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This combination hormones medication is used to prevent pregnancy. It includes 2 hormones: a progestin and an estrogen. It works mainly by avoiding the release of an egg (ovulation) through your menstrual cycle. In addition makes vaginal fluid thicker to help prevent semen from reaching an egg (fertilization) and changes the liner of the womb (womb) to prevent attachment of a egg that is fertilized. If a fertilized egg does not connect to the uterus, it passes out associated with the body.

Besides preventing pregnancy, contraception pills may make your periods more regular, decrease loss of blood and painful periods, lower your danger of ovarian cysts, and additionally treat acne.

Utilizing this medication does perhaps not protect you or your partner against intimately transmitted diseases (such as HIV, gonorrhea, chlamydia).

How to use Ortho Tri-Cyclen (21)

Read the Patient Information Leaflet provided by your pharmacist you get a refill before you start using this product and each time. The leaflet contains very information that is important when to take your pills and how to handle it in the event that you miss a dose. If you have relevant concerns, pose a question to your physician or pharmacist.

Simply take this medication by mouth as directed by your physician, usually once daily. Pick an occasion of day that is easy for you really to remember, and simply take your pill at the same time each day.

It is crucial to carry on taking this medication exactly as prescribed by your physician. The amount of estrogen and progestin in each active tablet will vary at different times in the cycle with certain brands of birth control pills. Therefore, it is very important that you follow the package instructions to find the first tablet, start with the first tablet in the pack, and take them in the correct order. Usually do not skip any doses. Pregnancy is more likely if you miss pills, begin a pack that is new, and take your pill at a different time of the afternoon than typical.

Diarrhea or vomiting can prevent your birth control pills from working well. If you have vomiting or diarrhea, you may need to use a back-up birth control method (such as condoms, spermicide). Follow the directions in the Patient Information Leaflet and consult with your pharmacist or doctor for lots more details.

Taking this medication after your meal or at bedtime may help if you have stomach upset or nausea with the medication evening. You may choose to take this medication at another time of day that is easier for you to remember. No real matter what schedule that is dosing use, it is very important that you take this medication at the same time each day, 24 hours apart. Ask your doctor or pharmacist if you have got any questions.

Your pill pack contains 21 pills with active medication. It may also contain 7 reminder pills with no medication. Take one active pill (with hormones) once daily for 21 days in a row. After you have taken the last active pill unless otherwise directed by your doctor if you are using a product with 28 tablets, take an inactive pill once daily for 7 days in a row. If a product is being used by you with 21 tablets, do not take any tablets for 7 days unless otherwise directed by your doctor. You should have your period during the fourth week of the period. You have your period after you have taken the last inactive tablet in the pack or gone 7 days without taking an active tablet, start a new pack the next day whether or not. Should you perhaps not get your duration, consult your doctor.

If this may be the first time you are using this medication and you are not switching from another form of hormonal birth control (such as patch, other birth control pills), take the first tablet in the pack on the first Sunday following the beginning of your menstrual period or on the first day of your period. If your period begins on a begin taking this medication on that day sunday. For the first cycle of use just, use yet another form of non-hormonal birth control (such as condoms, spermicide) for initial 7 times to prevent pregnancy before the medication has enough time to work. You do not need to use back-up birth control the first week if you start on the first day of your period.

Ask your pharmacist or doctor about how to switch from other forms of hormonal birth control (such as patch, other birth control pills) to this product. If any given info is unclear, consult the Patient Information Leaflet or your physician or pharmacist.

What conditions does Ortho Tri-Cyclen (21) treat?

adverse Effects

Nausea, vomiting, headache, bloating, breast tenderness, swelling of this ankles/feet (fluid retention), or weight change may occur. Genital bleeding between durations (spotting) or periods that are missed/irregular occur, especially during the first few months of use. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. In the event that you skip 2 periods in a row (or 1 duration if the pill have not been used properly), contact your doctor for a pregnancy test.

Remember that the doctor has recommended this medication because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have adverse that is serious.

This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.

Inform your physician straight away if you've got any serious side-effects, including: lumps in the breast, mental/mood changes (such as new/worsening depression), severe stomach/abdominal discomfort, unusual changes in vaginal bleeding (such as for example constant spotting, sudden hefty bleeding, missed durations), dark urine, yellowing eyes/skin.

This medicine may hardly ever cause serious (often fatal) problems from blood clots (such as deep vein thrombosis, heart attack, pulmonary embolism, stroke). Get medical help immediately if any of these adverse effects happen: chest/jaw/left arm pain, confusion, sudden dizziness/fainting, pain/swelling/warmth in the groin/calf, slurred speech, sudden shortness of breath/rapid respiration, uncommon headaches (including headaches with vision changes/lack of coordination, worsening of migraines, sudden/very severe headaches), unusual sweating, weakness on a single side of the body, vision problems/changes (such as for instance double eyesight, partial/complete blindness).

A very serious reaction that is allergic this drug is rare. However, get help that is medical away in the event that you notice any signs and symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing.

This is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about part effects. You might report effects that are side FDA at 1-800-FDA-1088 or at

In Canada - Call your medical practitioner for medical advice about negative effects. You may report adverse effects to wellness Canada at 1-866-234-2345.

List Ortho Tri-Cyclen (21) side effects by severity and likelihood.


See also Warning section.

Before making use of this medicine, tell your medical professional or pharmacist if you are allergic to any estrogens (such as ethinyl estradiol, mestranol) or any progestins (such as norethindrone, desogestrel); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergies or other problems. Talk to your pharmacist to get more details.

Before making use of this medicine, inform your medical professional or pharmacist your medical history, especially of: bloodstream clots (for example, into the legs, eyes, lungs), blood clotting disorders (such as for example protein C or protein S deficiency), high hypertension, abnormal breast exam, cancer (especially endometrial or breast cancer), high cholesterol or triglyceride (blood fat) levels, despair, diabetes, family medical background (especially angioedema), gallbladder dilemmas, serious headaches/migraines, heart problems (such as heart valve disease, irregular heartbeat, past heart attack), history of yellowing eyes/skin (jaundice) during pregnancy or while making use of hormonal birth control (such as pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), thyroid problems, unexplained vaginal bleeding.

If you have diabetes, this medication may make it harder to control your blood sugar levels. Check your blood sugar levels regularly as directed and share the total results along with your physician. Tell your doctor right away if you have any symptoms of high blood sugar such as increased thirst/urination. Your doctor may require to adjust your diabetes medication, exercise program, or diet.

Tell your doctor if you just had or will be having surgery or if you will be confined to a bed or chair for a long time (such as a long plane flight). These conditions increase your risk of getting blood clots, especially if you are using birth control that is hormonal. You may need to stop this medicine for a period or simply take precautions that are special.

Before having surgery, tell your physician or dentist about all these products you use (including prescription drugs, nonprescription medications, and herbal products).

This medicine could potentially cause blotchy, dark areas on your own epidermis (melasma). Sunlight may worsen this effect. Avoid prolonged sun visibility, sunlamps, and tanning booths. Use a sunscreen, and wear clothing that is protective outdoors.

You may develop vision problems or trouble wearing your contact lenses if you are nearsighted or wear contact lenses. Contact your eye doctor if these nagging problems occur.

It may simply take longer after you stop taking birth control pills for you to become pregnant. Consult with your doctor.

This medication ought not to be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. If you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about reliable forms of birth control, and find out when it is safe to start using birth control that contains a form of estrogen, such as this medication.

This medicine may decrease breast milk production. A amount that is small into breast milk and could have undesirable results on a nursing infant. Consult your doctor before breast-feeding.

What should I know regarding pregnancy, nursing and administering Ortho Tri-Cyclen (21) to children or the elderly?

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