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It is crucial to adhere to specific safety guidelines when using this medication to ensure your health and well-being. Please review the following important points:

• Individuals over the age of 35 who smoke cigarettes or use tobacco should not use this medication. The combination of smoking and hormonal birth control (such as pills, patches, or rings) significantly increases the risk of stroke, heart attack, blood clots, and high blood pressure. These risks grow with age and with the number of cigarettes smoked. For your safety, it is advised to refrain from smoking or using tobacco products.

• Be aware that an accidental overdose of iron-containing products poses a significant risk of fatal poisoning in children under the age of 6. Therefore, it is imperative to store this product out of the reach of children. In the event of an overdose, seek immediate medical assistance or contact a poison control center.

By following these precautions, you can help prevent serious health risks associated with this medication.

When taking this medication, you may experience some common side effects such as nausea, vomiting, headaches, and bloating. These are generally mild and should ease as your body adjusts. You might also notice breast tenderness, swelling in the ankles or feet due to fluid retention, or changes in weight. Some women experience spotting or irregular periods, particularly in the early months of use, which is usually temporary.

It's important to monitor your blood pressure, as this medication can cause an increase. If you encounter any persistent or worsening symptoms, consulting your healthcare provider is advised. Serious side effects, although uncommon, require immediate attention. These include lumps in the breast, significant mood changes like new or worsening depression, severe abdominal pain, or unusual vaginal bleeding patterns. Also, watch for symptoms like dark urine or yellowing of the skin or eyes, which could indicate liver issues.

In rare cases, this medication may cause dangerous blood clot-related complications, such as heart attacks or strokes. Seek emergency medical help if you experience chest pain, sudden dizziness, fainting, severe headaches, or any symptoms suggestive of a blood clot, like pain or swelling in the legs, difficulty breathing, or sudden vision changes.

Allergic reactions are rare but serious. Look out for rash, itching, swelling, severe dizziness, or trouble breathing, and seek urgent care if these occur. Always inform your healthcare provider about any unexpected side effects, even if they are not listed here. Your vigilance is crucial for managing your health while on this medication.