Lo Ovral (Norgestrel and Ethinyl Estradiol): Uses, Dosage, Side Effects, Interactions, Warning (2023)

PATIENT INFORMATION

This product (like all oral contraceptives) is intended to prevent pregnancy. Oral contraceptives do not protect against transmission of HIV (AIDS) and other sexually transmitted infections (STDs) such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis.

Oral contraceptives, also called "birth control pills" or "the pill", are used to prevent pregnancy and, when used correctly, have a failure rate of about 1% per year when taken without missing the pill. The average dropout rate is about 5% per year when you include women who forgot the pill. Also, for most women, oral contraceptives are free from any serious or uncomfortable side effects. However, forgetting to take the pill significantly increases the chances of pregnancy.

Oral contraceptives are safe for most women. However, some women are at high risk of developing certain serious diseases that can be life-threatening or lead to temporary or permanent disability or death. The risks associated with taking oral contraceptives increase significantly if you:

• Tower
• have high blood pressure, diabetes, high cholesterol, a tendency to form blood clots, or are overweight
• coagulation disorders, heart attack, stroke, angina pectoris, cancer of the breast or genitals, jaundice, malignant or benign liver tumors or if you are having or have had major surgery requiring prolonged immobilization
• have a headache with neurological symptoms

You should not take the pill if you think you may be pregnant or have unexplained vaginal bleeding.

Cigarette smoking increases the risk of serious cardiovascular side effects from taking oral contraceptives. This risk increases with age and the amount of smoking (15 or more cigarettes per day are associated with a significantly increased risk) and is quite pronounced in women over 35 years of age. Women taking oral contraceptives should not smoke.

Most side effects of the pill are not serious. The most common side effects are nausea, vomiting, bleeding between periods, weight gain, breast tenderness, and difficulty wearing contact lenses. These side effects, particularly nausea and vomiting, may subside within the first three months of use.

The serious side effects of the pill are very rare, especially if you are healthy and don't smoke. However, you should be aware that the following conditions are related to, or made worse by, the pill:

1. Blood clots in the legs (thrombophlebitis), lungs (pulmonary embolism), blockage or rupture of a blood vessel in the brain (stroke), blockage of blood vessels in the heart (heart attack and angina pectoris) or other organs in the body. As mentioned above, smoking increases the risk of heart attacks and strokes and the serious medical consequences that result from them. Women with migraines may also be at increased risk of stroke when taking the pill.
2. Liver tumors, which can rupture and cause severe bleeding. A possible but inconclusive link between the Pill and liver cancer has been identified. However, liver cancer is extremely rare. The risk of developing liver cancer from taking the pill is therefore even lower.
3. 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 information leaflet that accompanies your pack of pills. Tell your doctor if you notice any unusual physical disturbances while taking the pill. In addition, drugs such as rifampicin, as well as some antiseizure drugs and some antibiotics, herbal supplements containing St. John's wort (Hypericum perforatum), and HIV/AIDS drugs can reduce the effectiveness of oral contraception.

Several studies provide conflicting reports on the association between breast cancer and oral contraceptive use.

Taking oral contraceptives may slightly increase your risk of developing breast cancer, particularly if you started using hormonal contraceptives at a young age.

When you stop taking hormonal contraceptives, the chance of developing breast cancer begins to decrease and disappears 10 years after stopping the pill. It is not known whether this slightly increased risk of developing breast cancer is caused by the Pill. It is possible that women who took the pill were examined more frequently, so that breast cancer was detected more frequently.

You should have your breasts checked regularly by a doctor and check your own breasts monthly. Tell your doctor if there is a family history of breast cancer, or if you have had a breast lump 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 increased incidence of cervical cancer in women taking oral contraceptives. However, this finding may be related to factors other than oral contraceptive use. There isn't enough evidence to rule out the possibility that the pill can cause such cancers.

Taking the combination pill offers some important non-contraceptive health benefits. These include fewer painful periods, less menstrual bleeding and anemia, fewer pelvic infections, and less cancer of the ovaries and endometrium.

Be sure to discuss any health issues with your doctor. Your doctor will take a medical and family history and examine you before prescribing oral contraceptives. The physical exam may be rescheduled if you wish and the healthcare provider deems it appropriate to reschedule it. While you are taking oral contraceptives, you should have a re-examination at least once a year. The detailed patient information booklet contains additional information to read and discuss with your doctor.

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 chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B and syphilis.

DETAILED PATIENT IDENTIFICATION

This product (like all oral contraceptives) is intended to prevent pregnancy. Oral contraceptives do not protect against transmission of HIV (AIDS) and other sexually transmitted infections (STDs) such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis.

INTRODUCTION

Any woman considering using oral contraceptives (the "pill" or "the pill") should understand the benefits and risks of this form of birth control. This leaflet will give you a lot of the information you need to make that decision, and will also help you determine if you are at risk of getting serious side effects from the pill. Here's how to take the pill correctly so it's most effective. However, this brochure is not a substitute for a thorough discussion between you and your doctor. You should discuss the information in this leaflet with your doctor, both when you start taking the pill and at your next visit. Also, follow your doctor's advice about regular check-ups while you're on the pill.

EFFECTIVENESS OF ORAL CONTRACEPTIVES

Oral contraceptives or "birth control pills" or "the pill" are used to prevent pregnancy and are more effective than most other non-surgical methods of birth control. If you take it correctly without missing a pill, the chance of getting pregnant is about 1% per year. The average dropout rate is about 5% per year when you include women who forgot the pill. The chance of getting pregnant increases with every missed pill during the menstrual cycle.

In comparison, the average failure rates for other birth control methods in the first year of use are as follows:

Who should not take oral contraceptives?

Cigarette smoking increases the risk of serious cardiovascular side effects from taking oral contraceptives. This risk increases with age and the amount of smoking (15 or more cigarettes per day are associated with a significantly increased risk) and is quite pronounced in women over 35 years of age. Women taking oral contraceptives should not smoke.

Some women should not take the pill. You should not take the pill if you have any of the following conditions:

• History of a heart attack or stroke
• History of blood clots in the legs (thrombophlebitis), lungs (pulmonary embolism) or eyes
• History of blood clots in the deep veins of your legs
• Known or suspected breast cancer, or cancer of the lining of the uterus, cervix, or vagina, or certain hormone-sensitive cancers
• liver tumor (benign or cancerous)
• Chest pain (angina pectoris)
• Unexplained vaginal bleeding (until diagnosed by your doctor)
• Yellowing of the whites of your eyes or skin (jaundice) during pregnancy or if you have taken the pill before
• Known or suspected pregnancy
• Heart valve or heart rhythm problems which may be associated with the formation of blood clots
• Diabetes affects your circulation
• Headache with neurological symptoms
• Uncontrolled high blood pressure
• Active liver disease with abnormal liver function tests
• Allergy or hypersensitivity to any ingredient in Lo/Ovral
• Need for surgery with prolonged bed rest

Tell your doctor if you have any of these conditions. Your doctor may recommend another method of birth control for you.

ADDITIONAL CONSIDERATIONS BEFORE USING ORAL CONTRACEPTIVES

Tell your doctor if you or a family member have ever had:

• Lumps in the breast, fibrocystic disease of the breast, an abnormal chest x-ray or mammogram
• Diabetes
• Elevated cholesterol or triglyceride levels
• high blood pressure
• Tendency to form blood clots
• Migraines or other headaches or epilepsy
• Depression
• Gallbladder, liver, heart or kidney disease
• History of scanty or irregular periods

Women with any of these conditions should be monitored regularly by their doctor if they choose to use oral contraceptives. Also, be sure to tell your doctor if you smoke or take medication.

RISKS OF USE OF ORAL RESERVES

1. Risk of blood clot formation

Blood clots and blockages in blood vessels are the most serious side effects of taking oral contraceptives and can result in death or serious disability. In particular, a blood clot in the legs can cause thrombophlebitis, and a blood clot that travels to the lungs can cause a sudden blockage of the blood vessel to the lungs. Rarely, blood clots form in the blood vessels of the eye, which can lead to blindness, double vision, or reduced vision.

COC users have a higher risk of developing blood clots than non-users. This risk is highest in the first year of COC use.

If you are taking oral contraceptives and you have to have an operation, if you have to stay in bed for a long time because of a long-term illness or injury, or if you have recently given birth to a child, you may be at risk of developing blood clots. You should let your doctor know if you can stop taking oral contraceptives three to four weeks before surgery and stop using oral contraceptives for two weeks after surgery or while on bed rest. You should also not use oral contraceptives shortly after having a baby or mid-trimester abortion. If you are not breastfeeding, it is advisable to wait at least four weeks after giving birth. If you are breastfeeding, you should wait until you have weaned your child before taking the pill. (See also the breastfeeding sectionGENERAL PRECAUTIONS.)

2. Heart attacks and strokes

Oral contraceptives can increase the risk of stroke (blockage or rupture of blood vessels in the brain), angina pectoris and heart attack (blockage of blood vessels in the heart). Any of these conditions can result in death or severe disability.

Smoking significantly increases the risk of heart attacks and strokes. In addition, smoking and taking oral contraceptives significantly increase the risk of developing and dying from heart disease.

Women with migraines (especially migraines/headaches with neurological symptoms) who are using oral contraceptives may also be at increased risk of stroke.

3. Gallbladder disease

Oral contraceptive users are likely to have a higher risk of developing gallbladder disease than non-users. This risk may be related to pills that contain high doses of estrogen. Oral contraceptives can make existing gallbladder disease worse or accelerate the development of gallbladder disease in women who have not previously had symptoms.

4. Liver tumors

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, a possible but inconclusive link between the Pill and liver cancer was found in two studies in which some women who developed these very rare cancers used long-term oral contraceptives. However, liver cancer is extremely rare. The risk of developing liver cancer from taking the pill is therefore even lower.

5. Cancer of the reproductive organs and breast

Several studies provide conflicting reports on the association between breast cancer and oral contraceptive use.

Taking oral contraceptives may slightly increase your risk of developing breast cancer, particularly if you started using hormonal contraceptives at a young age.

When you stop taking hormonal contraceptives, the chance of developing breast cancer begins to decrease and disappears 10 years after stopping the pill. It is not known whether this slightly increased risk of developing breast cancer is caused by the Pill. It is possible that women who took the pill were examined more frequently, so that breast cancer was detected more frequently.

You should have your breasts checked regularly by a doctor and check your own breasts monthly. Tell your doctor if there is a family history of breast cancer, or if you have had a breast lump 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 increased incidence of cervical cancer in women taking oral contraceptives. However, this finding may be related to factors other than oral contraceptive use. There isn't enough evidence to rule out the possibility that the pill can cause such cancers.

6. Fat metabolism and inflammation of the pancreas

Significant increases in plasma triglycerides have been reported during estrogen therapy in patients with abnormal lipid levels. In some cases, this has led to inflammation of the pancreas.

Estimated risk of death from birth control or pregnancy

With all methods of birth control and pregnancy, there is a risk of developing certain diseases that can lead to disability or death. An estimate of the number of deaths due to different contraceptive methods and pregnancies has been calculated and is presented in the table below.

ANNUAL NUMBER OF FERTILITY SURVEILLANCE-RELATED BIRDS OR METHOD-RELATED DEATHS PER 100,000 NON-STERILE WOMEN, BY FERTILITY SURVEILLANCE AND AGE

In the table above, the risk of dying is less than the risk of giving birth with any birth control method, except for oral contraceptives over 35 who smoke and pill users over 40 even if they don't smoke. The table shows that women aged 15 to 39 years were at highest risk of death during pregnancy (7 to 26 deaths per 100,000 women, depending on age). For pill users who do not smoke, the risk of death was always lower than the risk associated with pregnancy in every age group, except for women over 40 years of age, for whom the risk increases to 32 deaths per 100,000 women, compared with 28 associated women. with a pregnancy at this age. However, among pill users who smoke and are older than 35 years, the estimated number of deaths is higher than with other birth control methods. If a woman is over 40 and smokes, her estimated risk of dying is four times higher (117/100,000 women) than the estimated risk of pregnancy (28/100,000 women) in this age group.

The suggestion that women over 40 who do not smoke should not use oral contraceptives is based on information from older high-dose pills. An FDA advisory committee discussed this issue in 1989 and recommended that the benefits of oral contraceptive use in healthy, nonsmoking women over the age of 40 might outweigh the potential risks. Older women, like all women using oral contraceptives, should use an oral contraceptive that contains the least amount of estrogen and progestogen, according to the patient's individual needs.

WARNING SIGNALS

If you experience any of these side effects while taking oral contraceptives, call your doctor right away:

• Stabbing chest pain, coughing up blood or sudden shortness of breath (indication of a possible blood clot in the lungs)
• Pain in the calf (indicating a possible blood clot in the leg)
• Tight chest pain or heaviness in the chest (indicative of a possible heart attack)
• Sudden severe headache or vomiting, dizziness or fainting, trouble seeing or speaking, weakness or numbness in an arm or leg (indication of a possible stroke)
• Sudden partial or complete loss of vision (indicating a possible blood clot in the eye)
• Breast lumps (suggesting possible breast cancer or fibrocystic disease of the breast; ask your doctor to show you how to examine your breasts)
• Severe pain or tenderness in the stomach area (indicative of a possible ruptured liver tumor)
• Difficulty sleeping, weakness, lack of energy, tiredness, or mood swings (possibly indicating major depression)
• Jaundice, or yellowing of the skin or whites of the eyes, often accompanied by fever, tiredness, loss of appetite, dark-colored urine or light-colored stools (which indicate possible liver problems)

SIDE EFFECTS OF ORAL CONTRACEPTIVES

1. Irregular vaginal bleeding

You may experience irregular vaginal bleeding or spotting while taking the pills. Irregular bleeding can range from light spotting between periods to breakthrough bleeding, a flow that resembles a normal period. Irregular bleeding is most common in the first few months of taking oral contraceptives, but it can also occur after prolonged use of the pill. Such bleeding can be temporary and usually does not indicate a serious problem. It's important to keep taking your pills on a schedule. If bleeding occurs in more than one cycle or lasts longer than a few days, contact your doctor.

2. Contact lenses

If you wear contact lenses and notice that your vision is changing or you can no longer wear your lenses, talk to your doctor.

3. Fluid retention

Oral contraceptives can cause edema (fluid retention) with swelling of your fingers or knuckles and increase your blood pressure. If you experience fluid retention, contact your doctor.

4. Melasma

Patchy darkening of the skin, especially on the face, is possible.

5. Other side effects

Other side effects may include nausea, breast tenderness, change in appetite, headache, nervousness, depression, dizziness, hair loss, skin rashes, vaginal infections, pancreatic inflammation, and allergic reactions.

If you experience any of these side effects, contact your doctor.

GENERAL PRECAUTIONS

1. Missing your period and taking oral contraceptives before or during early pregnancy

It may happen that you do not menstruate regularly after stopping a course of pills. If you have been taking your pills regularly and you miss a period, continue taking your pills for the next cycle but tell your doctor. If you haven't been taking the pills every day as directed and you have missed a period, or if you have missed two periods in a row, you could be pregnant. Contact your doctor right away to determine if you are pregnant. Stop taking oral contraceptives when pregnancy is confirmed.

There is no conclusive evidence that accidental oral contraceptive use in early pregnancy is associated with an increase in birth defects. Previously, some studies reported that oral contraceptives may be associated with birth defects, but these findings have not been confirmed in more recent studies. However, oral contraceptives should not be used during pregnancy. You should consult your doctor about the risks of taking medications during pregnancy to your unborn baby.

2. While breastfeeding

If you are breastfeeding, consult your doctor before you start taking oral contraceptives. Some of the drug is passed to the child through milk. Some adverse effects on the child have been reported, including yellowing of the skin (jaundice) and breast enlargement. In addition, oral contraceptives can affect the quantity and quality of your milk. Avoid using oral contraceptives while breastfeeding. You should use an alternative method of birth control as breast-feeding offers only partial protection against pregnancy and this partial protection decreases significantly the longer you breast-feed. You should not start taking oral contraceptives until you have completely weaned your child.

3. Laboratory testing

If you have lab tests due, tell your doctor you're taking birth control pills. Certain blood tests can be affected by birth control pills.

4. Drug Interactions

Certain medications can interact with birth control pills, making it less effective at preventing pregnancy or increasing breakthrough bleeding. These drugs include rifampin, anti-epileptic drugs such as barbiturates (eg, phenobarbital) and phenytoin (DilantinR is a brand of this drug), primidone (MysolineR), topiramate (TopamaxR), and carbamazepine (Tegretol is a brand of this drug). , phenylbutazone (ButazolidinR is a brand of this medicine), some medicines used to treat HIV or AIDS such as ritonavir (NorvirR), modafinil (ProvigilR), possibly certain antibiotics (such as ampicillin and other penicillins and tetracyclines) and herbal products containing them St. John's wort (Hypericum perforatum). You may also need to use a non-hormonal method of contraception (such as condoms and/or spermicide) during each cycle if you are taking any medicines that can make oral contraceptives less effective.

If you take troleandomycin and oral contraceptives at the same time, you may be at greater risk of some types of liver dysfunction.

Be sure to tell your doctor if you are taking or plan to take any other medications, including over-the-counter or herbal products, while taking birth control pills.

5. Sexually Transmitted Diseases

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 chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B and syphilis.

How to take the pill

IMPORTANT POINTS TO NOTE

BEFORE YOU TAKE YOUR PILLS:

1. READ THESE INSTRUCTIONS CAREFULLY:

Before you start taking your pills.

And every time you're not sure what to do.

2. The correct way to take the pill is to take one pill at the same time each day.

If you forget to take tablets, there is a risk of pregnancy. This also includes a late start with the pack. The more pills you miss, the more likely it is that you will become pregnant.

3. MANY WOMEN EXPERIENCE SPOTS OR LIGHT BLEEDING OR MAY BECOME UNPROVEN DURING THE FIRST 1-3 PACKS OF PILLS.

If you get stomach problems, do not stop taking the pill. The problem will usually go away. If it doesn't go away, talk to your doctor.

4. Missing pills can also cause spotting or light bleeding even if you catch up on those missed pills.

On the days when you take 2 tablets to make up for missed tablets, you may also feel a little nauseous.

5. If you throw up (within 4 hours of taking your pill) follow the instructions under 'What to do if you forget your pill'. If you have diarrhea or are taking medication, including certain antibiotics, your pills may not work as well. Use a non-hormonal replacement method (such as condoms and/or spermicides) until you contact your doctor.

6. If you have trouble remembering when to take the pill, talk to your doctor about making it easier to take the pill or using another method of contraception.

7. If you have any questions or are unsure about any of the information in this leaflet, consult your doctor.

LO/OVRAL® EN LO/OVRAL®-28 (Tablette mit Norgestrel und Ethinylestradiol)

BEFORE YOU TAKE YOUR PILLS

1. Decide when you want to take your pill.

It's important to take it at about the same time each day.

2. LOOK AT YOUR PILL PACK FOR 21 OR 28 PILLS:

VonPack of 21 tabletsmust take 21 "active" white pills (with hormones) for 3 weeks followed by a week off pills.

VonPack of 28 tabletsmust take 21 “active” white pills (with hormones) for 3 weeks followed by 1 week of pink reminder pills (without hormones).

3. YOU WILL ALSO FIND:

1) where on the pack to start taking the pills and

2) In what order you take the pills (follow the arrows).

4. Make sure you have it on hand at all times:

ANOTHER TYPE OF PREVENTION (e.g. condoms and/or spermicides) that can be used as a substitute in case you forget to take the pill.

AN EXTRA COMPLETE PILL PACK.

WHEN TO START THE FIRST PACK OF PILLS?

With the 21-day pill box, you have two choices as to which day you take your first pack of pills. (To seeDAY 1 BEGINSvonSee below for Sunday start instructions.) Decide together with your doctor which day is best for you. The 28 day pill pack is only suitable for a SUNDAY START. Choose a timing for both packs of pills that is easy to remember.

DAY 1 BEGINS:

These instructions only apply to the 21-day pack of pills. The 28-day pack of pills is not suitable for aDAY 1 BEGINSdosing regimen.

1. While on the go, take the first "active" white pill from the first packfirst 24 hours of your period.

2. You do not need to use an additional non-hormonal contraceptive method as you start taking the pill at the beginning of your period.

SUNDAY START:

These instructions apply to either the 21-day or 28-day pack of pills.

1. Take the first "active" white pill from the first strip on the Sunday after your period starts, even if you are still bleeding. If your period starts on a Sunday, start the strip on the same day.

2.Use a non-hormonal contraceptive method(e.g. condoms and/or spermicides) as a backup method if you have sex from the Sunday you start the first strip until the following Sunday (7 days).

WHAT TO DO DURING THE MONTH?

1. Take one tablet each day until the pack is empty.

Do not skip the pill even if you notice spotting or bleeding between periods or feel sick (nausea).

Don't skip the pill even if you don't have sex often.

2. If you stop a pack or change brands of your pill:

21 tablets:Wait 7 days before starting the next pack. You will probably get your period this week. Make sure there are no more than 7 days between 21-day packs.

28 tablets:Start taking the next blister strip the day after your last "reminder pill". Don't wait days between packages.

What to do if you forgot pills?

The pill may not be as effective if you forget white "active" pills, especially if you forget the first or last few white "active" pills in a pack.

like youMISS 1white "active" pill:

1. Take it as soon as you remember. Take the next pill at the usual time. This means that you can take 2 tablets in one day.

2. You CAN GET PREGNANT if you have sex in the 7 days after missing a pill. You MUST use a non-hormonal method of birth control (such as condoms and/or spermicide) as a backup during these 7 days.

like youMiss 2White "active" pills in a row insideWEEK 1 OF WEEK 2of your package:

1. Take 2 tablets on the day you remember and 2 tablets the next day.

2. Then take 1 tablet per day until you have finished the pack.

3. You can get pregnant if you have sex in the 7 days after missing the pill. You MUST use a non-hormonal method of birth control (such as condoms and/or spermicide) as a backup during these 7 days.

like youMiss 2White "active" pills in a row insideFROM WEEK 3:

VonDay 1 appetizerThe instructions are for the 21-day pack of pills only. The 28-day pack of pills is not suitable for a DAY 1 START dosing regimen. The Sunday appetizerThe instructions are for the 21-day or 28-day pill box.

1.If you start on day one:

Throw away the rest of the pack of pills and start a new pack the same day.

If you are a Sunday starter:

Continue to take 1 tablet daily until Sunday.

On Sunday, throw away the rest of the pack and start a new pack of pills the same day.

2. You may not get your period this month, but that's to be expected. However, if you miss your period for two months in a row, contact your doctor as you may be pregnant.

3. You can get pregnant if you have sex7 Takeafter you forget the pill. You MUST use a non-hormonal method of birth control (such as condoms and/or spermicide) as a backup during these 7 days.

If you MISS 3 OR MORE white "active" pills in a row (during the first 3 weeks):

VonDay 1 appetizerThe instructions are for the 21-day pack of pills only. The 28-day pack of pills is not suitable for aDAY 1 BEGINSdosing regimen. The Sunday appetizerThe instructions are for the 21-day or 28-day pill box.

1.If you start on day one:

Throw away the rest of the pack of pills and start a new pack the same day.

If you are a Sunday starter:

Continue to take 1 tablet daily until Sunday.

On Sunday, throw away the rest of the pack and start a new pack of pills the same day.

2. You may not get your period this month, but that's to be expected. However, if you miss your period for two months in a row, contact your doctor as you may be pregnant.

3. You can get pregnant if you have sex in the 7 days after missing the pill. You MUST use a non-hormonal method of birth control (such as condoms and/or spermicide) as a backup during these 7 days.

A REMINDER FOR ALL WHO HAVE A 28 DAY PACKAGE

If you forgot any of the 7 pink “reminder pills” at week 4:

Throw away the forgotten pills.

Continue to take 1 tablet daily until the pack is finished.

You do not need an additional non-hormonal contraceptive method if you start the next pack on time.

And finally, if you are not sure what to do with the pills you forgot

Use a non-hormonal replacement method of birth control during intercourse.

Continue taking one pill each day until you can reach your doctor.

PREGNANCY BY PILL FAILURE

The incidence of pill failure leading to pregnancy is around 1% when taken daily as directed, but the average failure rate is around 5%, including women who do not always take the pill exactly as directed without taking pills. to miss. If you become pregnant, the risk to the fetus is minimal. However, you should stop taking your pills and discuss the pregnancy with your doctor.

Pregnancy after stopping the pill

It may be some time before you get pregnant after you stop taking oral contraceptives, especially if you had an irregular menstrual cycle before you started taking oral contraceptives. It may be advisable to reschedule the appointmentconceptionuntil you start menstruating regularly after stopping the pill and want to become pregnant.

There does not appear to be an increase in birth defects in newborns when pregnancy occurs shortly after stopping the pill.

If you do not want to become pregnant, you must use another method of contraception immediately after stopping the oral contraceptive pill.

OVERDOSE

Overdose may cause nausea, vomiting, and fatigue/drowsiness. Withdrawal bleeding is possible

occur in women. In case of overdose contact your doctor or pharmacist.

OTHER INFORMATION

Your doctor will take a medical and family history and examine you before prescribing oral contraceptives. The physical exam may be rescheduled if you wish and the healthcare provider deems it appropriate to reschedule it. You should have a check-up at least once a year. Be sure to tell your doctor if you have a family history of any of the conditions listed above in this leaflet. Make sure you keep all appointments with your doctor as this is the time to see if there are any early signs of side effects from taking oral contraceptives.

Do not use the drug for conditions other than those for which it was prescribed. This medicine has been prescribed especially for you; Don't give it to others who may want to take birth control pills.

HEALTH BENEFITS OF ORAL CONTRACEPTIVES

In addition to preventing pregnancy, the use of oral contraceptives can have certain benefits.

They are:

• Menstrual cycles can become more regular.
• blood flow duringPeriodcan be lighter and less iron can be lost. For this reason,Anämiedue to iron deficiency is less common.
• Pain or other symptoms during menstruation may occur less frequently.
• ovary cystsmay be less common.
• ectopic(Tube) pregnancies can occur less frequently.
• Benign cysts or lumps in the breast may be less common.
• Acutefallopian tube inflammationmay be less common.
• The use of oral contraceptives can offer some protection against the development of two types of cancer: ovarian cancer and mucosal canceruterus.

If you want more information about birth control pills, ask your doctor or pharmacist. You have a more technical pamphlet called “Professional Labeling” that you might want to read.