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Tablet containing Ethinyl Estradiol and Levonorgestrel What kind of medication is this? Products containing ETHINYL ESTRADIOL and LEVONORGESTREL can be used successfully as oral contraceptives (often known as birth control tablets or "the pill"). Tablets containing ethinyl estradiol and levonorgestrel can help regulate menstrual flow, cure acne, and might be useful for the treatment of other hormone-related conditions that affect women. Before I start using this medication, what should I discuss with my primary care physician? They need to know if you are now suffering from or have previously suffered from any of the following conditions: coagulated blood difficulties with blood sugar, such as diabetes cancer of the breast, cervix, ovary, or uterus, or vaginal bleeding that is uncommon and has not been assessed by a health care provider depression fibroids gallbladder disease issues with the heart or circulation hypertension; high blood pressure jaundice a disease of the liver menstruation troubles Headaches caused by migraines stroke sLE, also known as systemic lupus erythematosus (SLE) cigarette smokers are more likely to have unexpected or adverse reactions to estrogen and progestin, as well as other hormones, medications, foods, colors, and preservatives. breastfeeding women who are either pregnant or attempting to conceive a child What is the correct way to take this medication? For the purpose of preventing pregnancy on a regular basis. The majority of products are meant to be used either on the first day of your period or on the first Sunday following the first day of your period has begun. It is possible that you may need to consult with your healthcare physician in order to determine the day on which you should begin using your package. Consume one ethinyl estradiol and one levonorgestrel tablet each day orally. Before you start taking these tablets, select what time of day is most convenient for you, and then take them at that time every day, being sure to take them in the sequence that was given to you. Take a full glass of water with the tablets, and then swallow them. Consume with meals to lessen the likelihood of stomach problems. Take this medication exactly as advised, and no more. Make sure that you have an additional month's supply of your medication on hand so that you will not forget to take it on the first day of the following cycle. NOTE: You should not give this medication to anybody else; it is intended solely for your use. What should I do if I forget a dose? Make it a goal not to skip any of the regularly scheduled doses of the birth control medication you are taking. If this is the case, you should discuss it with your doctor or another qualified medical expert as soon as possible. The material that follows merely highlights some of the several approaches that may be used to address missing doses. If you forget to take a dosage, you should take it as soon as you recall, and then continue taking your medication at the prescribed times. You are allowed to take two pills in a single day. If you forget two doses in a row (days), you should take two pills the day you recall, followed by two tablets the day after that. After that, you should go back to your usual schedule. If you forget to take one or two of your pills, you need to make sure that you utilize an additional form of birth control for the next week in addition to the pills. If you are going to miss three doses in a row, you need to contact your doctor or another specialist in the medical field for further advice. It is quite likely that you will be required to discard the remaining pills in that cycle pack and begin the process again. Alternate methods of birth control should be utilized until at least seven doses have been administered during the first cycle of the new cycle. If you forget to take a tablet, you can have some spotting or mild bleeding. Before starting the next pack of tablets at the conclusion of the 21-day cycle, you should be sure that no more than seven days have passed since you finished the previous pack. What other substances could react with this medication? antibiotics or other drugs used to treat infections, most notably rifampin and aprepitant anastrozole medications containing barbiturates that are used to induce sleep or treat convulsions (convulsions) bosentan\scarbamazepine caffeine clofibrate\scyclosporine dantrolene doxercalciferol exemestane grapefruit juice hydrocortisone medications for mental depression, such as diazepam or temazepam, as well as letrozole, which is used for the treatment of anxiety and sleep disorders. medications for diabetes, including troglitazone and pioglitazone mineral oil medications such as modafinil, mycophenolate, nefazodone, oxcarbazepine, phenytoin, prednisolone, or ritonavir, in addition to other anti-HIV or anti-AIDS medications, are available. selegiline soy isoflavones supplements The Herb St. John's Wort tamoxifen or raloxifene testolactone theophylline topiramate warfarin tamoxifen or raloxifene warfarin Tell your doctor or other health care provider about any and all additional medications you are taking, including over-the-counter medications, nutritional supplements, or herbal items, even if they are not prescribed to you. If you are a regular user of drinks that include caffeine or alcohol, if you smoke, or if you use illicit substances, you should also let your prescriber or another health care provider about this. These might have an impact on how well your medication works. Check with your doctor before you stop taking any of your medications or begin any new ones. What side effects should I be on the lookout for while I'm taking this medication? Pay your doctor or the person who prescribed your medication regular visits so they can monitor your improvement. You should have a comprehensive checkup once every 6 months to once every year. Please consult your primary care physician or another qualified healthcare practitioner if you experience any unexpected vaginal bleeding. If you do not have your period at the expected time, you should investigate the possibilities of becoming pregnant. Visit your doctor or the healthcare expert who prescribed your medication as soon as you can. While using these pills for the first week, you should also use an extra form of birth control to prevent pregnancy. If you wish to get pregnant and stop using these pills, it may take some time before your body returns to its usual cycle of ovulation. It's possible that it will take anywhere from three to six months for your ovulation and fertility to return to normal. Talk to your health care physician about your intentions about pregnancy. If you are using oral contraceptives to treat acne, hirsutism (hair growth that is similar to that of males), endometriosis, or any other hormone-related issue, it is possible that it will take several months of sustained medication before you observe an improvement in your symptoms or condition. If you are above the age of 35 and smoke tobacco while using oral contraceptives, your chance of having a blood clot or a stroke is significantly increased. This is especially true for women who are older than 35. It is highly recommended that you refrain from smoking. Oral contraceptives have been shown to make users more sensitive to the sun, leading to an increased risk of sunburn. When spending extended amounts of time outside, make sure to apply sunscreen and wear protective gear. When using tanning booths, you should exercise extreme caution. If you wear contact lenses and notice changes in your vision or if the lenses start to feel uncomfortable, you should make an appointment with an eye care professional as soon as possible. There is a possibility that some women will experience gums that are painful, swollen, or bleed slightly. In the event that this occurs, you should contact your dentist. Regularly brushing and flossing your teeth can help reduce the risk of this happening. Visit your dentist on a regular basis, and be sure to tell them about any medications you're already on. You run the risk of getting a yeast infection in your vaginal area. Visit your prescriber or another health care practitioner to check that you do in fact have a yeast infection if this is your first experience ever having one. You should purchase and use an over-the-counter medicine to cure the yeast infection if you have had yeast infections in the past and feel comfortable treating the condition on your own without the assistance of a doctor. It is possible that you will be required to stop taking your birth control tablets one month before to any elective surgery that you have scheduled for yourself. Before making an appointment for surgery, you should get the opinion of a qualified medical specialist. The use of oral contraceptives does not provide any protection against sexually transmitted illnesses, including HIV infection (also known as AIDS), or any other STDs. What potential negative reactions may I have to this medication? Oral contraceptives have a low risk of causing serious adverse effects in women who are otherwise healthy and who do not smoke while they are using the medication. On average, more women experience difficulties as a result of issues that arise from becoming pregnant as opposed to experiencing difficulties as a result of using oral contraceptives. As your body becomes accustomed to the medication, it's possible that some of the minor side effects will go away. However, there is a possibility of experiencing serious adverse effects, and you should address this possibility with the medical professional who is taking care of you. There is a possibility that blood clots are responsible for the following symptoms or side effects, and you should seek immediate medical attention or call 911 if you experience them: chest pain symptoms including bloody coughing, disorientation, and fainting. discomfort in the groin, legs, or arms head pain that is intense or comes on suddenly stomach discomfort (severe) unexpected difficulty breathing, sudden lack of coordination, especially on one side of the body, swelling of the hands, feet, or ankles, or fast weight gain are all potential warning signs. difficulties with vision or speaking symptoms such as a lack of strength or numbness in the limbs, particularly on one side of the body Other major adverse effects almost seldom occur. If you experience any of the following potential adverse effects, please get in touch with your doctor as soon as possible: alterations or discharge of the breast tissue alterations in the amount of bleeding that occurs during your period or in the time between your periods Headaches and migraines may occur. rises in blood sugar, particularly if the individual already has diabetes rises in blood pressure, particularly if it is already known that the individual has high blood pressure. a vaginal infection's telltale signs and symptoms (itching, irritation or unusual discharge) a soreness in the region of the upper abdomen symptoms including nausea and vomiting yellowing of the eyes or skin Side effects that, in most cases, do not require immediate medical treatment but should be reported to your doctor if they persist or become troublesome include the following: bleeding and spotting that doesn't stop after taking the medications for the first three cycles. breast tenderness mild stomach discomfort alterations in one's mood, anxiety, despair, frustration, rage, or other outbursts of emotion hunger that is either enhanced or lowered heightened sensitivity to the sun and other sources of UV light nausea symptoms such as a skin rash, acne, or brown patches on the skin fatigue and weight gain This list might not contain all of the potential negative effects. Where exactly may I store my medication? Make sure that youngsters can't get their hands on it. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Maintain a secure lid on the container. After the expiration date, any medicine that has been used but not finished should be thrown away.