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How to Use

Ortho tricyclen come in packets of 21 or 28 tablets to take by mouth once a day. To avoid upset stomach, take Ortho tricyclen with food or milk. Take the tablet routinely at the same time every day (e .g., after dinner or at bedtime) to help you remember to take the tablet regularly. Missing doses increases your risk of becoming pregnant.

When first starting on this medicine, use an additi onal method of birth control until you have correctly taken 7 days' worth of medicine.

Precautions Before Using This Medicine

Liver disease (or history of, including jaundice during pregnancy or oral contraceptive use) or
- Mental depression (or history of)¡XOrtho tricyclen may make these conditions worse or, rarely, ca se them to occur again. Ortho tricyclen may still be a good choice but you may need to be tested more often
- Diabetes mellitus (sugar diabetes)¡XUse of Ortho tricyclen may cause an increase, usu lly only a small increase, in your blood sugar and usually does not affect the amount of diabetes medicine that you take.
- Epilepsy (seizures) (or history of) or
- Heart or circulation prob lems or
- High blood pressure (hypertension) or

How to Use

Take this medicine with food to help prevent nausea that might occur during the first few weeks. Nausea usually disappears with continued use or if the medicine is taken at bedtime.

When you begin to use Ortho tricyclen, your body will require at least 7 days to adjust before a pregnancy will be prevented. You will need to use an additional birth control method for at least 7 days. Some d octors recommend using an additional method of birth control for the first cycle (or 3 weeks) to ensure full protection. Follow the advice of your doctor or other health care professional.

Tr y to take the doses no more than 24 hours apart to reduce the possibility of side effects and to prevent pregnancy.

Special warnings about this medication

Vaginal bleeding of various amounts may occur between your regular menstrual periods during the first 3 months of use. This is sometimes called spotting when slight, or breakthrough bleeding when heav ier. If this should occur:

- Continue on your regular dosing schedule.
- The bleeding usually stops within 1 week.
- Check with your doctor if the bleeding continues for more than 1 week.
- After you have been taking Ortho tricyclen on schedule and for more than 3 months and bleeding continues, check with your doctor

What side effects may occur?

Ortho tricyclen may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
-
- upset stomach
- vomiting
- stomach cramps or bloating
- dia rrhea
- constipation
- gingivitis (swelling of the gum tissue)
- weight gain or weight loss
- brown or black skin patches
- acne
- swelling of the hands, feet, or lower l egs (fluid retention)
- hair growth in unusual places
- bleeding or spotting between menstrual periods
- changes in menstrual flow
- painful or missed periods
- breast tendern ess, enlargement, or discharge
- difficulty wearing contact lenses

Other medical problems

- tell your doctor and pharmacist if you are allergic to estrogen, progestin, or any other medications.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitami ns, and nutritional supplements you are taking.
- tell your doctor what herbal products you are taking, especially St. John's wort.
- tell your doctor if you have or have ever had breast lump s or cancer;
- do not take Ortho tricyclen if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Ortho tricyclen, call your doctor immediately. < br> - if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Ortho tricyclen.


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