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Precautions

Do NOT use Alesse if:

• you happen to be allergic to the ingredient in Alesse
• you might be pregnant or think you may be pregnant
• you have a good blood clotting problems, severe blood clots (eg, in the lungs, legs, eyes), certain blood vessel problems (eg, bleeding inside brain, cardiac arrest, stroke), or breast cancer
• you are at risk for developing severe blood clots or have certain heart disease (eg, certain heart valve problems, certain kinds of irregular heartbeat)
• you might have chest pain a result of angina; some types of headaches or migraines with aura; severe or uncontrolled hypertension; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; or undiagnosed abnormal vaginal bleeding; or diabetes that affects circulation
• you've liver disease, liver tumors or cancer, or even a history of yellowing in the eyes or skin caused by pregnancy or prior contraception use
• you have experienced surgery and therefore are or will be restricted to a bed or even a chair with an extended period of time
• you are more than 35 years old and you also smoke 15 or higher cigarettes every day.

Contact your doctor or health care provider immediately if all of these affect you.

Some health conditions may talk with Alesse. Tell your doctor or pharmacist if you have any health concerns, especially if any of the following affect you:

• if you happen to be pregnant, likely to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• in case you have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, a lump within the breast, heart related illnesses, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, high blood pressure, kidney problems, blood problems (eg, porphyria), blood in the urine, depression or any other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing from the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or even a history of cancer
• if you're overweight, you have not yet had the first menstrual period, or you use tobacco
• for those who have given birth you aren't ended a pregnancy within the past 4 weeks.

Some medicines may talk with Alesse. Tell your medical provider if you might be taking every other medicines, especially any of the following:

• Atorvastatin, indinavir, or troleandomycin because they could raise the probability of Alesse's unwanted effects
• Aprepitant, azole antifungals (eg, itraconazole, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, dexamethasone, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, oxcarbazepine, penicillins (eg, amoxicillin), phenylbutazone, primidone, rifabutin, rifampin, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone because they may decrease Alesse's effectiveness, producing breakthrough bleeding or pregnancy
• Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline as the chance of their unwanted effects could possibly be increased by Alesse
• Clofibric acid, lamotrigine, morphine, salicylic acid, or temazepam as their effectiveness could possibly be decreased by Alesse.

This is probably not a total set of all interactions that could occur. Ask your doctor if Alesse may talk with other medicines that you just take. Check with your health care provider before you start, stop, or customize the dose from a medicine.

Important safety information:

• Alesse might cause dizziness. This effect may be worse if you go with alcohol or certain medicines. Use Alesse with caution. Do not drive or perform other possibly unsafe tasks before you understand how you reply to it.
• Follow your physician's instructions for examining your own personal breasts, and report any lumps immediately.
• If you will probably be having surgical procedures or will likely be confined to a bed or chair for a long period of time (such as a long plane flight), notify your physician 3 to four weeks ahead of energy. Special precautions may need to be used over these circumstances while taking Alesse.
• You should usually not take Alesse within 4 weeks after giving birth or otherwise ending a pregnancy. Discuss any queries or concerns along with your doctor.
• Alesse could cause dark skin patches on the face. Exposure to sunshine will make these patches darker. If patches develop, work with a sunscreen or wear protective clothing when exposed to the sun, sunlamps, or tanning booths.
• Use of Alesse won't drive back HIV infection or avoid the spread of sexually transmitted diseases (STDs).
• Bleeding or spotting may occur while taking Alesse. Do not stop taking Alesse if this type of occurs. If bleeding or spotting continues for over seven days or is heavy, get hold of your doctor.
• Smoking while using the Alesse may improve your probability of stroke, cardiac arrest, blood clots, high blood pressure levels, or another diseases from the heart and blood vessels.
• Alesse may hinder certain diagnostic tests. Be sure your physician and lab personnel know you are using Alesse.
• Taking certain antibiotics, anticonvulsants, or any other medicines, as listed in the interactions section, while you might be using Alesse may reduce the effectiveness of Alesse. To prevent pregnancy, readily extra way of birth control method (eg, condoms) until your next period.
• If you wear disposable lenses and also you develop difficulty with them, get hold of your doctor.
• If you miss your period throughout the week of inactive pills, call a medical expert immediately. A missed period may suggest that you're pregnant.
• Alesse will take time for it to wear off after your last dose. You is probably not able to become pregnant for a lot of months after stopping Alesse.Discuss any concerns using your doctor or pharmacist.
• Lab tests, such as PAP tests, could be performed while you use Alesse. These tests could possibly be used to monitor your complaint or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.
• Alesse mustn't be found in children who have not had their first period; safety and effectiveness in these children weren't confirmed.
• Pregnancy and breast-feeding: Do not use Alesse if you're pregnant. Avoid becoming pregnant while you happen to be taking it. If you think you could be pregnant, contact your doctor straight away. Alesse is found in breast milk. Do not breastfeed while taking Alesse.