"Nov. 20, 2012 -- Oral contraceptives should be made available without a prescription to reduce unintended pregnancies, according to a newly published opinion by the American College of Obstetricians and Gynecologists (ACOG).
Natazia Consumer (continued)
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor immediately if any of these unlikely but serious side effects occur: changes in vaginal bleeding (such as continuous spotting, sudden heavy bleeding, missed periods), problem wearing contact lenses, dark patches on the skin (melasma), unwanted facial/body hair, swelling of the ankles/feet, weight changes (gain or loss).
This medication may rarely cause serious (sometimes fatal) problems from blood clots (such as pulmonary embolism, stroke, heart attack). Get medical help right away if you experience: chest/jaw/left arm pain, shortness of breath, unusual sweating, confusion, coughing up blood, sudden dizziness/fainting, pain/swelling/warmth in the groin/calf, tingling/weakness/numbness in the arms/legs, headaches that are different from those you have experienced before (such as headaches with other symptoms such as vision changes/lack of coordination, existing migraines becoming worse, sudden/very severe headaches), slurred speech, weakness on one side of the body, vision problems/changes (such as blindness, double vision).
Tell your doctor immediately if any of these rare but serious side effects occur: lumps in the breast, severe stomach/abdominal/pelvic pain, mental/mood changes (such as depression, suicidal thoughts, persistent trouble sleeping), unusual tiredness, dark urine, yellowing eyes/skin.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Read the Natazia (estradiol valerate and estradiol valerate dienogest tablets) Side Effects Center for a complete guide to possible side effects
PRECAUTIONS: See also Warning section.
Before using this medication, tell your doctor or pharmacist if you are allergic to estradiol or dienogest; or to any other estrogen or progestin; 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 product, tell your doctor or pharmacist your medical history, especially of: personal or family history of stroke or other blood clots (such as in the legs, eyes, lungs), high blood pressure, cancer (especially endometrial or breast cancer), blood clotting disorders (such as protein C or protein S deficiency), history of heart disease (such as heart attack, chest pain, irregular heartbeat), heart valve disease, liver problems (such as liver tumor, active liver disease, yellowing eyes/skin (jaundice) during pregnancy or while using birth control pills), recent major surgery/trauma/pregnancy, high cholesterol or triglyceride (blood fat) levels, kidney disease, depression, diabetes, swelling (edema), headaches/migraine, unexplained vaginal bleeding, thyroid problems.
If you have diabetes, this medication may make it harder to control your blood sugar levels. Monitor your blood sugar regularly as directed by your doctor. Tell your doctor the results and of any symptoms such as increased thirst/urination. Your anti-diabetic medication or diet may need to be adjusted.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Tell your doctor beforehand if you will be having surgery or will be confined to a chair/bed for a long time (such as a long plane flight). You may need to stop the medication for a time or take special precautions.
This medication may cause blotchy, dark areas on your skin (melasma). Sunlight may worsen this effect. Avoid prolonged sun exposure, sunlamps, and tanning booths. Use a 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 must not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor immediately. The risk of a serious blood clot is higher if you have just given birth or had a pregnancy loss/abortion after the first 3 months. Talk with your doctor about reliable forms of birth control, and find out when it is safe to start using birth control that contains a form of estrogen, such as this medication.
This medication passes into breast milk. This may affect milk production and may have harmful effects on a nursing infant. Breast-feeding is not recommended while using this product. Consult your doctor before breast-feeding.
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