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It is crucial to understand the potential risks and necessary precautions when using this medication. The following points highlight key safety information and warnings to consider. If you have any concerns, consult your healthcare provider for guidance.

• Smoking and Heart Risks: If you are over 35 and smoke cigarettes, using hormonal birth control like Vienva significantly increases your risk of serious cardiovascular events, including strokes, heart attacks, and blood clots. It is advised to avoid smoking and discuss safer alternatives with your provider.

• Blood Clots and Stroke Risk: Vienva can heighten the risk of blood clots forming in various parts of the body, such as the lungs, legs, brain, and heart. Immediate medical attention is necessary if you notice symptoms of a blood clot. Factors increasing this risk include age over 35, smoking, recent surgery, postpartum period, high blood pressure, obesity, high cholesterol, diabetes, and high estrogen doses.

• Cancer Risks: There is an association between the prolonged use of combined oral contraceptives and an increased risk of breast and cervical cancer. Individuals with a history of breast cancer or long-term use of COCs should be particularly cautious.

• Liver Concerns: Though rare, Vienva can cause liver issues, including damage and tumors, especially in those with pre-existing liver problems. Contact your provider if you experience fatigue, abdominal pain, or jaundice.

• Blood Sugar and Fat Levels: This medication may raise blood sugar and triglyceride levels. If you have diabetes or a history of high triglycerides, ensure regular monitoring and report any changes to your provider.

• Blood Pressure: Vienva can increase blood pressure. Regular monitoring is advised, and those with uncontrolled high blood pressure should consider alternative contraceptives.

• Headaches: New or worsening migraines or severe headaches should be reported to your healthcare provider.

• Irregular Bleeding: Breakthrough bleeding is common initially. Consult your provider if you experience unusual bleeding patterns.

• Ectopic Pregnancy: There's a potential risk of ectopic pregnancy if the pills are not taken as prescribed. Alert your provider if you experience symptoms like back pain, abnormal bleeding, or cramping.

• Depression: Inform your healthcare provider of any new or worsening depression symptoms. For severe cases, discontinuation may be necessary.

• Drug Interactions: Certain medications can reduce the effectiveness of Vienva or increase side effects. Inform your provider about all medications you are taking.

Contraindications: Avoid using this medication if you have conditions such as a history of blood clots, certain heart problems, prolonged immobilization, severe diabetes, specific types of migraines, uncontrolled high blood pressure, certain cancers, liver disease, jaundice, or if you are pregnant. Additionally, certain hepatitis C medications can interact negatively with Vienva.

In case of an overdose or severe reaction, seek emergency medical assistance immediately. Always consult your healthcare provider for personalized advice and before making any changes to your medication regimen.

When taking this medication, some common side effects may occur. These include nausea, vomiting, headaches, stomach cramps, bloating, breast tenderness, and possible changes in weight. You might also experience spotting or irregular periods, particularly during the first few months of use. Though these effects are generally mild, it’s important to reach out to a healthcare provider if they persist or become bothersome.

Raised blood pressure is another potential side effect, so it's advisable to monitor your levels regularly. If you notice symptoms like yeast infections, skin changes, alterations in appetite, or changes in mood such as depression, consulting your healthcare provider can provide guidance and reassurance.

On a more serious note, the medication may occasionally lead to severe side effects that require immediate medical attention. These include symptoms of a heart attack, such as chest pain and dizziness, or indications of a stroke, like sudden weakness or difficulty speaking. Blood clots, whether in the legs (deep vein thrombosis) or lungs (pulmonary embolism), are rare but critical concerns, highlighted by symptoms such as leg pain, swelling, chest pain, or trouble breathing.

Allergic reactions, while rare, can also occur. Symptoms such as rash, severe dizziness, or difficulty breathing should prompt immediate medical help. Always contact your healthcare provider if you experience any side effects, whether listed here or not, to ensure your safety and well-being.

Some medications that may interact with this drug include aromatase inhibitors like anastrozole and exemestane, as well as fezolinetant, ospemifene, tamoxifen, tizanidine, and tranexamic acid. Certain drugs can reduce the effectiveness of hormonal birth control by lowering hormone levels in your body, potentially leading to pregnancy. These include griseofulvin, modafinil, rifamycins (like rifampin and rifabutin), ritonavir, St. John's wort, and medications for seizures such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, and topiramate. Some HIV medications, like nelfinavir and nevirapine, can also have this effect.

It's important to inform your doctor when you begin any new medication and discuss whether you need additional contraceptive methods. Report any new spotting or breakthrough bleeding to your doctor, as this could indicate decreased birth control effectiveness. Additionally, this drug may affect the results of certain lab tests, such as those for blood clotting and thyroid function, potentially leading to inaccurate results. Ensure that all healthcare providers and lab personnel are aware that you are taking this medication.