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 exams and Pap smears while on this medicine.
Use an additional method of contraception during the first cycle that you take 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.
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.
Side Effects to watch for
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breast tissue changes or discharge
- changes in vaginal bleeding during your period or between your periods
- changes in vision
- chest pain
- coughing up blood
- feeling faint or lightheaded
- headaches or migraines
- leg, arm or groin pain
- loss of balance or coordination
- severe or sudden headaches
- severe stomach pain
- sudden shortness of breath
- sudden numbness or weakness of the face, arm or leg
- symptoms of vaginal infection like itching, irritation or unusual discharge
- tenderness in the upper abdomen
- trouble speaking or understanding
- yellowing of the eyes or skin
Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):
What may interact with this drug?
- antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and griseofulvin, and possibly penicillins or tetracyclines
- ascorbic acid (vitamin C)
- barbiturate medicines, such as phenobarbital
- grapefruit juice
- medicines for anxiety or sleeping problems, such as diazepam or temazepam
- medicines for diabetes, including pioglitazone
- mineral oil
- ritonavir or other medicines for HIV infection or AIDS
- soy isoflavones supplements
- St. John's wort
- tamoxifen or raloxifene
- thyroid hormones