Before using
WARNING: Smoking cigarettes while using this medicine
increases your chance of having heart problems. Do not smoke
while using this medicine. Women greater than 35 years of age
and women who smoke 15 or more cigarettes per day are at a
greater risk for heart problems. Some medicines or medical
conditions may interact with this medicine. INFORM YOUR DOCTOR
OR PHARMACIST of all prescription and over-the-counter
medicine that you are taking. DO NOT TAKE THIS MEDICINE if you
are also taking azole antifungal medicines such as
ketoconazole or itraconazole, acitretin, aprepitant, bosetan,
barbiturates, griseofulvin, carbamazepine, topiramate,
tetracycline antibiotics, hydantoins such as phenytoin, St.
John's wort, or rifampin without talking with your doctor. An
increased risk of pregnancy has been identified when taking
these medicines with birth-control pills. Check with your
doctor or pharmacist for more information. ADDITIONAL
MONITORING OF YOUR DOSE OR CONDITION may be needed if you are
taking benzodiazepines, corticosteroids, felbamate, HIV
protease inhibitors, nevirapine, modafinil, beta-blockers such
as metoprolol or carvedilol, lamotrigine, pioglitazone,
penicillin antibiotics, theophylline, troglitazone,
troleandomycin, or medicine for seizures. DO NOT START OR STOP
any medicine without doctor or pharmacist approval. Inform
your doctor of any other medical conditions including cancer,
diabetes, headaches or migraines, high triglyceride level in
the blood, high blood pressure, recent surgery, allergies,
pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT
RECOMMENDED if you have a history of problems with the blood
vessels in the brain or heart, heart valve problems, heart
attack, uncontrolled high blood pressure, abnormal or
undiagnosed vaginal bleeding, certain cancers including breast
cancer, serious liver problems, blood clots, certain blood
disorders such as porphyria, stroke, or smoking. Contact your
doctor or pharmacist if you have any questions or concerns
about taking this medicine.
Directions
Follow the directions for using this medicine provided by your
doctor. This medicine comes with a patient information
leaflet. Read it carefully. Ask your doctor, nurse or
pharmacist any questions that you may have before using this
medicine. THIS MEDICINE MAY BE TAKEN on an empty stomach or
with food. TRY TO TAKE THIS MEDICINE at the same time every
day, not more than 24 hours apart. REMEMBER TO TAKE ALL of the
pills in the pack. Do not skip any doses. STORE THIS MEDICINE
at room temperature, away from heat and light. IF YOU MISS A
DOSE OF THIS MEDICINE, take it as soon as you remember. Take
your next dose at the regular time. This means you may take 2
doses on the same day. IF YOU MISS MORE THAN 1 DOSE OF THIS
MEDICINE, refer to the patient information that came with this
medicine.
Cautions
DO NOT TAKE THIS MEDICINE if you have had an allergic reaction
to it or are allergic to any ingredient in this product. KEEP
ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking
this medicine. You should have a complete physical
examination, including blood pressure measurements, breast and
pelvic examinations, and a PAP test (for vaginal cancer), at
least once a year. Follow your doctor's instructions for
examining your own breasts, and report any lumps immediately.
This medicine may affect certain lab test results. Make sure
laboratory personnel and your doctors know you use this
medicine. If you will be having surgery or will be confined to
a chair or bed for a long period of time (such as a long plane
flight), notify your doctor 3 to 4 weeks beforehand. Special
precautions may need to be taken in these circumstances while
you are taking this medicine. IF YOU MISS YOUR PERIOD during
the week of inactive pills, call your doctor immediately. A
missed period may indicate that you are pregnant. BLEEDING OR
SPOTTING may occur while taking this medicine. DO NOT STOP
taking this medicine if this occurs. If bleeding or spotting
continues for more than 7 days or is heavy, contact your
doctor. SMOKING CIGARETTES while using this medicine may
increase your risk of stroke, heart attack, blood clots, high
blood pressure, or other diseases of the heart and blood
vessels. TAKING CERTAIN ANTIBIOTICS or anticonvulsants while
you are using this medicine may decrease the effectiveness of
this medicine. To prevent pregnancy, use an additional form of
birth control until your next period. If you have any
questions, contact your doctor, nurse, or pharmacist. IF YOU
WEAR CONTACT LENSES and you develop problems with them,
contact your doctor. THIS MEDICINE MAY CAUSE dark skin patches
on your face. Exposure to the sun may make these patches
darker. If patches develop, use a sunscreen or protective
clothing when exposed to the sun, sunlamps, or tanning booths.
USE OF THIS MEDICINE WILL NOT PREVENT the spread of sexually
transmitted diseases (STDs). DO NOT USE THIS MEDICINE if you
are pregnant. IF YOU SUSPECT THAT YOU COULD BE PREGNANT,
contact your doctor immediately. THIS MEDICINE IS EXCRETED IN
BREAST MILK. DO NOT BREAST-FEED while you are taking this
medicine.
