give you the option ethinyl estradiol and norgestimate (Oral route) ETH-i-nil es-tra-DYE-ol, nor-JES-ti-mate Oral route(Tablet) Cigarette smoking increases the risk of serious cardiovascular side effects from combination oral contraceptive use. This risk increases with age and the number of cigarettes smoked and is quite marked in women over 35 years of age. Use of combination oral contraceptives is contraindicated in women over the age of 35 who smoke Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Drug Images Support Group Q & A Pricing & Coupons Commonly used brand name(s) In the U.S. Estarylla MonoNessa Ortho-Cyclen Ortho Tri-Cyclen Ortho Tri-Cyclen Lo Previfem Sprintec Tri-Lo-Sprintec TriNessa TriNessa 28 Tri-Previfem Tri-Sprintec Available Dosage Forms: Tablet Therapeutic Class: Triphasic Contraceptive Combination Pharmacologic Class: Estrogen Slideshow Birth Control: Your Contraceptive Questions Answered Uses For ethinyl estradiol and norgestimate Ethinyl estradiol and norgestimate combination is used to prevent pregnancy. It is a birth control pill that contains two types of hormones, ethinyl estradiol and norgestimate, and when taken properly, prevents pregnancy. It works by stopping a woman's egg from fully developing each month. The egg can no longer accept a sperm and fertilization is prevented. Ethinyl estradiol and norgestimate combination is also used to treat moderate acne in females (at least 15 years of age) who started having menstrual period and also wants to use ethinyl estradiol and norgestimate for birth control. No contraceptive method is 100 percent effective. Birth control methods such as having surgery to become sterile or not having sex are more effective than birth control pills. Discuss your options for birth control with your doctor. ethinyl estradiol and norgestimate does not prevent HIV infection or other sexually transmitted diseases. It will not help as emergency contraception, such as after unprotected sexual contact. ethinyl estradiol and norgestimate is available only with your doctor's prescription. Before Using ethinyl estradiol and norgestimate In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For ethinyl estradiol and norgestimate, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to ethinyl estradiol and norgestimate or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies on the relationship of age to the effects of ethinyl estradiol and norgestimate combination have not been performed in the pediatric population. However, pediatric-specific problems that would limit the usefulness of this medication in teenagers are not expected. ethinyl estradiol and norgestimate may be used for birth control in teenage females but should not be used before the start of menstruation. Geriatric Appropriate studies on the relationship of age to the effects of ethinyl estradiol and norgestimate combination have not been performed in the geriatric population. ethinyl estradiol and norgestimate should not be used in elderly women. Breast Feeding There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking ethinyl estradiol and norgestimate, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using ethinyl estradiol and norgestimate with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Dasabuvir Ombitasvir Paritaprevir Ritonavir Tranexamic Acid Using ethinyl estradiol and norgestimate with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Anagrelide Aprepitant Boceprevir Bosentan Bupropion Carbamazepine Ceritinib Dabrafenib Darunavir Dexamethasone Donepezil Eliglustat Enzalutamide Fosphenytoin Griseofulvin Idelalisib Isotretinoin Lesinurad Lixisenatide Lumacaftor Mitotane Modafinil Oxcarbazepine Paclitaxel Paclitaxel Protein-Bound Phenytoin Piperaquine Pitolisant Prednisone Rifabutin Rifampin St John's Wort Sugammadex Theophylline Tizanidine Topiramate Ulipristal Valproic Acid Using ethinyl estradiol and norgestimate with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Alprazolam Amprenavir Atazanavir Bacampicillin Betamethasone Bexarotene Clarithromycin Colesevelam Cyclosporine Delavirdine Efavirenz Eslicarbazepine Acetate Etoricoxib Fosamprenavir Fosaprepitant Ginseng Lamotrigine Licorice Mycophenolate Mofetil Mycophenolic Acid Nelfinavir Parecoxib Prednisolone Rifapentine Ritonavir Roflumilast Rosuvastatin Rufinamide Selegiline Telaprevir Tipranavir Troglitazone Troleandomycin Valdecoxib Voriconazole Warfarin Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using ethinyl estradiol and norgestimate with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use ethinyl estradiol and norgestimate, or give you special instructions about the use of food, alcohol, or tobacco. Caffeine Grapefruit Juice Other Medical Problems The presence of other medical problems may affect the use of ethinyl estradiol and norgestimate. Make sure you tell your doctor if you have any other medical problems, especially: Abnormal or unusual vaginal bleeding or Blood clots (eg, deep vein thrombosis, pulmonary embolism), or history of or Breast cancer, known or suspected or Diabetes with kidney, eye, nerve, or blood vessel damage or Endometrial cancer or Heart attack, history of or Heart or blood vessel disease (eg, coronary artery disease, heart valve problems), or history of or Hypertension (high blood pressure) that is not under good control or Jaundice during pregnancy or from using hormonal therapy in the past or Liver disease, including tumors or cancer or Major surgery with prolonged periods of immobilization or Migraine headache or Stroke, history of or Tumors (estrogen-dependent), known or suspected Should not be used in patients with these conditions. Breast cancer, family history of or Cervical cancer or Chloasma (skin discoloration of the face during pregnancy), history of or Depression, history of or Edema (fluid retention or body swelling) or Epilepsy (seizures) or Gallbladder disease or Hereditary angioedema or Hypertension (high blood pressure) Use with caution. May make these conditions worse. Diabetes or Hyperlipidemia (high cholesterol or fats in the blood) or Kidney disease or Obesity, or history of Use with caution. These conditions may increase risk for more serious side effects. Proper Use of ethinyl estradiol and norgestimate To make using oral contraceptives as safe and reliable as possible, you should understand how and when to take them and what effects may be expected. ethinyl estradiol and norgestimate comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. ethinyl estradiol and norgestimate is available in blister packs with a Dialpak tablet dispenser or a Veridate tablet dispenser. Each blister pack contains 28 tablets with different colors that need to be taken in the same order as directed on the blister pack. When you begin using ethinyl estradiol and norgestimate, your body will require at least 7 days to adjust before a pregnancy will be prevented. Use a second form of contraception, such as a condom, spermicide, or diaphragm, for the first 7 days of your first cycle of pills. Take ethinyl estradiol and norgestimate at the same time each day. Birth control pills work best when no more than 24 hours pass between doses. Do not skip or delay taking your pill by more than 24 hours . If you miss a dose, you could get pregnant. Ask your doctor for ways to help you remember to take your pills or about using another method of birth control. You may feel sick or nauseated, especially during the first few months that you take ethinyl estradiol and norgestimate. If your nausea is continuous and does not go away, call your doctor. Follow the instructions in the patient leaflet or call your doctor if you vomit or have diarrhea within 3 to 4 hours of taking ethinyl estradiol and norgestimate. Dosing The dose of ethinyl estradiol and norgestimate will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of ethinyl estradiol and norgestimate. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Your doctor may ask you to begin your dose on the first day of your menstrual period (called Day 1 start) or on the first Sunday after your menstrual period starts (called Sunday start). When you begin on a certain day it is important that you follow that schedule, even if you miss a dose. Do not change your schedule on your own. If the schedule that you use is not convenient, check with your doctor about changing it. For a Sunday start, you need to use another form of birth control (eg, condom, diaphragm, spermicide) for the first 7 days. You should begin your next and all subsequent 28-day regimens of therapy on the same day of the week as the first regimen began and follow the same schedule. For oral dosage form (tablets): For contraception (to prevent pregnancy): Adults and teenagers Ortho-Cyclen : One blue tablet (active) taken at the same time each day for 21 consecutive days followed by one dark green (inert) tablet daily for 7 days per menstrual cycle. Ortho Tri-Cyclen : One white, light blue, or blue tablet (active) taken at the same time each day for 21 consecutive days followed by one dark green (inert) tablet daily for 7 days per menstrual cycle. Children Use and dose must be determined by your doctor. For acne: Adults and teenagers 15 years of age and older One white, light blue, or blue tablet (active) taken at the same time each day for 21 consecutive days followed by one dark green (inert) tablet daily for 7 days per menstrual cycle. Teenagers and children younger than 15 years of age Use and dose must be determined by your doctor. Missed Dose Call your doctor or pharmacist for instructions. ethinyl estradiol and norgestimate has specific patient instructions on what to do if you miss a dose. Read and follow these instructions carefully and call your doctor if you have any questions. If you miss one active tablet in weeks 1, 2, or 3: Take the tablet as soon as possible and take the next tablet at your regular schedule. Continue taking one tablet a day until you finish the pack. If you miss two active tablets in week 1 or 2: Take the two tablets as soon as possible and the next two tablets the next day. Continue taking one tablet a day until you finish the pack. Use a second form of birth control (such as a condom, spermicide) for 7 days after you miss a dose. If you miss two active tablets in week 3, or you miss three or more active tablets in a row in weeks 1, 2, or 3: Day 1 start: Throw out the rest of the pack and start a new pack that same day. Use a second form of birth control (such as a condom, spermicide) for 7 days after you miss a dose. Sunday start: Continue taking one tablet a day until Sunday, then throw out the rest of the pack and start a new pack that same day. Use a second form of birth control (such as a condom, spermicide) for 7 days after you miss a dose, to prevent pregnancy. Make sure your doctor knows if you miss your period 2 months in a row, because this could mean that you are pregnant. You may not have a period for that month if you miss more than one dose or change your schedule. You could have light bleeding or spotting if you do not take a pill on time. The more pills you miss, the more likely you are to have bleeding. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Precautions While Using ethinyl estradiol and norgestimate It is very important that your doctor check your progress at regular visits to make sure ethinyl estradiol and norgestimate is working properly and does not cause unwanted effects. These visits will usually be every 6 to 12 months, but some doctors require them more often. Your doctor may also want to check your blood pressure while taking ethinyl estradiol and norgestimate. Although you are using ethinyl estradiol and norgestimate to prevent pregnancy, you should know that using ethinyl estradiol and norgestimate while you are pregnant could harm the unborn baby. If you think you have become pregnant while using the medicine, tell your doctor right away. Make sure your doctor knows if you have had a baby within 4 weeks before you start using ethinyl estradiol and norgestimate. Vaginal bleeding of various amounts may occur between your regular menstrual periods during the first 3 months of use. This is sometimes called spotting when slight, or breakthrough bleeding when heavier. If this should occur, continue with your regular dosing schedule. The bleeding usually stops within 1 week. Check with your doctor if the bleeding continues for more than 1 week. If the bleeding continues after you have been taking hormonal contraceptives on schedule and for more than 3 months, check with your doctor. Check with your doctor right away if you miss a menstrual period. Missed periods may occur if you skip one or more tablets and have not taken your pills exactly as directed. If you miss two periods in a row, talk to your doctor. You might need a pregnancy test. If you suspect that you may be pregnant, stop taking ethinyl estradiol and norgestimate immediately and check with your doctor . Do not use ethinyl estradiol and norgestimate if you smoke cigarettes or if you are over 35 years of age . If you smoke while using birth control pills, you increase your risk of having a blood clot, heart attack, or stroke. Your risk is even higher if you are over age 35, if you have diabetes, high blood pressure, high cholesterol, or if you are overweight. Talk with your doctor about ways to stop smoking. Keep your diabetes under control. Ask your doctor about diet and exercise to control your weight and blood cholesterol level. Using ethinyl estradiol and norgestimate may increase your risk of having blood clotting problems. Check with your doctor right away if you have pain in the chest, groin, or legs, especially the calves, difficulty with breathing, a sudden, severe headache, slurred speech, a sudden, unexplained shortness of breath, a sudden unexplained shortness of breath, a sudden loss of coordination, or vision changes while using ethinyl estradiol and norgestimate. Using ethinyl estradiol and norgestimate may increase your risk of breast cancer or cervical cancer. Talk with your doctor about this risk. Check with your doctor immediately if your experience abnormal vaginal bleeding. Check with your doctor immediately if you wear contact lenses or if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment . Your doctor may want an eye doctor to check your eyes. Check with your doctor right away if you have pain or tenderness in the upper stomach, dark urine or pale stools, or yellow eyes or skin. These could be symptoms of a serious liver problem. Using ethinyl estradiol and norgestimate may increase your risk for gallbladder surgery. Talk with your doctor about this risk. ethinyl estradiol and norgestimate may make your skin more sensitive to sunlight. Wear sunscreen. Do not use sunlamps or tanning beds. Tell your doctor if you have a history dark patches of skin around the forehead, nose, cheeks, and around the mouth, especially during pregnancy. Check with your doctor before refilling an old prescription, especially after a pregnancy. You will need another physical examination and your doctor may change your prescription. Make sure any doctor or dentist who treats you knows that you are using ethinyl estradiol and norgestimate. The results of some medical tests may be affected by ethinyl estradiol and norgestimate. You may also need to stop using ethinyl estradiol and norgestimate at least 4 weeks before and 2 weeks after having major surgery. Do not eat grapefruit or drink grapefruit juice while you are using ethinyl estradiol and norgestimate. Grapefruit and grapefruit juice may change the amount of ethinyl estradiol and norgestimate that is absorbed in the body. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (eg, St. John's wort) or vitamin supplements. ethinyl estradiol and norgestimate Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: Incidence not known Abdominal or stomach pain absent, missed, or irregular menstrual periods anxiety change in vision changes in skin color chest pain or discomfort chills clay-colored stools constipation cough dark urine diarrhea dizziness or lightheadedness fainting fever headache hives or welts itching skin large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs loss of appetite medium to heavy, irregular vaginal bleeding between regular monthly periods, which may require the use of a pad or a tampon nausea and vomiting pain or discomfort in the arms, jaw, back, or neck pain, tenderness, or swelling of the foot or leg pains in the chest, groin, or legs, especially in the calves of the legs pounding in the ears rash redness of the skin severe headaches of sudden onset slow or fast heartbeat sudden loss of coordination or slurred speech sudden onset of shortness of breath for no apparent reason sudden shortness of breath or troubled breathing sweating unusual tiredness or weakness vomiting of blood Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Incidence not known Abdominal or stomach cramps bloating blotchy spots on the exposed skin breast enlargement or tenderness discouragement feeling sad or empty irritability itching of the vagina or outside the genitals loss of interest or pleasure pain during sexual intercourse thick, white curd-like vaginal discharge without odor or with mild odor tiredness trouble concentrating trouble sleeping trouble wearing contact lenses Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. 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Next Side Effects Print this page Add to My Med List More about ethinyl estradiol/norgestimate Side Effects During Pregnancy Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Español 2928 Reviews Add your own review/rating Drug class: contraceptives Consumer resources Ethinyl estradiol and norgestimate Other brands: Sprintec , Ortho Tri-Cyclen , TriNessa , Mononessa , ... +15 more Professional resources Norgestimate and Ethinyl Estradiol (FDA) Ethinyl Estradiol and Norgestimate (Wolters Kluwer) Related treatment guides Acne Birth Control Gonadotropin Inhibition Abnormal Uterine Bleeding Endometriosis Ovarian Cysts} Drug Status Rx Availability Prescription only X Pregnancy Category Not for use in pregnancy N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Manufacturers Akorn, Inc. Lupin Pharmaceuticals, Inc. Mylan Pharmaceuticals Inc. Glenmark Pharmaceuticals Inc., USA More... Drug Class Contraceptives Related Drugs Acne doxycycline , clindamycin topical , erythromycin topical , minocycline , tretinoin topical , tetracycline , More... Birth Control medroxyprogesterone , Provera , Depo-Provera , norethindrone , Mirena , Nexplanon , More... Abnormal Uterine Bleeding Premarin , megestrol , Megace , medroxyprogesterone , Provera , Depo-Provera , More... Endometriosis medroxyprogesterone , leuprolide , Provera , Depo-Provera , Lupron Depot , norethindrone , More... 1 more conditions... Ethinyl estradiol / norgestimate Rating 2928 User Reviews 5.9 /10 2928 User Reviews 5.9 Rate it! Ethinyl estradiol / norgestimate Images Ethinyl estradiol / norgestimate systemic ethinyl estradiol 0.035 mg / norgestimate 0.18 mg (A9 ) View all images Related Questions & Answers I take ortho tricyclen lo, have high cholesterol and migraines. is this drug safe for me? Ethinyl Estradiol/Norgestimate - Norgestimate- Contact Lense issues? Weight Gain? Ethinyl Estradiol/Norgestimate - Did you get headaches from Ortho-Tri-Cyclen? Ethinyl Estradiol/Norgestimate - do sprintec orgestimate and ethinyl estradiol tablets make your? Ethinyl Estradiol/Norgestimate - Is it okay to have this pill dissolve in my mouth if it is hard for Read more questions} } needful
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