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It is important to be aware of certain risks when using hormonal birth control methods, such as pills, patches, or rings. Here are some key safety considerations:

• Avoid using this medication if you are a smoker or use tobacco products and are over the age of 35.
• Smoking can significantly raise the risk of serious cardiovascular events, including stroke, heart attack, blood clots, and hypertension, when combined with hormonal contraceptives.
• The likelihood of these adverse effects escalates with age and the quantity of cigarettes smoked.
• It is strongly advised that individuals using this medication refrain from smoking or using tobacco.

Please consider these precautions carefully to ensure safe and effective use of your birth control method.

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. These are generally mild and often resolve on their own. You may also notice changes in your menstrual cycle, like spotting between periods or missed/irregular periods, particularly during the initial months of use. If these symptoms persist or worsen, it is important to consult with your healthcare provider.

It's advisable to monitor your blood pressure regularly, as this medication can cause an increase. If you notice high readings, seek medical advice. Serious side effects, though less common, require immediate attention. These include lumps in the breast, mood changes such as new or worsening depression, severe stomach or abdominal pain, and unusual changes in vaginal bleeding. Additionally, symptoms like dark urine or yellowing of the eyes or skin should be promptly discussed with your doctor.

Rarely, this medication can lead to severe complications due to blood clots, which can be life-threatening. Seek emergency medical help if you experience symptoms such as chest, jaw, or left arm pain, confusion, sudden dizziness or fainting, painful swelling or warmth 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.

Allergic reactions to this medication are uncommon but can be serious. If you notice symptoms such as a rash, itching or swelling especially on the face, tongue, or throat, severe dizziness, or difficulty breathing, seek medical help immediately. If you encounter any other side effects not listed here, it is advisable to reach out to your healthcare provider for guidance.