This combination hormone medication is used to prevent pregnancy. It contains 2 hormones: a progestin plus an estrogen. It works usually by preventing the release associated with an egg (ovulation) on your menstrual cycle. It also makes vaginal fluid thicker to help you prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) to prevent attachment of the fertilized egg. If a fertilized egg doesn't attach to the uterus, it passes out in the body.
Besides preventing pregnancy, birth control method pills will make your periods more regular, decrease hemorrhaging and painful periods, lower your likelihood of ovarian cysts, and in addition treat acne.
Using prescription drugs will not protect you or perhaps your partner against sexually transmitted diseases (for example HIV, gonorrhea, chlamydia).
Read the Patient Information Leaflet provided by your friendly phamacist before starting employing this product and every time you receive a refill. The leaflet contains extremely important facts about when you should take your pills and what direction to go if you miss a dose. If you have questions, ask your physician or pharmacist.
Take prescription drugs by mouth as directed by your doctor, usually once daily. Pick a time of day that is easy for you to remember, and take your pill simultaneously daily.
It is crucial to carry on taking prescription drugs exactly as prescribed by your doctor. With certain brands of contraception pills, the volume of estrogen and progestin in each active tablet will be different at different times in the cycle. Therefore, it is extremely important that you just keep to the package instructions to obtain the first tablet, commence with the first tablet within the pack, and bring them in the correct order. Do not skip any doses. Pregnancy is more likely in the event you miss pills, take up a new pack late, or take your pill in a different time with the day than usual.
Vomiting or diarrhea can prevent your birth control pills from working well. If you've vomiting or diarrhea, you may need to work with a back-up birth control method (including condoms, spermicide). Follow the directions inside the Patient Information Leaflet and appearance with your doctor or pharmacist for additional information.
Taking medicines after your evening meal or at bed time can help if you have stomach upset or nausea with the medication. You may choose to take this medication at another period that is certainly simpler for you to recollect. No matter what dosing schedule you use, it is very important that you take this medication at the same time on a daily basis, twenty four hours apart. Ask a medical expert or pharmacist if you have questions.
Your pill pack contains 21 pills with active medication. It may also contain 7 reminder pills with no medication. Take one active pill (with hormones) once daily for a three week period uninterruptedly. If you might be using a product or service with 28 tablets, take an exercise-free pill once daily for 1 week uninterruptedly when you have taken the final active pill unless otherwise directed by a medical expert. If you happen to be using a product or service with 21 tablets, don't take on any tablets for seven days unless otherwise directed by your medical professional. You should have your period throughout the fourth week with the cycle. After you might have taken the last inactive tablet inside pack or gone 1 week without taking an engaged tablet, take up a new pack the next day whether or not you have your period. If you do not get the period, consult your doctor.
If this is the initial time you're using medicines and you happen to be not switching from another form of hormonal contraception (including patch, other contraceptive pills), take the very first tablet in the pack on the very first Sunday following a beginning of your respective monthly period or on the first day of your respective period. If your period begins on a Sunday, start taking this medication on that day. For the initial cycle of usage only, work with an additional way of non-hormonal birth control (such as condoms, spermicide) for the 1st seven days in order to avoid pregnancy until the medication has lots of time to work. If you start taking the 1st day of your period, you no longer need to make use of back-up birth control method the very first week.
Ask your doctor or pharmacist regarding how to modify off their varieties of hormonal birth control method (for example patch, other contraceptive pills) to the product. If any information is unclear, consult the Patient Information Leaflet or your medical professional or pharmacist.
Nausea, vomiting, headache, bloating, breast tenderness, swelling with the ankles/feet (fluid retention), or weight change may occur. Vaginal bleeding between periods (spotting) or missed/irregular periods may occur, especially during the initial few months people. If all of these effects persist or worsen, tell your doctor or pharmacist promptly. If you miss 2 periods uninterruptedly (or 1 period in the event the pill will not be used properly), contact your medical professional for any pregnancy test.
Remember that your medical professional has prescribed this medication as he or she gets judged the profit to you is more than the likelihood of negative effects. Many people using this medication would not have serious negative effects.
This medication may raise the blood pressure. Check your blood pressure levels regularly and tell your physician if your email address details are high.
Tell a medical expert immediately in the event you have any serious unwanted effects, including: lumps inside breast, mental/mood changes (like new/worsening depression), severe stomach/abdominal pain, unusual alterations in vaginal bleeding (including continuous spotting, sudden heavy bleeding, missed periods), dark urine, yellowing eyes/skin.
This medication may rarely cause serious (sometimes fatal) problems from blood clots (for example deep vein thrombosis, cardiac event, pulmonary embolism, stroke). Get medical help straight away if any of these negative effects occur: chest/jaw/left arm pain, confusion, sudden dizziness/fainting, pain/swelling/warmth inside the groin/calf, slurred speech, sudden shortness of breath/rapid breathing, unusual headaches (including headaches with vision changes/lack of coordination, worsening of migraines, sudden/very severe headaches), unusual sweating, weakness somewhere in the body, vision problems/changes (for example double vision, partial/complete blindness).
A grave hypersensitivity to this particular drug is rare. However, get medical help immediately in case you notice any symptoms of an serious hypersensitivity, including: rash, itching/swelling (especially from 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.
In the US -
Call a medical expert for medical advice about unwanted effects. You may report unwanted side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call a medical expert for health advice about negative effects. You may report unwanted side effects to Health Canada at 1-866-234-2345.
See also Warning section.
Before using this medication, tell your physician or pharmacist if you are allergic to the estrogens (like ethinyl estradiol, mestranol) or any progestins (including norethindrone, desogestrel); or should you have another allergies. This product may contain inactive ingredients, which may cause hypersensitive reactions and other problems. Talk to the pharmacist for additional information.
Before using prescription drugs, tell your medical professional or pharmacist your medical history, especially of: blood clots (for example, in the legs, eyes, lungs), blood clotting disorders (for example protein C or protein S deficiency), high blood pressure levels, abnormal breast exam, cancer (especially endometrial or breast cancer), high-cholesterol or triglyceride (blood fat) levels, depression, diabetes, family or personal history of your certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart problems (including heart valve disease, irregular heartbeat, previous cardiac arrest), reputation yellowing eyes/skin (jaundice) when pregnant or while using hormonal contraception (including pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), thyroid problems, unexplained vaginal bleeding.
If you might have diabetes, this medication may affect your blood sugar levels. Check your blood glucose levels regularly as directed and share the outcomes with your medical professional. Tell your physician straight away if you have signs and symptoms of high blood sugar levels such as increased thirst/urination. Your doctor might need to adjust your diabetes medication, workout program, or diet.
Tell your doctor should you just had or will be having surgical treatment or in the event you will likely be restricted to a bed or chair for any long time (like a long plane flight). These conditions improve your chance of getting blood clots, especially should you are utilizing hormonal birth control method. You should stop prescription drugs for any time or take special precautions.
Before having surgery, tell your physician or dentist about all of the products you have (including prescribed drugs, nonprescription drugs, and herbal products).
This medication might cause blotchy, dark areas in your face and skin (melasma). Sunlight may worsen this effect. Limit your time and energy inside the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.
If you might be nearsighted or wear lenses, you could possibly develop vision problems or trouble wearing your contacts. Contact your eye doctor if these problems occur.
It usually takes longer so that you can get pregnant once you stop taking contraception pills. Consult your physician.
This medication mustn't be used during pregnancy. If you get pregnant or think you could be pregnant, tell your doctor straight away. If you have just given birth or a pregnancy loss/abortion after the very first 3 months, talk with your doctor about reliable types of birth control method, to see if it is safe to get started on using birth control method which has a kind of estrogen, including prescription drugs.
This medication may decrease breast milk production. A small amount passes into breast milk and could have undesirable effects on a nursing infant. Consult a medical expert before breast-feeding.
Airmail: 2-3 business weeks
EMS: 3-8 business days