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Using hormonal birth control, such as the pill, patch, or ring, can increase the risk of stroke, heart attack, blood clots, and high blood pressure, particularly if you smoke. This risk escalates with age, obesity, and the number of cigarettes smoked.

• Do not use this medication if you are obese or if you smoke and are over 35 years old, as these factors significantly heighten the risk.
• The patch delivers a higher dose of estrogen compared to most birth control pills, which may further elevate the risk of blood clots or other side effects.
• It is crucial to discuss your specific situation with your doctor to fully understand these risks and make an informed decision.

You may experience some mild side effects such as skin irritation at the application site, nausea, vomiting, headache, bloating, breast tenderness, or fluid retention causing swelling of the ankles or feet. Some individuals may notice weight changes or experience spotting between periods, particularly in the initial months of use. These side effects are generally not serious, but if they persist or worsen, it is important to seek medical advice.

Monitoring your blood pressure regularly is advised, as this medication can cause an increase. Serious side effects, though rare, include the development of breast lumps, significant mood changes like depression, severe abdominal pain, and unusual vaginal bleeding patterns. If you experience symptoms such as dark urine or yellowing of the eyes or skin, immediate medical consultation is recommended.

In rare instances, the medication can lead to serious and potentially fatal blood clot issues, such as heart attacks or strokes. Be alert to symptoms like chest pain, sudden dizziness, severe headaches, or shortness of breath, and seek emergency assistance if these occur. An allergic reaction to this medication is also rare but serious. Symptoms such as a rash, severe dizziness, or difficulty breathing require prompt medical attention.

Always be attentive to any new or unusual symptoms and consult your healthcare provider if you have concerns.

Certain medications can interact with this drug. These include aromatase inhibitors like Anastrozole and Exemestane, fezolinetant, ospemifene, Tamoxifen, Tizanidine, and Tranexamic Acid. Additionally, specific treatments for chronic hepatitis C, such as ombitasvir/paritaprevir/Ritonavir, with or without dasabuvir, may also interact.

Some medicines might 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 some seizure medications (such as barbiturates, Carbamazepine, Felbamate, Phenytoin, Primidone, and Topiramate), as well as certain HIV treatments (like nelfinavir and Nevirapine).

Inform your doctor when starting any new medication, and discuss whether you should use additional birth control methods. If you notice any unusual spotting or breakthrough bleeding, alert your doctor right away, as these could indicate that your birth control isn't working properly.

This medication might also affect the results of certain lab tests, like those for blood clotting factors and thyroid function, possibly leading to inaccurate outcomes. Be sure to inform lab personnel and all your healthcare providers that you are taking this drug.