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Precautions

Do NOT use Alesse if:

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• you might be allergic to any ingredient in Alesse
• you are pregnant or think you could be pregnant

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• you have a very reputation blood clotting problems, severe blood clots (eg, within the lungs, legs, eyes), certain circulation problems (eg, bleeding within the brain, heart attack, stroke), or breast cancer

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• you are near risk for developing severe blood clots or have certain heart related illnesses (eg, certain heart valve problems, some kinds of irregular heartbeat)

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• you've got chest pain caused by angina; certain kinds of headaches or migraines with aura; severe or uncontrolled hypertension; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; or undiagnosed abnormal vaginal bleeding; or diabetes that affects circulation

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• you have liver disease, liver tumors or cancer, or even a history of yellowing in the eyes or skin brought on by pregnancy or prior birth control use

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• you experienced surgery and therefore are or will be confined to a bed or possibly a chair on an extended amount of time

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• you might be more than 35 yrs . old and you also smoke 15 or maybe more cigarettes every day.

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Contact your doctor or health care provider immediately if all of these affect you.

Some health conditions may communicate with Alesse. Tell your medical professional or pharmacist in case you have any health conditions, particularly if any in the following connect with you:

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• if you happen to be pregnant, intending to conceive, or are breast-feeding

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• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or another substances

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• for those who have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, a lump within the breast, heart related illnesses, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, high blood pressure levels, kidney problems, blood problems (eg, porphyria), blood within the urine, depression or any other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing of the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or even a good reputation for cancer

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• if you are overweight, you might have not yet had your first menstrual period, or else you use tobacco

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Some medicines may communicate with Alesse. Tell your doctor if you're taking some other medicines, especially any from the following:

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• Atorvastatin, indinavir, or troleandomycin since they may increase the likelihood of Alesse's negative effects
• Aprepitant, azole antifungals (eg, itraconazole, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, dexamethasone, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, oxcarbazepine, penicillins (eg, amoxicillin), phenylbutazone, primidone, rifabutin, rifampin, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone simply because they may decrease Alesse's effectiveness, producing breakthrough bleeding or pregnancy
• Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline for the reason that risk of their side effects could be increased by Alesse

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• Clofibric acid, lamotrigine, morphine, salicylic acid, or temazepam because their effectiveness may be decreased by Alesse.

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This will not be a whole set of all interactions which could occur. Ask your medical provider if Alesse may talk with other medicines that you simply take. Check with your health care provider before you begin, stop, or affect the dose associated with a medicine.

Important safety information:

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• Alesse may cause dizziness. This effect could be worse if you go with alcohol or certain medicines. Use Alesse with caution. Do not drive or perform other possibly unsafe tasks and soon you discover how you reply to it.

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• Follow a medical expert's instructions for examining your own breasts, and report any lumps immediately.

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• If you will be having surgical treatment or will probably be restricted to a bed or chair for a long duration of time (say for example a long plane flight), notify your doctor 3 to a month ahead of time. Special precautions should be taken in these circumstances while taking Alesse.

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• You should usually not take Alesse within four weeks after giving birth you aren't ending a pregnancy. Discuss any queries or concerns together with your doctor.

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• Alesse could potentially cause dark skin patches on your face. Exposure to the sun might make these patches darker. If patches develop, utilize a sunscreen or wear protective clothing when subjected to the sun, sunlamps, or tanning booths.

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• Use of Alesse will not drive back HIV infection or stop the spread of sexually transmitted diseases (STDs).

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• Bleeding or spotting may occur while taking Alesse. Do not stop taking Alesse if this type of occurs. If bleeding or spotting continues for more than 7 days or perhaps is heavy, speak to your doctor.

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• Smoking while using the Alesse may enhance your probability of stroke, cardiac arrest, blood clots, high blood pressure, and other diseases of the heart and bloodstream.

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• Taking certain antibiotics, anticonvulsants, or other medicines, as listed inside the interactions section, while you happen to be using Alesse may decrease the effectiveness of Alesse. To prevent pregnancy, readily extra way of contraception (eg, condoms) until your following period.

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• If you miss your period during the week of inactive pills, call your medical professional immediately. A missed period might point to that you might be pregnant.

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• Alesse might take time for you to wear off after your last dose. You will not be able to become pregnant for many months after stopping Alesse.Discuss any concerns along with your doctor or pharmacist.

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• Lab tests, including PAP tests, could be performed when you use Alesse. These tests might be used to monitor your problem or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Alesse shouldn't be found in children who may have not had their first period; safety and effectiveness in these children have not been confirmed.
• Pregnancy and breast-feeding: Do not use Alesse if you're pregnant. Avoid pregnancy while you might be taking it. If you think you could be pregnant, contact your doctor straight away. Alesse is situated in breast milk. Do not breastfeed while taking Alesse.

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