What is Estradiol Valerate and Dienogest?

They need to know if you have any of these conditions:

• Abnormal vaginal bleeding
• Blood vessel disease or blood clots
• Breast, cervical, endometrial, ovarian, liver, or uterine cancer
• Diabetes (high blood sugar)
• Gallbladder disease
• Heart disease or recent heart attack
• High blood pressure
• High cholesterol
• Kidney disease
• Liver disease or liver cancer
• Mental illness
• Migraine headaches
• Stroke
• Swelling of the face or tongue
• Systemic lupus erythematosus (SLE)
• Tobacco smoker
• An unusual or allergic reaction to estrogens, progestins, or other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-feeding

Take this medication by mouth. Follow the directions on the prescription label. You can take it with or without food. If it upsets your stomach, take it with food. Take this medication at the same time each day and in the order directed on the package. Do not take your medication more often than directed.

A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

Talk to your care team about the use of this medication in children. Special care may be needed. This medication has been used in adolescents who have started having menstrual periods.

If you miss a dose, refer to the patient information sheet you received with your medication for direction. If you miss more than one pill, this medication may not be as effective and you may need to use another form of contraception.

Keep out of the reach of children and pets.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date.