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Uses

This combination hormone drugs are accustomed to prevent pregnancy. It contains 2 hormones: a progestin with an estrogen. It works usually by preventing the discharge of the egg (ovulation) within your period. It also makes vaginal fluid thicker to help you prevent sperm from reaching an egg (fertilization) and changes the lining in the uterus (womb) in order to avoid attachment of an fertilized egg. If a fertilized egg will not put on the uterus, it passes out in the body.

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Besides preventing pregnancy, contraceptive pills will make your periods more regular, decrease hemorrhage and painful periods, decrease your probability of ovarian cysts, and in addition cure acne.

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Using this medication does not protect you or perhaps your partner against sexually transmitted diseases (for example HIV, gonorrhea, chlamydia).

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Read the Patient Information Leaflet given by the pharmacist prior to starting employing this product and every time you recruit a refill. The leaflet contains extremely important information about when to take your pills and what to do in the event you miss a dose. If you've got any queries, ask your physician or pharmacist.

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Take prescription drugs by mouth as directed by your doctor, usually once daily. Pick a time that's easy for you to consider, and take your pill as well every day.

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It is crucial to continue taking medicines just as prescribed by your doctor. With certain brands of birth control method pills, the quantity of estrogen and progestin in each active tablet will vary at different times inside cycle. Therefore, it is extremely important that you stick to the package instructions to find the first tablet, start with the first tablet in the pack, and drive them inside correct order. Do not skip any doses. Pregnancy is more likely in case you miss pills, take up a new pack late, or take your pill with a different time of the day than usual.

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Vomiting or diarrhea can prevent your birth control method pills from working well. If you might have vomiting or diarrhea, you could need to work with a back-up contraception method (including condoms, spermicide). Follow the directions inside Patient Information Leaflet and appearance with a medical expert or pharmacist for more details.

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Taking this medication after your evening meal or at bedtime can help should you have stomach upset or nausea while using medication. You may choose to enjoy medicines at another time that is simpler for you to remember. No matter what dosing schedule you utilize, it is crucial that you take prescription drugs at the same time daily, a day apart. Ask your physician or pharmacist should you have any questions.

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Your pill pack contains 21 pills with active medication. It may also contain 7 reminder pills without medication. Take one active pill (with hormones) once daily for 21 days in a row. If you're using something with 28 tablets, take a non-active pill once daily for 7 days in a row once you have taken the very last active pill unless otherwise directed by a medical expert. If you're using an item with 21 tablets, do not take any tablets for 7 days unless otherwise directed by your physician. You should have your period through the fourth week in the cycle. After you might have taken the past inactive tablet within the pack or gone 1 week without taking an active tablet, find a new pack the very next day regardless of whether you've got your period. If you do not get your period, consult your physician.

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If this is the first time you are using this medication and you might be not switching from another way of hormonal contraceptive (like patch, other contraceptive pills), take the 1st tablet in the pack on the very first Sunday following a beginning of the monthly period or on the very first day of the period. If your period begins on a Sunday, begin to take prescription drugs on that day. For the initial cycle people only, use an additional way of non-hormonal contraception (including condoms, spermicide) for the initial 7 days to prevent pregnancy until the medication has plenty of time to work. If you start the 1st day of your period, you no longer need to make use of back-up birth control method the initial week.

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Ask a medical expert or pharmacist about how exactly to change from other kinds of hormonal contraceptive (including patch, other contraceptive pills) for this product. If any information is unclear, consult the Patient Information Leaflet or a medical expert or pharmacist.

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Side Effects

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 very first few months useful. If these effects persist or worsen, tell your medical professional or pharmacist promptly. If you miss 2 periods consecutively (or 1 period when the pill has not been used properly), contact your doctor for the pregnancy test.

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Remember that a medical expert has prescribed medicines while he or she gets judged the benefit to you is higher than the chance of side effects. Many people using medicines don't have serious unwanted effects.

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This medication may raise the blood pressure. Check your blood pressure level regularly and tell your physician when the results are high.

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Tell your physician right away in the event you have any serious side effects, including: lumps inside the breast, mental/mood changes (for example new/worsening depression), severe stomach/abdominal pain, unusual alterations in vaginal bleeding (like continuous spotting, sudden heavy bleeding, missed periods), dark urine, yellowing eyes/skin.

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This medication may rarely cause serious (sometimes fatal) problems from blood clots (for example deep vein thrombosis, cardiac arrest, pulmonary embolism, stroke). Get medical help immediately if all of these negative effects occur: chest/jaw/left arm pain, confusion, sudden dizziness/fainting, pain/swelling/warmth within 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 on the one hand in the body, vision problems/changes (like double vision, partial/complete blindness).

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A very serious allergic reaction for this drug is rare. However, get medical help immediately in the event you notice any symptoms of a serious allergic attack, including: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.

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This is not a complete set of possible negative effects. If you notice other effects not listed above, contact your medical professional or pharmacist.

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Call your doctor for health advice about side effects. You may report unwanted side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

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In Canada - Call your physician for medical health advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

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Precautions

See also Warning section.

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Before using prescription drugs, tell a medical expert or pharmacist if you are allergic to the estrogens (including ethinyl estradiol, mestranol) or any progestins (including norethindrone, desogestrel); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to the pharmacist for more details.

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Before using this medication, tell your physician or pharmacist your medical history, especially of: blood clots (as an example, inside legs, eyes, lungs), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure level, abnormal breast exam, cancer (especially endometrial or breast cancers), high cholesterol or triglyceride (blood fat) levels, depression, diabetes, family or personal history of an certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart problems (such as heart valve disease, irregular heartbeat, previous heart attack), good reputation for yellowing eyes/skin (jaundice) during pregnancy or when using hormonal birth control method (including pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), an under active thyroid, unexplained vaginal bleeding.

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If you've got diabetes, this medication may affect your blood sugar. Check your blood glucose levels regularly as directed and share the outcome with a medical expert. Tell a medical expert without delay should you have signs and symptoms of high blood sugar levels such as increased thirst/urination. Your doctor ought to adjust your diabetes medication, exercise routine, or diet.

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Tell a medical expert in the event you just had or will probably be having surgical treatment or in the event you will probably be restricted to a bed or chair to get a long time (including a long plane flight). These conditions enhance your risk of getting blood clots, especially if you are employing hormonal contraception. You should stop prescription drugs for any time or take special precautions.

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Before having surgery, tell your physician or dentist about every one of the products you employ (including prescription drugs, nonprescription drugs, and herbal products).

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This medication may cause blotchy, dark areas on your face and skin (melasma). Sunlight may worsen this effect. Limit your time and energy in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.

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If you happen to be nearsighted or wear disposable lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur.

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It will take longer that you can become pregnant after you stop taking birth control pills. Consult a medical expert.

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This medication shouldn't be used during pregnancy. If you become pregnant or think you could possibly be pregnant, tell your medical professional right away. If you've got just given birth or were built with a pregnancy loss/abortion after the initial a couple of months, talk with your doctor about reliable kinds of contraception, to see if it is safe to start using contraceptive which has a kind of estrogen, like medicines.

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This medication may decrease breast milk production. A small amount passes into breast milk and may have undesirable effects over a nursing infant. Consult a medical expert before breast-feeding.

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