Mircette
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Mircette
(desogestrel/ethinyl estradiol and
ethinyl estradiol) Tablets has excellent cycle control
as demonstrated by clinical trials. The regimen begins
with 21 days of 20 mcg ethinyl estradiol and 150 mcg
desogestrel. The last seven days in the cycle start with
two days of placebo pills, followed by five days of 10
mcg ethinyl estradiol pills.
How To Use:
Take mircette pills by mouth. Before
you start taking these pills decide what is a suitable
time of day and always take them at the same time of day
and in the order directed. Swallow the pills with a
drink of water. Take with food to reduce stomach upset.
Do not take more often than directed.
Most products (except Mircette) contain a 21-day
supply of pills containing the active ingredients. Some
products contain an additional 7 pills containing iron
or inactive ingredients to be taken during the week of
menstruation; this reduces the chance of missing the
first day of the next cycle. Most products are to be
started on the first Sunday after you start your period
or on the first day of your period. You may need to ask
your health care provider which day you should start
your packet.
If you are taking the Mircette product, most of the
28 tablets contain active hormones. This product should
be started on the first Sunday after you start your
period or on the first day of your period.
Before starting this medication, read the paper on
your prescription provided by your pharmacist. This
paper will tell you about the specific product you are
taking. Make certain you understand the instructions.
Keep an extra month's supply of your pills available
to ensure that you will not miss the first day of the
next cycle.
Contact your pediatrician or health care professional
regarding the use of this medicine in children. Special
care may be needed.
Side Effects:
Severe side effects are
relatively rare in women who are healthy and do not
smoke while they are taking oral contraceptives. On
average, more women have problems due to complications
from getting pregnant than have problems with oral
contraceptives. Many of the minor side effects may go
away as your body adjusts to the medicine. However, the
potential for severe side effects does exist and you may
want to discuss these with your health care provider.
The following symptoms or side effects may be related
to blood clots and require immediate medical or
emergency help: chest pain; coughing up blood; dizziness
or fainting spells; 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; swelling of the
hands, feet or ankles, or rapid weight gain; vision or
speech problems; weakness or numbness in the arms or
legs, especially on one side of the body.
Other serious side effects are rare. Contact your
health care provider as soon as you can if the following
side effects occur: breast tissue changes or discharge;
changes in vaginal bleeding during your period or
between your periods; headaches or migraines; increases
in blood sugar, especially if you have diabetes;
increases in blood pressure, especially if you are known
to have high blood pressure; symptoms of vaginal
infection (itching, irritation or unusual discharge);
tenderness in the upper abdomen; vomiting; yellowing of
the eyes or skin.
Side effects that usually do not require medical
attention (report to your health care provider if they
continue or are bothersome): breakthrough bleeding and
spotting that continues beyond the 3 initial cycles of
pills; breast tenderness; mild stomach upset; mood
changes, anxiety, depression, frustration, anger, or
emotional outbursts; increased or decreased appetite;
increased sensitivity to sun or ultraviolet light;
nausea; skin rash, acne, or brown spots on the skin;
tiredness; weight gain.
Precautions:
Visit your health care provider for
regular checks on your progress. You should have a
complete check-up every 6 to 12 months. If you have any
unusual vaginal bleeding contact your prescriber or
health care professional for advice. If you miss a
period, the possibility of pregnancy must be considered.
See your prescriber or health care provider as soon as
you can.
Use an additional method of contraception during the
first cycle that you take these tablets.
If you stop taking these tablets and want to get
pregnant, a return to normal ovulation can take some
time. You may not return to normal ovulation and
fertility for 3 to 6 months. Discuss your pregnancy
plans with your health care provider.
If you are taking oral contraceptives for the
treatment of acne, hirsutism (male-like hair growth),
endometriosis or other hormone related problems, it may
take several months of continued treatment to notice
improvement in your symptoms or condition.
Tobacco smoking increases the risk of getting a blood
clot or having a stroke while you are taking mircette,
especially if you are more than 35 years old. You are
strongly advised not to smoke.
Oral contraceptives can increase your sensitivity to
the sun and you may burn more easily. Use sunscreen and
protective clothing during long periods outdoors.
Tanning booths should be used with caution.
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.
You may get a vaginal yeast infection. If you have
never had a yeast infection before, see your prescriber
or other health care provider to confirm the problem. If
you have had yeast infections in the past and are
comfortable with self-medicating the problem, get and
use a nonprescription medication to treat the yeast
infection.
If you are going to have elective surgery, you may
need to stop taking your contraceptive pills one month
beforehand. Consult your health care professional for
advice prior to scheduling the surgery.
Taking contraceptive pills does not protect you
against HIV infection (AIDS) or any other sexually
transmitted diseases.
Drug Interactions:
Antibiotics or medicines for
infections, especially rifampin, rifabutin, rifapentine,
and griseofulvin; aprepitant, a medicine used for
chemotherapy-induced nausea and vomiting; barbiturate
medicines for producing sleep or treating seizures
(convulsions); bosentan; carbamazepine; caffeine;
clofibrate; cyclosporine; dantrolene; grapefruit juice;
hydrocortisone; medicines for anxiety or sleeping
problems, such as diazepam or temazepam; medicines for
mental depression; medicines for diabetes, including
troglitazone and pioglitazone; mineral oil; modafinil;
mycophenolate; nefazodone; oxcarbazepine; phenytoin;
prednisolone; ritonavir or other medicines for the
treatment of the HIV virus or AIDS; selegiline; soy
isoflavones supplements; St. John's wort; tamoxifen or
raloxifene; theophylline; topiramate; warfarin.
Tell your prescriber or health care professional
about all other medicines you are taking, including
non-prescription medicines, nutritional supplements, or
herbal products. Also tell your prescriber or health
care professional if you are a frequent user of drinks
with caffeine or alcohol, if you smoke, or if you use
illegal drugs. These may affect the way your medicine
works. Check before stopping or starting any of your
medicines.
Notes:
Prescriber needs to know if you have or
ever had any of these conditions: blood clots; blood
sugar problems, like diabetes; cancer of the breast,
cervix, ovary, uterus, vagina, or unusual vaginal
bleeding that has not been evaluated by a health care
professional; depression; fibroids; gallbladder disease;
heart or circulation problems; high blood pressure;
jaundice; liver disease; menstrual problems; migraine
headaches; tobacco smoker; stroke; an unusual or
allergic reaction to estrogen/progestin, other hormones,
medicines, foods, dyes, or preservatives; pregnant or
trying to get pregnant; breast-feeding.
Missed Dose:
Try not to miss a dose. If you do,
it may be necessary to consult your health care
professional, especially if you are taking Mircette.
For all products (except Mircette) 21-day schedule:
If you miss one dose, take it as soon as you remember
and then take the next pill at the regular time as
usual. You may take 2 tablets in one day. If you miss
two doses (days) in a row, take 2 tablets for the next 2
days, then, continue with your regular schedule.
Whenever 1 or 2 doses are missed, you should use a
second method of contraception for the next 7 days in
addition to taking the pills. If you miss three doses in
a row, you should notify your physician or other health
care professional for instructions. You will probably
need to throw away the rest of the tablets in that cycle
pack and start over. Another method of contraception
should be used until at least 7 doses have been taken in
the new cycle. Missing a pill can cause spotting or
light bleeding. Make sure that no more than 7 days pass
at the end of the 21 day cycle, before you start your
next pack of pills.
28-day schedule: Follow the same directions as above
for the first 21 days of the schedule. If you miss 1 of
the last 7 pills, you can either double the dose or skip
it, but it is important to start the next month's cycle
on the scheduled day.
For Mircette:
You will need to contact your
health care provider for specific instructions based on
which tablets have been missed, for how many days they
have been missed, and based on what week of your current
cycle you are currently taking tablets.
Storage:
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C
(59 and 86 degrees F). Keep container tightly closed.
Throw away any unused medicine after the expiration
date.
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