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This combination hormone medicine can be used to prevent pregnancy. It contains 2 hormones: a progestin and an estrogen. It really works primarily by preventing the release of an egg (ovulation) throughout your menstrual period. It makes vaginal fluid thicker to greatly help prevent sperm from reaching an egg (fertilization) and changes the liner of the womb (womb) to prevent attachment of a egg that is fertilized. If a fertilized egg does not connect to the womb, it passes out of the body.

Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, reduce your risk of ovarian cysts, and additionally treat acne.

Using this medication does not protect you or your partner against intimately transmitted diseases (such as HIV, gonorrhea, chlamydia).

How to use Ortho Tri-Cyclen (21)

see the Patient Information Leaflet given by your pharmacist before you start using this product and each time you get a refill. The leaflet contains very important information on when to take your pills and what direction to go in the event that you miss a dose. If you have any relevant concerns, ask your doctor or pharmacist.

Just take this medication by mouth as directed by your doctor, usually once daily. Pick an occasion of day that is not hard for you to keep in mind, and take your pill during the same time each day.

It is crucial to continue using this medication exactly as prescribed by your physician. The amount of estrogen and progestin in each active tablet will vary at different times in the cycle with certain brands of birth control pills. Therefore, it is very important in the correct order that you follow the package instructions to find the first tablet, start with the first tablet in the pack, and take them. Never skip any doses. Pregnancy is more most likely if you skip pills, start a new pack late, and take your pill at a different time of your day than typical.

Vomiting or diarrhea can prevent your birth control pills from working well. You may need to use a back-up birth control method (such as condoms, spermicide) if you have vomiting or diarrhea,. Follow the directions in the Patient Ideas Leaflet and check with your pharmacist or doctor for more details.

Taking this medication after your meal or at bedtime may help if you have stomach upset or nausea with the medication evening. You may choose to take this medication at another time of that is easier for you to remember day. Regardless of what schedule that is dosing use, it is very important that you take this medication at the same time each day, 24 hours apart. Ask your doctor or pharmacist if you have any questions.

Your pill pack contains 21 pills with active medication. It might also contain 7 reminder pills with no medication. Take one active pill (with hormones) once daily for 21 days in a row. If you are using a product with 28 tablets, take an inactive pill once daily for 7 days in a row after you have taken the last active pill unless otherwise directed by your doctor. If you are using a product with 21 tablets, do not take any tablets for 7 days unless otherwise directed by your doctor. You should have your period during the fourth week of the period. After you have taken the last inactive tablet in the pack or gone 7 days without taking an active tablet, start a new pack the next day whether or not you have your period. Should you choose not get your duration, consult your doctor.

If this may be the first time you are using this medication and you are not switching from another form of hormonal birth control (such as patch, other birth control pills), take the first tablet in the pack on the first Sunday following the beginning of your menstrual period or on the first day of your period. If your period begins on a begin taking this medication on that day sunday. For the very first cycle of use only, use one more form of non-hormonal birth control (such as condoms, spermicide) for the initial 7 days to prevent pregnancy until the medication has time that is enough work. If you start on the first day of your period, you do not need to use back-up birth control the first week.

Ask your doctor or pharmacist about how to switch from other forms of hormonal birth control (such as patch, other birth control pills) to this product. If any given info is unclear, consult the Patient Information Leaflet or your doctor or pharmacist.

What conditions does Ortho Tri-Cyclen (21) treat?

Negative Effects

Nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles/feet (fluid retention), or fat change may occur. Genital bleeding between durations (spotting) or missed/irregular periods may occur, especially during the first few months of use. If any of these effects persist or worsen, tell your pharmacist or doctor promptly. If you miss 2 periods in a row (or 1 duration if the supplement have not been used properly), contact your doctor for a pregnancy test.

Remember that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have serious side effects.

This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total answers are high.

Tell your doctor right away if you have got any serious unwanted effects, including: lumps in the breast, mental/mood changes (such as new/worsening depression), severe stomach/abdominal pain, unusual alterations in vaginal bleeding (such as for example constant spotting, unexpected heavy bleeding, missed durations), dark urine, yellowing eyes/skin.

This medicine may rarely cause serious (often fatal) problems from bloodstream clots (such as deep vein thrombosis, heart attack, pulmonary embolism, stroke). Get medical help immediately if some of these side effects occur: chest/jaw/left arm pain, confusion, sudden dizziness/fainting, pain/swelling/warmth in the groin/calf, slurred speech, sudden shortness of breath/rapid breathing, uncommon headaches (including headaches with vision changes/lack of coordination, worsening of migraines, sudden/very severe headaches), unusual sweating, weakness on one part of the body, vision problems/changes (such as double vision, partial/complete blindness).

A very severe allergic reaction to this drug is rare. However, get help that is medical away in the event that you notice any signs and symptoms of a significant sensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the usa -

Call your medical professional for medical advice about side effects. You'll report side effects to Food And Drug Administration at 1-800-FDA-1088 or at

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

List Ortho Tri-Cyclen (21) adverse effects by likelihood and severity.


See also Warning section.

Before making use of this medication, tell your physician or pharmacist if you are allergic to any estrogens (such as ethinyl estradiol, mestranol) or any progestins (such as norethindrone, desogestrel); or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergy symptoms or other problems. Talk to your pharmacist for lots more details.

Before utilizing this medicine, inform your doctor or pharmacist your medical history, especially of: blood clots (for example, into the feet, eyes, lungs), blood clotting problems (such as for instance protein C or protein S deficiency), high blood circulation pressure, abnormal breast exam, cancer (especially endometrial or cancer of the breast), high cholesterol levels or triglyceride (blood fat) levels, despair, diabetes, family medical history (especially angioedema), gallbladder issues, severe headaches/migraines, heart dilemmas (such as heart valve disease, irregular heartbeat, past heart attack), history of yellowing eyes/skin (jaundice) during pregnancy or while making use of hormone birth control (such as pills, patch), kidney infection, liver disease (including tumors), stroke, swelling (edema), thyroid problems, unexplained vaginal bleeding.

It harder to control your blood sugar levels if you have diabetes, this medication may make. Check your blood sugar levels regularly as directed and share the total results along with your physician. Tell your medical practitioner appropriate away if you have any symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to regulate your diabetes medication, exercise program, or diet.

Tell your doctor if you just had or will be having surgery or if you will be confined to a bed or chair for a long time (such as a long plane flight). These conditions increase your risk of getting blood clots, especially if you are using birth control that is hormonal. You may want to stop this medicine for an occasion or just take special precautions.

Before having surgery, tell your physician or dentist about all these products you use (including prescribed drugs, nonprescription drugs, and organic items).

This medication might cause blotchy, dark areas on your epidermis (melasma). Sunlight may worsen this effect. Avoid prolonged sun exposure, sunlamps, and tanning booths. Use a sunscreen, and wear clothing that is protective outdoors.

If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these nagging problems occur.

It may just take longer after you stop taking birth control pills for you to become pregnant. Check with your physician.

This medication ought not to be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. It is safe to start using birth control that contains a form of estrogen, such as this medication if you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about reliable forms of birth control, and find out when.

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

What should I know regarding pregnancy, medical and administering Ortho Tri-Cyclen (21) to children or the elderly?

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