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Uses

This combination hormone medicine is accustomed to prevent pregnancy. It contains 2 hormones: a progestin with an estrogen. It works usually by preventing the discharge associated with an egg (ovulation) on your menstrual cycle. It also makes vaginal fluid thicker to help you prevent sperm from reaching an egg (fertilization) and changes the lining in the uterus (womb) in order to avoid attachment of an fertilized egg. If a fertilized egg doesn't adhere to the uterus, it passes out of the body.

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Besides preventing pregnancy, birth control pills may make your periods more regular, decrease hemorrhaging and painful periods, decrease your likelihood of ovarian cysts, plus deal with acne.

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Using this medication won't protect you or maybe your partner against sexually transmitted diseases (like HIV, gonorrhea, chlamydia).

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Read the Patient Information Leaflet provided by the pharmacist prior to starting applying this product and each time you have a refill. The leaflet contains extremely important information on when you should take your pills and what to do in the event you miss a dose. If you've any queries, ask a medical expert or pharmacist.

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Take medicines by mouth as directed by your physician, usually once daily. Pick a time which is simple to remember, and take your pill concurrently every day.

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It is extremely important to keep taking medicines just as prescribed by your physician. With certain brands of contraception pills, how much estrogen and progestin in each active tablet will vary at different times inside cycle. Therefore, it is crucial which you follow the package instructions to find the first tablet, start with the very first tablet within the pack, and bring them in the correct order. Do not skip any doses. Pregnancy is a bit more likely should you miss pills, find a new pack late, or take your pill at a different time from the day than usual.

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Vomiting or diarrhea can prevent your birth control pills from working well. If you've got vomiting or diarrhea, you could need to utilize a back-up contraceptive method (including condoms, spermicide). Follow the directions within the Patient Information Leaflet and appearance with a medical expert or pharmacist for more details.

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Taking medicines after your evening meal or at bed time may help in case you have stomach upset or nausea with all the medication. You may take prescription drugs at another time that's easier for you to keep in mind. No matter what dosing schedule you have, it is very important which you take this medication as well every day, one day apart. Ask your physician 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 medication. Take one active pill (with hormones) once daily for 21 days in a row. If you might be using a product or service with 28 tablets, take an exercise-free pill once daily for one week in a row once you have taken the final active pill unless otherwise directed by your medical professional. If you might be using a product with 21 tablets, do not take on any tablets for 1 week unless otherwise directed by your physician. You should have your period throughout the fourth week of the cycle. After you might have taken the last inactive tablet in the pack or gone 1 week without taking an engaged tablet, take up a new pack the next day whether you might have your period. If you do not get your period, consult your medical professional.

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If this is the very first time you might be using this medication and you happen to be not switching from another way of hormonal birth control method (for example patch, other birth control method pills), take the very first tablet inside the pack on the initial Sunday following the beginning of the monthly period or on the 1st day of your period. If your period begins on a Sunday, begin taking this medication on that day. For the initial cycle of usage only, readily additional kind of non-hormonal contraception (like condoms, spermicide) for the first 7 days to avoid pregnancy before the medication has lots of time to work. If you start the initial day of one's period, you don't need to work with back-up contraceptive the very first week.

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Ask a medical expert or pharmacist about how exactly to modify using their company types of hormonal birth control method (including patch, other contraception pills) to this particular product. If any facts are unclear, consult the Patient Information Leaflet or your medical professional or pharmacist.

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Side Effects

Nausea, vomiting, headache, bloating, breast tenderness, swelling in 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 of use. If these effects persist or worsen, tell a medical expert or pharmacist promptly. If you miss 2 periods back to back (or 1 period if your pill is not used properly), contact a medical expert for the pregnancy test.

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Remember that a medical expert has prescribed medicines as he or she has judged how the profit to you is in excess of the probability of unwanted effects. Many people using this medication will not have serious negative effects.

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This medication may raise the blood pressure level. Check your hypertension regularly and tell your physician when the answers are high.

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Tell a medical expert without delay in case you have any serious side effects, including: lumps inside the breast, mental/mood changes (for example new/worsening depression), severe stomach/abdominal pain, unusual alterations in vaginal bleeding (including 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, heart attack, pulmonary embolism, stroke). Get medical help without delay if any 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 the one hand with the body, vision problems/changes (like double vision, partial/complete blindness).

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A grave hypersensitivity for this drug is rare. However, get medical help without delay if you notice any symptoms of your serious hypersensitive reaction, including: rash, itching/swelling (especially from 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 unlisted above, contact your doctor or pharmacist.

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

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Precautions

See also Warning section.

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Before using prescription drugs, tell a medical expert or pharmacist should you are allergic to your estrogens (like ethinyl estradiol, mestranol) or any progestins (including norethindrone, desogestrel); or in the event you have any other allergies. This product could have inactive ingredients, which may cause allergy symptoms or another problems. Talk to the pharmacist for more information.

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Before using this medication, tell your medical professional or pharmacist your medical history, especially of: blood clots (as an example, inside legs, eyes, lungs), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure level, abnormal breast exam, cancer (especially endometrial or cancer of the breast), high cholesterol or triglyceride (blood fat) levels, depression, diabetes, family or personal history of an certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart related illnesses (including heart valve disease, irregular heartbeat, previous cardiac event), good yellowing eyes/skin (jaundice) while pregnant or when using hormonal birth control method (like pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), thyrois issues, unexplained vaginal bleeding.

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

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Tell your doctor should you just had or will likely be having surgery or if you will probably be restricted to a bed or chair to get a long time (such as a long plane flight). These conditions raise your likelihood of getting blood clots, especially if you are using hormonal birth control method. You ought to stop prescription drugs to get a time or take special precautions.

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Before having surgery, tell a medical expert or dentist about all of the products you have (including prescription medications, nonprescription drugs, and herbal products).

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This medication could cause blotchy, dark areas on your own face and skin (melasma). Sunlight may worsen this effect. Limit your time within 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 may develop vision problems or trouble wearing your disposable lenses. Contact your eye doctor if these issues occur.

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It may take longer that you should conceive when you stop taking contraceptive pills. Consult your medical professional.

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This medication really should not be used in pregnancy. If you get pregnant or think you might be pregnant, tell a medical expert right away. If you have just given birth or stood a pregnancy loss/abortion after the 1st three months, talk with a medical expert about reliable kinds of birth control, and pay attention to when it is safe to start using birth control method which has a way of estrogen, like prescription drugs.

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This medication may decrease breast milk production. A small amount passes into breast milk and may even have undesirable effects over a nursing infant. Consult your medical professional before breast-feeding.

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