NORDETTE 28 DRUG INFO
IMPORTANT NOTE: The
following 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 indicate
that use of the drug is safe, appropriate, or effective for you.
Consult your healthcare professional before using this drug.
ORAL CONTRACEPTIVES
COMMON BRAND NAME(S): Brevicon,
Demulen, Lo/Ovral, Loestrin, Modicon, Nordette, Norinyl, Ortho-Novum,
Ovcon, Ovral, Tri-Phasil
WARNING: Smoking cigarettes while
using this medication increases your chance of having heart problems.
Do not smoke while using this medication. The risk of heart problems
increases with age (in women greater than 35 years of age) and with
frequent smoking (15 cigarettes per day or greater).
USES: This medication is used to
prevent pregnancy or to regulate your menstrual cycle. Certain brands
of birth 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 protect you or your
partner against sexually transmitted diseases (e.g., HIV, gonorrhea).
HOW TO USE: Take this medication
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 remember to take it. Learn proper use of your particular
brand of medication. Follow your dosing schedule carefully. Be sure
to ask your doctor or pharmacist if you have any questions. Use
a supplemental form of birth 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 being used as a "morning
after" pill.
SIDE EFFECTS: This medication may
cause dizziness, headache, lightheadedness, stomach upset, bloating,
or nausea. If these effects persist or worsen, contact your doctor.
Notify your doctor if you experience: severe 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 doctor 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, liver 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, 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. It may
take a long time for you to become pregnant after you stop taking
birth control pills. Consult your doctor. Do not smoke cigarettes.
Birth-control pills slightly increase 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 increase the risk of stroke,
blood clots, high blood pressure and heart attacks. Ask your pharmacist
or doctor for a copy of the patient labeling which explains these
risks in more detail. Consult your doctor for any questions, including
possible use in nonsmokers over 40 years of age. If you are near-sighted
or wear contact lenses, you may develop vision problems. Also, your
tolerance of the lenses may decrease. Contact your eye doctor if
these problems occur. Before having surgery, including dental surgery,
tell the doctor that you take birth control pills. This drug must
not be used during pregnancy. If you become pregnant or think you
may be pregnant, inform your doctor immediately. This medication
passes into breast milk. This may affect 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 nonprescription drugs you are 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, nelfinavir,
ritonavir, St John's wort, troglitazone. Ask your doctor if you
should use additional birth control methods while taking any of
the drugs mentioned above while taking birth control pills. Also
tell your doctor if you use: thyroid hormone drugs, certain benzodiazepines
(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 laboratory personnel that you use this drug.
Birth control pills may significantly intensify the effects of alcohol.
Consult your doctor or pharmacist about this. 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 and vomiting. Females may
experience vaginal bleeding.
NOTES: Do not allow anyone else
to take this medication. 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 examining your own breasts, and report
any lumps immediately. A manufacturer's fact sheet about this drug
should be dispensed with each prescription. Read the information
carefully. Ask your doctor or pharmacist any questions you may have.
MISSED DOSE: Missed dose advice
differs and depends on the brand used, and the number of doses missed.
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 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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