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When using this medication, it is essential to be aware of certain health risks and precautions to ensure your safety. Below are important considerations:

• Smoking and Age: Individuals over the age of 35 who smoke cigarettes or use tobacco should not use this medication. Smoking in combination with hormonal birth control methods (such as the pill, patch, or ring) increases the likelihood of serious cardiovascular events, including strokes, heart attacks, blood clots, and elevated blood pressure. The risk escalates with age and the number of cigarettes smoked. It is strongly advised to refrain from smoking or using tobacco products while on this medication.

• Risk of Overdose in Children: Products containing iron are particularly hazardous for children under the age of six, as accidental overdose can result in fatal poisoning. It is crucial to keep all iron-containing products out of the reach of children. In the event of an overdose, seek immediate medical assistance or contact a poison control center without delay.

By adhering to these precautions, you can help ensure the safe use of the medication and protect vulnerable populations.

When taking this medication, you might experience some common side effects such as nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles or feet due to fluid retention, or changes in weight. It's also possible to encounter vaginal bleeding between periods (spotting) or missed/irregular periods, particularly in the early months of use. These effects are typically mild, but if they persist or worsen, it's advisable to consult a healthcare professional.

This medication can occasionally lead to an increase in blood pressure, so it's important to monitor it regularly and inform your healthcare provider if you notice any high readings. Some serious side effects may occur, although they are less common. These include lumps in the breast, significant mood changes like new or worsening depression, severe stomach or abdominal pain, unusual changes in vaginal bleeding patterns, dark urine, or yellowing of the eyes or skin.

In rare instances, this medication may cause severe, potentially life-threatening blood clotting issues, such as heart attacks, strokes, or clots in the lungs or legs. If you experience symptoms like chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, pain or swelling in the groin or calf, difficulty speaking, shortness of breath, rapid breathing, sudden severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes, seek medical assistance immediately.

Allergic reactions to this medication are very rare, but if you notice signs such as a rash, itching or swelling—especially on the face, tongue, or throat—severe dizziness, or breathing difficulties, seek emergency medical help promptly. This summary does not cover all possible side effects, so if you experience any unusual symptoms, contact your healthcare provider for further advice.

This medication can interact with several other drugs. Some of these include aromatase inhibitors like Anastrozole and Exemestane, as well as fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, certain medications can reduce the effectiveness of hormonal birth control by lowering hormone levels in your body, potentially leading to pregnancy. These include griseofulvin, Modafinil, rifamycins (such as Rifampin and Rifabutin), Ritonavir, St. John's wort, and some medications used for seizures (like barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate), as well as some HIV treatments like nelfinavir and Nevirapine.

It is important to inform your doctor when you start any new medication and to discuss whether you should use additional reliable birth control methods. If you notice any unexpected spotting or breakthrough bleeding, it could indicate that your birth control is less effective.

Furthermore, this drug may interfere with certain laboratory tests, including those for blood clotting factors and thyroid function, which could lead to inaccurate results. Ensure that all healthcare providers and laboratory staff are aware that you are taking this medication.