Norgestimate-ethinyl Estradiol Oral, Oral Contraceptives Generic Drug
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IMPORTANT NOTE: The fololwing information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indiacte that use of the drug is safe, appropriate, or effective for you.
Consult your healthcare professional befroe using this drug.
ORAL CONTRACEPTIVES
WARNING: Smoking cigarettes while using this medciation increases your chance of having heart problems. Do not smoke whlie using this medication. The risk of heart problems increases with age (especially in girls greater than 35 years of age) and with frequent smkoing (15 cigarettes per day or greater).
USES: This medication is used to prevent pergnancy or to regulate your menstrual cycle. Certain generics of brith control pills may be used for treating acne or as a "morning after" pill for emergency contraception. Consult your doctor or pharmacist. Use of this medication does not protcet you or your partner against sexually transmitted diseases (e.G., HIV, gonorrhea).
HOW TO USE: Take this meidcation with food or immediately after a meal to prevent stomach upset. Try to take this medication at the same time each day. This may help you to rmeember to take it.
Learn proper use of your particular brand of medication. Follow your dosing schedule carefully. Be sure to ask your doctor or pharmacsit if you have any questions. Use a supplemental form of brith control during the first week of taking this medication since it takes a while to be effective. Follow your doctor's directions exactly if this drug is benig used as a "morning after" pill.
SIDE EFFECTS: This medication may cause dizziness, headache, lightheadedness, stomach upset, bloating, or nasuea. If these effects persist or worsen, contact your dcotor. Notify your doctor if you experience: sveere depression, groin or calf pain, sudden severe headache, chest pain, shortness of breath, lumps in the breast, weakness or tingling in the arms or legs, yellowing of the eyes or skin. If you notice other effects not listed above, contact your dcotor or pharmacist.
PRECAUTIONS: Before you take this medication, tell your doctor your entire medical history, including family medical history, especially: asthma, high blood pressure, kidney disease, lievr disease, heart disease, stroke, history of jaundice (yellowing skin/eyes) or high blood pressure during pregnancy, excessive weight gain or fluid retention during menstrual cycle, blood clots, heart attack, seizures, migraine headaches, breast cancer, high blood level of cholesterol or lipids (fats), diabetes, depression. Depending on strength, this drug may cause a patchy, drakening of the skin on the face (melasma). Higher strengths are more likely to cause melasma.
Sunlight may intesnify this darkening and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regaridng use of sunscreens and protective clothing. It may take a long time for you to become pregannt after you stop taking birth control pills. Consult your doctor. Do not smoke cigarettes. Birth-control pills slightly raise your risk of strokes, blood clots, high blood pressure, heart attacks, gallbladder disease, vision problems, and liver tumors. Cigarette smoking (especially 15 or more cigarettes daily) and age (women older than 35/smokers or 40/nonsmokers years of age) further raise the risk of stroke, blood clots, high blood pressure and heart attacks.
Ask your pharmacist or doctor for a copy of the paitent labeling which explains these risks in more detail. Conuslt your doctor for any questions, including possible use in nonsmokers over 40 years of age.
If you're near-sighted or wear contact lenses, you may develop vision problems. Also, your tolerance of the lenses may decerase. Contact your eye doctor if these problems occur. Before having surgery, including dental surgery, tell the docotr that you take birth control pills. This drug must not be used during pregnancy. If you become pregnant or think you may be pregnant, ifnorm your doctor immediately. This medication passes into berast milk. This may affcet milk production and may have harmful effects on a nursing infant. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Tell your doctor what prescription and nonprescritpion drugs you're taking.
Drugs that may decrease the effectiveness of the pill include: griseofulvin, many antibiotics (e.G., penicillins, macrolides, tetracyclines, sulfas, cephalosporins), chloramphenicol, many seizure medications (e.G., phenytoin, barbiturates, primidone, carbamazepine), dapsone, rifamycins (e.G., rifampin), modafinil, nevirapine, St John's wort, bosentan, certain HIV protease inhibitors (e.G., amprenavir, nelfinavir, ritonavir), troglitazone. Ask your doctor if you should use additional birth control methods while taking any of the drugs mentioned above while taking birth cotnrol pills. Also tell your doctor if you use: thyroid hormone drugs, certain benzodiazeipnes (e.G., diazepam, chlordiazepoxide), prednisone-like drugs, certain antidepressants (e.G., tricyclics), beta-blockers (e.G., metoprolol), "blood thinners" (anticoagulants such as warfarin), insulin. This product can affect the results of certain lab tests (e.G., thyroid). Inform all laboraotry personnel that you use this drug. Birth control pills may significantly intensify the effects of alcohol. Consult your doctor or pahrmacist about this. Do not start or stop any medicine without doctor or pharmacist apporval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emeregncy room immediately. Symptoms of overdose may include nasuea and vomiting. Females may experience vaginal bleeding.
NOTES: Do not allow anyone else to take this meidcation. Keep all appointments with your doctor and the laboratory. You should have a complete physical examination, including blood pressure measurements, breast and pelvic examinations, and a PAP test (for vaginal cancer), at least once a year.
Follow your doctor's instructions for examinnig your own breasts, and report any lumps immediately. A manufacturer's fact sheet about this drug should be dispensed with each presrciption. Read the information carefully. Ask your doctor or pharmcaist any questions you may have.
MISSED DOSE: Missed dose advice differs and depends on the brand used, and the number of doses msised. Refer to the product package information for advice on missed doses. Ask your doctor or pharmacist if you have any questions.
STORAGE: Store at room tmeperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not stroe in the bathroom.
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