen, consult your healthcare provider. Missing two consecutive periods, or one if the pill was not used correctly, warrants a pregnancy test.

It's important to monitor your blood pressure regularly, as this medication can cause an increase. Notify your healthcare provider if you notice elevated readings. Serious side effects are rare but require immediate attention. These include breast lumps, mood changes like depression, severe abdominal pain, unusual vaginal bleeding, dark urine, or yellowing skin/eyes.

In very rare instances, this medication may lead to serious blood clot issues, such as a heart attack or stroke. Seek urgent medical help if you experience chest pain, confusion, sudden dizziness, calf pain/swelling, trouble speaking, shortness of breath, severe headaches, sweating, weakness on one side of the body, or vision changes.

Although extremely rare, severe allergic reactions can occur. Immediate medical attention is necessary if you experience rash, swelling, particularly of the face, tongue, or throat, severe dizziness, or difficulty breathing. Always report any other unusual symptoms to your healthcare provider.

Some medications can interact with this drug. These include aromatase inhibitors like Anastrozole and Exemestane, fezolinetant, ospemifene, Tamoxifen, Tizanidine, Tranexamic Acid, and certain combination drugs for chronic hepatitis C, such as ombitasvir/paritaprevir/Ritonavir, with or without dasabuvir.

Certain drugs can reduce the effectiveness of hormonal birth control by lowering hormone levels, which may lead to pregnancy. These include griseofulvin, Modafinil, rifamycins like Rifampin and Rifabutin, ritonavir, St. John's wort, seizure medications such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate, as well as some HIV medications like nelfinavir and Nevirapine.

It is important to inform your doctor if you begin any new medication. Discuss whether you should use an additional form of birth control. If you notice any new spotting or breakthrough bleeding, tell your doctor, as this could indicate reduced effectiveness of your birth control.

This medication might also affect certain lab tests, such as those for blood clotting factors and thyroid function, potentially causing inaccurate results. Make sure all healthcare providers and lab personnel are aware that you are using this medication.