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Other Women's
Health Solutions (From
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Common Brand Name(s)
Brevicon, Demulen, Lo/Ovral, Loestrin, Modicon,
Nordette, Norinyl, Ortho-Novum, Ovcon, Ovral,
Tri-Phasil
Uses
This medication is used to prevent pregnancy or
to regulate your menstrual cycle. Certain brands
of birth control pills may be used for treating
acne or as a "morning after" pill for emergency
contraception. Consult your doctor or pharmacist.
Use of this birth control medication does not
protect you or your partner against sexually transmitted
diseases (e.g., HIV, gonorrhea).
How to Use
Take this birth control medication with food or
immediately after a meal to prevent stomach upset.
Try to take this medication at the same time each
day. This may help you to remember to take it.
Learn proper use of your particular brand of medication.
Follow your dosing schedule carefully. Be sure
to ask your doctor or pharmacist if you have any
questions. Use a supplemental form of birth control
during the first week of taking this medication
since it takes a while to be effective. Follow
your doctor's directions exactly if this drug
is being used as a "morning after" pill.
Side Effects
This birth control medication may cause dizziness,
headache, lightheadedness, stomach upset, bloating,
or nausea. If these effects persist or worsen,
contact your doctor. Notify your doctor if you
experience: severe depression, groin or calf pain,
sudden severe headache, chest pain, shortness
of breath, lumps in the breast, weakness or tingling
in the arms or legs, yellowing of the eyes or
skin. If you notice other effects not listed above,
contact your doctor or pharmacist.
Precautions
Before you take this medication, tell your doctor
your entire medical history, including family
medical history, especially: asthma, high blood
pressure, kidney disease, liver heart disease,
stroke, history of jaundice (yellowing skin/eyes)
or high blood pressure during pregnancy, excessive
weight gain or fluid retention during menstrual
cycle, blood clots, heart attack, seizures, migraine
headaches, breast cancer, high blood level of
cholesterol or lipids (fats), diabetes, depression.
Depending on strength, this drug may cause a patchy,
darkening of the skin on the face (melasma). Higher
strengths are more likely to cause melasma. Sunlight
may intensify this darkening and you may need
to avoid prolonged sun exposure and sunlamps.
Consult your doctor regarding use of sunscreens
and protective clothing. It may take a long time
for you to become pregnant after you stop taking
birth control pills. Consult your doctor. Do not
smoke cigarettes. Birth-control pills slightly
increase your risk of strokes, blood clots, high
blood pressure, heart attacks, gallbladder disease,
vision problems, and liver tumors. Cigarette smoking
(especially 15 or more cigarettes daily) and age
(women older than 35/smokers or 40/nonsmokers
years of age) further increase the risk of stroke,
blood clots, high blood pressure and heart attacks.
Ask your pharmacist or doctor for a copy of the
patient labeling which explains these risks in
more detail. Consult your doctor for any questions,
including possible use in nonsmokers over 40 years
of age. If you are near-sighted or wear contact
lenses, you may develop vision problems. Also,
your tolerance of the lenses may decrease. Contact
your eye doctor if these problems occur. Before
having surgery, including dental surgery, tell
the doctor that you take birth control pills.
This drug must not be used during pregnancy. If
you become pregnant or think you may be pregnant,
inform your doctor immediately. This medication
passes into breast milk. This may affect milk
production and may have harmful effects on a nursing
infant. Consult your doctor before breast-feeding.
Drug Interactions
Tell your doctor what prescription and nonprescription
drugs you are taking. Drugs that may decrease
the effectiveness of the pill include: griseofulvin,
many antibiotics (e.g., penicillins, macrolides,
tetracyclines, sulfas, cephalosporins), chloramphenicol,
many seizure medications (e.g., phenytoin, barbiturates,
primidone, carbamazepine), dapsone, rifamycins
(e.g., rifampin), modafinil, nevirapine, nelfinavir,
ritonavir, St John's wort, troglitazone. Ask your
doctor if you should use additional birth control
methods while taking any of the drugs mentioned
above while taking birth control pills. Also tell
your doctor if you use: thyroid hormone drugs,
certain benzodiazepines (e.g., diazepam, chlordiazepoxide),
prednisone-like drugs, certain antidepressants
(e.g., tricyclics), beta-blockers (e.g., metoprolol),
"blood thinners" (anticoagulants such as warfarin),
insulin. This product can affect the results of
certain lab tests (e.g., thyroid). Inform all
laboratory personnel that you use this drug. Birth
control pills may significantly intensify the
effects of alcohol. Consult your doctor or pharmacist
about this. Do not start or stop any medicine
without doctor or pharmacist approval.
Overdose
If overdose is suspected, contact your local poison
control center or emergency room immediately.
Symptoms of overdose may include nausea and vomiting.
Females may experience vaginal bleeding.
Notes
Do not allow anyone else to take this medication.
Keep all appointments with your doctor and the
laboratory. You should have a complete physical
examination, including blood pressure measurements,
breast and pelvic examinations, and a PAP test
(for vaginal cancer), at least once a year. Follow
your doctor's instructions for examining your
own breasts, and report any lumps immediately.
A manufacturer's fact sheet about this drug should
be dispensed with each prescription. Read the
information carefully. Ask your doctor or pharmacist
any questions you may have.
Missed Dose
Missed dose advice differs and depends on the
brand used, and the number of doses missed. Refer
to the product package information for advice
on missed doses. Ask your doctor or pharmacist
if you have any questions.
Storage
Store at room temperature between 59 and 86 degrees
F (between 15 and 30 degrees C) away from moisture
and sunlight. Do not store in the bathroom.
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