"Today, the U.S. Food and Drug Administration announced it has approved the use of Plan B One-Step (levonorgestrel) as a nonprescription product for all women of child-bearing potential. This action complies with the April 5, 2013 order of the Uni"...
Ortho Tri-Cyclen / Ortho-Cyclen
Ortho Tri-Cyclen / Ortho-Cyclen Patient Information including How Should I Take
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 should I discuss with my healthcare provider before taking birth control pills?
This medication can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills.
You should not take birth control pills if you have:
- untreated or uncontrolled high blood pressure;
- heart disease (coronary artery disease, uncontrolled heart valve disorder, history of heart attack, stroke, or blood clot);
- a blood-clotting disorder or circulation problems;
- problems with your eyes, kidneys or circulation caused by diabetes;
- a history of hormone-related cancer such as breast or uterine cancer;
- unusual vaginal bleeding that has not been checked by a doctor;
- liver disease or liver cancer;
- severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35;
- a history of jaundice caused by pregnancy or birth control pills; or
- if you smoke and are over 35 years old.
To make sure you can safely take birth control pills, tell your doctor if you have any of these other conditions:
- high blood pressure, varicose veins;
- high cholesterol or triglycerides, or if you are overweight;
- a history of depression;
- underactive thyroid;
- gallbladder disease;
- seizures or epilepsy;
- a history of irregular menstrual cycles;
- tuberculosis; or
- a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.
The hormones in birth control pills can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast feeding a baby.
How should I take birth control pills?
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
You will take your first pill on the first day of your period or on the first Sunday after your period begins. You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor's instructions.
Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not take one pill daily. Get your prescription refilled before you run out of pills completely.
The 28 day birth control pack contains seven "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills.
You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.
Use a back-up birth control if you are sick with severe vomiting or diarrhea.
If you need surgery or medical tests or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using birth control pills.
While taking birth control pills, you will need to visit your doctor regularly.
Store this medication at room temperature away from moisture and heat.
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