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.
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.
Common and Rare Side Effects
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:
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
difficulty with breathing
loss of appetite
pain in the chest, groin, or legs, especially the calves
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
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
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
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:
Blemishes on the skin
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.