Alesse
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Brand names
Ethinyl Estradiol, Dianne 35, Marvelon, Ortho Cept, Demulen 30, Min Ovral, Triphasil, Aviane, Levlen, Levlite, Levora, Tri Levlen, Triphasil 28, Trivora, Brevicon, Estrostep Fe, Genora, Jenest 28, Loestrin 21, Loestrin FE, Modicon, Necon, Nelova, Norethin, Norinyl, Ortho Novum, Ovcon 35, Ovcon 50, Tri Norinyl, Femhrt, Lo Ovral, Lo Ovral 28, Low Ogestrel, Ogestrel, Ovral, Ovral 28, Preven EC, Seasonale, Zovia, Ortho Cyclen, Ortho Tri Cyclen, Ortho Tri Cyclen Lo, Apri, Cyclessa, Desogen, Mircette, Yasmin, NuvaRing, Ortho Evra
What is this drug used for?
Ethinyl estradiol and other oral contraceptives are used to prevent pregnancy. Birth control pills are also sometimes used to treat acne. As well, many women who are тАЬperi-menopausalтАЭ (experiencing menopause) have unpredictable periods and bleeding, and oral contraceptives help to regulate this bleeding.
Is there any reason why I shouldnтАЩt take this drug?
It is important to disclose your medical history, including any pre-existing conditions. You should not take this drug if you are allergic to Estrogen or Progestin, or any other medications.
Tell your doctor if you may be pregnant or have or have ever had jaundice during pregnancy or while you were using another type of birth control and if you have recently had surgery or have been unable to move around for any reason.
Also tell your doctor if you have or have ever had problems with your breasts such as lumps or an abnormal mammogram or:
- High blood pressure
- High blood cholesterol
- Diabetes
- Asthma
- Stroke or mini stroke
- Blood clots in your legs, lungs, or eyes
- Thrombophilia (a condition in which the blood clots easily)
- Toxemia (high blood pressure during pregnancy)
- Heart attack
- Chest pain
- Coronary artery disease
- Seizures
- Migraine headaches
- Depression
- Liver disease
- Heart disease
- Gallbladder
- Kidney disease
- Adrenal insufficiency
- Jaundice (yellowing of the skin or eyes)
- Unexplained vaginal bleeding
- Excessive weight gain
- Fluid retention during the menstrual cycle
What about possible side effects?
Tell your doctor of any and all side effects that you experience while taking this drug, including:
- Upset stomach
- Vomiting
- Stomach cramps or bloating
- Diarrhea
- Constipation
- Gingivitis
- Increased or decreased appetite
- Weight gain or weight loss
- Brown or black skin patches
- Acne
- Hair growth in unusual places
- Bleeding or spotting between menstrual periods
- Changes in menstrual flow
- Painful or missed periods
- Breast tenderness, enlargement, or discharge
- Difficult wearing contact lenses
- Swelling, redness, irritation, burning, or itching of the vagina
- White vaginal discharge
Tell your doctor immediately if you experience any of these more serious side effects:
- Severe headache
- Severe vomiting
- Speech problems
- Dizziness or faintness
- Weakness or numbness of an arm or leg
- Crushing chest pain or chest heaviness
- Coughing up blood
- Shortness of breath
- Pain, warmth, or heaviness in the back of the lower leg
- Partial or complete loss of vision
- Double vision
- Bulging eyes
- Severe stomach pain
- Yellowing of the skin or eyes
- Loss of appetite
- Extreme tiredness, weakness, or lack of energy
- Fever
- Dark-coloured urine
- Light-coloured stool
- Swelling of the hands, feet, ankles or lower legs
- Depression, especially if you also have trouble sleeping, tiredness, loss of energy, or other
- Mood changes
- Unusual bleeding
- Rash
This drug may cause other side effects. Talk to your doctor if you have any unusual symptoms while taking this medicine.
Oral contraceptives may also slightly increase the chance that you will develop breast, liver, or cervical cancer, or have a heart attack, a stroke, or a serious blood clot.
This is especially true if you are a smoker and over 35 years of age. They also raise the risk of gallbladder disease. On the other hand, oral contraceptives reduce the risk of endometrial and ovarian cancers and other diseases such as pelvic inflammatory disease and ectopic pregnancies.
What if I am taking other drugs?
Always provide your doctor with a list of all other drugs you are taking (including over-the-counter medications) as they may interact with another drug, increasing or decreasing effectiveness and safety of either or both. Tell your doctor specifically if you are taking any of the following:
- Acetaminophen
- Antibiotics
- Erythromycin
- Metronidazole
- Rifabutin
- Rifampin
- Tetracycline
- Troleandomycin
- Anticoagulants
- Antifungal
- Itraconazole
- Ketoconazole
- Atorvastatin
- Clofibrate
- Cyclosporine
- Danazol
- Delavirdine
- Diltiazem
- Fluoxetine
- HIV protease inhibitors such as Indinavir and Ritonavir
- Medications for seizures
- Felbamate
- Oxcarbazepine
- Phenobarbital
- Phenytoin
- Primidone
- Topiramate
- Modafinil
- Morphine
- Nefazodone
- Oral steroids such as Dexamethasone
- Methylprednisolone
- Prednisone
- Prednisolone
- Temazepam
- Theophylline
- Thyroid medication such as Levothyroxineverapamil
- Vitamin C
- Zafirlukast
Tell your doctor what herbal products you are taking.
Other information:
Cigarette smoking increases the risk of serious side effects from birth control pills. These include heart attacks, blood clots, and strokes. The risk is higher for women over the age of 35 and for heavy smokers.
Children
Not usually prescribed.
Seniors
May take this drug as prescribed.
Pregnant women
Do not take oral contraceptives if you are pregnant or plan to become pregnant. If you become pregnant while on the pill, call your doctor immediately.
Women who are nursing
This drug passes into the breast milk and may reduce flow. Talk to your doctor. If you have recently given birth, wait until 4 weeks after giving birth before you go on the pill.
People who drive or operate machinery
No known problems.
Overdose
If you experience any unusual reactions or if you seriously exceed the recommended dosage, call your doctor or 911.
Stopping the drug
Birth control pills will prevent pregnancy or treat acne only as long as they are taken regularly.
If you miss a dose
Every brand of oral contraceptives comes with specific directions to follow if you miss a dose. Carefully read the directions.
Alcohol
Always drink in moderation.
Dietary precautions
None.
Storage conditions
Closed container; cool, dry location away from excess moisture (not in the bathroom); always out of reach of children.
Where to buy this drug?
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Discussion about this drug
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Links to other resources
www.fda.gov www.mydna.com www.pdrhealth.com
