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.
Use an additional method of contraception during the first cycle that you take these tablets.
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.
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 vision
- chest pain
- confusion, trouble speaking or understanding
- dark urine
- general ill feeling or flu-like symptoms
- light-colored stools
- nausea, vomiting
- pain, swelling, warmth in the leg
- right upper belly pain
- severe headaches
- shortness of breath
- sudden numbness or weakness of the face, arm or leg
- trouble walking, dizziness, loss of balance or coordination
- unusual vaginal bleeding
- yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- back pain
- breast tenderness
- depressed mood or mood swings
- hair loss
- increased hunger or thirst
- increased urination
- fluid retention and swelling
- stomach cramps or bloating
- symptoms of vaginal infection like itching, irritation or unusual discharge
- unusually weak or tired
What may interact with this drug?
Do not take this medicine with the following medication:
- dasabuvir; ombitasvir; paritaprevir; ritonavir
- ombitasvir; paritaprevir; ritonavir
This medicine may also interact with the following medications:
- acetaminophen
- antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and griseofulvin, and possibly penicillins or tetracyclines
- aprepitant
- ascorbic acid (vitamin C)
- atorvastatin
- barbiturate medicines, such as phenobarbital
- bosentan
- carbamazepine
- caffeine
- clofibrate
- cyclosporine
- dantrolene
- doxercalciferol
- felbamate
- grapefruit juice
- hydrocortisone
- medicines for anxiety or sleeping problems, such as diazepam or temazepam
- medicines for diabetes, including pioglitazone
- mineral oil
- modafinil
- mycophenolate
- nefazodone
- oxcarbazepine
- phenytoin
- prednisolone
- ritonavir or other medicines for HIV infection or AIDS
- rosuvastatin
- selegiline
- soy isoflavones supplements
- St. John's wort
- tamoxifen or raloxifene
- theophylline
- thyroid hormones
- topiramate
- warfarin
