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It's important to be aware of specific safety information when using this medication, especially if you are over the age of 35 and smoke cigarettes or use tobacco products. Here are key points to consider:

• Avoid using this medication if you smoke or use tobacco and are over 35 years old, as this increases the risk of severe cardiovascular issues.
• Smoking can significantly elevate your chances of experiencing a stroke, heart attack, blood clots, and high blood pressure when using hormonal birth control methods such as pills, patches, or rings.
• The likelihood of these serious health problems rises with age and the number of cigarettes smoked.
• It is advised not to smoke or use any tobacco products while taking this medication for your safety.

Please consult with a healthcare provider for more personalized guidance.

When taking this medication, you might experience some mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, fluid retention leading to swelling of the ankles or feet, or changes in weight. There could also be occurrences of vaginal bleeding between periods or missed/irregular periods, particularly in the initial months of use. These effects are usually manageable, but if they persist or worsen, it's important to consult your healthcare provider.

Monitoring your blood pressure is advised, as this medication can cause an increase. If you notice high readings, inform your healthcare provider. Rarely, some serious side effects can occur, which require immediate medical attention. These include the presence of breast lumps, significant mood changes like worsening depression, severe abdominal pain, or unusual vaginal bleeding patterns, such as continuous spotting or heavy bleeding. Signs of liver issues, such as dark urine or yellowing of the skin or eyes, should also be reported without delay.

Although rare, this medication can cause life-threatening blood clot issues, leading to conditions such as heart attack, stroke, or clots in the lungs or legs. Seek emergency help if you experience symptoms like chest pain, sudden dizziness, pain or swelling in the legs, difficulty speaking, shortness of breath, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes.

Severe allergic reactions are also rare but serious. If you develop a rash, itching, swelling, especially on the face, tongue, or throat, or experience severe dizziness and trouble breathing, seek immediate medical assistance. While this list covers several side effects, it's not exhaustive. If you notice any other unusual symptoms, contact your healthcare provider for further advice.