Natazia Coupon - Natazia 28 tablets package

Estradiol Valerate And Dienogest

DIENOGEST; ESTRADIOL VALERATE is an oral contraceptive (birth control pill). This medicine combines two types of female hormones, an estrogen and a progestin. It is used to prevent ovulation and pregnancy. This medicine is also used to treat heavy menstruation (monthly periods) in women who also want to prevent pregnancy. Compare estrogen / progestin combinations.
Natazia Coupon - Natazia 28 tablets package

Natazia Side Effects

What should I watch for?

Visit your doctor or health care professional for regular checks on your progress. You will need a regular breast and pelvic exam and Pap smear while on this medicine.

If you have any reason to think you are pregnant, stop taking this medicine right away and contact your doctor or health care professional.

If you are taking this medicine for hormone related problems, it may take several cycles of use to see improvement in your condition.

Smoking increases the risk of getting a blood clot or having a stroke while you are taking birth control pills, especially if you are more than 35 years old. You are strongly advised not to smoke.

This medicine can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your doctor or health care professional if you feel you are retaining fluid.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.

In some women, tenderness, swelling, or minor bleeding of the gums may occur. Notify your dentist if this happens. Brushing and flossing your teeth regularly may help limit this. See your dentist regularly and inform your dentist of the medicines you are taking.

If you are going to have elective surgery, you may need to stop taking this medicine before the surgery. Consult your health care professional for advice.

This medicine does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.


Interactions with Medications

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Breast pain, discomfort, or tenderness

headache, severe and throbbing

irregular menstrual periods


normal menstrual bleeding occurring earlier, possibly lasting longer than expected



Abdominal or stomach pain


clay-colored stools

dark urine

difficulty with breathing





loss of appetite

pain in the chest, groin, or legs, especially the calves


slurred speech

sudden loss of coordination

sudden, severe weakness or numbness in the arm or leg

sudden, unexplained shortness of breath

unpleasant breath odor

unusual tiredness or weakness

vision changes

vomiting of blood

yellow eyes or skin

Incidence not known

Abdominal or stomach bloating


blood in the stool

chest pain or discomfort

decrease in the amount of urine




itching of the vagina or genitals

joint pain, stiffness, or swelling

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

noisy, rattling breathing

pain in the ankles or knees

pain or discomfort in the arms, jaw, back, or neck

pain, redness, or swelling in the arm or leg

painful, red lumps under the skin, mostly on the legs

pelvic pain

pounding in the ears

redness of the skin

shortness of breath

slow or fast heartbeat

stomach or pelvic discomfort, aching, or heaviness


swelling of the eyelids, face, lips, hands, lower legs, or feet

thick, white vaginal discharge with mild or no odor

tightness in the chest

troubled breathing at rest

troubled breathing or swallowing

upper right abdominal or stomach pain

weight gain


Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Blemishes on the skin

increased weight


Incidence not known

Patchy brown or dark brown discoloration of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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