Ethinyl estradiol and levonorgestrel extended-cycle
Generic name: Ethinyl Estradiol And Levonorgestrel (extended-cycle)
Dosage form: oral tablet (biphasic extended cycle; extended cycle 30 mcg-0.15 mg; low dose biphasic extended cycle; quadriphasic extended cycle)
Drug class:
Contraceptives
Usage of Ethinyl estradiol and levonorgestrel extended-cycle
Ethinyl estradiol and levonorgestrel extended-cycle is a combination drug that contains female hormones that prevent ovulation (the release of an egg from an ovary). ethinyl estradiol and levonorgestrel 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 levonorgestrel extended-cycle is used as contraception to prevent pregnancy.
Ethinyl estradiol and levonorgestrel extended-cycle may also be used for purposes not listed in this medication guide.
Ethinyl estradiol and levonorgestrel extended-cycle side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficulty 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:
Common side effects of ethinyl estradiol and levonorgestrel may include:
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 levonorgestrel extended-cycle
Taking this medicine 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 this medicine after not taking it 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 birth control pills if you smoke and are over 35 years old.
Do not use if you are pregnant. Stop using this medicine and tell your doctor right away 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:
Tell your doctor if you have ever had:
Ethinyl estradiol and levonorgestrel can slow breast milk production. You should not breast-feed while using this medicine.
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How to use Ethinyl estradiol and levonorgestrel extended-cycle
Usual Adult Dose for Contraception:
Oral tablets: 1 tablet orally once a day at the same time each day in the order directed on the blister packTransdermal System: Four week cycle: Apply 1 patch once a week for 3 consecutive weeks; no patch is to be worn during week 4, cycle is then repeatedComments: -To achieve maximal contraceptive efficacy, tablets should be taken at intervals not exceeding 24 hours.-Tablets may be started on the first Sunday after the onset of menstruation (Sunday Start) or on Day 1 of menstruation (Day 1 Start).-The first transdermal system should be applied during the first 24 hours of menstruation. Use: To prevent pregnancy. --Transdermal use is for women with a body mass index (BMI) of less than 30 kg/m2 as those with a BMI of 30 kg/m2 or greater may have reduced efficacy and may be at higher risk for venous thromboembolism events; consider reduced effectiveness in women with a BMI of 25 to less than 30 kg/m2
Usual Pediatric Dose for Contraception:
For postmenarchal females: Oral tablets: 1 tablet orally once a day at the same time each day in the order directed on the blister packTransdermal System: Four week cycle: Apply 1 patch once a week for 3 consecutive weeks; no patch is to be worn during week 4, cycle is then repeatedComments: -To achieve maximal contraceptive efficacy, tablets should be taken at intervals not exceeding 24 hours.-Tablets may be started on the first Sunday after the onset of menstruation (Sunday Start) or on Day 1 of menstruation (Day 1 Start).-The first transdermal system should be applied during the first 24 hours of menstruation. Use: To prevent pregnancy. --Transdermal use is for women with a body mass index (BMI) of less than 30 kg/m2 as those with a BMI of 30 kg/m2 or greater may have reduced efficacy and may be at higher risk for venous thromboembolism events; consider reduced effectiveness in women with a BMI of 25 to less than 30 kg/m2
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 ethinyl estradiol and levonorgestrel if you smoke and are over 35 years old.
What other drugs will affect Ethinyl estradiol and levonorgestrel extended-cycle
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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