Tell your doctor immediately if any of these unlikely but serious side effects occur:
- mental/mood changes (e.g., severe depression, memory loss)
- breast lumps
- swelling of hands/feet
- unusual vaginal bleeding (e.g., spotting, breakthrough bleeding, prolonged/recurrent bleeding)
- unusual vaginal discharge/itching/odor
- yellowing eyes/skin
- stomach/abdominal pain
- persistent nausea/vomiting
- dark urine
- worsening of seizures
- signs of worsening diabetes control (e.g., increased thirst and urination)
This medication may infrequently cause serious problems such as heart attacks, stroke, and blood clots. Seek immediate medical attention if you experience any of the following:
- chest/jaw/left arm pain
- sudden severe headache
- weakness on one side of the body
- confusion
- slurred speech
- sudden vision changes (e.g., double vision, loss of vision)
- pain/redness/swelling of legs
- trouble breathing
- coughing up blood
- sudden dizziness/fainting
A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Call your doctor for medical advice about side effects. In the US, you may report side effects to the Food and Drug Administration (FDA) at 1-800-FDA-1088.
In Canada, you may report side effects to Health Canada at 1-866-234-2345.


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