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Uses

This combination hormone medication is employed to prevent pregnancy. It contains 2 hormones: a progestin with an estrogen. It works largely by preventing the release of the egg (ovulation) in your menstrual cycle. It also makes vaginal fluid thicker to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) in order to avoid attachment of a fertilized egg. If a fertilized egg won't adhere to the uterus, it passes out from the body.

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Besides preventing pregnancy, birth control method pills will make your periods more regular, decrease blood loss and painful periods, decrease your likelihood of ovarian cysts, and also treat acne.

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Using this medication doesn't protect you or your partner against sexually transmitted diseases (including HIV, gonorrhea, chlamydia).

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Read the Patient Information Leaflet provided by your friendly phamacist prior to starting using this product and each time you get a refill. The leaflet contains extremely important info on when you ought to take your pills and how to proceed should you miss a dose. If you've any questions, ask a medical expert or pharmacist.

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Take prescription drugs by mouth as directed by a medical expert, usually once daily. Pick a time of day that is certainly easy for you to remember, and take your pill at the same time on a daily basis.

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It is essential to keep taking prescription drugs the same manner prescribed by your medical professional. With certain brands of birth control method pills, the amount of estrogen and progestin in each active tablet will change at different times inside the cycle. Therefore, it is extremely important which you stick to the package instructions to obtain the first tablet, focus on the very first tablet in the pack, and bring them in the correct order. Do not skip any doses. Pregnancy is a lot more likely if 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 contraceptive pills from working well. If you might have vomiting or diarrhea, you could possibly need to use a back-up contraception method (like condoms, spermicide). Follow the directions inside the Patient Information Leaflet and check with your medical professional or pharmacist for more details.

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Taking this medication after your evening meal or at bedtime may help if you have stomach upset or nausea using the medication. You may take medicines at another time that's easier to remember. No matter what dosing schedule you employ, it is crucial that you simply take this medication simultaneously each day, 24 hours apart. Ask your doctor or pharmacist should you have questions.

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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 twenty-one days consecutively. If you are using a product or service with 28 tablets, take an exercise-free pill once daily for one week uninterruptedly once you've taken the very last active pill unless otherwise directed by your physician. If you are using an item with 21 tablets, do not take any tablets for 1 week unless otherwise directed by your physician. You should have your period in the fourth week with the cycle. After you've got taken the final inactive tablet inside pack or gone seven days without taking an engaged tablet, find a new pack the next day whether or not you've your period. If you do not buy your period, consult a medical expert.

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If this is the initial time you're using prescription drugs and you are not switching from another form of hormonal birth control (such as patch, other birth control method pills), take the 1st tablet within the pack on the initial Sunday pursuing the beginning of one's period or on the 1st day of your respective period. If your period begins over a Sunday, start taking this medication on that day. For the initial cycle of use only, make use of an additional kind of non-hormonal contraception (such as condoms, spermicide) for the 1st one week to prevent pregnancy before the medication has enough time to work. If you start taking the initial day of your respective period, you no longer need to work with back-up contraceptive the very first week.

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Ask your doctor or pharmacist about how to switch using their company types of hormonal birth control (such as patch, other birth control pills) to the product. If any details are unclear, consult the Patient Information Leaflet or your medical professional or pharmacist.

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Side Effects

Nausea, vomiting, headache, bloating, breast tenderness, swelling in the ankles/feet (fluid retention), or weight change may occur. Vaginal bleeding between periods (spotting) or missed/irregular periods may occur, especially during the first few months of usage. If these effects persist or worsen, tell your doctor or pharmacist promptly. If you miss 2 periods in a row (or 1 period in the event the pill is not used properly), contact a medical expert for any pregnancy test.

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Remember that a medical expert has prescribed this medication because he or she has judged the advantage of you is higher than the risk of unwanted effects. Many people using medicines would not have serious negative effects.

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This medication may lift up your blood pressure level. Check your blood pressure level regularly and tell your doctor when the email address details are high.

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Tell your doctor straight away should you have any serious negative effects, including: lumps inside the breast, mental/mood changes (such as new/worsening depression), severe stomach/abdominal pain, unusual changes in vaginal bleeding (such as 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 (including deep vein thrombosis, cardiac arrest, pulmonary embolism, stroke). Get medical help immediately if some 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 (such as double vision, partial/complete blindness).

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A much more severe hypersensitivity for this drug is rare. However, get medical help right away should you notice any symptoms of the serious hypersensitivity, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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This is not a complete report on possible unwanted side effects. If you notice other effects unpublished above, contact a medical expert or pharmacist.

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Call your doctor for health advice about unwanted 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 a medical expert for medical advice about negative 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 medicines, tell your medical professional or pharmacist in case you are allergic to your estrogens (such as ethinyl estradiol, mestranol) or any progestins (such as norethindrone, desogestrel); or if you have some other allergies. This product may contain inactive ingredients, which can cause allergy symptoms or another problems. Talk to your friendly phamacist for more details.

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Before using prescription drugs, tell your physician or pharmacist your track record, especially of: blood clots (as an example, inside the legs, eyes, lungs), blood clotting disorders (such as 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 a certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart related illnesses (for example heart valve disease, irregular heartbeat, previous cardiac arrest), good reputation for yellowing eyes/skin (jaundice) in pregnancy or with all the hormonal contraception (such as pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), thyroid problems, unexplained vaginal bleeding.

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If you might have diabetes, medicines may affect your blood sugar. Check your blood glucose levels regularly as directed and share the final results with a medical expert. Tell your physician right away should you have symptoms of high blood glucose including increased thirst/urination. Your doctor may need to adjust your diabetes medication, workout program, or diet.

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Tell a medical expert if you just had or will probably be having surgery or if you will probably be confined to a bed or chair to get a long time (for example a long plane flight). These conditions raise your likelihood of getting blood clots, especially if you are choosing hormonal contraceptive. You should stop prescription drugs for any time or take special precautions.

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Before having surgery, tell a medical expert or dentist about all the products you utilize (including prescribed drugs, nonprescription drugs, and herbal products).

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This medication might cause blotchy, dark areas on your own face and skin (melasma). Sunlight may worsen this effect. Limit your time and effort 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 contacts, you could possibly develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur.

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It may take longer so that you can conceive after you stop taking contraceptive pills. Consult your doctor.

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This medication should not be used in pregnancy. If you become pregnant or think you might be pregnant, tell your doctor immediately. If you've just given birth or had a pregnancy loss/abortion after the first a few months, talk with a medical expert about reliable varieties of contraception, to see if it's safe to get started on using contraception made up of a kind of estrogen, for example prescription drugs.

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

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