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Ortho Tri-Cyclen

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How should you take this medication?

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.

Important Facts

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, Orth o tricyclen are used in certain patients with the following medical conditions:

- Amenorrhea (stopping of menses for several consecutive months)
- Dysfunctional uterine bleeding (abnorm al uterine bleeding)
- Dysmenorrhea (painful menstrual bleeding)
- Hypermenorrhea (excessive menstrual bleeding)
- Emergency contraception within 72 hours of unprotected intercourse
- Endometriosis
- Hirsutism in females
- Hyperandrogenism, ovarian
- Polycystic ovary syndrome

Side Effects

Check with your doctor as soon as possible if any of the following side effects occur:

More common¡Xusually less common after the first 3 months of oral contraceptive use
- Changes in th uterine bleeding pattern at menses or between menses, such as decreased bleeding at menses, breakthrough bleeding or spotting between periods, prolonged bleeding at menses, complete stopping of menst rual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimes

Less common
- Headaches or migraines; increased blood pressure; v aginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge

What is this medicine

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.

What special precautions should I follow?

Pregnancy¡XOrtho tricyclen are not recommended for use during pregnancy and should be discontinued if you become pregnant or think you are pregnant. When Ortho tricyclen were accidently taken early in pregnancy, problems in the fetus did not occur. Women who are not breast-feeding may begin to take Ortho tricyclen two weeks after having a baby.

Breast-feeding¡XOrtho tricyclen pass into the breast milk and can change the content or lower the amount of breast milk. Also, they may shorten a woman's ability to breast-feed by about 1 month, especially when the mother is only partially breast -feeding.


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