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What is norethindrone? Norethindrone is a form of progesterone, a female hormone important for regulating ovulation and menstruation. Norethindrone is used for birth control (contraception) to prevent pregnancy. Norethindrone is also used to treat menstrual disorders, endometriosis, or abnormal vaginal bleeding caused by a hormone imbalance. Not all brands of norethindrone are for the same uses. Some brands are for use only as contraception. Others are for use in treating endometriosis or vaginal bleeding disorders. Avoid medication errors by using only the brand, form, and strength your doctor prescribes. Norethindrone may also be used for other purposes not listed in this medication guide. Warnings You should not use this medicine if you you have: undiagnosed vaginal bleeding, breast cancer, liver disease, or a liver tumor. You may not be able to take norethindrone if you have ever had a heart attack, a stroke, or blood clot. Do not use if you are pregnant or trying to become pregnant. In some cases, you should not take norethindrone if you are nursing. Before taking this medicine You should not use norethindrone if you are allergic to it, or if you have: unusual vaginal bleeding that has not been checked by a doctor; liver disease or a liver tumor; breast cancer; or a history of blood clots in your brain, eyes, lungs, or legs. Do not use norethindrone if you are pregnant or trying to become pregnant. Stop taking the medicine and tell your doctor right away if you become pregnant. Ask your doctor about using norethindrone while you are breast-feeding. In some cases, you should not take norethindrone if you are nursing. Tell your doctor if you have ever had: heart disease, high blood pressure; liver disease; depression; migraine headaches; diabetes; high cholesterol or triglycerides; uterine fibroid tumors; epilepsy; kidney disease; asthma; or if you smoke. Do not give this medicine to a child without medical advice. How should I take norethindrone? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Carefully follow your doctor's dosing instructions about when to start taking norethindrone for contraception if you are switching from a combination birth control pill (estrogen and progestin). If you take norethindrone for contraception: Take one pill every day, no more than 24 hours apart. You may get pregnant if you do not take one pill daily. You may need to use back-up birth control (such as condoms with spermicide) if you are sick with vomiting or diarrhea, or if you are 3 or more hours late in taking your daily dose. If you take norethindrone for menstrual disorders or abnormal vaginal bleeding: You will most likely take the medicine for only 5 to 10 days. Vaginal bleeding will occur 3 to 7 days after your last dose. If you take norethindrone for endometriosis: Norethindrone is usually taken daily long-term for several months. Your doctor may occasionally change your dose. Your doctor should check your progress on a regular basis. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms. Report any unusual vaginal bleeding right away. Norethindrone can affect the results of certain medical tests. Tell any doctor who treats you that you are using norethindrone. Store this medication at room temperature away from moisture, heat, and light. What happens if I miss a dose? Call your doctor for instructions, or follow the patient instructions provided with your medicine. Missing a birth control pill increases your risk of becoming pregnant. If you are more than 3 hours late for your dose, take the medicine as soon as you remember and use back-up birth control for at least 48 hours. Take your next pill at the regularly scheduled time and continue on your regular dosing schedule. If you miss a period for two months in a row, call your doctor because you might be pregnant. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of norethindrone is not expected to be dangerous. What should I avoid while taking norethindrone? Do not use estrogen medication unless your doctor tells you to. Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while taking norethindrone for contraception. Norethindrone will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. Norethindrone side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: sudden vision loss, bulging eyes, or severe headache; swelling, rapid weight gain; unusual vaginal bleeding; missed menstrual periods; pelvic pain (especially on one side); a breast lump; a light-headed feeling, like you might pass out; increased thirst, increased urination; liver problems--loss of appetite, stomach pain (upper right side), dark urine, jaundice (yellowing of the skin or eyes); or signs of a blood clot--sudden numbness or weakness, problems with vision or speech, chest pain, shortness of breath, swelling or redness in an arm or leg. Common side effects may include: irregular vaginal bleeding or spotting; headache; breast pain or swelling; stomach pain, bloating, nausea, vomiting; hair loss; depressed mood, trouble sleeping; weight gain; or vaginal itching or discharge. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Norethindrone dosing information Usual Adult Dose for Abnormal Uterine Bleeding: 2.5 to 10 mg orally once a day Duration of therapy: 5 to 10 days Comments: -This drug should be used when the endometrium is adequately primed with endogenous/exogenous estrogen. -Withdrawal bleeding typically occurs within 3 to 7 days of treatment discontinuation. Use: Treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance without organic pathology (e.g., submucous fibroids, uterine cancer) Usual Adult Dose for Amenorrhea: 2.5 to 10 mg orally once a day Duration of therapy: 5 to 10 days Comments: -This drug should be used when the endometrium is adequately primed with endogenous/exogenous estrogen. -Withdrawal bleeding typically occurs within 3 to 7 days of treatment discontinuation. Use: Treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance without organic pathology (e.g., submucous fibroids, uterine cancer) Usual Adult Dose for Contraception: 0.35 mg orally once a day Comment: -This drug should be taken at the same time each day. Use: Prevention of pregnancy Usual Adult Dose for Endometriosis: Initial dose: 5 mg orally once a day for 2 weeks -Maximum dose: 15 mg/day Comments: -The dose should be increased by 2.5 mg/day every 2 weeks until 15 mg is reached. -Treatment may continue for 6 to 9 months OR until annoying breakthrough bleeding demands temporary termination. Uses: Treatment of endometriosis Usual Pediatric Dose for Contraception: Postpubertal adolescents (under 16 years): 0.35 mg orally once a day Comments: -This drug should be used after menarche occurs. -The dose should be taken at the same time each day. Use: Prevention of pregnancy What other drugs will affect norethindrone? Some drugs can make norethindrone less effective, which may result in unintended pregnancy if you use norethindrone for contraception. Tell your doctor about all your other medicines, especially: St. John's wort; medicine to treat an infection (antibiotics or antifungal medicine); medicine to treat tuberculosis; medicine to treat HIV or AIDS; or seizure medication. This list is not complete. Other drugs may affect norethindrone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
What is ethinyl estradiol and norethindrone? Ethinyl estradiol is a form of estrogen. Estrogen is a female sex hormone necessary for many processes in the body. Norethindrone is a form of progesterone. Progesterone is a female hormone important for the regulation of ovulation and menstruation. Ethinyl estradiol and norethindrone HRT (hormone replacement therapy) is a combination medicine used to treat symptoms of menopause such as hot flashes, and vaginal dryness, burning, and irritation. It is also used to prevent osteoporosis. Ethinyl estradiol and norethindrone may also be used for purposes not listed in this medication guide. Warnings You should not use ethinyl estradiol and norethindrone if you have: undiagnosed vaginal bleeding, liver disease, a bleeding disorder, if you will have major surgery, or if you have ever had a heart attack, a stroke, a blood clot, or cancer of the breast, uterus/cervix, or vagina. Do not use if you are pregnant. This medicine may increase your risk of developing a condition that may lead to uterine cancer. Report any unusual vaginal bleeding right away. Using this medicine can increase your risk of blood clots, stroke, heart attack, or cancer of the breast, uterus, or ovaries. Ethinyl estradiol and norethindrone should not be used to prevent heart disease, stroke, or dementia. Before taking this medicine You should not use this medicine if you are allergic to ethinyl estradiol or norethindrone, or if you have: unusual vaginal bleeding that has not been checked by a doctor; liver disease; a bleeding disorder; a history of heart attack, stroke, or blood clot; or a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina. Do not use if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Using this medicine can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, if you are overweight, or if you smoke. Ethinyl estradiol and norethindrone should not be used to prevent heart disease, stroke, or dementia, because this medicine may actually increase your risk of developing these conditions. Tell your doctor if you have ever had: heart disease; liver problems, or jaundice caused by pregnancy or taking hormones; kidney disease; hereditary angioedema (an immune system disorder); bone cancer; lupus; asthma; epilepsy or other seizure disorder; migraines; porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system); gallbladder disease; endometriosis or uterine fibroid tumors; a thyroid disorder; or high or low levels of calcium in your blood. Using ethinyl estradiol and norethindrone may increase your risk of cancer of the breast, uterus, or ovaries. Talk with your doctor about this risk. This medicine can slow breast milk production. Tell your doctor if you are breast-feeding. How should I take ethinyl estradiol and norethindrone? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Try to take ethinyl estradiol and norethindrone at the same time each day. Ethinyl estradiol and norethindrone may increase your risk of developing a condition that can lead to uterine cancer. To help lower this risk, your doctor may also want you to take a progestin. Report any unusual vaginal bleeding right away. Your doctor should check your progress on a regular basis (every 3 to 6 months) to determine whether you should continue this treatment. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms. If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using ethinyl estradiol and norethindrone. Store at room temperature away from moisture and heat. What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include nausea, vomiting, or vaginal bleeding. What should I avoid while taking ethinyl estradiol and norethindrone? Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while using ethinyl estradiol and norethindrone. Grapefruit may interact with ethinyl estradiol and norethindrone and lead to unwanted side effects. Avoid the use of grapefruit products. Ethinyl estradiol and norethindrone side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using this medicine and call your doctor at once if you have: heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; increased blood pressure--severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed; signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance; signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs; swelling or tenderness in your stomach; jaundice (yellowing of the skin or eyes); unusual vaginal bleeding, pelvic pain; a breast lump; memory problems, confusion, unusual behavior; or high levels of calcium in your blood--nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain, lack of energy. Common side effects may include: stomach pain; bloating, swelling, weight gain; breast pain; light vaginal bleeding or spotting; thinning scalp hair; or headache. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Ethinyl estradiol and norethindrone dosing information Usual Adult Dose for Contraception: 1 tablet orally once a day Comments: To be taken at the same time each day. Usual Adult Dose for Postmenopausal Symptoms: 1 tablet orally once a day Comments: Not all preparations are indicated for the treatment of vasomotor symptoms due to menopause; the manufacturer product information should be consulted. Use: For the treatment of moderate to severe vasomotor symptoms due to menopause Usual Adult Dose for Acne: 1 tablet orally once a day Comments: Not all preparations are indicated for the treatment of acne; the manufacturer product information should be consulted. Use: For the treatment of moderate acne vulgaris in females with no known contraindications to oral contraceptive therapy and who have achieved menarche and are unresponsive to topical anti-acne medications Usual Adult Dose for Prevention of Osteoporosis: 1 tablet orally once a day Comments: -Not all preparations are indicated for the prevention of postmenopausal osteoporosis; the manufacturer product information should be consulted. -When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis and non-estrogen medication should be carefully considered. Use: For the prevention of postmenopausal osteoporosis Usual Pediatric Dose for Contraception: 1 tablet orally once a day Comments: To be taken at the same time each day. Usual Pediatric Dose for Acne: 15 years or older: 1 tablet orally once a day Comments: -Not all preparations are indicated for the treatment of acne; the manufacturer product information should be consulted. -Use should be reserved for the treatment of acne only if the patient desires an oral contraceptive for birth control and plans to stay on it for at least 6 months Use: For the treatment of moderate acne vulgaris in females at least 15 years of age with no known contraindications to oral contraceptive therapy and who have achieved menarche and are unresponsive to topical anti-acne medications What other drugs will affect ethinyl estradiol and norethindrone? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. Other drugs may affect ethinyl estradiol and norethindrone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.
What is Sprintec? Sprintec is a combination birth control pill containing female hormones that prevent ovulation (the release of an egg from an ovary). Sprintec also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus. Sprintec is used as contraception to prevent pregnancy. There are many available brands of this medicine. Not all brands are listed on this leaflet. Sprintec may also be used for purposes not listed in this medication guide. Warnings Do not use birth control pills if you are pregnant or if you have recently had a baby. You should not use birth control pills if you have: uncontrolled high blood pressure, heart disease, coronary artery disease, circulation problems (especially with diabetes), undiagnosed vaginal bleeding, liver disease or liver cancer, severe migraine headaches, if you also take certain hepatitis C medication, if you will have major surgery, if you smoke and are over 35, or if you have ever had a heart attack, a stroke, a blood clot, jaundice caused by pregnancy or birth control pills, or cancer of the breast, uterus/cervix, or vagina. Taking birth control pills can increase your risk of blood clots, stroke, or heart attack. Smoking can greatly increase your risk of blood clots, stroke, or heart attack. You should not take birth control pills if you smoke and are over 35 years old. Before taking this medicine Taking birth control pills can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of taking birth control pills. Your risk is also high when you restart birth control pills after not taking them for 4 weeks or longer. Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke. You should not take combination birth control pills if you smoke and are over 35 years old. Do not use if you are pregnant. Stop using Sprintec and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills. You should not take birth control pills if you have: untreated or uncontrolled high blood pressure; heart disease (chest pain, coronary artery disease, history of heart attack, stroke, or blood clot); an increased risk of having blood clots due to a heart problem or a hereditary blood disorder; circulation problems (especially if caused by diabetes); a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina; unusual vaginal bleeding that has not been checked by a doctor; liver disease or liver cancer; severe migraine headaches (aura, numbness, vision changes), especially if you are older than 35; or if you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Technivie). Tell your doctor if you have ever had: heart problems, high blood pressure, or if you are prone to having blood clots; high cholesterol or triglycerides, or if you are overweight; depression; a seizure or migraine headache; diabetes, gallbladder disease, underactive thyroid; liver or kidney disease; jaundice caused by pregnancy or birth control pills; irregular menstrual cycles; or fibrocystic breast disease, lumps, nodules, or an abnormal mammogram. This medicine can slow breast milk production. Tell your doctor if you are breast-feeding. How should I take birth control pills? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. You may need to use back-up birth control, such as condoms with spermicide, when you first start using this medicine. Follow your doctor's instructions. Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not take one pill daily. Some birth control packs contain "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills. You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy. Use a back-up birth control if you are sick with severe vomiting or diarrhea. If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using estradiol and levonorgestrel. While taking birth control pills, you will need to visit your doctor regularly. Store this medicine at room temperature away from moisture and heat. What happens if I miss a dose? Follow the instructions provided with your medicine. Missing a pill increases your risk of becoming pregnant. If you miss 1 active pill, take 2 pills on the day you remember. Then take 1 pill per day for the rest of the pack. If you miss 2 active pills in a row in Week 1 or 2, take 2 pills per day for 2 days in a row. Then take 1 pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills. If you miss 2 active pills in a row in Week 3, throw out the pack and start a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day. If you miss 3 active pills in a row in Week 1, 2, or 3, throw out the pack and start a new pack on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day. If you miss 2 or more pills, you may not have a period during the month. If you miss a period for 2 months in a row, call your doctor because you might be pregnant. If you miss a reminder pill, throw it away and keep taking one reminder pill per day until the pack is empty. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking birth control pills? Do not smoke while taking birth control pills, especially if you are older than 35 years of age. Birth control pills will not protect you from sexually transmitted diseases, including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. Birth control pills side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using birth control pills and call your doctor at once if you have: signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance; signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs; heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; liver problems--loss of appetite, upper stomach pain, tiredness, fever, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); severe headache, pounding in your neck or ears; swelling in your hands, ankles, or feet; changes in the pattern or severity of migraine headaches; a breast lump; or symptoms of depression--sleep problems, weakness, tired feeling, mood changes. Common side effects may include: stomach pain, gas, nausea, vomiting; breast tenderness; acne, darkening of facial skin; headache, nervousness, mood changes; problems with contact lenses; changes in weight; breakthrough bleeding; vaginal itching or discharge; or rash. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. What other drugs will affect birth control pills? Other drugs may affect birth control pills, including prescription and over-the-counter medicines, vitamins, and herbal products. Some drugs can make birth control pills less effective, which may result in pregnancy. Tell your doctor about all your current medicines and any medicine you start or stop using.
What is Sprintec? Sprintec is a combination birth control pill containing female hormones that prevent ovulation (the release of an egg from an ovary). Sprintec also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus. Sprintec is used as contraception to prevent pregnancy. There are many available brands of this medicine. Not all brands are listed on this leaflet. Sprintec may also be used for purposes not listed in this medication guide. Warnings Do not use birth control pills if you are pregnant or if you have recently had a baby. You should not use birth control pills if you have: uncontrolled high blood pressure, heart disease, coronary artery disease, circulation problems (especially with diabetes), undiagnosed vaginal bleeding, liver disease or liver cancer, severe migraine headaches, if you also take certain hepatitis C medication, if you will have major surgery, if you smoke and are over 35, or if you have ever had a heart attack, a stroke, a blood clot, jaundice caused by pregnancy or birth control pills, or cancer of the breast, uterus/cervix, or vagina. Taking birth control pills can increase your risk of blood clots, stroke, or heart attack. Smoking can greatly increase your risk of blood clots, stroke, or heart attack. You should not take birth control pills if you smoke and are over 35 years old. Before taking this medicine Taking birth control pills can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of taking birth control pills. Your risk is also high when you restart birth control pills after not taking them for 4 weeks or longer. Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke. You should not take combination birth control pills if you smoke and are over 35 years old. Do not use if you are pregnant. Stop using Sprintec and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills. You should not take birth control pills if you have: untreated or uncontrolled high blood pressure; heart disease (chest pain, coronary artery disease, history of heart attack, stroke, or blood clot); an increased risk of having blood clots due to a heart problem or a hereditary blood disorder; circulation problems (especially if caused by diabetes); a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina; unusual vaginal bleeding that has not been checked by a doctor; liver disease or liver cancer; severe migraine headaches (aura, numbness, vision changes), especially if you are older than 35; or if you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Technivie). Tell your doctor if you have ever had: heart problems, high blood pressure, or if you are prone to having blood clots; high cholesterol or triglycerides, or if you are overweight; depression; a seizure or migraine headache; diabetes, gallbladder disease, underactive thyroid; liver or kidney disease; jaundice caused by pregnancy or birth control pills; irregular menstrual cycles; or fibrocystic breast disease, lumps, nodules, or an abnormal mammogram. This medicine can slow breast milk production. Tell your doctor if you are breast-feeding. How should I take birth control pills? Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. You may need to use back-up birth control, such as condoms with spermicide, when you first start using this medicine. Follow your doctor's instructions. Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not take one pill daily. Some birth control packs contain "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills. You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy. Use a back-up birth control if you are sick with severe vomiting or diarrhea. If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using estradiol and levonorgestrel. While taking birth control pills, you will need to visit your doctor regularly. Store this medicine at room temperature away from moisture and heat. Detailed Sprintec dosage information What happens if I miss a dose? Follow the instructions provided with your medicine. Missing a pill increases your risk of becoming pregnant. If you miss 1 active pill, take 2 pills on the day you remember. Then take 1 pill per day for the rest of the pack. If you miss 2 active pills in a row in Week 1 or 2, take 2 pills per day for 2 days in a row. Then take 1 pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills. If you miss 2 active pills in a row in Week 3, throw out the pack and start a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day. If you miss 3 active pills in a row in Week 1, 2, or 3, throw out the pack and start a new pack on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day. If you miss 2 or more pills, you may not have a period during the month. If you miss a period for 2 months in a row, call your doctor because you might be pregnant. If you miss a reminder pill, throw it away and keep taking one reminder pill per day until the pack is empty. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking birth control pills? Do not smoke while taking birth control pills, especially if you are older than 35 years of age. Birth control pills will not protect you from sexually transmitted diseases, including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. Birth control pills side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using birth control pills and call your doctor at once if you have: signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance; signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs; heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; liver problems--loss of appetite, upper stomach pain, tiredness, fever, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); severe headache, pounding in your neck or ears; swelling in your hands, ankles, or feet; changes in the pattern or severity of migraine headaches; a breast lump; or symptoms of depression--sleep problems, weakness, tired feeling, mood changes. Common side effects may include: stomach pain, gas, nausea, vomiting; breast tenderness; acne, darkening of facial skin; headache, nervousness, mood changes; problems with contact lenses; changes in weight; breakthrough bleeding; vaginal itching or discharge; or rash. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Sprintec side effects (more detail) What other drugs will affect birth control pills? Other drugs may affect birth control pills, including prescription and over-the-counter medicines, vitamins, and herbal products. Some drugs can make birth control pills less effective, which may result in pregnancy. Tell your doctor about all your current medicines and any medicine you start or stop using.
Warning Smoking cigarettes while using Tri-Sprintec (ethinyl estradiol and norgestimate) raises the chance of very bad heart and blood-related side effects. This chance is raised with age (mainly in women older than 35 years of age). It is also raised with the number of cigarettes smoked. It is strongly advised not to smoke. Do not use Tri-Sprintec (ethinyl estradiol and norgestimate) if you smoke and are older than 35 years of age. Uses of Tri-Sprintec: It is used to prevent pregnancy. It is used to treat pimples (acne). It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Tri-Sprintec? If you have an allergy to ethinyl estradiol, norgestimate, or any other part of Tri-Sprintec (ethinyl estradiol and norgestimate). If you are allergic to Tri-Sprintec (ethinyl estradiol and norgestimate); any part of Tri-Sprintec (ethinyl estradiol and norgestimate); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have had any of these health problems: Blood clots, blood clotting problem, breast cancer or other cancer where hormones make it grow, diseased blood vessels in the brain or heart, disease of a heart valve with problems, heart disease, chest pain caused by angina, heart attack, stroke, high blood pressure, liver disease, liver tumor, very bad headache or migraine, or diabetes that affects blood flow. If you have had any of these health problems: Endometrial cancer, cancer of the cervix or vagina, or vaginal bleeding where the cause is not known. If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use. If you are pregnant or may be pregnant. Do not take Tri-Sprintec (ethinyl estradiol and norgestimate) if you are pregnant. If you are breast-feeding or plan to breast-feed. If you are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir). This is not a list of all drugs or health problems that interact with Tri-Sprintec (ethinyl estradiol and norgestimate). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Tri-Sprintec (ethinyl estradiol and norgestimate) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take Tri-Sprintec? Tell all of your health care providers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). This includes your doctors, nurses, pharmacists, and dentists. This medicine may need to be stopped before certain types of surgery as your doctor has told you. If Tri-Sprintec (ethinyl estradiol and norgestimate) is stopped, your doctor will tell you when to start taking Tri-Sprintec (ethinyl estradiol and norgestimate) again after your surgery or procedure. This medicine may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor. Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots. If you have high blood sugar (diabetes), talk with your doctor. This medicine may raise blood sugar. Check your blood sugar as you have been told by your doctor. High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor. Be sure to have regular breast exams and gynecology check-ups. You will also need to do breast self-exams as you have been told. If you drink grapefruit juice or eat grapefruit often, talk with your doctor. This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). Certain drugs, herbal products, or health problems could cause Tri-Sprintec (ethinyl estradiol and norgestimate) to not work as well. Be sure your doctor knows about all of your drugs and health problems. This medicine does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Do not have any kind of sex without using a latex or polyurethane condom. If you have questions, talk with your doctor. Do not use in children who have not had their first menstrual period. If you have any signs of pregnancy or if you have a positive pregnancy test, call your doctor right away. How is this medicine (Tri-Sprintec) best taken? Use Tri-Sprintec (ethinyl estradiol and norgestimate) as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take Tri-Sprintec (ethinyl estradiol and norgestimate) at the same time of day. Take with or without food. Take with food if it causes an upset stomach. After starting Tri-Sprintec (ethinyl estradiol and norgestimate), you may need to use a non-hormone type of birth control like condoms to prevent pregnancy for some time. Follow what your doctor has told you to do about using a non-hormone type of birth control. If you also take colesevelam, take it at least 4 hours after you take Tri-Sprintec (ethinyl estradiol and norgestimate). Do not skip doses, even if you do not have sex very often. If you throw up or have diarrhea, Tri-Sprintec (ethinyl estradiol and norgestimate) may not work as well to prevent pregnancy. Use an extra form of birth control, like condoms, until you check with your doctor. If you miss 2 periods in a row, take a pregnancy test before starting a new cycle. What do I do if I miss a dose? If a dose is missed, check the package insert or call the doctor to find out what to do. If using Tri-Sprintec (ethinyl estradiol and norgestimate) to prevent pregnancy, another form of birth control may need to be used for some time to prevent pregnancy. Detailed Tri-Sprintec dosage information What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes. Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Depression or other mood changes. Feeling very tired or weak. Swelling. Not able to pass urine or change in how much urine is passed. A lump in the breast, breast pain or soreness, or nipple discharge. Vaginal itching or discharge. Eyesight changes or loss, bulging eyes, or change in how contact lenses feel. Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing. Tri-Sprintec side effects (more detail) What are some other side effects of Tri-Sprintec? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Weight gain. Headache. Upset stomach or throwing up. Gas. Feeling nervous and excitable. Stomach pain. Bloating. Feeling tired or weak. Enlarged breasts. Tender breasts. Period (menstrual) changes. These include spotting or bleeding between cycles. This medicine may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch. If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out Tri-Sprintec? Store at room temperature. Protect from light. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area. Consumer information use If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Tri-Sprintec (ethinyl estradiol and norgestimate), please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Warning Smoking cigarettes while using Tri-Sprintec (ethinyl estradiol and norgestimate) raises the chance of very bad heart and blood-related side effects. This chance is raised with age (mainly in women older than 35 years of age). It is also raised with the number of cigarettes smoked. It is strongly advised not to smoke. Do not use Tri-Sprintec (ethinyl estradiol and norgestimate) if you smoke and are older than 35 years of age. Uses of Tri-Sprintec: It is used to prevent pregnancy. It is used to treat pimples (acne). It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Tri-Sprintec? If you have an allergy to ethinyl estradiol, norgestimate, or any other part of Tri-Sprintec (ethinyl estradiol and norgestimate). If you are allergic to Tri-Sprintec (ethinyl estradiol and norgestimate); any part of Tri-Sprintec (ethinyl estradiol and norgestimate); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have had any of these health problems: Blood clots, blood clotting problem, breast cancer or other cancer where hormones make it grow, diseased blood vessels in the brain or heart, disease of a heart valve with problems, heart disease, chest pain caused by angina, heart attack, stroke, high blood pressure, liver disease, liver tumor, very bad headache or migraine, or diabetes that affects blood flow. If you have had any of these health problems: Endometrial cancer, cancer of the cervix or vagina, or vaginal bleeding where the cause is not known. If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use. If you are pregnant or may be pregnant. Do not take Tri-Sprintec (ethinyl estradiol and norgestimate) if you are pregnant. If you are breast-feeding or plan to breast-feed. If you are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir). This is not a list of all drugs or health problems that interact with Tri-Sprintec (ethinyl estradiol and norgestimate). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Tri-Sprintec (ethinyl estradiol and norgestimate) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take Tri-Sprintec? Tell all of your health care providers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). This includes your doctors, nurses, pharmacists, and dentists. This medicine may need to be stopped before certain types of surgery as your doctor has told you. If Tri-Sprintec (ethinyl estradiol and norgestimate) is stopped, your doctor will tell you when to start taking Tri-Sprintec (ethinyl estradiol and norgestimate) again after your surgery or procedure. This medicine may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor. Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots. If you have high blood sugar (diabetes), talk with your doctor. This medicine may raise blood sugar. Check your blood sugar as you have been told by your doctor. High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor. Be sure to have regular breast exams and gynecology check-ups. You will also need to do breast self-exams as you have been told. If you drink grapefruit juice or eat grapefruit often, talk with your doctor. This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Tri-Sprintec (ethinyl estradiol and norgestimate). Certain drugs, herbal products, or health problems could cause Tri-Sprintec (ethinyl estradiol and norgestimate) to not work as well. Be sure your doctor knows about all of your drugs and health problems. This medicine does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Do not have any kind of sex without using a latex or polyurethane condom. If you have questions, talk with your doctor. Do not use in children who have not had their first menstrual period. If you have any signs of pregnancy or if you have a positive pregnancy test, call your doctor right away. How is this medicine (Tri-Sprintec) best taken? Use Tri-Sprintec (ethinyl estradiol and norgestimate) as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take Tri-Sprintec (ethinyl estradiol and norgestimate) at the same time of day. Take with or without food. Take with food if it causes an upset stomach. After starting Tri-Sprintec (ethinyl estradiol and norgestimate), you may need to use a non-hormone type of birth control like condoms to prevent pregnancy for some time. Follow what your doctor has told you to do about using a non-hormone type of birth control. If you also take colesevelam, take it at least 4 hours after you take Tri-Sprintec (ethinyl estradiol and norgestimate). Do not skip doses, even if you do not have sex very often. If you throw up or have diarrhea, Tri-Sprintec (ethinyl estradiol and norgestimate) may not work as well to prevent pregnancy. Use an extra form of birth control, like condoms, until you check with your doctor. If you miss 2 periods in a row, take a pregnancy test before starting a new cycle. What do I do if I miss a dose? If a dose is missed, check the package insert or call the doctor to find out what to do. If using Tri-Sprintec (ethinyl estradiol and norgestimate) to prevent pregnancy, another form of birth control may need to be used for some time to prevent pregnancy. Detailed Tri-Sprintec dosage information What are some side effects that I need to call my doctor about right away? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes. Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Depression or other mood changes. Feeling very tired or weak. Swelling. Not able to pass urine or change in how much urine is passed. A lump in the breast, breast pain or soreness, or nipple discharge. Vaginal itching or discharge. Eyesight changes or loss, bulging eyes, or change in how contact lenses feel. Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing. Tri-Sprintec side effects (more detail) What are some other side effects of Tri-Sprintec? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Weight gain. Headache. Upset stomach or throwing up. Gas. Feeling nervous and excitable. Stomach pain. Bloating. Feeling tired or weak. Enlarged breasts. Tender breasts. Period (menstrual) changes. These include spotting or bleeding between cycles. This medicine may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch. If OVERDOSE is suspected: If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. How do I store and/or throw out Tri-Sprintec? Store at room temperature. Protect from light. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area. Consumer information use If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Tri-Sprintec (ethinyl estradiol and norgestimate), please talk with your doctor, nurse, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.