"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).
Ortho Tri-Cyclen / Ortho-Cyclen
Ortho Tri-Cyclen / Ortho-Cyclen Patient Information including If I Miss a Dose
In this Article
- What is ethinyl estradiol and norgestimate (Ortho Tri-Cyclen / Ortho-Cyclen)?
- What are the possible side effects of birth control pills?
- What is the most important information I should know about birth control pills?
- What should I discuss with my healthcare provider before taking birth control pills?
- How should I take birth control pills?
- What happens if I miss a dose?
- What happens if I overdose?
- What should I avoid while taking birth control pills?
- What other drugs will affect birth control pills?
- Where can I get more information?
What happens if I miss a dose?
Follow the patient instructions provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Missing a pill increases your risk of becoming pregnant.
If you miss one active pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.
If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.
If you miss two active pills in a row in Week 3, throw out the rest of the pack and start a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day.
If you miss three active pills in a row in Week 1, 2, or 3, throw out the rest of the pack and start a new pack on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day.
If you miss two or more pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.
If you miss a reminder pill, throw it away and keep taking one reminder pill per day until the pack is empty. You do not need back-up birth control if you miss a reminder pill.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include nausea, vomiting, and vaginal bleeding.
What should I avoid while taking birth control pills?
Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills, especially if you are older than 35.
This medication will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.
What other drugs will affect birth control pills?
Some drugs can make birth control pills less effective, which may result in pregnancy. Before using birth control pills, tell your doctor if you are using any of the following drugs:
- bosentan (Tracleer);
- an antibiotic or tuberculosis medication;
- drugs to treat hepatitis C, HIV, or AIDS;
- phenobarbital (Solfoton) and other barbiturates;
- St. John's wort; or
- seizure medications.
Tell your doctor about all other medicines you use, especially:
- dantrolene (Dantrium);
- lamotrigine (Lamictal);
- tizanidine (Zanaflex); or
- tranexamic acid (Cyklokapron, Lysteda).
This list is not complete and other drugs may interact with birth control pills. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about ethinyl estradiol and norgestimate.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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Additional Ortho Tri-Cyclen / Ortho-Cyclen Information
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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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