Alesse
What is this medicine?
ETHINYL ESTRADIOL/LEVONORGESTREL products are effective as oral contraceptives (birth control pills or 'the pill'). These products combine natural or synthetic estrogens and progestins, similar to the natural sex hormones (estrogen and progesterone) produced in a woman's body.
Ethinyl estradiol is an estrogen and levonorgestrel is a progestin. These products can prevent ovulation and pregnancy. In general, a combination of estrogen and progestin works better than a single-ingredient product. After consultation with a health care professional, these products can be used under specific circumstances for emergency contraception after unprotected sex, contact your health care prescriber for information.
Ethinyl estradiol/levonorgestrel tablets can also help regulate menstrual flow, treat acne, or may be used for other hormone related problems in females. The type and amount of estrogen and/or progestin may be different from one product to another.
What should I tell my health care provider before I take this medicine?
They need to know if you have or ever had any of these conditions:
* blood clots
* blood sugar problems, like diabetes
* cancer of the breast, cervix, ovary, uterus, vagina, or unusual vaginal bleeding that has not been evaluated by a health care professional
* depression
* fibroids
* gallbladder disease
* heart or circulation problems
* high blood pressure
* jaundice
* liver disease
* menstrual problems
* migraine headaches
* stroke
* systemic lupus erythematosus (SLE)
* tobacco smoker
* an unusual or allergic reaction to estrogen/progestin, other hormones, medicines, foods, dyes, or preservatives
* pregnant or trying to get pregnant
* breast-feeding
What if I miss a dose?
Try not to miss a dose of your regular birth control prescription. If you do, it may be necessary to consult your prescriber or health care professional. The following information describes only some of the ways that missed doses can be handled.
If you miss one dose, take it as soon as you remember and then take the next pill at the regular time as usual. You may take 2 tablets in one day. If you miss two doses (days) in a row, take 2 tablets the day you remember and 2 tablets the next day, then, continue with your regular schedule. Whenever 1 or 2 doses are missed, you should use a second method of contraception for the next 7 days in addition to taking the pills. If you miss three doses in a row, you should notify your physician or other health care professional for instructions. You will probably need to throw away the rest of the tablets in that cycle pack and start over. Another method of contraception should be used until at least 7 doses have been taken in the new cycle.
Missing a pill can cause spotting or light bleeding. Make sure that no more than 7 days pass at the end of the 21 day cycle, before you start your next pack of pills.
What may interact with this medicine?
* anastrozole
* antibiotics or medicines for infections, especially rifampin
* aprepitant
* barbiturate medicines for producing sleep or treating seizures (convulsions)
* bosentan
* carbamazepine
* caffeine
* clofibrate
* cyclosporine
* dantrolene
* doxercalciferol
* exemestane
* grapefruit juice
* hydrocortisone
* letrozole
* medicines for anxiety or sleeping problems, such as diazepam or temazepam
* medicines for mental depression
* medicines for diabetes, including troglitazone and pioglitazone
* mineral oil
* modafinil
* mycophenolate
* nefazodone
* oxcarbazepine
* phenytoin
* prednisolone
* ritonavir or other medicines for the treatment of the HIV virus or AIDS
* selegiline
* soy isoflavones supplements
* St. John's wort
* tamoxifen or raloxifene
* testolactone
* theophylline
* topiramate
* warfarin
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check before stopping or starting any of your medicines.
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