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Precautions

Do NOT use Alesse if:

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• you are allergic to any ingredient in Alesse
• you might be pregnant or think you may well be pregnant
• you have a history of blood clotting problems, severe blood clots (eg, inside the lungs, legs, eyes), certain circulatory problems (eg, bleeding in the brain, cardiac event, stroke), or breast cancer

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• you have reached risk for developing severe blood clots or have certain heart disease (eg, certain heart valve problems, some types of irregular heartbeat)
• you might have chest pain caused by angina; some 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 possibly a good reputation for yellowing with the eyes or skin a result of pregnancy or prior contraception use
• you have experienced surgery and therefore are or will likely be confined to a bed or even a chair on an extended duration of time

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• you might be much older than 35 years and also you smoke 15 or more cigarettes each day.

Contact a medical expert or doctor straight away if any of these affect you.

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

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• if you are pregnant, intending to become pregnant, or are breast-feeding

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• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or another substances
• if you have endometriosis, growths inside the uterus, abnormal mammogram, irregular menstrual periods, a lump within the breast, heart problems, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, hypertension, kidney problems, blood problems (eg, porphyria), blood inside urine, depression or other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing with the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or even a good reputation for cancer

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• if you happen to be overweight, you've got not yet had the first monthly period, or else you use tobacco
• if you have given birth or otherwise ended a pregnancy within the past four weeks.

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Some medicines may talk with Alesse. Tell your health care provider if you might be taking every other medicines, especially any in the following:

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• Atorvastatin, indinavir, or troleandomycin since they may increase the chance of Alesse's side 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 given that they may decrease Alesse's effectiveness, producing breakthrough bleeding or pregnancy

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• Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline as the chance of their unwanted side effects may be increased by Alesse

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• Clofibric acid, lamotrigine, morphine, salicylic acid, or temazepam his or her effectiveness could possibly be decreased by Alesse.

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This may not be a whole list of all interactions that could occur. Ask your medical provider if Alesse may connect to other medicines that you simply take. Check with your doctor before you begin, stop, or customize the dose from a medicine.

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Important safety information:

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

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• Follow your doctor's instructions for examining your individual breasts, and report any lumps immediately.

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• If you will likely be having surgical treatment or will likely be restricted to a bed or chair for a long period of time (say for example a long plane flight), notify your medical professional 3 to four weeks ahead of your energy. Special precautions may need to be utilized of these circumstances while taking Alesse.
• You should usually not take Alesse within four weeks following childbirth or otherwise ending a pregnancy. Discuss any queries or concerns along with your doctor.

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• Alesse could potentially cause dark skin patches on your face. Exposure to the sun's rays will make these patches darker. If patches develop, make use of a sunscreen or wear protective clothing when subjected to the sun's rays, sunlamps, or tanning booths.
• Use of Alesse will not likely protect against HIV infection or stop the spread of sexually transmitted diseases (STDs).
• Bleeding or spotting may occur while taking Alesse. Do not stop taking Alesse if this type of occurs. If bleeding or spotting continues for greater than one week or possibly heavy, get hold of your doctor.

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• Smoking when using Alesse may improve your probability of stroke, cardiac event, blood clots, high blood pressure, and other diseases in the heart and arteries.

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• Alesse may restrict certain lab tests. Be sure your medical professional and lab personnel know you happen to be using Alesse.
• Taking certain antibiotics, anticonvulsants, or any other medicines, as listed in the interactions section, while you're using Alesse may reduce the effectiveness of Alesse. To prevent pregnancy, use an extra way of contraception (eg, condoms) until your next period.

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• If you wear lenses and you also develop problems with them, get hold of your doctor.

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• If you miss your period through the week of inactive pills, call your physician immediately. A missed period might point to that you are pregnant.

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• Alesse might take time to wear off after your last dose. You will not be able to get pregnant for many months after stopping Alesse.Discuss any concerns together with your doctor or pharmacist.
• Lab tests, like PAP tests, may be performed whilst you use Alesse. These tests might be used to monitor your condition or search for unwanted side effects. Be sure to keep all doctor and lab appointments.

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• Alesse mustn't be employed in children that have not had their first monthly period; safety and effectiveness over these children have not been confirmed.
• Pregnancy and breast-feeding: Do not use Alesse if you might be pregnant. Avoid pregnancy while you are taking it. If you think you may well be pregnant, speak to your doctor immediately. Alesse is situated in breast milk. Do not breastfeed while taking Alesse.

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