This combination hormone medication is employed to prevent pregnancy. It contains 2 hormones: a progestin plus an estrogen. It works largely by preventing the production of your egg (ovulation) on your period. It also makes vaginal fluid thicker to assist prevent sperm from reaching an egg (fertilization) and changes the lining from the uterus (womb) to avoid attachment of an fertilized egg. If a fertilized egg won't adhere to the uterus, it passes out of the body.
Besides preventing pregnancy, contraception pills may make your periods more regular, decrease hemorrhage and painful periods, lessen your risk of ovarian cysts, as well as cure acne.
Using this medication will not protect you or maybe your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia).
Read the Patient Information Leaflet furnished by your pharmacist before starting employing this product and every time you have a refill. The leaflet contains very important information on when you ought to take your pills and how to handle it in case you miss a dose. If you have any queries, ask a medical expert or pharmacist.
Take prescription drugs by mouth as directed by your physician, usually once daily. Pick a time that is certainly basic to consider, and take your pill simultaneously each day.
It is extremely important to remain taking prescription drugs exactly as prescribed by your doctor. With certain brands of contraception pills, the quantity of estrogen and progestin in each active tablet will change at different times in the cycle. Therefore, it is crucial which you stick to the package instructions to get the first tablet, focus on the initial tablet within the pack, and bring them within the correct order. Do not skip any doses. Pregnancy is a bit more likely should you miss pills, begin a new pack late, or take your pill in a different time of the day than usual.
Vomiting or diarrhea can prevent your contraception pills from working well. If you've vomiting or diarrhea, you may need to utilize a back-up contraception method (including condoms, spermicide). Follow the directions inside the Patient Information Leaflet and look with your medical professional or pharmacist for additional information.
Taking prescription drugs after your evening meal or at night could help if you have stomach upset or nausea with the medication. You may take prescription drugs at another period that is easier to remember. No matter what dosing schedule you employ, it is very important that you simply take this medication as well each day, one day apart. Ask your medical professional or pharmacist in the event you have questions.
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 twenty-one days back to back. If you are using a product or service with 28 tablets, take an inactive pill once daily for 1 week in a row after you have taken the final active pill unless otherwise directed by a medical expert. If you are using an item with 21 tablets, don't take on any tablets for one week unless otherwise directed by your medical professional. You should have your period during the fourth week in the cycle. After you might have taken the last inactive tablet inside the pack or gone seven days without taking a dynamic tablet, start a new pack in the morning whether or not you might have your period. If you do not get the period, consult your physician.
If this is the initial time you might be using medicines and you are not switching from another form of hormonal birth control (like patch, other contraception pills), take the 1st tablet in the pack on the very first Sunday following beginning of one's monthly period or on the very first day of your period. If your period begins on the Sunday, begin to take medicines on that day. For the first cycle useful only, readily additional form of non-hormonal contraceptive (including condoms, spermicide) for the first 7 days to avoid pregnancy before medication has enough time to work. If you start taking the first day of your period, you no longer need to utilize back-up birth control method the initial week.
Ask a medical expert or pharmacist about how exactly to exchange from other forms of hormonal birth control (including patch, other contraceptive pills) to this product. If any information is unclear, consult the Patient Information Leaflet or your medical professional or pharmacist.
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 1st few months useful. If these effects persist or worsen, tell your physician or pharmacist promptly. If you miss 2 periods consecutively (or 1 period if your pill hasn't been used properly), contact your physician to get a pregnancy test.
Remember that your physician has prescribed prescription drugs as he or she's judged that this advantage of you is more than the risk of unwanted side effects. Many people using prescription drugs don't have serious unwanted effects.
This medication may raise the blood pressure levels. Check your blood pressure level regularly and tell your physician if the results are high.
Tell your medical professional straight away if you have any serious negative effects, including: lumps in the breast, mental/mood changes (including new/worsening depression), severe stomach/abdominal pain, unusual changes in vaginal bleeding (including continuous spotting, sudden heavy bleeding, missed periods), dark urine, yellowing eyes/skin.
This medication may rarely cause serious (sometimes fatal) problems from blood clots (like deep vein thrombosis, cardiac arrest, pulmonary embolism, stroke). Get medical help without delay if all of these unwanted side 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 somewhere in the body, vision problems/changes (for example double vision, partial/complete blindness).
A serious allergic reaction to this particular drug is rare. However, get medical help immediately in the event you notice any symptoms of a serious allergic attack, including: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete listing of possible side effects. If you notice other effects unpublished above, contact your physician or pharmacist.
In the US -
Call a medical expert for medical advice about unwanted side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call a medical expert for medical advice about unwanted side effects. You may report unwanted effects to Health Canada at 1-866-234-2345.
See also Warning section.
Before using this medication, tell a medical expert or pharmacist if you are allergic to any estrogens (such as ethinyl estradiol, mestranol) or any progestins (like norethindrone, desogestrel); or if you have every other allergies. This product might have inactive ingredients, that may cause allergies or other problems. Talk to the pharmacist for more details.
Before using prescription drugs, tell your physician or pharmacist your health background, especially of: blood clots (as an example, in the legs, eyes, lungs), blood clotting disorders (for example 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 the certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart disease (such as heart valve disease, irregular heartbeat, previous cardiac event), history of yellowing eyes/skin (jaundice) when pregnant or with all the hormonal birth control (including pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), an under active thyroid, unexplained vaginal bleeding.
If you have diabetes, medicines may affect your blood sugar levels. Check your blood glucose levels regularly as directed and share the final results with your physician. Tell a medical expert right away if you have signs of high blood sugar levels including increased thirst/urination. Your doctor should adjust your diabetes medication, exercise routine, or diet.
Tell a medical expert if you just had or is going to be having surgical treatment or if you will be limited to a bed or chair for a long time (like a long plane flight). These conditions increase your probability of getting blood clots, especially in case you are using hormonal birth control method. You ought to stop medicines for a time or take special precautions.
Before having surgery, tell a medical expert or dentist about each of the products you have (including prescribed drugs, nonprescription drugs, and herbal products).
This medication might cause blotchy, dark areas in your face and skin (melasma). Sunlight may worsen this effect. Limit your time and energy inside sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.
If you're nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your lenses. Contact your eye doctor if these complaints occur.
It might take longer that you can get pregnant once you stop taking birth control pills. Consult your doctor.
This medication shouldn't be used when pregnant. If you get pregnant or think you could be pregnant, tell your medical professional right away. If you've got just given birth or had a pregnancy loss/abortion after the first three months, talk with your doctor about reliable varieties of contraception, and discover when it's safe to begin using contraceptive made up of a form of estrogen, for example medicines.
This medication may decrease breast milk production. A small amount passes into breast milk and might have undesirable effects with a nursing infant. Consult your medical professional before breast-feeding.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.