This medicine is progesterone and estrogen combination contraceptive pill used to prevent pregnancy. It may also be used to treat other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have before using this medicine. CHEW and swallow this medicine without water. TRY TO TAKE THIS MEDICINE at the same time every day, not more than 24 hours apart. STORE THIS MEDICINE at 77 degrees F (25 degrees C) away from heat, moisture, and light. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Do not store in the bathroom. KEEP THIS MEDICINE out of the reach of children and away from pets. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as you remember. Take your next dose at the regular time. This means you may take 2 doses on the same day. IF YOU MISS MORE THAN 1 DOSE OF THIS MEDICINE, refer to the patient information that came with this medicine. If you have any questions, contact your doctor, nurse, or pharmacist.
WARNING: Smoking cigarettes while using this medicine increases your chance of having heart problems. Do not smoke while using this medicine. The risk of heart problems increases with age (in women greater than 35 years of age) and with frequent smoking (15 cigarettes per day or greater). Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6 years of age. Keep this product out of reach of children. If an accidental overdose does occur, seek immediate medical attention or call a poison control center. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking nevirapine, rifampin, or St. John's wort. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking beta-blockers (such as carvedilol or metoprolol), clofibrate medicines (such as fenofibrate), corticosteroids (such as prednisolone), cyclosporine, lamotrigine, penicillamine, pioglitazone, theophylline, thyroid hormones (such as levothyroxine), tizanidine, troleandomycin, or medicine for seizures. AN ADDITIONAL METHOD OF BIRTH CONTROL MAY BE NEEDED if you are taking azole antifungals (such as ketoconazole), aprepitant, barbiturates (such as butalbital or phenobarbital), carbamazepine, felbamate, griseofulvin, HIV protease inhibitors (such as ritonavir or tipranavir), hydantoins (such as phenytoin), modafinil, penicillin antibiotics (such as ampicillin or amoxicillin), rifampin, tetracycline antibiotics (such as doxycycline or tetracycline), topiramate, or troglitazone. Inform your doctor of any other medical conditions, including diabetes, chronic headaches, high cholesterol, a history of depression, a history of a heart attack, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have undiagnosed abnormal vaginal bleeding, blood vessel problems from diabetes, a history of cancer (such as breast, endometrial, or liver), estrogen-dependent growths, heart or liver problems, severe high blood pressure, history of jaundice while pregnant or while using birth control pills, pulmonary embolism, blood clots, stroke, cerebrovascular disease, or smoking. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
SIDE EFFECTS that may occur while taking this medicine include nausea, vomiting, bleeding between menstrual periods, breast tenderness, or weight change. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience persistent or recurrent abnormal vaginal bleeding, a missed menstrual period, dizziness or fainting, swelling of fingers or ankles, headache, difficulty wearing contact lenses, mood or mental changes (such as depression), or vaginal itching or discharge. CONTACT YOUR DOCTOR IMMEDIATELY if you experience calf/leg pain or swelling, trouble breathing or shortness of breath, chest pain, one-sided weakness, slurred speech, lumps in the breast, sudden severe headache, sharp or crushing chest pain, sudden shortness of breath, yellowing skin or eyes, changes in vision, numbness of an arm or leg, or severe stomach pain. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected contact your local poison control center or emergency room immediately. Symptoms of overdose may include persistent or severe nausea or vomiting or unexplained vaginal bleeding.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.