Ortho Tri-Cyclen instructions

• Ortho Tri-Cyclen uses
• Ortho Tri-Cyclen side effects
• Warnings & precautions
• Drug interactions
• Overdose
• Missed dose

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Chemical Name: NORGESTIMATE (nor-JES-ti-mate) and ETHINYL ESTRADIOL (ETH-in-il ess-tra-DYE-ole

Brand Name: Mononessa, Ortho Tri-Cyclen, Ortho-Cyclen, Sprintec, Tri-Sprintec, TriNessa

The following product information is not intended to replace the physician's or manufacturer's instructions.

Ortho Tri-Cyclen Common Uses:
Ortho Tri-Cyclen is an estrogen and progestin combination used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions as determined by your doctor.

Before Using Ortho Tri-Cyclen:
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 Ortho Tri-Cyclen if you are also taking nevirapine or rifampin. Additional monitoring of your dose or condition may be needed if you are taking barbiturates, carvedilol, corticosteroids, felbamate, griseofulvin, HIV protease inhibitors, modafinil, metoprolol, pioglitazone, penicillin or tetracycline antibiotics, theophylline, topiramate, troglitazone, troleandomycin, or medicine for seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Use of Ortho Tri-Cyclen is not recommended if you have a history of cancer, heart or liver conditions, pulmonary embolism, blood clots, stroke, cerebrovascular disease, or smoking. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Ortho Tri-Cyclen Directions:
Follow the directions for using this medicine provided by your doctor. Ortho Tri-Cyclen 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. Try to take Ortho Tri-Cyclen at the same time every day, not more than 24 hours apart. Swallow the pills with a drink of water. Take with food to reduce stomach upset. Most products 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. Do not take more often than directed.

Ortho Tri-Cyclen Side Effects:
Side effects, that may go away during treatment, include nausea, vomiting, bleeding between menstrual periods, breast tenderness, or weight change. If they continue or are bothersome, check with your doctor.
If you experience any of the following serious side effects, stop taking Ortho Tri-Cyclen and contact your doctor immediately:

• allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; hives)
• blood clot in the lung (shortness of breath or pain in the chest)
• recurrent abnormal vaginal bleeding; a missed menstrual period
• blood clot in an arm or leg (pain, redness, swelling, or numbness of an arm or leg)
• high blood pressure (severe headache, flushing, blurred vision)
• liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue)

The side effects listed below generally occur very rarely and are not considered serious. If you experience any of the following, talk to your doctor: depression, changes in weight or appetite, vaginal yeast infection, oily skin or acne, lethargy or fatigue, bloating, changes in skin color, changes in blood sugar.

Ortho Tri-Cyclen Precautions:
Smoking cigarettes while using Ortho Tri-Cyclen may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. If you have vomiting or diarrhea for any reason, your medicine may not work as well. Taking certain antibiotics or anticonvulsants while you are using Ortho Tri-Cyclen 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. Tell your doctor if you have or ever had any of these conditions: blood clots; 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; liver disease; heart or circulation problems; high blood pressure; blood sugar problems (diabetes); jaundice; menstrual problems; migraine headaches; tobacco smoker; stroke; an unusual or allergic reaction to estrogen/progestin, other hormones, medicines, foods. Do not use this medicine if you are pregnant. If you suspect that you could be pregannt, contact your doctor immediately. This medicine is excreted in breast milk. If you are or will be breast-feeding while you are using OrthoTri-Cyclen , check with your doctor or pharmacist to discuss the risks to your baby. If you have any unusual vaginal bleeding contact your doctor or health care provider for advice. If you miss a period, the possibility of pregnancy must be considered. 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 doctor. 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. 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. 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.

Drug Inreractions:
Tell your doctor about all other medicines you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also tell your doctor or pharmacist if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs, because these may affect the way your medication works. Drugs that may interact with Ortho Tri-Cyclen include:

• antibiotics
• medicines for infections (e.g. rifampin)
• barbiturate medicines for producing sleep or treating seizures (convulsions)
• arbamazepine
• caffeine
• clofibrate
• cyclosporine
• dantrolene
• grapefruit juice
• hydrocortisone
• medicines for anxiety or sleeping problems (e.g. diazepam, temazepam)
• medicines for mental depression
• medicines for diabetes (troglitazone, pioglitazone)
• mineral oil
• modafinil
• mycophenolate
• nefazodone
• oxcarbazepine
• prednisolone
• selegiline
• soy isoflavones supplements
• St. John's wort
• tamoxifen or raloxifen

Birth control pills may significantly intensify the effects of alcohol. Drugs other than those listed here may also interact with Ortho Tri-Cyclen.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include restlessness, tremor, rapid breathing, nausea, vomiting, diarrhea, and stomach cramps.

Missed dose:
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. If you have any questions, contact your doctor or pharmacist.

Storage:
Keep this and all medications out of the reach of children. Store this medicine at room temperature, away from heat and light.

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