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• you are at risk for developing severe blood clots or have certain heart related illnesses (eg, certain heart valve problems, certain types of irregular heartbeat)

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• you have chest pain brought on by angina; some types of headaches or migraines with aura; severe or uncontrolled high blood pressure; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; or undiagnosed abnormal vaginal bleeding; or diabetes that affects circulation

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• you have liver disease, liver tumors or cancer, or a good yellowing in the eyes or skin due to pregnancy or prior contraception use

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Contact your physician or health care provider right away if these affect you.

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Some medical ailments may communicate with Alesse. Tell a medical expert or pharmacist in case you have any medical ailments, especially if any in the following sign up for you:

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• in case you have allergies to medicines, foods, or other substances

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• when you have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, a lump inside breast, heart problems, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, high blood pressure levels, kidney problems, blood problems (eg, porphyria), blood inside urine, depression or any other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing of the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or a good cancer

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Some medicines may communicate with Alesse. Tell your medical provider if you're taking any other medicines, especially any from the following:

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• 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 given that they may decrease Alesse's effectiveness, leading to breakthrough bleeding or pregnancy

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This might not be a whole list of all interactions that could occur. Ask your medical provider if Alesse may interact with other medicines that you simply take. Check with your medical provider before you start, stop, or alter the dose of any medicine.

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Important safety information:

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• Alesse could potentially cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Alesse with caution. Do not drive or perform other possibly unsafe tasks and soon you discover how you respond to it.

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• Follow your physician's instructions for examining your personal breasts, and report any lumps immediately.

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• Use of Alesse is not going to drive back HIV infection or prevent the spread of sexually transmitted diseases (STDs).

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