Alyacen 1/35; Alyacen 7/7/7; Aranelle; Balziva; Blisovi 24 Fe; Blisovi Fe 1/20; Brevicon [DSC]; Briellyn; Cyclafem 1/35; Cyclafem 7/7/7; Dasetta 1/35; Dasetta 7/7/7; Estrostep Fe; Femcon Fe [DSC]; femhrt; Fyavolv; Generess Fe; Gildagia [DSC]; Gildess 1.5/30 [DSC]; Gildess 1/20 [DSC]; Gildess 24 Fe [DSC]; Gildess FE 1.5/30; Gildess FE 1/20; Jevantique Lo; Jinteli; Junel 1.5/30; Junel 1/20; Junel Fe 1.5/30; Junel Fe 1/20; Junel Fe 24; Kaitlib Fe; Larin 1.5/30; Larin 1/20; Larin Fe 1.5/30; Larin Fe 1/20; Layolis Fe; Leena; Lo Loestrin Fe; Loestrin 21 1.5/30; Loestrin 21 1/20; Loestrin 24 Fe; Loestrin Fe 1.5/30 [DSC]; Loestrin Fe 1/20 [DSC]; Lomedia 24 Fe [DSC]; Melodetta 24 Fe; Mibelas 24 Fe; Microgestin 1.5/30; Microgestin 1/20; Microgestin 24 Fe [DSC]; Microgestin Fe 1.5/30; Microgestin Fe 1/20; Minastrin 24 Fe; Modicon [DSC]; Necon 0.5/35; Necon 1/35; Necon 10/11 [DSC]; Necon 7/7/7; Norinyl 1+35; Nortrel 0.5/35; Nortrel 1/35; Nortrel 7/7/7; Ortho-Novum 1/35; Ortho-Novum 7/7/7; Ovcon 35 [DSC]; Philith; Pirmella 1/35; Pirmella 7/7/7; Tarina FE 1/20; Taytulla; Tilia Fe; Tri-Legest Fe; Tri-Norinyl; Vyfemla; Wera; Wymzya Fe; Zenchent; Zenchent Fe [DSC]
Brevicon 0.5/35; Brevicon 1/35; FemHRT; Loestrin 1.5/30; Lolo; Minestrin 1/20; Ortho 0.5/35; Ortho 1/35; Ortho 7/7/7; Select 1/35; Synphasic
- Smoking cigarettes while using this drug raises the chance of very bad heart and blood-related side effects. This chance is raised with age (mainly in women older than 35 years of age). It is also raised with the number of cigarettes smoked. It is strongly advised not to smoke. Do not use this drug if you smoke and are older than 35 years of age.
Hormone replacement therapy (HRT):
- Estrogens may raise the chance of uterine cancer. Progestins may lower this chance. A warning sign for cancer of the uterus is vaginal bleeding. Report any vaginal bleeding to the doctor.
- Do not use estrogens to prevent heart disease or dementia. Using estrogens may raise the chances of having a heart attack, a stroke, breast cancer, ovarian cancer, a blood clot, or dementia.
- Use estrogens with or without progestin for the shortest time needed at the lowest useful dose.
- It is used to prevent pregnancy.
- It is used to put off soft, brittle bones (osteoporosis) in women after change of life.
- It is used to prevent or lower the signs of the change of life (menopause).
- It is used to treat pimples (acne).
- It may be given to you for other reasons. Talk with the doctor.
For all patients taking this drug:
- If you have an allergy to ethinyl estradiol, norethindrone, or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have had any of these health problems: Blood clots, blood clotting problem, breast cancer or other cancer where hormones make it grow, diseased blood vessels in the brain or heart, disease of a heart valve with problems, heart disease, chest pain caused by angina, heart attack, stroke, high blood pressure, liver disease, liver tumor, very bad headache or migraine, or diabetes that affects blood flow.
- If you have had any of these health problems: Endometrial cancer, cancer of the cervix or vagina, or vaginal bleeding where the cause is not known.
- If you have surgery and need bedrest.
- If you are pregnant or may be pregnant. Do not take this drug if you are pregnant.
- If you are breast-feeding or plan to breast-feed.
- If you are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir).
- If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use.
- If your child has not had her first period.
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. This drug may need to be stopped before certain types of surgery as your doctor has told you. If this drug is stopped, your doctor will tell you when to start taking this drug again after your surgery or procedure.
- This drug may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor.
- Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots.
- Some studies have shown the risk of breast cancer is raised in women taking birth control pills, especially at a younger age. This includes birth control pills that have drugs like this one in them. The risk was also linked to how long the birth control pills were taken. One study showed the risk of breast cancer was also raised in women who took birth control pills within the past 10 years. Talk with the doctor.
- If you have high blood sugar (diabetes), talk with your doctor. This drug may raise blood sugar.
- Check your blood sugar as you have been told by your doctor.
- High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Be sure to have regular breast exams and gynecology check-ups. Your doctor will tell you how often to have these. You will also need to do breast self-exams as your doctor has told you. Talk with your doctor.
- If you are allergic to tartrazine, talk with your doctor. Some products have tartrazine.
- If you drink grapefruit juice or eat grapefruit often, talk with your doctor.
- This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug.
- Certain drugs, herbal products, or health problems could cause this drug to not work as well. Be sure your doctor knows about all of your drugs and health problems.
- This drug does not stop the spread of diseases like HIV or hepatitis that are passed through blood or having sex. Do not have any kind of sex without using a latex or polyurethane condom. Do not share needles or other things like toothbrushes or razors. Talk with your doctor.
- This drug may raise the chance of blood clots. The chance is highest during the first year of using this drug. The chance is also highest when starting to use hormone-based birth control again after not using it for 4 weeks or more. Talk with the doctor.
- If you are taking this drug for pimples (acne), you need to be at least 15 years of age.
- If you have any signs of pregnancy or if you have a positive pregnancy test, call your doctor right away.
Hormone replacement therapy (HRT):
- This drug works best when used with calcium/vitamin D and weight-bearing workouts like walking or PT (physical therapy).
- Follow the diet and workout plan that your doctor told you about.
- Do not give to a child. Talk with your doctor.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
- Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up.
- Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
- Low mood (depression).
- Feeling very tired or weak.
- Not able to pass urine or change in how much urine is passed.
- A lump in the breast, breast soreness, or nipple discharge.
- Vaginal itching or discharge.
- Spotting or vaginal bleeding that is very bad or does not go away.
- Bulging eyes.
- Change in eyesight.
- Loss of eyesight.
- Change in how contact lenses feel in the eyes.
- Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing.
- Feeling more or less hungry.
- Weight gain.
- Upset stomach or throwing up.
- Enlarged breasts.
- Breast soreness.
- Hair loss.
- Lowered interest in sex.
- This drug may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.
- Period (menstrual) changes. These include spotting or bleeding between cycles.
Hormone replacement therapy (HRT):
- Loose stools (diarrhea).
- Vaginal bleeding or spotting.
- Follow how to use as you have been told by the doctor or read the package insert.
- Take this drug at the same time of day.
- Take with or without food. Take with food if it causes an upset stomach.
- Do not skip doses, even if you do not have sex very often.
- If you throw up or have diarrhea, this drug may not work as well to prevent pregnancy. Use an extra form of birth control, like condoms, until you check with your doctor.
- If you miss 2 periods in a row, take a pregnancy test before starting a new cycle.
- Chew well before swallowing.
- Some brands may be swallowed whole. Check with your pharmacist to see if your brand may be swallowed whole.
- Some brands need to be taken with a full glass of water. Some brands need to be taken without water. Check with your pharmacist to see if you need to take your drug with water.
- If a dose is missed, check the package insert or call the doctor to find out what to do. If using this drug to prevent pregnancy, another form of birth control may need to be used for some time to prevent pregnancy.
Hormone replacement therapy (HRT):
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- If you miss taking this drug for a few days in a row, call your doctor before you start taking it again.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Protect from light.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.