Ethinyl estradiol and ethynodiol diacetate

Generic name: Ethinyl Estradiol And Ethynodiol Diacetate
Dosage form: oral tablet (35 mcg-1 mg; 50 mcg-1 mg)
Drug class: Contraceptives

Usage of Ethinyl estradiol and ethynodiol diacetate

Ethinyl estradiol and ethynodiol diacetate is a combination birth control pill containing female hormones that prevent ovulation (the release of an egg from an ovary). ethinyl estradiol and ethynodiol diacetate also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.

Ethinyl estradiol and ethynodiol diacetate is used to prevent pregnancy.

Ethinyl estradiol and ethynodiol diacetate may also be used for purposes not listed in this medication guide.

Ethinyl estradiol and ethynodiol diacetate side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Birth control pills may cause serious side effects. Stop using birth control pills and call your doctor at once if you have:

  • signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance;
  • signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs;
  • heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;
  • liver problems--loss of appetite, upper stomach pain, tiredness, fever, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • increased blood pressure--severe headache, blurred vision, pounding in your neck or ears;
  • swelling in your hands, ankles, or feet;
  • changes in the pattern or severity of migraine headaches;
  • a breast lump; or
  • symptoms of depression--sleep problems, weakness, tired feeling, mood changes.
  • Common side effects of ethinyl estradiol and ethynodiol diacetate may include:

  • nausea, vomiting (especially when you first start taking this medicine);
  • breast tenderness;
  • breakthrough bleeding;
  • acne, darkening of facial skin;
  • weight gain; or
  • problems with contact lenses.
  • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Ethinyl estradiol and ethynodiol diacetate

    Taking birth control pills can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of taking birth control pills. Your risk is also high when you restart birth control pills after not taking them for 4 weeks or longer.

    Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke. You should not take combination birth control pills if you smoke and are over 35 years old.

    Do not use if you are pregnant. Stop taking ethinyl estradiol and ethynodiol diacetate and tell your doctor if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills.

    You should not take birth control pills if you have:

  • untreated or uncontrolled high blood pressure;
  • heart disease (coronary artery disease, uncontrolled heart valve disorder, history of heart attack, stroke, or blood clot);
  • an increased risk of having blood clots due to a heart problem or a hereditary blood disorder;
  • circulation problems (especially if caused by diabetes);
  • a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina;
  • unusual vaginal bleeding that has not been checked by a doctor;
  • liver disease or liver cancer;
  • severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35;
  • a history of jaundice caused by pregnancy or birth control pills;
  • if you smoke and are over 35 years old; or
  • if you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Technivie).
  • To make sure birth control pills are safe for you, tell your doctor if you have ever had:

  • heart disease, high blood pressure, or if you are prone to having blood clots;
  • varicose veins;
  • high cholesterol or triglycerides, or if you are overweight;
  • depression;
  • migraine headaches;
  • diabetes, gallbladder disease;
  • seizures or epilepsy;
  • kidney disease;
  • irregular menstrual cycles;
  • tuberculosis; or
  • fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.
  • The hormones in birth control pills can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby.

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    How to use Ethinyl estradiol and ethynodiol diacetate

    Usual Adult Dose for Contraception:

    Ethinyl estradiol-ethynodiol products are packaged in 21 or 28 day dosage preparations. The last seven tablets in 28 day dosage preparations are hormonally inert.1 tablet orally at the same time once a day -Begin on the first day of menstrual period (Day 1 start) If the start date of the initial cycle is any day other than the first day of the menstrual cycle, this drug should not be considered effective as a contraceptive until after the first 7 consecutive days of administration have been completed; a non-hormonal contraceptive should be used as back-up during these first 7 days Comments: -This drug should be taken in the order directed on the package at the same time each day-The possibility of ovulation and conception prior to initiation should be considered. Use: This drug is indicated in women to prevent pregnancy.

    Usual Pediatric Dose for Contraception:

    Ethinyl estradiol-ethynodiol products are packaged in 21 or 28 day dosage preparations. The last seven tablets in 28 day dosage preparations are hormonally inert.Postpubertal adolescents: 1 tablet orally at the same time once a day -Begin on the first day of menstrual period (Day 1 start) If the start date of the initial cycle is any day other than the first day of the menstrual cycle, this drug should not be considered effective as a contraceptive until after the first 7 consecutive days of administration have been completed; a non-hormonal contraceptive should be used as back-up during these first 7 days Comments: -This drug should be taken in the order directed on the package at the same time each day-The possibility of ovulation and conception prior to initiation should be considered. Use: This drug is indicated in women to prevent pregnancy.

    Warnings

    Do not use birth control pills if you are pregnant or if you have recently had a baby.

    You should not use birth control pills if you have: uncontrolled high blood pressure, heart disease, coronary artery disease, circulation problems (especially with diabetes), undiagnosed vaginal bleeding, liver disease or liver cancer, severe migraine headaches, if you also take certain hepatitis C medication, if you will have major surgery, if you smoke and are over 35, or if you have ever had a heart attack, a stroke, a blood clot, jaundice caused by pregnancy or birth control pills, or cancer of the breast, uterus/cervix, or vagina.

    Taking birth control pills can increase your risk of blood clots, stroke, or heart attack.

    Smoking can greatly increase your risk of blood clots, stroke, or heart attack. You should not take birth control pills if you smoke and are over 35 years old.

    What other drugs will affect Ethinyl estradiol and ethynodiol diacetate

    Other drugs may interact with birth control pills, including prescription and over-the-counter medicines, vitamins, and herbal products. Some drugs can make birth control pills less effective, which may result in pregnancy. Tell your doctor about all your current medicines and any medicine you start or stop using.

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