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The use of Tilia Fe, a combined oral contraceptive (COC), requires careful consideration due to potential health risks and specific contraindications. Below are important safety warnings and guidelines for use:

• Smoking and Cardiovascular Risks: If you are a female aged 35 or older and smoke, using Tilia Fe significantly increases your risk of serious cardiovascular events, including strokes, heart attacks, and blood clots. Smoking further elevates these risks with advancing age and increased cigarette consumption. Consider alternative birth control options if you smoke.

• Blood Clots and Stroke: Tilia Fe can elevate your risk of developing blood clots, which may lead to conditions like pulmonary embolism, deep vein thrombosis, stroke, or heart attack. The risk is higher for those over 35 who smoke, individuals over 40, those who are obese, have recently had surgery with prolonged bed rest, or have high blood pressure, high cholesterol, or diabetes.

• Irregular Bleeding: Some users may experience irregular bleeding or spotting during the initial months of Tilia Fe use. This may be temporary, but if it persists, consult your healthcare provider for alternative contraception options. Missing periods should prompt a pregnancy test or consultation with a provider.

• High Blood Pressure: Tilia Fe can increase blood pressure, particularly in older females or those using COCs long-term. It is contraindicated for those with uncontrolled high blood pressure. Regular monitoring is advised, and alternative methods should be considered if blood pressure rises.

• Elevated Blood Sugar and Cholesterol: Tilia Fe may raise blood sugar and cholesterol levels. Individuals with diabetes, prediabetes, or high cholesterol should consult their healthcare provider before starting the medication and undergo regular monitoring if they choose to proceed.

• Cancer Risks: There is a potential increased risk of breast and cervical cancer with long-term use of Tilia Fe. This risk is especially relevant for those with a personal or family history of these cancers.

• Liver Conditions: Do not use Tilia Fe if you have liver issues, such as viral hepatitis, severe liver scarring, or tumors. Stop the medication immediately and consult your provider if you notice symptoms like jaundice, dark urine, or loss of appetite.

• Headaches and Depression: Report any new or worsening headaches or migraines, as well as signs of depression, to your healthcare provider. Severe cases may necessitate discontinuation of Tilia Fe.

Contraindications: Tilia Fe should not be used by individuals with the following conditions:

• Females aged 35 and older who smoke.
• Current or past blood clots, or conditions predisposing to clotting.
• History of heart attack, stroke, or certain heart conditions.
• Uncontrolled high blood pressure.
• Diabetes with complications affecting kidneys, eyes, nerves, or blood vessels.
• Severe migraines, especially with aura or visual changes, and any migraines in women over 35.
• Liver problems or unexplained vaginal bleeding.
• Current or past breast cancer.
• Concurrent use of certain hepatitis C treatments.

In the event of an overdose, particularly with iron-containing products, seek immediate medical assistance or contact a poison control center, as this can be life-threatening, especially in young children. Always keep medications out of reach of children.

When using this medication, some individuals may experience common side effects that are generally mild. These include nausea, vomiting, stomach cramps, bloating, breast tenderness, and changes in weight. You might also notice changes in your menstrual cycle, such as spotting, bleeding between periods, or missed/irregular periods. Swelling in the ankles or feet due to fluid retention is another possible side effect. While these are usually not serious, consult your healthcare provider if they persist or worsen.

In some cases, users may experience other side effects such as skin discoloration, mood changes, headaches, or a vaginal yeast infection. Temporary infertility after stopping the medication and discomfort with contact lenses have also been reported. Allergic reactions, though rare, can occur. Symptoms include rash, itching, swelling of the face, tongue, or throat, severe dizziness, and trouble breathing. Immediate medical attention is necessary if these symptoms arise.

More serious side effects are rare but require urgent care. These include signs of a heart attack like chest pain, stomach discomfort, and dizziness, or symptoms of a stroke such as sudden numbness, confusion, and difficulty walking. Blood clots may manifest as leg pain, swelling, and muscle tightness, or as pulmonary embolism symptoms like chest pain and trouble breathing. Liver issues may present as yellowing of the skin, tiredness, and stomach pain. If you encounter any of these serious symptoms, seek medical help promptly.