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Uses

This combination hormone medicine is used to prevent pregnancy. It contains 2 hormones: a progestin plus an estrogen. It works mainly by preventing the release associated with an egg (ovulation) on your period. It also makes vaginal fluid thicker to aid prevent sperm from reaching an egg (fertilization) and changes the lining from the uterus (womb) in order to avoid attachment of the fertilized egg. If a fertilized egg won't put on the uterus, it passes out with the body.

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Besides preventing pregnancy, contraceptive pills will make your periods more regular, decrease loss of blood and painful periods, lessen your likelihood of ovarian cysts, and also help treat acne problems.

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

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Read the Patient Information Leaflet provided by the pharmacist before you start using this product and every time you have a refill. The leaflet contains extremely important information on when to take your pills and how to proceed if you miss a dose. If you have questions, ask your medical professional or pharmacist.

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Take medicines by mouth as directed by a medical expert, usually once daily. Pick a time which is simple to keep in mind, and take your pill as well every day.

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It is very important to carry on taking this medication the same manner prescribed by your physician. With certain brands of contraceptive pills, the volume of estrogen and progestin in each active tablet will vary at different times within the cycle. Therefore, it is crucial that you stick to the package instructions to obtain the first tablet, commence with the initial tablet within the pack, and drive them inside the correct order. Do not skip any doses. Pregnancy is a lot more likely in case you miss pills, take up a new pack late, or take your pill in a different time with the day than usual.

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Vomiting or diarrhea can prevent your contraceptive pills from working well. If you have vomiting or diarrhea, you may need to utilize a back-up contraceptive method (for example condoms, spermicide). Follow the directions inside the Patient Information Leaflet and look with your doctor or pharmacist for additional information.

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Taking medicines after your evening meal or at night can help if you have stomach upset or nausea while using medication. You may choose to take medicines at another time of day that is certainly easier to remember. No matter what dosing schedule you use, it is extremely important that you take medicines simultaneously every day, twenty four hours apart. Ask a medical expert or pharmacist if 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 having medication. Take one active pill (with hormones) once daily for a three week period uninterruptedly. If you're using an item with 28 tablets, take an inactive pill once daily for 7 days consecutively once you've taken the very last active pill unless otherwise directed by your doctor. If you happen to be using something with 21 tablets, do not take on any tablets for 7 days unless otherwise directed by a medical expert. You should have your period throughout the fourth week with the cycle. After you've taken the very last inactive tablet inside pack or gone 1 week without taking an energetic tablet, begin a new pack the very next day regardless of whether you might have your period. If you do not buy your period, consult your doctor.

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If this is the first time you're using prescription drugs and you are not switching from another kind of hormonal birth control method (such as patch, other contraceptive pills), take the initial tablet within the pack on the 1st Sunday following a beginning of one's menstrual period or on the first day of your respective period. If your period begins on a Sunday, begin to take medicines on that day. For the very first cycle useful only, use an additional kind of non-hormonal contraception (such as condoms, spermicide) for the very first 7 days to prevent pregnancy before medication has plenty of time to work. If you start the very first day of your period, you do not need to utilize back-up contraceptive the very first week.

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Ask a medical expert or pharmacist regarding how to exchange from other types of hormonal contraceptive (for example patch, other contraceptive pills) for this product. If any information is unclear, consult the Patient Information Leaflet or your physician or pharmacist.

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Side Effects

Nausea, vomiting, headache, bloating, breast tenderness, swelling from 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 useful. If all of these effects persist or worsen, tell your physician or pharmacist promptly. If you miss 2 periods back to back (or 1 period if your pill has not been used properly), contact your medical professional to get a pregnancy test.

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Remember that a medical expert has prescribed this medication as they or she gets judged that the profit to you is higher than the likelihood of negative effects. Many people using medicines would not have serious unwanted effects.

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

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Tell your physician immediately in case you have any serious unwanted effects, including: lumps in the breast, mental/mood changes (like 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.

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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 right away if some 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 on one hand in the body, vision problems/changes (like double vision, partial/complete blindness).

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A grave allergic attack to this drug is rare. However, get medical help immediately in case you notice any symptoms of an 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 set of possible unwanted 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 effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

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

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Precautions

See also Warning section.

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Before using this medication, tell your doctor or pharmacist in the event you are allergic to any estrogens (like ethinyl estradiol, mestranol) or any progestins (including norethindrone, desogestrel); or in the event you have every other allergies. This product might have inactive ingredients, which can cause allergic reactions or another problems. Talk to the pharmacist for more information.

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Before using medicines, tell your physician or pharmacist your health background, especially of: blood clots (by way of example, inside the legs, eyes, lungs), blood clotting disorders (including protein C or protein S deficiency), high hypertension, abnormal breast exam, cancer (especially endometrial or cancer of the breast), high cholesterol levels or triglyceride (blood fat) levels, depression, diabetes, family or personal history of the certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, cardiovascular disease (such as heart valve disease, irregular heartbeat, previous heart attack), good yellowing eyes/skin (jaundice) while pregnant or while using the hormonal contraceptive (like pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), thyrois issues, unexplained vaginal bleeding.

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If you have diabetes, medicines may affect your blood glucose. Check your blood glucose regularly as directed and share the results with your physician. Tell your doctor right away should you have the signs of high blood glucose for example increased thirst/urination. Your doctor might need to adjust your diabetes medication, exercise program, or diet.

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Tell your physician in the event you just had or is going to be having surgical treatment or in case you will be limited to a bed or chair to get a long time (including a long plane flight). These conditions improve your chance of getting blood clots, especially if you are choosing hormonal contraception. You ought to stop this medication for any time or take special precautions.

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

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

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If you might be nearsighted or wear contacts, you could develop vision problems or trouble wearing your contacts. Contact your eye doctor if these problems occur.

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It may take longer that you can conceive after you stop taking birth control method pills. Consult your doctor.

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This medication should not be used in pregnancy. If you get pregnant or think you could be pregnant, tell your physician immediately. If you might have just given birth or had a pregnancy loss/abortion after the first a couple of months, talk with your physician about reliable kinds of birth control, to see when it is safe to start using birth control method which contains a type 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 could have undesirable effects over a nursing infant. Consult your physician before breast-feeding.

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