Ortho Tri-Cyclen - Women'S Health
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What side effects may occur?
Healthy women who do not smoke cigarettes have almost no chance of having a severe side effect from taking Ortho tricyclen. For most women, more problems occur because of pregnancy than will occur fro m taking Ortho tricyclen. But for some women who have special health problems, Ortho tricyclen can cause some unwanted effects. Some of these unwanted effects include benign (not cancerous) liver tumo rs, liver cancer, or blood clots or related problems, such as a stroke. Although these effects are very rare, they can be serious enough to cause death. You may want to discuss these effects with your doctor.

If you suspect that you may have become pregnant, stop taking this medicine immediately and check with your doctor.

Proper Use of This Medicine
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.

What is this Drug
Ortho tricyclen (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 f rom the ovaries (ovulation) and changing the cervical mucus and the lining of the uterus. Ortho tricyclen are a very effective method of birth control, but they do not prevent the spread of AIDS and o ther sexually transmitted diseases.

Proper Use of This Medicine
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.

Attention
If you miss one menstrual period and have taken your tablets as directed, continue taking them. However, if you miss one period and have not taken your tablets as directed or if you miss two menstrual periods and have taken the tablets as directed, call your doctor and use another method of birth control until you have a pregnancy test.

Special warnings about this medication
Missed menstrual periods may occur:

- If you have not taken the medicine exactly as scheduled. Pregnancy must be considered as a possibility.
- If the medicine is not the right strength or type for your needs.
- If you stop taking Ortho tricyclen, especially if you have taken Ortho tricyclen for 2 or more years.
Check with your doctor if you miss any menstrual periods so t hat the cause may be determined.


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