If you are a Sunday starter, keep taking a pill every day until Sunday. If you miss two active pills in a row in Week 3, throw out the rest of the pack and start a new pack the same day if you are a Day 1 starter. Use back-up birth control for at least 7 days following the missed pills. Then take one pill per day for the rest of the pack. If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. If you miss one active pill, take two pills on the day that you remember. Missing a pill increases your risk of becoming pregnant. Store this medicine at room temperature away from moisture and heat.įollow the patient instructions provided with your medicine. While taking birth control pills, you will need to visit your doctor regularly. Any doctor or surgeon who treats you should know that you are using birth control pills. If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Tell your doctor if this bleeding continues or is very heavy. You may have breakthrough bleeding, especially during the first 3 months. Use a back-up birth control if you are sick with severe vomiting or diarrhea. Your period will usually begin while you are using these reminder pills. Some birth control packs contain seven "reminder" pills to keep you on your regular cycle. Get your prescription refilled before you run out of pills completely. You may get pregnant if you do not take one pill daily. When the pills run out, start a new pack the following day.
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Take one pill every day, no more than 24 hours apart. You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medicine. Take your first pill on the first day of your period or on the first Sunday after your period begins. You should not breast-feed while using this medicine.įollow all directions on your prescription label and read all medication guides or instruction sheets. fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.Įthinyl estradiol and levonorgestrel can slow breast milk production.high cholesterol or triglycerides, or if you are overweight.heart disease, high blood pressure, or if you are prone to having blood clots.if you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Technivie).a history of jaundice caused by pregnancy or birth control pills or.severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35.unusual vaginal bleeding that has not been checked by a doctor.a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina.circulation problems (especially if caused by diabetes).an increased risk of having blood clots due to a heart problem or a hereditary blood disorder.heart disease (chest pain, coronary artery disease, history of heart attack, stroke, or blood clot).untreated or uncontrolled high blood pressure.You should not take birth control pills if you have: If you have recently had a baby, wait at least 4 weeks before taking birth control pills. Stop using this medicine and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. You should not take combination birth control pills if you smoke and are over 35 years old.ĭo not use if you are pregnant. Your risk increases the older you are and the more you smoke. Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk is also high when you restart this medicine after not taking it for 4 weeks or longer. Your risk of stroke or blood clot is highest during your first year of taking birth control pills.
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You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Taking this medicine can increase your risk of blood clots, stroke, or heart attack.