when should i take alesse 28
Ethinyl Estradiol and Levonorgestrel(ETH in ill ess tra DYE ole and LEE voe nor jess trel)
Alesse, Aviane, Levlen, Levlite, Levora, Tri-Levlen, Triphasil, Triphasil-28,Trivora
What is the most important information I should know about Alesse?
• Take your pill at the same time every day when should i take alesse 28. Each dose should come no morethan 24 hours after the last dose when should i take alesse 28.
• Avoid smoking cigarettes while taking Alesse when should i take alesse 28. Smoking greatly increasesthe risk of having a heart attack, stroke, or blood clot when should i take alesse 28.
• Use another form of birth control if you miss several doses (see thepackage insert) or if you are taking drugs that decrease the effectiveness ofAlesse (see the section of this leaflet titled "What other drugs will affectAlesse?") when should i take alesse 28.
What are Alesse?
• Alesse contains a combination of hormones that is used to prevent ovulation(the release of an egg from an ovary) when should i take alesse 28. The pills contain a form of estrogenand a form of progesterone, which are both female hormones involved in conception when should i take alesse 28.
• Alesse also have other effects that inhibit pregnancy when should i take alesse 28. They cause thecervical mucous to thicken, which makes it harder for sperm to move toward theuterus, and they prevent the attachment of an egg to the uterus when should i take alesse 28.
• Alesse is used to prevent pregnancy when should i take alesse 28.
• Alesse may also be used for purposes other than those listed in thismedication guide when should i take alesse 28.
What should I discuss with my healthcare provider before taking Alesse?
• Before taking this medication, tell your doctor if you
· have high blood pressure, angina, or heart disease;
· have had a stroke;
· have a bleeding or blood-clotting disorder;
· have breast, uterine, or another hormone-related cancer;
· have liver disease or a history of jaundice (yellowing of the skinand eyes) caused by use of birth control in the past;
· have undiagnosed, abnormal vaginal bleeding;
· have migraines;
· have asthma; or
· have seizures or epilepsy when should i take alesse 28.
• You may not be able to take Alesse, or you may require a lower dose orspecial monitoring during treatment if you have any of the conditions listedabove when should i take alesse 28.
• Alesse is in the FDA pregnancy category X when should i take alesse 28. This means that Alesse willcause birth defects in an unborn baby when should i take alesse 28. Hormonal changes during pregnancy canhave very serious negative effects on a developing baby when should i take alesse 28. Do not take Alesseif you are pregnant or if you think you might be pregnant when should i take alesse 28.
• The hormones in Alesse pass into breast milk and may decrease milk production when should i take alesse 28. Do not take Alesse without first talking to your doctor if you are breast-feedinga baby when should i take alesse 28.
How should I take Alesse?
• Take Alesse exactly as directed by your doctor when should i take alesse 28. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you when should i take alesse 28.
• Take the first pill in a package on the first Sunday after your periodbegins (unless otherwise directed by your doctor) when should i take alesse 28.
• Take one pill every day, no more than 24 hours after your last dose when should i take alesse 28. Try to take the pills at a time that you will remember every day--for examplejust before bed, with a meal, or first thing in the morning when should i take alesse 28.
• Taking your pill at night may help to reduce any nausea or headache thatyou may experience because of the hormones when should i take alesse 28.
• If you are on a 28-day cycle, take one pill every day when should i take alesse 28. When the packruns out, throw it away when should i take alesse 28. Begin a new pack the following day when should i take alesse 28. The 28-day cyclecontains seven pills that are either placebos (with no active ingredients) oriron supplements when should i take alesse 28. These are "reminder" pills to keep you on your regularcycle when should i take alesse 28. They are taken while you are menstruating when should i take alesse 28.
• If you are on a 21-day cycle, take one pill every day for 21 days, thendo not take any pills for 7 days when should i take alesse 28. You should have your period during the 7 dayswith no pills when should i take alesse 28. Resume your pills on the 8th day with a new package when should i take alesse 28.
• Follow your doctor's instructions about using a second form of birthcontrol when you first start taking Alesse, when you are taking antibiotics,or if you miss a pill when should i take alesse 28. If you are unsure what to do in any of these cases, talkto your pharmacist, nurse, or doctor about how to ensure that you will not becomepregnant when should i take alesse 28.
• Store Alesse at room temperature away from moisture and heat when should i take alesse 28.
What happens if I miss a dose?
• Missing a pill increases the risk of becoming pregnant when should i take alesse 28.
• Follow the exact directions on your package information insert concerningmissed doses when should i take alesse 28. If you do not have a package information insert, call your pharmacist,doctor, or nurse to find out what to do when should i take alesse 28.
• In general:
• If you miss one dose, take it as soon as you remember or take two pillsat the time of your next regularly scheduled dose when should i take alesse 28. There is little likelihoodthat ovulation will occur when should i take alesse 28. You may, however, want to use a second method ofbirth control such as a condom or a spermicidal cream, jelly, or foam for atleast seven consecutive days following the missed tablet to ensure protectionfrom pregnancy when should i take alesse 28.
• If you miss two tablets in a row, take the two missed tablets as soonas you remember or with your next regularly scheduled dose (three total) when should i take alesse 28. Or,you may take two tablets each for the next two regularly scheduled doses (onemissed tablet plus one regularly scheduled tablet for 2 days in a row) when should i take alesse 28. Chancesare much greater that you may ovulate so you must use another form of birthcontrol for at least 7 days following the missed tablets when should i take alesse 28. It is even betterto use a second method of birth control until your next period when should i take alesse 28.
• If you miss three tablets in a row, throw away the package and starta new package on the 7th day after the last day you took a pill when should i take alesse 28. Use anothermethod of birth control until you have taken a pill for 7 days in a row when should i take alesse 28. Yourperiod should occur during the 7 days without pills when should i take alesse 28. If it doesn't, have a pregnancytest before beginning a new package of pills when should i take alesse 28.
• Read all of the information in your package information insert when should i take alesse 28. It mayhave slightly different instructions in the case of missed pills when should i take alesse 28. Talk to yourpharmacist, nurse, or doctor if you have any questions when should i take alesse 28.
What happens if I overdose?
• Death is not likely to occur from an overdose of Alesse when should i take alesse 28. Consult a doctor,an emergency room, or a poison control center for advice when should i take alesse 28.
• Symptoms of an overdose include nausea, vomiting, and menstrual bleeding when should i take alesse 28.
What should I avoid while taking Alesse?
• Avoid smoking when should i take alesse 28. Smoking greatly increases your risk of a heart attack,stroke, or blood clot formation when should i take alesse 28.
• Alesse do not protect you from sexually transmitted diseases--includingHIV and AIDS when should i take alesse 28. Using a condom is the only way to protect yourself from thesediseases when should i take alesse 28.
What are the possible side effects of Alesse?
• If you experience any of the following serious side effects, stop takingAlesse and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· a blood clot in the lung (shortness of breath or pain in the chest);
· a blood clot in an arm or leg (pain, redness, swelling, or numbnessof an arm or leg);
· high blood pressure (severe headache, flushing, blurred vision); or
· liver damage (yellowing of the skin or eyes, nausea, abdominal painor discomfort, unusual bleeding or bruising, severe fatigue) when should i take alesse 28.
• Other, less serious side effects may be more likely to occur when should i take alesse 28. Continueto take Alesse and talk to your doctor if you experience
· headache or dizziness;
· nausea, vomiting, or diarrhea;
· breakthrough bleeding; or
· breast tenderness when should i take alesse 28.
• These side effects may disappear or be less noticeable after 3 to 6 monthsof birth control use when should i take alesse 28. Ask your doctor or pharmacist for advice if you find anyside effect very bothersome when should i take alesse 28.
• The side effects listed below generally occur very rarely and are notconsidered serious when should i take alesse 28. If you experience any of the following, talk to your doctor:
· depression,
· changes in weight or appetite,
· vaginal yeast infection,
· changes in your menstrual cycle,
· oily skin or acne,
· changes in your sex drive,
· lethargy or fatigue,
· bloating,
· changes in your skin color, or
· changes in your blood sugar when should i take alesse 28.
• Side effects other than those listed here may also occur when should i take alesse 28. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome when should i take alesse 28.
What other drugs will affect Alesse?
• Some drugs may decrease the effectiveness of Alesse, which may resultin pregnancy when should i take alesse 28. Use a second form of birth control if you are taking
· a penicillin antibiotic such as amoxicillin (Amoxil, Polymox, Trimox,Wymox, Utimox, A-Cillin, Larotid, Augmentin, others), ampicillin (Principen,Omnipen, Penamp, Polycillin, Amplin, Amcill, Totacillin, others), bacampicillin(Spectrobid), carbenicillin (Geocillin), cloxacillin (Cloxapen, Tegopen), dicloxacillin(Dynapen, Dycill, Pathocil), nafcillin (Nafcil, Nallpen, Unipen), oxacillin(Bactocill, Prostphlin), or penicillin (Veetids, Pen Vee K, Bicillin, Permapen,others);
· a tetracycline antibiotic such as demeclocycline (Declomycin), doxycycline(Doryx, Doxy, Vibramycin, Vibra-Tabs, others), minocycline (Minocin), or tetracycline(Sumycin, Teracyn, Achromycin, Robitet, Panmycin, others);
· a barbiturate such as amobarbital (Amytal), butabarbital (Butisol),mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal,Solfoton);
· rifampin (Rifadin);
· phenytoin (Dilantin);
· carbamazepine (Tegretol); or
· griseofulvin (Grisactin, Grifulvin V, Fulvicin PG) when should i take alesse 28.
• Drugs other than those listed here may also interact with Alesse when should i take alesse 28. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines when should i take alesse 28.
Where can I get more information?
• Your pharmacist has additional information about Alesse written for healthprofessionals that you may read when should i take alesse 28.
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