This combination hormone medicine is used to prevent pregnancy. It contains 2 hormones: a progestin plus an estrogen. It works usually by preventing the production of an 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) to avoid attachment of your fertilized egg. If a fertilized egg will not adhere 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, decrease your chance of ovarian cysts, as well as help treat acne problems.
Using this medication doesn't protect you or maybe your partner against sexually transmitted diseases (including HIV, gonorrhea, chlamydia).
Read the Patient Information Leaflet provided by the pharmacist before you start employing this product each time you get a refill. The leaflet contains essential info on when you ought to take your pills and how to proceed in the event you miss a dose. If you've any queries, ask your doctor or pharmacist.
Take medicines by mouth as directed by your doctor, usually once daily. Pick a period that is certainly basic to consider, and take your pill concurrently daily.
It is crucial to keep taking this medication exactly as prescribed by a medical expert. With certain brands of contraceptive pills, the amount of estrogen and progestin in each active tablet vary at different times within the cycle. Therefore, it is very important that you simply continue with the package instructions to discover the first tablet, commence with the initial tablet in the pack, and bring them within the correct order. Do not skip any doses. Pregnancy is more likely if you miss pills, start a new pack late, or take your pill with a different time of the day than usual.
Vomiting or diarrhea can prevent your birth control method pills from working well. If you've got vomiting or diarrhea, you might need to work with a back-up contraception method (for example condoms, spermicide). Follow the directions inside the Patient Information Leaflet and check with your doctor or pharmacist for more information.
Taking medicines after your evening meal or at bedtime might help in case you have stomach upset or nausea using the medication. You may take this medication at another time that is certainly easier to consider. No matter what dosing schedule you use, it is extremely important that you simply take medicines simultaneously daily, one day apart. Ask your physician or pharmacist should you have any queries.
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 back to back. If you are using something with 28 tablets, take a non-active pill once daily for 1 week back to back once you've taken the very last active pill unless otherwise directed by a medical expert. If you are using an item with 21 tablets, don't take any tablets for one week unless otherwise directed by your physician. You should have your period throughout the fourth week with the cycle. After you might have taken the very last inactive tablet inside the pack or gone 7 days without taking a dynamic tablet, take up a new pack in the morning whether you might have your period. If you do not get a period, consult a medical expert.
If this is the initial time you might be using prescription drugs and you happen to be not switching from another form of hormonal birth control method (like patch, other contraceptive pills), take the initial tablet inside pack on the 1st Sunday pursuing the beginning of your respective menstrual period or on the first day of the period. If your period begins with a Sunday, begin to take this medication on that day. For the 1st cycle people only, make use of an additional form of non-hormonal contraception (for example condoms, spermicide) for the 1st seven days to avoid pregnancy until the medication has enough time to work. If you begin the initial day of your period, you don't to use back-up birth control the very first week.
Ask your physician or pharmacist about how exactly to change business varieties of hormonal contraceptive (like patch, other birth control pills) for this product. If any info is unclear, consult the Patient Information Leaflet or a medical expert 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 first few months of use. If these effects persist or worsen, tell your medical professional or pharmacist promptly. If you miss 2 periods back to back (or 1 period if the pill has not been used properly), contact your physician for a pregnancy test.
Remember that your physician has prescribed medicines while he or she's judged the help to you is higher than the risk of negative effects. Many people using this medication do not have serious unwanted side effects.
This medication may raise your blood pressure levels. Check your blood pressure levels regularly and tell your medical professional if your results are high.
Tell your medical professional right away should you have any serious side effects, including: lumps inside breast, mental/mood changes (for example new/worsening depression), severe stomach/abdominal pain, unusual adjustments to vaginal bleeding (such as continuous spotting, sudden heavy bleeding, missed periods), dark urine, yellowing eyes/skin.
This medication may rarely cause serious (sometimes fatal) problems from blood clots (such as deep vein thrombosis, cardiac event, pulmonary embolism, stroke). Get medical help without delay if some of these unwanted effects occur: chest/jaw/left arm pain, confusion, sudden dizziness/fainting, pain/swelling/warmth inside 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 one hand of the body, vision problems/changes (like double vision, partial/complete blindness).
A very serious allergic reaction for this drug is rare. However, get medical help immediately should you notice any symptoms of the serious hypersensitivity, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete report on possible unwanted side effects. If you notice other effects unpublished above, contact a medical expert or pharmacist.
In the US -
Call your medical professional 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.
In Canada - Call a medical expert for medical health advice about side effects. You may report unwanted effects to Health Canada at 1-866-234-2345.
See also Warning section.
Before using medicines, tell your physician or pharmacist in case you are allergic to the estrogens (for example ethinyl estradiol, mestranol) or any progestins (such as norethindrone, desogestrel); or in the event you have any other allergies. This product might have inactive ingredients, which may cause allergy symptoms and other problems. Talk to your pharmacist for additional information.
Before using medicines, tell your medical professional or pharmacist your health background, especially of: blood clots (as an example, within the legs, eyes, lungs), blood clotting disorders (like protein C or protein S deficiency), high blood pressure levels, abnormal breast exam, cancer (especially endometrial or breast cancers), high cholesterol or triglyceride (blood fat) levels, depression, diabetes, family or personal history of your certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, cardiovascular disease (such as heart valve disease, irregular heartbeat, previous cardiac arrest), good reputation for yellowing eyes/skin (jaundice) when pregnant or when using hormonal contraceptive (for example pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), an under active thyroid, unexplained vaginal bleeding.
If you've diabetes, medicines may affect your blood glucose. Check your blood sugar regularly as directed and share the outcome with a medical expert. Tell your doctor without delay in the event you have the signs of high blood sugar levels for example increased thirst/urination. Your doctor ought to adjust your diabetes medication, exercise routine, or diet.
Tell a medical expert if you just had or is going to be having surgical procedures or if you will likely be limited to a bed or chair for the long time (including a long plane flight). These conditions improve your risk of getting blood clots, especially in case you are utilizing hormonal contraceptive. You might need to stop this medication for the time or take special precautions.
Before having surgery, tell a medical expert or dentist about each of the products you utilize (including prescribed drugs, nonprescription drugs, and herbal products).
This medication could cause blotchy, dark areas on your face and skin (melasma). Sunlight may worsen this effect. Limit your time and effort inside the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.
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 complaints occur.
It will take longer that you should get pregnant after you stop taking birth control method pills. Consult your doctor.
This medication shouldn't be used while pregnant. If you conceive or think you might be pregnant, tell your doctor immediately. If you might have just given birth or had a pregnancy loss/abortion after the 1st a couple of months, talk with your medical professional about reliable types of contraceptive, and find out when it's safe to begin using contraception which contains a type of estrogen, for example prescription drugs.
This medication may decrease breast milk production. A small amount passes into breast milk and might have undesirable effects over a nursing infant. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.