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ETHINYL ESTRADIOL; LEVONORGESTREL (ETH in il es tra DYE ole; LEE voh nor jes trel) is an oral contraceptive. It combines two types of female hormones, an estrogen and a progestin. They are used to prevent ovulation and pregnancy.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
They need to know if you have or ever had any of these conditions:
abnormal vaginal bleeding
blood vessel disease or blood clots
breast, cervical, endometrial, ovarian, liver, or uterine cancer
heart disease or recent heart attack
high blood pressure
systemic lupus erythematosus (SLE)
an unusual or allergic reaction to estrogens, progestins, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Take this medicine by mouth. To reduce nausea, this medicine may be taken with food. Follow the directions on the prescription label. Take this medicine at the same time each day and in the order directed on the package. Do not take your medicine more often than directed.
Contact your pediatrician regarding the use of this medicine in children. Special care may be needed. This medicine has been used in female 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.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
If you miss a dose, refer to the patient information sheet you received with your medicine for direction. If you miss more than one pill, this medicine may not be as effective and you may need to use another form of birth control.
antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and griseofulvin, and possibly penicillins or tetracyclines
ascorbic acid (vitamin C)
barbiturate medicines, such as phenobarbital
medicines for anxiety or sleeping problems, such as diazepam or temazepam
medicines for diabetes, including pioglitazone
ritonavir or other medicines for HIV infection or AIDS
soy isoflavones supplements
St. John's wort
tamoxifen or raloxifene
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
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.
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 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.
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. You are strongly advised not to smoke.
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.
Side effects that you should report to your doctor or health care professional as soon as possible:
breast tissue changes or discharge
changes in vaginal bleeding during your period or between your periods
coughing up blood
dizziness or fainting spells
headaches or migraines
leg, arm or groin pain
severe or sudden headaches
stomach pain (severe)
sudden shortness of breath
sudden loss of coordination, especially on one side of the body
symptoms of vaginal infection like itching, irritation or unusual discharge
tenderness in the upper abdomen
weakness or numbness in the arms or legs, especially on one side of the body
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
breakthrough bleeding and spotting that continues beyond the 3 initial cycles of pills
mood changes, anxiety, depression, frustration, anger, or emotional outbursts
increased sensitivity to sun or ultraviolet light
skin rash, acne, or brown spots on the skin
weight gain (slight)
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
ETHINYL ESTRADIOL; LEVONORGESTREL (ETH in il es tra DYE ole; LEE voh nor jes trel) is an emergency contraceptive (birth control pill). It prevents pregnancy if taken within the 72 hours after unprotected sex. This medicine will not work if you are already pregnant.
NOTE: This product is discontinued in the United States.
blood sugar problems, like diabetes
cancer of the breast, cervix, ovary, uterus, vagina, or unusual vaginal bleeding
Take this medicine by mouth. Follow the instructions provided by your health care provider exactly. Your doctor may want you to use a quick-response pregnancy test prior to using the tablets. Take the first dose as soon as you can after having unprotected sex, preferably in the first 24 hours, but no later than 72 hours (3 days) after the event. You MUST take the second dose 12 hours after you take the first dose. Do not take any extra pills. Extra pills will not decrease your risk of pregnancy, but may increase your risk of side effects.
If you miss a dose or vomit within 1 hour of taking your dose, you MUST contact your health care professional for instructions.
Emergency birth control is not to be used routinely to prevent pregnancy. Discuss birth control options with your health care provider. Make a follow-up appointment to see your health care provider in 3 to 4 weeks after using this medicine.
It is common to have spotting after using this medicine. If you miss your next period, the possibility of pregnancy must be considered. See your health care professional as soon as you can and get a pregnancy test.
Severe side effects are not common. However, the potential for severe side effects may exist and you may want to discuss these with your health care provider.
abdominal pain or cramping
nausea/vomiting (report any vomiting that occurs within 1 hour of a dose)
Bayhealth is Southern Delaware’s healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss and women’s services.