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Cyclessa
Uses
of Cyclessa :
ORAL CONTRACEPTIVES
COMMON BRAND NAME(S)
Brevicon, Demulen, Lo/Ovral, Loestrin, Modicon, Nordette,
Norinyl, Ortho-Novum, Ovcon, Ovral, Tri-Phasil
WARNING
Smoking cigarettes while using this medication increases your
chance of having heart problems. Do not smoke while using
this medication. The risk of heart problems increases with
age (in women greater than 35 years of age) and with frequent
smoking (15 cigarettes per day or greater).
CYCLESSA USES
This medication is used to prevent pregnancy or to regulate
your menstrual cycle. Certain brands of birth control pills
may be used for treating acne or as a "morning after"
pill for emergency contraception. Consult your doctor or pharmacist.
Use of this medication does not protect you or your partner
against sexually transmitted diseases (e.g., HIV, gonorrhea).
HOW TO USE CYCLESSA
Take this medication with food or immediately after a meal
to prevent stomach upset. Try to take this medication at the
same time each day. This may help you to remember to take
it. Learn proper use of your particular brand of medication.
Follow your dosing schedule carefully. Be sure to ask your
doctor or pharmacist if you have any questions. Use a supplemental
form of birth control during the first week of taking this
medication since it takes a while to be effective. Follow
your doctor's directions exactly if this drug is being used
as a "morning after" pill.
CYCLESSA SIDE EFFECTS
This medication may cause dizziness, headache, lightheadedness,
stomach upset, bloating, or nausea. If these effects persist
or worsen, contact your doctor. Notify your doctor if you
experience: severe depression, groin or calf pain, sudden
severe headache, chest pain, shortness of breath, lumps in
the breast, weakness or tingling in the arms or legs, yellowing
of the eyes or skin. If you notice other effects not listed
above, contact your doctor or pharmacist.
CYCLESSA PRECAUTIONS
Before you take this medication, tell your doctor your entire
medical history, including family medical history, especially:
asthma, high blood pressure, kidney disease, liver heart disease,
stroke, history of jaundice (yellowing skin/eyes) or high
blood pressure during pregnancy, excessive weight gain or
fluid retention during menstrual cycle, blood clots, heart
attack, seizures, migraine headaches, breast cancer, high
blood level of cholesterol or lipids (fats), diabetes, depression.
Depending on strength, this drug may cause a patchy, darkening
of the skin on the face (melasma). Higher strengths are more
likely to cause melasma. Sunlight may intensify this darkening
and you may need to avoid prolonged sun exposure and sunlamps.
Consult your doctor regarding use of sunscreens and protective
clothing. It may take a long time for you to become pregnant
after you stop taking birth control pills. Consult your doctor.
Do not smoke cigarettes. Birth-control pills slightly increase
your risk of strokes, blood clots, high blood pressure, heart
attacks, gallbladder disease, vision problems, and liver tumors.
Cigarette smoking (especially 15 or more cigarettes daily)
and age (women older than 35/smokers or 40/nonsmokers years
of age) further increase the risk of stroke, blood clots,
high blood pressure and heart attacks. Ask your pharmacist
or doctor for a copy of the patient labeling which explains
these risks in more detail. Consult your doctor for any questions,
including possible use in nonsmokers over 40 years of age.
If you are near-sighted or wear contact lenses, you may develop
vision problems. Also, your tolerance of the lenses may decrease.
Contact your eye doctor if these problems occur. Before having
surgery, including dental surgery, tell the doctor that you
take birth control pills. This drug must not be used during
pregnancy. If you become pregnant or think you may be pregnant,
inform your doctor immediately. This medication passes into
breast milk. This may affect milk production and may have
harmful effects on a nursing infant. Consult your doctor before
breast-feeding.
CYCLESSA DRUG INTERACTIONS
Tell your doctor what prescription and nonprescription drugs
you are taking. Drugs that may decrease the effectiveness
of the pill include: griseofulvin, many antibiotics (e.g.,
penicillins, macrolides, tetracyclines, sulfas, cephalosporins),
chloramphenicol, many seizure medications (e.g., phenytoin,
barbiturates, primidone, carbamazepine), dapsone, rifamycins
(e.g., rifampin), modafinil, nevirapine, nelfinavir, ritonavir,
St John's wort, troglitazone. Ask your doctor if you should
use additional birth control methods while taking any of the
drugs mentioned above while taking birth control pills. Also
tell your doctor if you use: thyroid hormone drugs, certain
benzodiazepines (e.g., diazepam, chlordiazepoxide), prednisone-like
drugs, certain antidepressants (e.g., tricyclics), beta-blockers
(e.g., metoprolol), "blood thinners" (anticoagulants
such as warfarin), insulin. This product can affect the results
of certain lab tests (e.g., thyroid). Inform all laboratory
personnel that you use this drug. Birth control pills may
significantly intensify the effects of alcohol. Consult your
doctor or pharmacist about this. Do not start or stop any
medicine without doctor or pharmacist approval.
CYCLESSA OVERDOSE
If overdose is suspected, contact your local poison control
center or emergency room immediately. Symptoms of overdose
may include nausea and vomiting. Females may experience vaginal
bleeding.
CYCLESSA NOTES
Do not allow anyone else to take this medication. Keep all
appointments with your doctor and the laboratory. You should
have a complete physical examination, including blood pressure
measurements, breast and pelvic examinations, and a PAP test
(for vaginal cancer), at least once a year. Follow your doctor's
instructions for examining your own breasts, and report any
lumps immediately. A manufacturer's fact sheet about this
drug should be dispensed with each prescription. Read the
information carefully. Ask your doctor or pharmacist any questions
you may have.
MISSED DOSE
Missed dose advice differs and depends on the brand used,
and the number of doses missed. Refer to the product package
information for advice on missed doses. Ask your doctor or
pharmacist if you have any questions.
CYCLESSA STORAGE
Store at room temperature between 59 and 86 degrees F (between
15 and 30 degrees C) away from moisture and sunlight. Do not
store in the bathroom.
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