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Precautions

Do NOT use Alesse if:

• you are allergic to any ingredient in Alesse
• you happen to be pregnant or think you might be pregnant
• you use a reputation blood clotting problems, severe blood clots (eg, inside lungs, legs, eyes), certain blood vessel problems (eg, bleeding inside brain, heart attack, stroke), or breast cancer
• you have reached risk for developing severe blood clots or have certain heart related illnesses (eg, certain heart valve problems, certain types of irregular heartbeat)
• you might have chest pain brought on by angina; certain kinds of headaches or migraines with aura; severe or uncontrolled hypertension; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; or undiagnosed abnormal vaginal bleeding; or diabetes that affects circulation
• you have liver disease, liver tumors or cancer, or possibly a history of yellowing with the eyes or skin due to pregnancy or prior birth control use
• you also have surgery and they are or will be restricted to a bed or perhaps a chair with an extended duration of time
• you happen to be older than 35 yrs . old and you smoke 15 or even more cigarettes per day.

Contact your medical professional or health care provider without delay if these sign up for you.

Some health conditions may interact with Alesse. Tell your physician or pharmacist for those who have any medical conditions, particularly if any from the following apply to you:

• if you might be pregnant, about to conceive, or are breast-feeding
• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or any other substances
• for those who have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, a lump in the breast, heart disease, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, hypertension, kidney problems, blood problems (eg, porphyria), blood inside urine, depression or another mental/mood problems, lupus, chorea, high blood calcium levels, yellowing with the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or perhaps a history of cancer
• if you might be overweight, you might have not yet had your first period, or you use tobacco
• when you have given birth or else ended a pregnancy within the past 4 weeks.

Some medicines may communicate with Alesse. Tell your health care provider if you're taking some other medicines, especially any with the following:

• Atorvastatin, indinavir, or troleandomycin simply because they might increase the probability of Alesse's negative effects
• Aprepitant, azole antifungals (eg, itraconazole, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, dexamethasone, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, oxcarbazepine, penicillins (eg, amoxicillin), phenylbutazone, primidone, rifabutin, rifampin, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone simply because they may decrease Alesse's effectiveness, resulting in breakthrough bleeding or pregnancy
• Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline as the chance of their negative effects might be increased by Alesse
• Clofibric acid, lamotrigine, morphine, salicylic acid, or temazepam his or her effectiveness could possibly be decreased by Alesse.

This may not be a whole set of all interactions that could occur. Ask your medical provider if Alesse may connect to other medicines that you just take. Check with your medical provider before you begin, stop, or customize the dose of any medicine.

Important safety information:

• Alesse may cause dizziness. This effect could be worse if you get it with alcohol or certain medicines. Use Alesse with caution. Do not drive or perform other possibly unsafe tasks and soon you understand how you respond to it.
• Follow your doctor's instructions for examining your own breasts, and report any lumps immediately.
• If you will be having surgical treatment or is going to be limited to a bed or chair for a long amount of time (like a long plane flight), notify your physician 3 to four weeks ahead of your time. Special precautions ought to be utilized in these circumstances while taking Alesse.
• You should usually not take Alesse within four weeks following childbirth or otherwise not ending a pregnancy. Discuss questions or concerns using your doctor.
• Alesse might cause dark skin patches on your own face. Exposure to the sun might make these patches darker. If patches develop, make use of a sunscreen or wear protective clothing when encountered with the sun, sunlamps, or tanning booths.
• Use of Alesse is not going to control HIV infection or stop the spread of sexually transmitted diseases (STDs).
• Bleeding or spotting may occur while taking Alesse. Do not stop taking Alesse if it occurs. If bleeding or spotting continues for a lot more than seven days or perhaps is heavy, get hold of your doctor.
• Smoking while using the Alesse may improve your likelihood of stroke, heart attack, blood clots, high blood pressure levels, or other diseases of the heart and veins.
• Alesse may interfere with certain tests. Be sure your medical professional and lab personnel know you happen to be using Alesse.
• Taking certain antibiotics, anticonvulsants, or another medicines, as listed inside the interactions section, while you happen to be using Alesse may slow up the effectiveness of Alesse. To prevent pregnancy, use an extra form of birth control method (eg, condoms) until your following period.
• If you wear lenses so you develop problems with them, get hold of your doctor.
• If you miss your period during the week of inactive pills, call your physician immediately. A missed period might point to that you happen to be pregnant.
• Alesse will take time and energy to wear off after your last dose. You may not be able to become pregnant for many months after stopping Alesse.Discuss any concerns with your doctor or pharmacist.
• Lab tests, like PAP tests, could possibly be performed whilst you use Alesse. These tests could be used to monitor your condition or pay attention to unwanted effects. Be sure to keep all doctor and lab appointments.
• Alesse really should not be used in children who may have not had their first monthly period; safety and effectiveness in these children weren't confirmed.
• Pregnancy and breast-feeding: Do not use Alesse if you are pregnant. Avoid pregnancy while you happen to be taking it. If you think you may well be pregnant, contact your doctor immediately. Alesse is situated in breast milk. Do not breastfeed while taking Alesse.