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А, секция 12 секция 3-10. Для чего это нужно 10 до 20. Фирма: ДВЕРИ ОК информирует о открытии. Режим работы: понедельник-суббота, с 10 до после подтверждения заказа нашим магазином, в Нежели не определены оформлен до 16. Шарикоподшипниковская, 13Наша компания телефон: 495 668-04-78Волгоградский их результаты.

Некоторые из указанных побочных эффектов могут возникать очень изредка, но имеют неописуемо томные последствия. В случае обнаружения всех побочных эффектов, немедля обратитесь к вашему лечащему доктору. В особенности в случае наблюдения побочных эффектов в течение длительного времени. Ежели вы столкнулись с побочными эффектами, не указанными выше, обратитесь к вашему лечащему доктору для консультации. Не считая того, вы сможете сказать о найденных побочных эффектах в местное управление по контролю за продуктами питания и лекарствами.

Отчет Побочные эффекты ». Меры предосторожности Перед началом приема данного продукта сообщите вашему доктору о уже используемых медикаментах, пищевых добавках к примеру, витаминах, натуральным добавкам и др. Побочные эффекты продукта могут посильнее проявляться при определенном состоянии вашего организма. Принимайте продукт согласно указаниям вашего доктора либо следуйте аннотации по применению, поставляемой совместно с продуктам.

Доза продукта зависит от вашего состояния. Сообщите вашему медику о отсутствии конфигураций либо ухудшении вашего состояния. Принципиальные моменты, которые нужно обсудить с вашим лечащим доктором, указаны ниже. ВИЧ Внематочная беременность Возраст выше 35 лет Опасайтесь курения во время приема продукта Менструальный кровотечение Мониторинг уровня глюкозы в крови, как это лечущее средство может прирастить уровень сахара в крови Обратитесь к доктору, ежели у вас диабет, ожирение, недиагностированное вагинальное кровотечение, мягенькая гипертония, мигрень, психологические заболевания либо заболевания желчного пузыря Часто грудь и гинекологические экзамены в то время как на этом лекарстве Это medicaiton не препятствует распространению зараз, передаваемых половым методом болезней, как ВИЧ Это лечущее средство может прирастить возможность инфаркта либо сердечного приступа.

Сообщите вашему лечащему доктору обо всех продуктах, витаминах и пищевых добавках, которые вы используете. Ваш доктор сумеет составить верный план приема продукта, который дозволит избежать негативного взаимодействия. Аденома Активное болезнь печени Заболевание печени Опасайтесь послеоперационной тромбоэмболии История желтухи во время прошлой беременности История рака молочной железы Коронарные и цереброваскулярные заболевания либо истории его Надвигающаяся главные операции Недиагностированное вагинальное кровотечение Печеночная дефицитность.

Пожалуйста, обратите внимание на тот факт, что данный продукт выпускается с разной силой интенсивности для каждого из активных ингредиентов, указанных выше. Юзеры TabletWise. Данные характеристики могут не отражать настоящей картины улучшения вашего состояния при использовании данного медикамента. Должен ли я употреблять этот продукт на пустом желудке, перед пищей либо опосля еды?

Но, данная информация может не соответствовать вашей определенной ситуации. Пожалуйста, проконсультируйтесь с вашим лечащим доктором, чтоб составить график приема. Безопасно ли управлять либо эксплуатировать томную технику при использовании этого продукта? Вы должны отрешиться от управления каром, ежели прием продукта вызывает у вас сонливость, головокружение либо гипотонию.

Докторы советуют отрешиться от потребления алкоголя с таковыми продуктами, так как алкоголь существенно увеличивает побочные эффекты и сонливость. Непременно обратитесь к вашему лечащему доктору для получения консультаций с учетом особенностей вашего организма и общего состояния здоровья.

Большая часть препаратов не вызывают привыкания либо зависимости. В большинстве случаев правительство относит препараты, которые могут вызвать привыкание, к продуктам контролируемого отпуска. Пожалуйста, изучите информацию на упаковке продукта, чтоб убедиться, что данный продукт не относится к категории контролируемых.

Не считая того, не занимайтесь самолечением и не приучивайте ваш организм к медикаментам без консультации с вашим лечащим доктором. Могу ли я немедля прекратить внедрение этого продукта либо мне необходимо медлительно отменить его использование?

Риск образования тромбов может возрасти. Для чего же употребляется этот фармацевтический препарат? Применяется для предотвращения беременности. Ежели ваш ребенок воспринимал данный фармацевтический продукт по какой-нибудь иной причине, обратитесь к доктору за доборной информацией. Ежели у вашего малыша аллергия на данный продукт, любые его составляющие, остальные препараты, продукты питания либо вещества.

Сообщите доктору о аллергии и о том, как она проявлялась у малыша. Ежели у вашего малыша когда-либо было хоть какое из перечисленных нарушений состояния здоровья: тромбы, нарушения свертываемости крови, рак молочной железы либо другая форма рака, при которой рост опухоли зависит от содержания гормонов, поражение кровеносных сосудов мозга либо сердца, поражение сердечного клапана с отягощениями, рак эндометрия, рак шеи матки либо влагалища, болезнь сердца, боли в груди, вызванные стенокардией, инфаркт, инфаркт, завышенное артериальное давление, болезнь либо опухоль печени, мощная головная боль либо мигрень, диабет либо влагалищное кровотечение неустановленной предпосылки.

Ежели у Вашей дочери развилась желтуха во время беременности либо на фоне внедрения противозачаточного средства, содержащего эстрогены либо гормоны. Ежели Ваш ребенок воспринимает омбитасвир, паритапревир и ритонавир независимо от внедрения дасабувира.

Ежели Ваша дочь беременна: Не давайте данный фармацевтический продукт собственному ребенку во время беременности. Что мне нужно знать либо делать, пока мой ребенок воспринимает данный препарат? Сообщите о том, что Ваш ребенок воспринимает данный фармацевтический продукт, всем мед работникам, обеспечивающим мед уход за Вашим ребенком.

К ним относятся докторы, медсестры, фармацевты и стоматологи Вашего малыша. Может быть, будет нужно остановить прием данного фармацевтического продукта перед проведением определенных типов хирургических вмешательств в согласовании с указаниями доктора. В случае приостановки исцеления данным фармацевтическим продуктам доктор скажет Для вас, когда можно будет возобновить применение данного фармацевтического продукта опосля хирургического вмешательства либо процедуры, проведенной Вашему ребенку.

Этот продукт может наращивать риск образования тромбов, а также развития инфаркта либо инфаркта миокарда. Проконсультируйтесь с доктором. Проконсультируйтесь с доктором, ежели Вашему ребенку предстоит долгое пребывание в неподвижном состоянии долгие перелеты либо переезды, постельный режим опосля операции либо в связи с заболеванием. Долгое состояние неподвижности может повысить риск образования тромбов. Ежели у Вашего малыша завышенный уровень сахара в крови диабет , проконсультируйтесь с доктором.

Данный продукт может повысить уровень сахара в крови. Контролируйте уровень сахара в крови у малыша в согласовании с указаниями доктора. Применение фармацевтических препаратов данного рода сопровождалось завышенным артериальным давлением. Контролируйте артериальное давление вашего малыша в согласовании с указаниями доктора.

Выполняйте анализы крови в согласовании с указаниями доктора. Проконсультируйтесь с лечащим доктором. Удостоверьтесь, что ваша дочь часто проходит обследование молочных желез и гинекологическое обследование. Также необходимо, чтоб женщина проводила самообследование молочных желез в согласовании с указаниями доктора.

Этот фармацевтический продукт может влиять на результаты неких лабораторных анализов. Сообщите всем мед работникам и сотрудникам лабораторий, обеспечивающим мед сервис вашего малыша, о том, что ваш ребенок воспринимает этот фармацевтический продукт. Некие лекарства, растительные препараты либо препядствия со здоровьем могут снижать эффективность данного продукта. Непременно сообщите доктору обо всех продуктах, которые воспринимает ваш ребенок, а также о его дилеммах со здоровьем.

Некие изделия содержат тартразин. Данный фармацевтический продукт может вызывать увеличение уровней холестерина и триглицерида. Не применяйте для девченок, у которых еще не наступил 1-ый менструальный цикл. Ежели Ваш ребенок ведет либо может вести половую жизнь: Данный продукт не предотвращает распространение таковых болезней, как ВИЧ-инфекция либо гепатит, которые передаются половым методом. Непременно предупредите собственного малыша о том, что нельзя вступать в половые контакты без использования латексного либо полиуретанового презерватива.

Немедля свяжитесь с доктором при возникновении у Вашей дочери всех признаков беременности либо в случае положительного результата теста на беременность. Ежели Ваша дочь кормит малыша грудью: Сообщите доктору, ежели Ваша дочь кормит малыша грудью. Для вас нужно будет проконсультироваться о вероятных рисках для малыша. О каких побочных эффектах мне следует немедля докладывать лечащему доктору моего ребенка?

Немедля свяжитесь с доктором Вашего малыша либо обратитесь за мед помощью, ежели у Вашего малыша имеется хоть какой из перечисленных ниже признаков либо симптомов, которые могут быть соединены с чрезвычайно томным побочным эффектом: Признаки аллергической реакции, такие как сыпь, крапивница, зуд, покрасневшая и отечная кожа с волдырями либо шелушением, может быть в сочетании с лихорадкой, свистящее либо хрипящее дыхание, стеснение в груди либо горле, затрудненное дыхание, глотание либо речь, необыкновенная хриплость, отечность в области рта, лица, губ, языка либо гортани.

Признаки заморочек с печенкой, такие как потемнение мочи, чувство вялости, отсутствие аппетита, тошнота либо боли в животике, светлый стул, рвота, пожелтение кожи и глаз. Признаки нарушений со стороны желчного пузыря, такие как боль в верхней правой части животика, в правом плече либо меж лопатками, изменение кала, черный цвет мочи либо желтоватая окраска кожи либо глаз, увеличение температуры тела с ознобом.

Признаки завышенного кровяного давления, такие как чрезвычайно мощная головная боль, либо головокружение, либо утрата сознания, либо нарушение зрения. Признаки завышенного содержания сахара в крови, такие как спутанность мышления, сонливость, завышенная жажда и чувство голода, более частое мочевыделение, покраснение лица, более частое дыхание, а также фруктовый запах изо рта.

Слабость на 1 стороне тела, затрудненная речь либо мышление, препядствия с сохранением равновесия, обвисание одной стороны лица либо нечеткость зрения. Депрессия и остальные расстройства настроения. Уплотнение, боль, болезненные чувства в груди либо выделения из соска. Вагинальный зуд либо выделения. Мажущие кровянистые выделения либо мощное вагинальное кровотечение, которое не прекращается.

Нарушение либо утрата зрения, экзофтальм либо изменение чувств при ношении контактных линз. Этот продукт может привести к отекам либо лишней задержке воды в организме малыша. Сообщите доктору малыша, ежели опосля приема данного продукта возникнет отек, прибавка в весе либо затрудненное дыхание. Немедля свяжитесь с доктором, ежели у Вашего малыша наблюдаются признаки тромбоза, такие как боль либо чувство стеснения в груди; кашель с кровью; одышка; отек, чувство тепла, онемение, изменение цвета либо боль в ноге либо руке; затрудненные речь либо глотание.

Каковы некие остальные побочные эффекты данного фармацевтического препарата? Свяжитесь с доктором Вашего малыша либо обратитесь за мед помощью, ежели хоть какой из этих либо остальных побочных эффектов волнует Вашего малыша, либо ежели он не проходит: Пилюли и жевательные таблетки: Необъяснимое изменение аппетита. Головокружение либо головная боль. Повышение либо утрата веса. Тошнота либо рвота. Желудочные колики. Увеличенная грудь.

Болезненные молочные железы. Нарушения менструального цикла, в том числе мажущие кровянистые выделения либо межменструальные кровотечения. Боли в спине. Данный продукт может вызвать образование черных пятен на коже лица малыша. Опасайтесь долгого пребывания на солнце, использования солнечных ламп и горизонтальных соляриев. Пользуйтесь солнцезащитным средством и смотрите, чтоб ребенок носил защищающую от солнца одежду и солнцезащитные очки.

Пластырь: Раздражение в месте внедрения фармацевтического продукта. Головная боль. Прибавка в весе. Вы сможете сказать о развитии побочных эффектов в национальное управление здравоохранения. Как лучше всего давать этот фармацевтический препарат? Все формы выпуска: Не пропускайте прием продукта, даже ежели Ваш ребенок не имеет либо изредка имеет половые контакты.

Опосля начала приема данного продукта Вашему ребенку, может быть, в течение какого-то времени будет нужно употреблять негормональное противозачаточное средство, к примеру презервативы, для предупреждения беременности. Ваш ребенок должен придерживаться указаний доктора по использованию негормональных противозачаточных средств. Таблетки: Давайте данный продукт с едой либо без нее.

Ежели продукт вызывает расстройство желудка, давайте его с едой. Жевательные таблетки: Ребенок должен разжевать и проглотить пилюлю, запив ее стаканом воды, либо проглотить пилюлю полностью. Давайте этот продукт натощак. Пилюли и жевательные таблетки: Давайте данный продукт в одно и то же время дня. Ежели Ваш ребенок также воспринимает колесевелам, давайте его по наименьшей мере за 4 часа до либо не ранее чем через 4 часа опосля приема данного фармацевтического продукта.

При рвоте либо диарее эффективность данного продукта может быть понижена. Вашему ребенку следует употреблять доп способы контрацепции, к примеру презервативы, пока Вы не проконсультируетесь с доктором. Ежели месячный цикл Вашей дочери составляет 28 дней и она пропустила 2 менструальных цикла попорядку, перед началом новейшего цикла приема продукта ей нужно сдать анализ на беременность.

Ежели месячный цикл Вашей дочери составляет наиболее 91 дня, и она пропустила 1 менструальный цикл, проведите ей анализ на беременность перед началом новейшего цикла приема продукта. Пластырь: Наносите пластырь 1 раз в недельку в течение 3 недель. Наносите в один и тот же день каждую неделю.

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However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. In Canada - Call your doctor for medical advice about side effects.

You may report side effects to Health Canada at Before using this medication, tell your doctor or pharmacist if you are allergic to any estrogens such as ethinyl estradiol, mestranol or any progestins such as norethindrone, desogestrel ; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of:.

If you have diabetes, this medication may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Tell your doctor if you just had or will be having surgery or if you will be confined to a bed or chair for a long time such as a long plane flight.

These conditions increase your risk of getting blood clots, especially if you are using hormonal birth control. You may need to stop this medication for a time or take special precautions. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products.

This medication may cause blotchy, dark areas on your face and skin melasma. Sunlight may worsen this effect. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.

If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur. It may take longer for you to become pregnant after you stop taking birth control pills. Consult your doctor. This medication should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. This medication may decrease breast milk production. A small amount passes into breast milk and may have undesirable effects on a nursing infant.

Consult your doctor before breast-feeding. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Some drugs may cause hormonal birth control to work less well by decreasing the amount of birth control hormones in your body. This effect can result in pregnancy.

Examples include griseofulvin, modafinil, rifamycins such as rifampin, rifabutin , St. Tell your doctor when you start any new drug, and discuss if you should use additional reliable birth control. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well.

This medication may interfere with certain laboratory tests such as blood clotting factors, thyroid , possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this medication. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call Otherwise, call a poison control center right away. US residents can call their local poison control center at Canada residents can call a provincial poison control center.

Keep all regular medical and laboratory appointments. You should have regular complete physical exams which include laboratory and medical tests such as blood pressure, breast exam, pelvic exam, Pap smear to monitor your progress and check for side effects.

Consult your doctor for more details. Refer to the product package information for advice on missed doses. You may need to use back-up birth control such as condoms, spermicide to prevent pregnancy. If you often forget to take your pills as directed, contact your doctor to discuss switching to another form of birth control. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.

Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. This information does not assure that this product is safe, effective, or appropriate for you.

This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs. This copyrighted material has been downloaded from a licensed data provider. The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment.

This type of bleeding may be transient and without significance; however, if the bleeding is persistent or prolonged, the patient is advised to consult her healthcare provider. Any time the patient misses two or more pink tablets, she should also use another method of non-hormonal back-up contraception until she has taken a pink tablet daily for seven consecutive days.

If the patient misses one or more white tablets, she is still protected against pregnancy provided she begins taking pink tablets again on the proper day. The possibility of ovulation increases with each successive day that scheduled pink tablets are missed.

The risk of pregnancy increases with each active pink tablet missed. In the nonlactating mother, levonorgestrel and ethinyl estradiol tablets may be initiated no earlier than day 28 postpartum, for contraception due to the increased risk for thromboembolism. The patient should be advised to use a nonhormonal back-up method for the first 7 days of tablet-taking.

However, if intercourse has already occurred, the possibility of ovulation and conception prior to initiation of medication should be considered. Levonorgestrel and ethinyl estradiol tablets may be initiated immediately after a first-trimester abortion; if the patient starts levonorgestrel and ethinyl estradiol tablets immediately, additional contraceptive measures are not needed.

Active pink tablets are round biconvex film coated tablets, debossed with "LU" on one side and "U21" on the other side. The inert tablets are white to off white tablets with "LU" on one side and "U22" on the other side. Such three pouches are packed in a carton NDC July 5, ID This product like all oral contraceptives is intended to prevent pregnancy.

It does not protect against HIV infection AIDS and other sexually transmitted diseases such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis. Oral contraceptives, also known as "birth control pills" or "the pill", are taken to prevent pregnancy, and when taken correctly, have a failure rate of approximately 1.

For the majority of women, oral contraceptives can be taken safely. But for some women oral contraceptive use is associated with certain serious diseases that can be life-threatening or may cause temporary or permanent disability or death.

The risks associated with taking oral contraceptives increase significantly if you:. Although cardiovascular disease risks may be increased with oral contraceptive use after age 40 in healthy, non-smoking women even with the newer low-dose formulations , there are also greater potential health risks associated with pregnancy in older women. This risk increases with age and with the amount of smoking 15 or more cigarettes per day has been associated with a significantly increased risk and is quite marked in women over 35 years of age.

Women who use oral contraceptives should not smoke. Most side effects of the pill are not serious. The most common are nausea, vomiting, bleeding or spotting between menstrual periods, weight gain, breast tenderness, and difficulty wearing contact lenses.

Some of these side effects, especially nausea and vomiting, may subside within the first 3 months of use. The serious side effects of the pill occur very infrequently, especially if you are in good health and do not smoke. However, you should know that the following medical conditions have been associated with or made worse by the pill. The symptoms associated with these serious side effects are discussed in the detailed patient information leaflet. Notify your healthcare provider if you notice any unusual physical disturbances while taking the pill.

In addition, drugs such as rifampin, as well as some anticonvulsants and some antibiotics, and herbal preparations containing St. Breast cancer has been diagnosed slightly more often in women who use the pill than in women of the same age who do not use the pill. This very small increase in the number of breast cancer diagnoses gradually disappears during the 10 years after stopping use of the pill.

It is not known whether the difference is caused by the pill. It maybe that women taking the pill were examined more often, so that breast cancer was more likely to be detected. You should have regular breast examinations by a healthcare provider and examine your own breasts monthly. Tell your healthcare provider if you have a family history of breast cancer or if you have had breast nodules or an abnormal mammogram.

Women who currently have or have had breast cancer should not use hormonal contraceptives because breast cancer is usually a hormone-sensitive tumor. Some studies have found an increase in the incidence of cancer or precancerous lesions of the cervix in women who use the pill.

However, this finding may be related to factors other than the use of the pill. Be sure to discuss any medical condition you may have with your healthcare provider. Your healthcare provider will take a medical and family history before prescribing oral contraceptives and will examine you.

The physical examination may be delayed to another time if you request it and the healthcare provider believes that it is appropriate to postpone it. You should be reexamined at least once a year while taking oral contraceptives. The detailed patient information leaflet gives you further information which you should read and discuss with your healthcare provider. When you take levonorgestrel and ethinyl estradiol tablets, which has a day treatment cycle, you should expect to have 4 menstrual periods per year bleeding when you are taking the 7 white pills.

However, you also should expect to have more bleeding or spotting between your menstrual periods than if you were taking an oral contraceptive with a day treatment cycle. During the first levonorgestrel and ethinyl estradiol tablets treatment cycle, about 1 in 3 women may have 20 or more days of unplanned bleeding or spotting bleeding when you are taking pink pills. This bleeding or spotting tends to decrease during later cycles.

Do not stop levonorgestrel and ethinyl estradiol tablets because of the bleeding. If the spotting continues for more than 7 consecutive days or if the bleeding is heavy, call your healthcare provider. You should consider the possibility that you are pregnant if you miss your menstrual period no bleeding on the days that you are taking white tablets. Since scheduled menstrual periods are less frequent when you are taking levonorgestrel and ethinyl estradiol tablets, notify your healthcare provider that you have missed your period and are taking levonorgestrel and ethinyl estradiol tablets.

Also notify your healthcare provider if you have symptoms of pregnancy such as morning sickness or unusual breast tenderness. It is important that your healthcare provider evaluates you to determine if you are pregnant. Stop taking levonorgestrel and ethinyl estradiol tablets if it is determined that you are pregnant. If you miss pills you could get pregnant. This includes starting the pack late. The more pills you miss, the more likely you are to get pregnant.

If you feel sick to your stomach, do not stop taking the pill. The problem will usually go away. Do not stop taking your pills even if you are having irregular bleeding. If the bleeding lasts for more than 7 consecutive days, talk to your healthcare provider. On the days you take 2 pills to make up for missed pills, you could also feel a little sick to your stomach. Use a back-up method such as condoms or spermicides until you check with your healthcare provider.

Take one pill at the same time every day until you have taken the last pill in the wallet. Do not skip pills even if you are spotting or bleeding or feel sick to your stomach nausea. Do not skip pills even if you do not have sex very often.

After taking the last white pill, start taking the first pink pill from a new Extended-Cycle Wallet the very next day regardless of when your period started. This should be on a Sunday. If you miss your period when you are taking the white pills, call your healthcare provider because you may be pregnant. Take it as soon as you remember. Take the next pill at your regular time. This means you may take 2 pills in 1 day.

Do not remove the missed pills from the pack as they will not be taken. Keep taking 1 pill every day as indicated on the pack until you have completed all of the remaining pills in the pack. For example: If you resume taking the pill on. Thursday, take the pill under "Thursday" and do not take the missed pills. You may experience bleeding during the week following the missed pills. You must use a non-hormonal birth control method such as condoms or spermicide as a back-up when you miss pills and for the first 7 days after you restart your pills.

Oral contraceptives do not protect against transmission of HIV AIDS and other sexually transmitted diseases such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis. Any woman who considers using oral contraceptives "the birth control pill" or "the pill" should understand the benefits and risks of using this form of birth control.

Although oral contraceptives have important advantages over other methods of contraception, they have certain risks that no other method has, and some of these risks may continue after you have stopped using the oral contraceptive. This leaflet will give you much of the information you will need to make this decision and will also help you determine if you are at risk of developing any of the serious side effects of the pill.

It will tell you how to use levonorgestrel and ethinyl estradiol tablets properly so that it will be as effective as possible. However, this leaflet is not a replacement for a careful discussion between you and your healthcare provider. You should discuss the information provided in this leaflet with your healthcare provider, both when you first start taking levonorgestrel and ethinyl estradiol tablets and during your revisits. Oral contraceptives or "the birth control pill" or "the pill" are used to prevent pregnancy and are more effective than most other nonsurgical methods of birth control.

The chance of becoming pregnant is approximately 1. Typical failure rates are approximately 5. The chance of becoming pregnant increases with each missed pill during the menstrual cycle. In comparison, typical failure rates for other methods of birth control during the first year of use are as follows:. Some women should not use the pill.

You should not use the pill if you have any of the following conditions:. Tell your healthcare provider if you have any of the above conditions. Your healthcare provider can recommend a safer method of birth control. Tell your healthcare provider if you or any family member has ever had:.

Women with any of these conditions should be checked often by their healthcare provider if they choose to use oral contraceptives. Also, be sure to inform your healthcare provider if you smoke or are on any medications. If you use levonorgestrel and ethinyl estradiol tablets you will receive more exposure to hormones on a yearly basis than if you used a conventional day cycle oral contraceptives containing a similar amount of estrogen and progestin an additional 9 weeks exposure per year.

Blood clots and blockage of blood vessels are the most serious side effects of taking oral contraceptives and can cause death or serious disability. In particular, a clot in the legs can cause thrombophlebitis and a clot that travels to the lungs can cause a sudden blocking of the vessel carrying blood to the lungs. Rarely, clots occur in the blood vessels of the eye and may cause blindness, double vision, or impaired vision.

If you take oral contraceptives and need elective surgery, need to stay in bed for a prolonged illness, or have recently delivered a baby, you may be at risk of developing blood clots. You should consult your healthcare provider about stopping oral contraceptives three to four weeks before surgery and not taking oral contraceptives for two weeks after surgery or during bed rest.

You should also not take oral contraceptives soon after delivery of a baby. It is advisable to wait for at least four weeks after delivery if you are not breastfeeding. The risk of circulatory disease in oral contraceptive users may be higher in users of high-dose pills containing 50 micrograms or higher of ethinyl estradiol and may be greater with longer duration of oral contraceptive use. In addition, some of these increased risks may continue for a number of years after stopping oral contraceptives.

The risk of abnormal blood clotting increases with age in both users and nonusers of oral contraceptives, but the increased risk from the oral contraceptive appears to be present at all ages. For women aged 20 to 44, it is estimated that about 1 in 2, using oral contraceptives will be hospitalized each year because of abnormal clotting.

Among nonusers in the same age group, about 1 in 20, would be hospitalized each year. For oral contraceptive users in general, it has been estimated that in women between the ages of 15 and 34 the risk of death due to a circulatory disorder is about 1 in 12, per year, whereas for nonusers the rate is about 1 in 50, per year.

In the age group 35 to 44, the risk is estimated to be about 1 in 2, per year for oral contraceptive users and about 1 in 10, per year for nonusers. Oral contraceptives may increase the tendency to develop strokes stoppage or rupture of blood vessels in the brain and angina pectoris and heart attacks blockage of blood vessels in the heart. Any of these conditions can cause death or serious disability.

Smoking greatly increases the possibility of suffering heart attacks and strokes. Furthermore, smoking and the use of oral contraceptives greatly increase the chances of developing and dying of heart disease. Women with migraine especially migraine with aura who take oral contraceptives also may be at higher risk of stroke.

Oral contraceptive users probably have a greater risk than nonusers of having gallbladder disease, although this risk may be related to pills containing high doses of estrogens. In rare cases, oral contraceptives can cause benign but dangerous liver tumors. These benign liver tumors can rupture and cause fatal internal bleeding. In addition, a possible but not definite association has been found with the pill and liver cancers in two studies in which a few women who developed these very rare cancers were found to have used oral contraceptives for long periods.

However, liver cancers in general are extremely rare and the chance of developing liver cancer from using the pill is thus even rarer. This small increase in the number of breast cancer diagnoses gradually disappears during the 10 years after stopping use of the pill.

It may be that women taking the pill are examined more often, so that breast cancer is more likely to be detected. Women who currently have or have had breast cancer should not use oral contraceptives because breast cancer is usually a hormone-sensitive tumor.

Some studies have found an increase in the incidence of cancer or precancerous lesions of the cervix in women who use oral contraceptives. However, this finding may be related to factors other than the use of oral contraceptives. There is insufficient evidence to rule out the possibility that the pill may cause such cancers.

In patients with inherited defects of the lipid metabolism, there have been reports of significant elevations of plasma triglycerides during estrogen therapy. This has led to pancreatitis in some cases. All methods of birth control and pregnancy are associated with a risk of developing certain diseases which may lead to disability or death.

An estimate of the number of deaths associated with different methods of birth control and pregnancy has been calculated and is shown in the following table. In the above table, the risk of death from any birth control method is less than the risk of childbirth, except for oral contraceptive users over the age of 35 who smoke and pill users over the age of 40 even if they do not smoke.

It can be seen in the table that for women aged 15 to 39, the risk of death was highest with pregnancy 7 to 26 deaths per , women, depending on age. Among pill users who do not smoke, the risk of death was always lower than that associated with pregnancy for any age group, although over the age of 40, the risk increases to 32 deaths per , women, compared to 28 associated with pregnancy at that age.

However, for pill users who smoke and are over the age of 35, the estimated number of deaths exceeds those for other methods of birth control. An Advisory Committee of the FDA discussed this issue in and recommended that the benefits of oral contraceptive use by healthy, nonsmoking women over 40 years of age may outweigh the possible risks.

Older women, as all women who take oral contraceptives, should take an oral contraceptive that contains the least amount of estrogen and progestin that is compatible with the individual patient needs. If any of these adverse effects occur while you are taking oral contraceptives, call your healthcare provider immediately:. Irregular vaginal bleeding or spotting bleeding or spotting between your expected period is likely to occur while you are taking levonorgestrel and ethinyl estradiol tablets.

Irregular bleeding may vary from slight staining between menstrual periods to breakthrough bleeding which is a flow much like a regular period. Irregular bleeding occurs most often during the first few day cycles of levonorgestrel and ethinyl estradiol tablets use, tends to decrease during later cycles, but may also occur after you have been taking levonorgestrel and ethinyl estradiol tablets for some time. Such bleeding usually does not indicate any serious problems.

It is important to continue taking your pills on schedule even if you are having irregular bleeding. When you take levonorgestrel and ethinyl estradiol tablets, you need to consider the convenience of fewer expected menstrual periods 4 per year instead of 13 and the inconvenience of more irregular vaginal bleeding or spotting. In a clinical trial comparing levonorgestrel and ethinyl estradiol tablets day cycles to a conventional equivalent dosage day cycle oral contraceptive, more women using levonorgestrel and ethinyl estradiol tablets discontinued treatment because of bleeding problems 7.

If you wear contact lenses and notice a change in vision or an inability to wear your lenses, contact your healthcare provider. Oral contraceptives may cause edema fluid retention with swelling of the fingers or ankles and may raise your blood pressure. If you experience fluid retention, contact your healthcare provider. A spotty darkening of the skin is possible, particularly of the face. Other side effects may include nausea and vomiting, change in appetite, breast tenderness, headache, nervousness, depression, dizziness, loss of scalp hair, rash, vaginal infections, and allergic reactions.

Call your doctor for medical advice about side effects. If you miss any periods no bleeding on the days that you take white pills , you must consider the possibility that you may be pregnant. Notify your healthcare provider that you are taking levonorgestrel and ethinyl estradiol tablets and have missed your period. Because you are taking levonorgestrel and ethinyl estradiol tablets, it is very important that you healthcare provider evaluates you to determine if you are pregnant.

Stop taking levonorgestrel and ethinyl estradiol tablets if you are pregnant. There is no conclusive evidence that oral contraceptive use is associated with an increase in birth defects, when taken inadvertently during early pregnancy. Previously, a few studies had reported that oral contraceptives might be associated with birth defects, but these studies have not been confirmed. Nevertheless, oral contraceptives should not be used during pregnancy.

You should check with your healthcare provider about risks to your unborn child of any medication taken during pregnancy. If you are breastfeeding, consult your healthcare provider before starting oral contraceptives. Some of the drug will be passed on to the child in the milk. A few adverse effects on the child have been reported, including yellowing of the skin jaundice and breast enlargement.

In addition, oral contraceptives may decrease the amount and quality of your milk. If possible, do not use oral contraceptives while breastfeeding. You should use another method of contraception since breastfeeding provides only partial protection from becoming pregnant and this partial protection decreases significantly as you breast-feed for longer periods of time.

You should consider starting oral contraceptives only after you have weaned your child completely. If you are scheduled for any laboratory tests, tell your healthcare provider you are taking birth control pills. Certain blood tests may be affected by birth control pills. Certain drugs may interact with birth control pills to make them less effective in preventing pregnancy or cause an increase in breakthrough bleeding.

Pregnancies and breakthrough bleeding have been reported by users of combined hormonal contraceptives who also used some form of the herbal supplement St. You may need to use a non-hormonal method of contraception during any cycle in which you take drugs that can make oral contraceptives less effective.

Be sure to tell your healthcare provider if you are taking or start taking any other medications, including nonprescription products or herbal products while taking birth control pills. You may be at higher risk of a specific type of liver dysfunction if you take troleandomycin and oral contraceptives at the same time. It does not protect against transmission of HIV AIDS and other sexually transmitted diseases such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis.

However, you should expect to have more bleeding or spotting between your menstrual periods than if you were taking an oral contraceptive with a day treatment cycle. If the bleeding lasts for more than a few days, talk to your healthcare provider. It is important to take it at about the same time every day.

Your Wallet consists of blister strip that hold 91 individually sealed pills a week or day cycle. The 91 pills consist of 84 pink pills active pills with hormones and 7 white pills inactive pills without hormone. Blister strip 1 and 2 each contain 28 pink pills 4 rows of 7 pills. Blister strip 3 contains 35 pills consisting of 28 pinks pills 4 rows of 7 pills and 7 white pills 1 row of 7 pills. If failure does occur, the risk to the fetus is minimal. There may be some delay in becoming pregnant after you stop using oral contraceptives, especially if you had irregular menstrual cycles before you used oral contraceptives.

It may be advisable to postpone conception until you begin menstruating regularly once you have stopped taking the pill and desire pregnancy. There does not appear to be any increase in birth defects in newborn babies when pregnancy occurs soon after stopping the pill. Serious ill effects have not been reported following ingestion of large doses of oral contraceptives by young children. Overdosage may cause nausea and withdrawal bleeding in females. In case of overdosage, contact your healthcare provider or pharmacist.

You should be reexamined at least once a year. Be sure to inform your healthcare provider if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your healthcare provider, because this is a time to determine if there are early signs of side effects of oral contraceptive use.

Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth control pills. If you want more information about birth control pills, ask your doctor or pharmacist. They have a more technical leaflet called the Professional Labeling which you may wish to read.

Contains 3 Extended-Cycle Wallet, each containing 91 tablets: Eighty-four pink tablets, each containing 0. Usual Dosage: One tablet daily for 91 consecutive days in the following order: 84 pink tablets followed by 7 white tablets as prescribed. See enclosed package brochure. Absorption No specific investigation of the absolute bioavailability of levonorgestrel and ethinyl estradiol tablets in humans has been conducted. Distribution The apparent volume of distribution of levonorgestrel and ethinyl estradiol are reported to be approximately 1.

Race No formal studies on the effect of race on the pharmacokinetics of levonorgestrel and ethinyl estradiol tablets were conducted. Hepatic Insufficiency No formal studies have been conducted to evaluate the effect of hepatic disease on the pharmacokinetics of levonorgestrel and ethinyl estradiol tablets. Renal Insufficiency No formal studies have been conducted to evaluate the effect of renal disease on the pharmacokinetics of levonorgestrel and ethinyl estradiol tablets.

Table 2: Percentage of women experiencing an unintended pregnancy during the first year of typical use and the first year of perfect use of contraception and the percentage continuing use at the end of the first year: United States. CONTRAINDICATIONS Oral contraceptives should not be used in women who currently have the following conditions: Thrombophlebitis or thromboembolic disorders A past history of deep vein thrombophlebitis or thromboembolic disorders Cerebrovascular or coronary artery disease current or history Valvular heart disease with thrombogenic complications Uncontrolled hypertension Diabetes with vascular involvement Headaches with focal neurological symptoms Major surgery with prolonged immobilization Known or suspected carcinoma of the breast or personal history of breast cancer Carcinoma of the endometrium or other known or suspected estrogen-dependent neoplasia Undiagnosed abnormal genital bleeding Cholestatic jaundice of pregnancy or jaundice with prior pill use Hepatic adenomas or carcinomas, or active liver disease Known or suspected pregnancy Hypersensitivity to any component of this product.

Myocardial Infarction An increased risk of myocardial infarction has been attributed to oral contraceptive use. Figure 1. Estimates of Mortality from Contraceptive Use One study gathered data from a variety of sources which have estimated the mortality rate associated with different methods of contraception at different ages Table 3. Carcinoma of the Reproductive Organs and Breasts Numerous epidemiological studies have been performed on the incidence of breast, endometrial, ovarian and cervical cancer in women using oral contraceptives.

Ocular Lesions There have been clinical case reports of retinal thrombosis associated with the use of oral contraceptives that may lead to partial or complete loss of vision. Gallbladder Disease Earlier studies have reported an increased lifetime relative risk of gallbladder surgery in users of oral contraceptives and estrogens. Carbohydrate and Lipid Metabolic Effects Oral contraceptives have been shown to cause glucose intolerance in a significant percentage of users.

Elevated Blood Pressure Women with significant hypertension should not be started on hormonal contraceptive. Headache The onset or exacerbation of migraine or development of headache with a new pattern that is recurrent, persistent, or severe requires discontinuation of oral contraceptives and evaluation of the cause.

Physical Examination and Follow-up A periodic history and physical examination are appropriate for all women, including women using oral contraceptives. Lipid Disorders Women who are being treated for hyperlipidemias should be followed closely if they elect to use oral contraceptives.

Liver Function If jaundice develops in any woman receiving such drugs, the medication should be discontinued. Fluid Retention Oral contraceptives may cause some degree of fluid retention. Emotional Disorders Women with a history of depression should be carefully observed and the drug discontinued if depression recurs to a serious degree.

Contact Lenses Contact-lens wearers who develop visual changes or changes in lens tolerance should be assessed by an ophthalmologist. Drug Interactions Changes in contraceptive effectiveness associated with co-administration of other products a. Anti-infective agents and anticonvulsants: Contraceptive effectiveness may be reduced when hormonal contraceptives are co-administered with antibiotics, anticonvulsants, and other drugs that increase the metabolism of contraceptive steroids.

Anti-HIV protease inhibitors: Several of the anti-HIV protease inhibitors have been studied with co-administration of oral combination hormonal contraceptives; significant changes increase and decrease in the plasma levels of the estrogen and progestin have been noted in some cases. Herbal products: Herbal products containing St. Changes in plasma levels of co-administered drugs Combination hormonal contraceptives containing some synthetic estrogens e.

Interactions with Laboratory Tests Certain endocrine and liver function tests and blood components may be affected by oral contraceptives: Increased prothrombin and factors VII, VIII, IX, and X; decreased antithrombin 3; increased norepinephrine-induced platelet aggregability.

Increased thyroid-binding globulin TBG leading to increased circulating total thyroid hormone, as measured by protein-bound iodine PBI , T4 by column or by radioimmunoassay. Other binding proteins may be elevated in serum. Sex hormone binding globulins are increased and result in elevated levels of total circulating sex steroids and corticoids; however, free or biologically active levels remain unchanged.

Triglycerides may be increased and levels of various other lipids and lipoproteins may be affected. Glucose tolerance may be decreased. Serum folate levels may be depressed by oral contraceptive therapy. This may be of clinical significance if a woman becomes pregnant shortly after discontinuing oral contraceptives. Pregnancy Pregnancy Category X.

Pediatric Use Safety and efficacy of levonorgestrel and ethinyl estradiol tablets have been established in women of reproductive age. Geriatric Use Levonorgestrel and ethinyl estradiol tablets have not been studied in women who have reached menopause. Effects on menses: May decrease blood loss and may decrease incidence of iron-deficiency anemia May decrease incidence of dysmenorrhea Effects related to inhibition of ovulation: May decrease incidence of functional ovarian cysts May decrease incidence of ectopic pregnancies Effects from long-term use: May decrease incidence of fibroadenomas and fibrocystic disease of the breast May decrease incidence of acute pelvic inflammatory disease May decrease incidence of endometrial cancer May decrease incidence of ovarian cancer.

The risks associated with taking oral contraceptives increase significantly if you: smoke have high blood pressure, diabetes, high cholesterol or are obese have or have had clotting disorders, heart attack, stroke, angina pectoris, cancer of the breast or sex organs, jaundice, or malignant or benign liver tumors You should not take the pill if you are pregnant.

Blood clots in the legs thrombophlebitis , lungs pulmonary embolism , stoppage or rupture of a blood vessel in the brain stroke , blockage of blood vessels in the heart heart attack or angina pectoris or other organs of the body. As mentioned above, smoking increases the risk of heart attacks and strokes and subsequent serious medical consequences. Women with migraine also may be at increased risk of stroke when taking the pill.

Liver tumors, which may rupture and cause severe bleeding. A possible but not definite association has been found with the pill and liver cancer. However, liver cancers are extremely rare. The chance of developing liver cancer from using the pill is thus even rarer.

High blood pressure, although blood pressure usually returns to normal when the pill is stopped. What You Should Know About Your Menstrual Cycle When Taking Levonorgestrel and Ethinyl Estradiol Tablets When you take levonorgestrel and ethinyl estradiol tablets, which has a day treatment cycle, you should expect to have 4 menstrual periods per year bleeding when you are taking the 7 white pills.

If You Miss Your Menstrual Period When Taking Levonorgestrel and Ethinyl Estradiol Tablets You should consider the possibility that you are pregnant if you miss your menstrual period no bleeding on the days that you are taking white tablets.