Side
Effects
May cause dizziness, lightheadedness, headache, stomach upset, bloating, or
nausea. These effects should disappear as your body adjusts to the medication.
Notify your doctor if you experience: severe depression, 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, changes in
vaginal bleeding (spotting, breakthrough bleeding, prolonged or complete stoppage
of bleeding), stomach pain, skin rash. If you notice other effects not listed
above, contact your doctor or pharmacist.
Precautions
Before you take this medication, tell your doctor your entire medical history,
including: family medical history (especially breast lumps and cancer), high
blood pressure, diabetes, asthma, epilepsy (seizures), migraine headaches,
liver disease, heart disease, kidney disease, depression, toxemia (high blood
pressure during pregnancy), jaundice (yellowing skin/eyes) during pregnancy,
excessive weight gain and fluid retention (bloating) during menstrual cycle,
uterine fibroid tumor, abnormal vaginal bleeding, blood clots or stroke,
cholesterol or lipid problems, gallbladder disease. Before having surgery,
tell the doctor that you take this drug. Depending on strength, this drug
may cause a patchy, darkening of the skin on the face (melasma). Higher strengths
are more likely to cause melasma. Sunlight may intensify this darkening and
you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor
regarding use of sunscreens and protective clothing. Cigarette smoking can
increase the chance of blood-clots while taking this medication (especially
in women past the age of 35). This drug should not be used during pregnancy.
If you become pregnant or think you may be pregnant, inform your doctor immediately.
This drug may be excreted into breast milk and its use is not recommended
while breast-feeding. Consult your doctor before breast-feeding.
Drug Interactions
Tell your doctor of all prescription and nonprescription drugs you may use,
especially of: hydantoins (e.g., phenytoin), barbiturates (e.g., phenobarbital),
corticosteroids (e.g., prednisone). This product can affect the results of
certain lab tests. Make sure laboratory personnel and your doctors know you
use this drug. Do not start or stop any medicine without doctor or pharmacist
approval.
Overdose
If overdose is suspected, contact your local poison control center or emergency
room immediately. Symptoms of overdose may include nausea/vomiting or stoppage
of periods.
Notes
Do not share this medication with others.
Missed Dose
If you miss a dose, take as soon as remembered; do not take if it is almost
time for the next dose, instead, skip the missed dose and resume your usual
dosing schedule. Do not "double-up" the dose to catch up.
Storage
Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees
C) away from moisture and sunlight. Do not store in the bathroom.
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