... what the effects would be?
I had some trouble before I worked out it was a Canadian brand name. Smoking seems to be not recommended due to blood pressure/blood clotting issues in some people I believe:
"Before using levonorgestrel/ ethinyl estradiol:
Some medical conditions may interact with levonorgestrel/ethinyl estradiol. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
... if you are overweight, you have not yet had your first menstrual period, or you use tobacco".
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