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This medication comes with important safety considerations that must be reviewed carefully. Discuss any concerns with your healthcare provider to ensure safe use.

• Smoking and Heart Risks: Smoking while using hormonal contraceptives like Balziva significantly increases the risk of severe health issues, including strokes, heart attacks, and blood clots. This risk is particularly elevated for women over 35 years old who smoke. Consult your provider for safer birth control options if you are a smoker.

• Blood Clots and Strokes: The use of Balziva can increase the risk of blood clots, which may occur in areas such as the lungs, legs, brain, and heart. Immediate medical attention is needed if you suspect a blood clot. Risks are higher for those over 35 who smoke, those over 40 who do not smoke, individuals with high blood pressure, obesity, high cholesterol, diabetes, recent surgery, prolonged bed rest, or those starting Balziva soon after childbirth.

• Cancer Risks: There is a potential risk of breast and cervical cancer with Balziva, especially with a personal history of breast cancer or long-term use of COCs.

• Liver Concerns: Though rare, liver issues, including damage and tumors, can occur. If you have existing liver problems, avoid using this medication and contact your provider if you experience symptoms like fatigue, abdominal pain, or jaundice.

• High Blood Pressure: Balziva may elevate blood pressure. Regular monitoring is advised, and it may not be suitable for those with uncontrolled high blood pressure.

• Blood Sugar and Lipid Levels: Hormonal birth control like Balziva might increase blood sugar and fat levels. Monitor these if you have prediabetes or diabetes and maintain regular check-ups with your provider.

• Headaches: While headaches are common, any new or worsening migraines or severe headaches should be discussed with your provider.

• Irregular Bleeding: Breakthrough bleeding is common initially but should improve. Report any persistent irregular bleeding to your provider.

• Depression: Notify your provider of any depressive symptoms, as this may require discontinuation of Balziva.

• Drug Interactions: Some medications can affect the effectiveness of Balziva or increase side effects. Inform your healthcare provider about all medications you are taking to avoid interactions.

Contraindications: Do not use this medication if you have or have had:

• Blood clotting issues, such as DVT or PE
• Coronary artery or cerebrovascular disease
• Breast cancer
• Unexplained vaginal bleeding
• Jaundice from previous pregnancy or pill use
• Liver tumors
• Pregnancy
• Hepatitis C treatment with specific medications (ombitasvir, paritaprevir, ritonavir, with or without dasabuvir)

Overdose Warning: Keep iron-containing products out of children’s reach to prevent accidental overdose, a leading cause of fatal poisoning in children under six. Seek immediate medical assistance or contact a poison control center if an overdose occurs.

When taking this medication, some individuals may experience common side effects that are generally mild but should be monitored. These include nausea, vomiting, stomach cramps, bloating, and breast tenderness. Some may notice swelling, weight changes, or vaginal bleeding between periods, such as spotting or changes in menstrual flow. Missing periods may also occur. If these symptoms persist or worsen, consult a healthcare provider for further guidance.

In addition to common side effects, some users might encounter other symptoms like depression, migraines, or a vaginal yeast infection. Weight fluctuations and allergic rashes have also been reported. While these are less common, it is advisable to seek medical advice if they occur.

More serious side effects, although rare, demand immediate medical attention due to their severity. These include symptoms of heart attack (such as chest pain, nausea, or dizziness), stroke (including sudden numbness or difficulty speaking), and blood clots in the legs or lungs, which can cause pain, swelling, or breathing difficulties. Liver problems might manifest as yellowing of the skin or eyes, fatigue, or stomach pain.

Furthermore, a serious allergic reaction is rare but requires urgent medical care if symptoms like rash, itching, severe dizziness, or trouble breathing are noticed. Always remain vigilant for any unusual symptoms and seek medical help when necessary.