There have been no reports of serious ill effects from overdose of oral contraceptives, including ingestion by children. Overdosage may cause withdrawal bleeding in females and nausea.

Do not prescribe Seasonique (levonorgestrel, ethinyl estradiol) to women who are known to have the following:

• • A high risk of arterial or venous thrombotic diseases. Examples include women who are known to:
  •  Smoke, if over age 35 [see BOXED WARNING and WARNINGS AND PRECAUTIONS].
  •  Have deep vein thrombosis or pulmonary embolism, now or in the past [see WARNINGS AND PRECAUTIONS].
  •  Have cerebrovascular disease [see WARNINGS AND PRECAUTIONS]
  •  Have coronary artery disease [see WARNINGS AND PRECAUTIONS].
  •  Have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for example, subacute bacterial endocarditis with valvular disease, or atrial fibrillation) [see WARNINGS AND PRECAUTIONS].
  •  Have inherited or acquired hypercoagulopathies [see WARNINGS AND PRECAUTIONS].
  •  Have uncontrolled hypertension [see WARNINGS AND PRECAUTIONS].
  •  Have diabetes with vascular disease [see WARNINGS AND PRECAUTIONS].
  •  Have headaches with focal neurological symptoms or have migraine headaches with or without aura if over age 35 [see WARNINGS AND PRECAUTIONS].
• Undiagnosed abnormal genital bleeding [see WARNINGS AND PRECAUTIONS].
• Breast cancer or other estrogen- or progestin-sensitive cancer, now or in the past [see WARNINGS AND PRECAUTIONS].
• Liver tumors, benign or malignant, or liver disease [see WARNINGS AND PRECAUTIONS and Use in Specific Populations].
• Pregnancy, because there is no reason to use COCs during pregnancy [see WARNINGS AND PRECAUTIONS and Use in Specific Populations].

Last reviewed on RxList: 8/30/2010
This monograph has been modified to include the generic and brand name in many instances.