NORDETTE
Oral contraceptives come in a variety of formulations. The main division is between combined oral contraceptive pills, containing both estrogen and progesterone, and progesterone only pills (mini-pills). Combined oral contraceptive pills also come in varying types, including varying doses of estrogen, and whether the dose of estrogen or progesterone changes from week to week.
Enpresse should be taken with food in order to avoid an upset stomach. You should try to take the drug at the same time each day, which will help you develop that habit. Itís important to be familiar with all the usage information for your medication and to follow your dosing schedule. Talk to your doctor or pharmacist about any questions you have. During the first week on this medication you must use a supplemental birth control, since it will not be effective yet. If you are using this as a imorning afterî pill, follow your doctorís instructions exactly. Taking Nordette will prevent pregnancy or regulate menstrual cycles. This pill may also be used as a imorning afterî pill or as a treatment for acne. Your doctor can tell you more about these options. Birth control pills will not protect you from sexually transmitted diseases such as HIV and gonorrhea.  Using Nordette while smoking cigarettes is not recommended. Combining cigarette use with this drug raises your chances of experiencing heart problems. This chances are higher among women who smoke more than 15 cigarettes a day as well as women over 35. |
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Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication. Studies of those taking Nordette have shown mild side effects are possible, including bloating, stomach upset, dizziness, lightheadedness, headache, or nausea. While these effects should be temporary, talk to your doctor if they are bothersome. You should make sure to discuss any severe side effects such as lumps in the breast, sudden severe headache, severe depression, shortness of breath, chest pain, weakness or tingling in the arms or legs, yellowing of the eyes or skin. If you notice any side effects that are not listed here, mention them to your doctor. Before you take this medication, tell your doctor your entire medical history, including family medical history, especially: asthma, high blood pressure, kidney disease, liver heart disease, stroke, history of jaundice (yellowing skin/eyes) or high blood pressure during pregnancy, excessive weight gain or fluid retention during menstrual cycle, blood clots, heart attack, seizures, migraine headaches, breast cancer, high blood level of cholesterol or lipids (fats), diabetes, depression. Depending on strength, this drug may cause a patchy, darkening of the skin on the face (melasma). Higher strengths are more likely to cause melasma. Sunlight may intensify this darkening and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding use of sunscreens and protective clothing. It may take a long time for you to become pregnant after you stop taking birth control pills. Consult your doctor. Do not smoke cigarettes. Birth-control pills slightly increase your risk of strokes, blood clots, high blood pressure, heart attacks, gallbladder disease, vision problems, and liver tumors. Cigarette smoking (especially 15 or more cigarettes daily) and age (women older than 35/smokers or 40/nonsmokers years of age) further increase the risk of stroke, blood clots, high blood pressure and heart attacks. Ask your pharmacist or doctor for a copy of the patient labeling which explains these risks in more detail. Consult your doctor for any questions, including possible use in nonsmokers over 40 years of age. If you are near-sighted or wear contact lenses, you may develop vision problems. Also, your tolerance of the lenses may decrease. Contact your eye doctor if these problems occur. Before having surgery, including dental surgery, tell the doctor that you take birth control pills. This drug must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. This medication passes into breast milk. This may affect milk production and may have harmful effects on a nursing infant. Consult your doctor before breast-feeding. Store Nordette out of the reach of children. It should be kept in a cool, dark place. When you are talking to your doctor about Enpresse, he or she needs to know all prescription or nonprescription drugs you regularly use. Some products can cause your birth control pills to be less effective. Examples of these drugs include nevirapine, griseofulvin, many antibiotics (e.g., penicillins, macrolides, tetracyclines, sulfas, cephalosporins), St John's wort, modafinil, many seizure medications (e.g., phenytoin, barbiturates, primidone, chloramphenicol, carbamazepine), dapsone, rifamycins (e.g., rifampin), nelfinavir, ritonavir, troglitazone. Discuss alternate forms of birth control with your doctor if you are using any of these drugs. There are other medications that your doctor should be aware of, such as certain benzodiazepines (e.g., diazepam, chlordiazepoxide), thyroid hormone drugs, certain antidepressants (e.g., tricyclics), "blood thinners" (anticoagulants such as warfarin), prednisone-like drugs, beta-blockers (e.g., metoprolol), and insulin. Make sure that any laboratory personnel are aware that you are taking this medication, because it can alter test results, especially thyroid tests. Never begin or stop taking any medication unless your doctor approves.
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