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NORGESTIMATE; ETHINYL ESTRADIOL (nor JES ti mate; ETH in il es tra DYE ole) prevents ovulation and pregnancy. It may also be used to treat acne. It belongs to a group of medications called oral contraceptives. It is a combination of the hormones estrogen and progestin.
Take this medication by mouth. To reduce nausea, it can be taken with food. Follow the directions on the prescription label. 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.
Contact your care team about the use of this medication in children. Special care may be needed. This medication has been used in children who have started having menstrual periods.
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.
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
They need to know if you have or ever had any of these conditions:
Do not take this medication with the following:
This medication may also interact with the following:
If you miss a dose, refer to the patient information sheet you received with your medication for directions on what to do. If you miss more than one dose, this medication may not be as effective, and you may need to use another form of birth control.
Visit your health care provider for regular checks on your progress. You will need a regular breast and pelvic exam and Pap smear while on this medication. You should also discuss the need for regular mammograms with your health care provider, and follow his or her guidelines for these tests.
This medication can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your health care provider if you feel you are retaining fluid.
Use an additional method of contraception during the first cycle that you take these tablets.
If you have any reason to think you are pregnant, stop taking this medication right away and contact your health care provider.
If you are taking this medication for hormone related problems, it may take several cycles to see improvement in your condition.
Do not use this product if you smoke and are over 35 years of age. Smoking increases the risk of getting a blood clot or having a stroke while you are taking birth control pills, especially if you are more than 35 years old. If you are a smoker who is 35 years of age or younger, you are strongly advised not to smoke while taking birth control pills.
This medication 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 medications you are taking.
If you are going to have elective surgery, you may need to stop taking this medication before the surgery. Consult your health care provider for advice.
This medication does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.
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