Seasonale
Order Seasonale 0.15 mg (3 months) - 91 Tabs
Order Seasonale 0.15 mg (6 months) - 182 Tabs
Why is this medication prescribed? Oral
contraceptives (birth-control pills) are used to prevent
pregnancy. Estrogen and progestin are two female sex hormones.
Combinations of estrogen and progestin work by preventing the
release of eggs from the ovaries (ovulation) and changing the
cervical mucus and the lining of the uterus. Oral
contraceptives are a very effective method of birth control,
but they do not prevent the spread of AIDS and other sexually
transmitted diseases.
How should this medicine be used? Oral
contraceptives come in packets of 21 or 28 tablets to take by
mouth once a day. To avoid upset stomach, take oral
contraceptives 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 additional method
of birth control until you have correctly taken 7 days' worth
of medicine.
If you have a 21-tablet packet, take one tablet daily for 21
days and then none for seven days. Then start a new packet.
If you have a 28-tablet packet, take one tablet daily for 28
days. The last seven tablets are a different color. These
tablets are not birth-control pills; they contain iron (ferrous
fumarate) or an inactive ingredient. You should take one tablet
daily continuously for 28 days in the order specified in your
packet, starting a new packet the day after taking your 28th
tablet.
Follow the directions on your prescription label carefully
concerning when to take your first tablet (on the first or
fifth day of your menstrual period or on the first Sunday after
or on which bleeding begins). Take the oral contraceptive
exactly as directed. Do not take more or less of it or take it
more often than prescribed by your doctor. Do not stop taking
this medicine without talking to your doctor.
If you have recently given birth, wait until 4 weeks after
giving birth to begin taking oral contraceptives.
Before taking oral contraceptives, ask your pharmacist or
doctor for a copy of the manufacturer's information for the
patient and read it carefully.
Other uses for this medicine
This medication may be prescribed for other uses; ask your
doctor or pharmacist for more information.
What special precautions should I
follow?
Before taking oral contraceptives, 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, vitamins, and nutritional
supplements you are taking. Be sure to mention any of the
following: acetaminophen (APAP, Tylenol); antibiotics;
anticoagulants ('blood thinners') such as warfarin (Coumadin);
atorvastatin (Lipitor); clofibrate (Atromid-S); cyclosporine
(Neoral, Sandimmune); griseofulvin (Fulvicin, Grifulvin,
Grisactin); HIV protease inhibitors such as indinavir
(Crixivan) and ritonavir (Norvir); medications for seizures
such as carbamazepine (Tegretol), phenobarbital (Luminal,
Solfoton), phenytoin (Dilantin), and topiramate (Topamax);
morphine (Kadian, MS Contin, MSIR, others); oral steroids such
as dexamethasone (Decadron, Dexone), methylprednisolone
(Medrol), prednisone (Deltasone), and prednisolone (Prelone);
phenylbutazone; rifabutin (Mycobutin); rifampin (Rifadin,
Rimactane); temazepam (Restoril); theophylline (Theobid,
Theo-Dur); and thyroid medication such as levothyroxine
(Levothroid, Levoxyl, Synthroid). Before taking Yasmin, tell
your doctor and pharmacist if you are taking
angiotensin-converting enzyme (ACE) inhibitors such as
benazepril (Lotensin), enalapril (Vasotec), and lisinopril
(Prinivil, Zestril); angiotensin II antagonists such as
irbesartan (Avapro), losartan (Cozaar), and valsartan (Diovan);
aspirin and other nonsteroidal anti-inflammatory medications
(NSAIDS) such as ibuprofen (Advil, Motrin) and naproxen (Aleve,
Naprosyn); diuretics ('water pills') such as amiloride
(Midamor), spironolactone (Aldactone), and triamterene
(Dyrenium); or heparin. Your doctor may need to change the
doses of your medications or monitor you carefully for side
effects.
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 lumps or
cancer; endometrial cancer; high blood pressure; high blood
cholesterol and fats; diabetes (high blood sugar); asthma;
stroke; blood clots; toxemia (high blood pressure during
pregnancy); heart attack; epilepsy (seizures); migraine
headaches; depression; liver, heart, gallbladder, or kidney
disease; adrenal insufficiency (for Yasmin); jaundice
(yellowing of the skin or eyes); vaginal bleeding between
menstrual periods; and excessive weight gain and fluid
retention (bloating) during the menstrual cycle.
Do not take oral contraceptives if you are pregnant, plan to
become pregnant, or are breast-feeding. If you become pregnant
while taking oral contraceptives, call your doctor
immediately.
If you are having surgery, including dental surgery, tell the
doctor or dentist that you are taking oral contraceptives.
Tell your doctor and pharmacist if you wear contact lenses. If
you notice changes in vision or ability to wear your lenses
while taking hormone replacement therapy, see an eye
doctor.
What special dietary instructions should I
follow?
Unless your doctor tells you otherwise, continue your normal
diet.
What should I do if I forget a dose?
If you miss doses of your oral contraceptive, you may be at
risk for becoming pregnant. Instructions about missed doses are
different for different products. Carefully read the
instructions in the manufacturer's information for the patient.
If you have any questions, call your doctor or pharmacist. If
you miss pills, you may need to use a backup method of birth
control for 7 days or until the end of the cycle.
What side effects can this medication
cause? Oral contraceptives 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
diarrhea
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 legs (fluid
retention)
hair growth in unusual places
bleeding or spotting between menstrual periods
changes in menstrual flow
painful or missed periods
breast tenderness, enlargement, or discharge
difficulty wearing contact lenses
Some side effects can be seious. The following symptoms are
uncommon, but if you experience any of them, call your doctor
immediately:
severe headache
shortness of breath
severe vomiting
partial or complete loss of vision
double vision
speech problems
dizziness or faintness
weakness or numbness of an arm or leg
crushing chest pain or chest heaviness
coughing up blood
calf pain
severe stomach pain
yellowing of the skin or eyes
severe depression
unusual bleeding
loss of appetite
extreme tiredness, weakness, or lack of energy
fever
dark-colored urine
light-colored stool
rash.
Oral contraceptives may increase the risk of developing
endometrial and breast cancer, gallbladder disease, liver
tumors, heart attack, stroke, and blood clots. Talk to your
doctor about the risks of taking this medication.
Oral contraceptives may cause other side effects. Call your
doctor if you have any unusual problems while taking this
medication.
What storage conditions are needed for this
medicine? Keep this medication in the packet it
came in, tightly closed, and out of reach of children. Store it
at room temperature and away from excess heat and moisture (not
in the bathroom). Throw away any medication that is outdated or
no longer needed. Talk to your pharmacist about the proper
disposal of your medication.
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