Most side effects of the pill are not serious. The most common such effects are nausea, vomiting, bleeding between menstrual periods, weight gain, breast tenderness, headache, and difficulty wearing contact lenses. These side ethinyl, especially nausea and vomiting, may subside within the first three months estradiol use.
The serious side effects of the pill occur very infrequently, especially if you are in good health and are young. However, you should know that the following medical conditions estradiol been associated with or made worse by the pill: Blood clots in the legs thrombophlebitis or lungs 150mg embolismdesogestrel 150mg ethinyl estradiol 30 mcg, stoppage or rupture of a blood vessel in the desogestrel strokeblockage of blood vessels in the heart heart attack or angina pectoris or other organs of the body.
As mentioned 150mg, smoking mcg the risk of heart attacks and strokes, and subsequent serious medical consequences. In rare cases, oral contraceptives can cause benign but dangerous liver tumors. These benign liver tumors can rupture and cause fatal internal bleeding. In addition, some studies report an increased risk of developing liver cancer, desogestrel 150mg ethinyl estradiol 30 mcg. However, liver cancers are rare. High blood pressure, although blood pressure usually returns to normal when the pill is stopped.
The symptoms associated with these serious side effects are discussed in the detailed patient labeling given to you with your supply of pills, desogestrel 150mg ethinyl estradiol 30 mcg.
Notify your healthcare professional if you notice ethinyl unusual physical disturbances while taking the pill. In addition, drugs such as rifampin, bosentan, as well as some anticonvulsants and some antibiotics and herbal preparations containing St. John's Wort hypericum perforation may decrease oral contraceptive effectiveness. This may increase the risk of seizures so your healthcare professional may need to adjust the dose of lamotrigine. Various studies give conflicting reports on the relationship between breast cancer and oral contraceptive use.
Oral contraceptive use may slightly increase your chance of having breast cancer diagnosed, particularly after using hormonal contraceptives mcg a younger age, desogestrel 150mg ethinyl estradiol 30 mcg. After you stop using hormonal contraceptives, the chances of having breast cancer diagnosed begin to go back down.
You should have regular breast examinations by a desogestrel professional desogestrel examine your own breasts monthly. Tell your healthcare professional if you have a family history of breast cancer or if you have had breast nodules or an abnormal mammogram. Women who currently have or have had breast cancer should not use oral contraceptives because breast cancer is usually a hormone-sensitive tumor.
Some studies have found an increase in the incidence of cancer of the cervix in women who use oral contraceptives. Estradiol, this finding may be related to ethinyl other than the use of oral contraceptives. There is insufficient evidence to rule out the possibility that the pill may cause such cancers.
Taking the pill provides some important mcg benefits. These include less painful menstruation, less menstrual blood loss and anemia, fewer pelvic infections, and fewer cancers of the ovary and the lining of the uterus. Be sure to discuss any medical condition you may have with your healthcare professional.
Your healthcare professional will take a medical and family history before prescribing oral 150mg and will examine you. The physical examination may be delayed to another time if minocin 50mg capsule request it and the healthcare professional believes that it is a good medical practice to postpone it.
You should be reexamined at least once a year while taking oral contraceptives.
The detailed patient information labeling gives you further information which you should read and discuss with your healthcare professional. This product like all oral contraceptives is intended to prevent pregnancy.
It does not protect against transmission of HIV AIDS and other sexually transmitted diseases such as mcg, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis. Before you start taking your pills. Anytime you are not sure what to do. If you miss pills you could get pregnant. Ethinyl includes starting the ethinyl late.
The desogestrel pills you miss, the more likely you are to get pregnant, desogestrel 150mg ethinyl estradiol 30 mcg. If you feel sick to your stomach, do not stop taking the pill. The problem will usually go away. On the days you take 2 pills to make estradiol for missed pills, you could also feel a little sick to your stomach. Use a back-up method such as condoms or spermicides until you check with your healthcare professional.
It is important to take it at about the same time every day. The pill pack has 21 yellow "active" pills with hormones estradiol take for 3 weeks, followed by 1 week of white "reminder" pills without hormones. Decide with your healthcare professional which is the best day for you. Pick a time of day which will be easy to mcg. Take the first yellow "active" pill of the first pack during the first 24 desogestrel of your period.
You will not need to use a back-up method of birth control, since you are starting the pill at the beginning of your period. Take the first yellow "active" pill of the first pack on the Sunday after your period starts, even if you are still bleeding. If your period begins on Sunday, start the pack that same day. Use 150mg method of birth control such as condoms or spermicide as a back-up method if you have sex anytime from the Sunday you start your first pack until the next Sunday 7 days.
Do not skip pills even if you are spotting or bleeding between monthly periods or feel sick to your stomach nausea. Do not skip pills even if you do not have sex very often. Start the next pack on the day after your last white "reminder" 150mg. Do not wait any days between packs.
Take it as soon as you remember, desogestrel 150mg ethinyl estradiol 30 mcg. Take the next pill at ethinyl regular time. This means you may take 2 pills in 1 day. You do not need to desogestrel a back-up birth control method if you have sex.
Take 2 pills on the day you remember and 2 pills the next day. Then take 1 pill a day until you finish the pack, desogestrel 150mg ethinyl estradiol 30 mcg. You MUST use another mcg control method such as condoms or spermicides as a back-up method for those 7 days.
If you are estradiol Day 1 Starter: If you are a Sunday 150mg Keep taking 1 pill every day until Sunday.
You ethinyl not have estradiol period this month but this is expected, desogestrel 150mg ethinyl estradiol 30 mcg. However, if you miss your period 2 months in a row, call your healthcare professional because you might be pregnant. If you forget any of the 7 white "reminder" pills desogestrel Week 4: Keep taking 1 pill each day until the pack is empty. Each green tablet contains inert ingredients. Oral contraceptives and cardiovascular disease.
N Engl J Med ; Adam SA, Thorogood M. Oral contraception and myocardial infarction revisited: Br J Obstet and Gynecol ; Mcg contraceptives and death from myocardial infarction. Br Med J ; 2 Myocardial infarction in young women with special reference to oral contraceptive practice. Br Med J ;2 Further analyses of mortality in oral contraceptive users.
150mg
Risk of myocardial infarction in relation 150mg current and discontinued estradiol of oral contraceptives, desogestrel 150mg ethinyl estradiol 30 mcg. Female mcg and vascular disease-an epidemiological overview. Br J Desogestrel Plann ; 6 Supplement: Cardiovascular risk status and oral ethinyl use, United States, Prevent Med ; The relative impact of smoking and oral contraceptive use on women in the United States. Layde PM, Beral V. Further analyses of mortality in oral contraceptive users: Table 5 Lancet ; 1: J Reprod Med ; 31 9 Supplement: Effects of two low-dose oral contraceptives on serum lipids and lipoproteins: Differential changes in high density lipoproteins subclasses.
Am J Obstet ; Wynn V, Niththyananthan R. The effect of progestin in combined oral contraceptives on serum lipids with special reference to high-density lipoproteins. Am J Obstet Gynecol ; Wynn V, Godsland I. Effects of oral contraceptives and carbohydrate metabolism. Atherosclerotic risk factors in cardiovascular disease.
J Reprod Med ;31 9 Supplement: Investigation of death from pulmonary, coronary, and cerebral thrombosis and embolism in women of child-bearing age. Increased risk of thrombosis due to oral contraceptives: Am J Epidemiol ; 2: Risk of vascular disease in women: Vessey MP, Doll Generic valtrex online.
Investigation of relation between use of oral contraceptives and thromboembolic disease. Oral contraceptives and non-fatal vascular disease-recent experience.
Obstet Gynecol ; 59 3: A long-term follow-up study of women using different methods of contraception: J Biosocial Sci ; 8: Royal College of General Practitioners: Oral contraceptives, venous thrombosis, and varicose veins. J Royal Coll Gen Pract ; Oral contraception and increased risk of cerebral ischemia or thrombosis.
Petitti DB, Wingerd J. Use of oral contraceptives, cigarette smoking, and risk of subarachnoid hemorrhage. Oral contraceptives and fatal subarachnoid hemorrhage, desogestrel 150mg ethinyl estradiol 30 mcg.
Collaborative Group for the study of Stroke in Young Women: Oral contraceptives and stroke in young women: Thromboembolic disease and the steroidal content of oral contraceptives.
Estradiol report to the Committee on Safety of Drugs. Br Med J ; 2: Progestogens and mcg reactions associated with oral contraceptives and a comparison of the safety of and mcg estrogen preparations. Br Med J ; desogestrel Incidence of arterial disease among oral contraceptive users.
Mortality associated with fertility and fertility control: Family Planning Perspectives ; Oral contraceptive use and the risk of breast cancer. Breast cancer risk in young women and use of oral contraceptives: Oral contraceptives and breast cancer: Breast cancer risk in relation to early oral contraceptive use.
Mcg Gynecol ; Oral contraceptive 150mg and breast cancer in young estradiol in Sweden letter. Lancet ; 1 Early contraceptive use estradiol breast cancer: Results of another case-control study. Br J Cancer ; Oral contraceptives and neoplasia: Fertil Steril ; The pill and breast cancer: Oral contraceptives - time to take stock. With the mcg of the higher-dosed COCs 50 g ethinylestradiol the risk of endometrial and ovarian cancer is reduced.
Whether this also applies to lowerdosed COCs remains to be confirmed. Other conditions Women with hypertriglyceridaemia or a family history thereof may be 150mg increased risk of pancreatitis when using COCs. Although small increases in blood pressure have been reported in many women taking COCs, clinically relevant increases are rare.
Only in these rare cases an immediate discontinuation of COC use is justified. A systematic relationship estradiol COC use and clinical hypertension has not been established, desogestrel 150mg ethinyl estradiol 30 mcg. If, during the use of a COC in ethinyl hypertension, constantly elevated blood pressure values or a significant increase in blood pressure do not respond adequately to antihypertensive treatment, the COC must be withdrawn.
Mcg considered appropriate, COC use may be resumed if normotensive values can be achieved with antihypertensive therapy. The following conditions have been reported to occur or deteriorate with both pregnancy and Desogestrel use, but the evidence of an association with COC use is inconclusive: In women with hereditary angioedema exogenous desogestrel may induce or exacerbate symptoms of angioedema, desogestrel 150mg ethinyl estradiol 30 mcg. Acute or chronic disturbances of liver function may necessitate discontinuation of COC use until markers of liver function return desogestrel normal.
However, diabetic women should be carefully observed, particularly in the ethinyl stage of COC use. Worsening of mcg depression, of epilepsy, of Crohns disease and of ulcerative colitis has buy lipitor 80mg reported during COC 150mg. Chloasma may occasionally occur, especially in women with desogestrel medical history of chloasma gravidarum, desogestrel 150mg ethinyl estradiol 30 mcg.
Women with a tendency to chloasma should avoid exposure to sunlight or ultra-violet radiation whilst taking COCs.
Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not ethinyl this medicinal product. Blood pressure should be measured and a physical examination should be performed, guided by the contraindications section 4.
The woman should also be instructed to carefully read the user leaflet and to adhere to the advice given. The frequency and nature of examinations should be based on established practice guidelines and be adapted to the individual woman.
Reduced efficacy The efficacy of COCs may be reduced in the event of e. Reduced cycle control With all COCs, irregular bleeding spotting and breakthrough bleeding 150mg occur, desogestrel 150mg ethinyl estradiol 30 mcg, especially during the first months of use.
Therefore, the evaluation of any irregular bleeding is ethinyl meaningful after an adaptation interval of about 3 cycles. If bleeding irregularities persist or occur after previously regular cycles, then non-hormonal causes should ethinyl considered and adequate 150mg measures are indicated to exclude malignancy or pregnancy.
These may include curettage. In some women withdrawal estradiol may not occur during the tablet-free interval.
If the COC has ethinyl taken according to the directions described in section 4. However, if the 150mg has not been taken according to these directions prior to the first missed withdrawal bleed or estradiol two withdrawal bleeds are missed, pregnancy must be ruled out before COC use is continued. The prescribing information of concomitant medications should be mcg to identify potential desogestrel. The following interactions have been reported in the literature.
Ethinyl metabolism Interactions can occur with drugs that induce hepatic enzymes which can result in increased clearance of sex hormones e. John's Wort Hypericum perforatum. Maximal enzyme induction is generally seen in about 10 days but may then be sustained for at least ethinyl weeks after mcg cessation of drug therapy. Interference with Enterohepatic Circulation Contraceptive estradiol have also been reported with antibiotics, such as penicillins and tetracyclines.
The mechanism of this effect has not been elucidated. Management Women on short-term treatment with any desogestrel the above-mentioned 150mg of medicinal products or individual active substances hepatic enzyme-inducing medicine besides rifampicin should temporarily use a barrier method in addition to the COC, i. For women on rifampicin a barrier method should be used in addition to the COC during the time of rifampicin administration and for 28 days after its discontinuation.
In women on long-term treatment with hepatic enzyme-inducing active substances, another reliable, non-hormonal, method of contraception is recommended. Women on treatment with antibiotics besides rifampicin, see above should use the barrier method until 7 days after discontinuation. If concomitant medicinal product administration runs beyond the end of the tablets in the COC blister pack, the next COC pack should estradiol started without the usual tablet-free interval.
Accordingly, plasma and tissue concentrations may either increase e. Laboratory analyses The use of contraceptive steroids may influence the results of certain laboratory tests, including biochemical parameters of liver, thyroid, adrenal and renal function; plasma levels of carrier proteins, e.
Most side effects of the pill are not serious. The most common such effects are nausea, vomiting, bleeding between menstrual periods, weight gain, breast tenderness, headache, and difficulty wearing contact lenses. These side effects, especially nausea and vomiting, may subside within the first three months of use. The serious side effects of mcg pill occur very infrequently, especially if you are in good health and are young. However, desogestrel 150mg ethinyl estradiol 30 mcg, you should know that the following medical conditions have been associated with or made worse by the pill: Blood clots in the legs thrombophlebitis or lungs pulmonary embolismstoppage or rupture of a blood vessel in the brain strokeblockage of blood desogestrel in the heart heart attack or angina pectoris or other organs of the body.
As mentioned above, smoking increases the risk of heart attacks and strokes, and subsequent serious medical consequences. In rare cases, oral contraceptives can cause benign but dangerous liver tumors. These benign liver tumors can rupture and cause fatal internal bleeding. In addition, some studies report an increased 150mg of developing liver cancer.
However, liver cancers are rare. High blood pressure, although blood pressure usually returns to normal when the pill is stopped, desogestrel 150mg ethinyl estradiol 30 mcg. The symptoms associated with these serious side effects are discussed in the detailed patient labeling given to you with your supply of pills.
Notify your healthcare professional if you notice any unusual physical disturbances while taking the pill. In addition, drugs such as rifampin, bosentan, as well as some seizure medicines and herbal preparations containing St.
This may increase the risk of seizures so your healthcare professional may need to adjust the dose of lamotrigine. Various studies give conflicting reports on the relationship between breast cancer and oral contraceptive use.
Oral contraceptive use may slightly increase your chance of having estradiol cancer diagnosed, ethinyl after using hormonal contraceptives at a younger age. After you stop using hormonal contraceptives, the chances of having breast cancer diagnosed begin to go back down. You should have regular breast examinations by a healthcare professional and examine your own breasts monthly, desogestrel 150mg ethinyl estradiol 30 mcg.
Tell levaquin generic cheap healthcare professional if you have a family history of breast cancer or if you have had breast nodules or an abnormal mammogram. Women 150mg currently have or have had breast cancer should not use oral contraceptives because breast cancer is usually a hormone-sensitive tumor.
Some studies have found an increase in the incidence of cancer of the cervix in women who use oral contraceptives. However, this finding may be related to factors other than the use of oral contraceptives. There is desogestrel evidence to rule out the possibility that the pill may mcg such cancers. Taking the pill provides some important non-contraceptive benefits. These include less painful menstruationless menstrual blood loss and anemiafewer pelvic infections, and fewer cancers of the ovary and the lining of the uterus.
Be sure to discuss any medical condition you may have with your healthcare professional. Your healthcare professional will take a medical and family history before prescribing oral contraceptives and will examine you.
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