Estrogens and Progestins Oral Contraceptives - Systemic
Estrogens and Progestins Oral Contraceptives *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
Before Using
In deciding to using a medication,
the chance of taking the drug must be weighed against the good it will
do. If you are using oral contraceptives for contraception you must understand
how their benefits and chance compare to those of other birth control methods.
This is a decision you, your sexual partner and your family doctor will make. For
oral contraceptives, the following must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to estrogens or progestins. Also tell your health care professional
if you are allergic to any other substances, such as foods, preservatives,
or dyes.
Diet Make certain your health care professional
knows if you are on any special diet, such as a low-sodium or low-sugar diet.
Pregnancy care
Oral contraceptives are not recommended for use during
pregnancy and must be discontinued if you become pregnant or think you are
pregnant. When oral contraceptives were accidently taken early in pregnancy,
problems in the fetus did not occur. Women who are not breast-feeding may
begin to take oral contraceptives two weeks after having a baby.
Breast-feeding problem
Oral contraceptives pass into the breast milk and
can change the content or lower the amount of breast milk. Always they may
shorten a woman's ability to breast-feed by about 1 month, especially when
the mother is only partially breast-feeding. Because the amount of hormones
is so small in low-dose contraceptives, your family doctor may allow you to begin
using an oral contraceptive after you have been breast-feeding for a while.
However, it may be necessary for you to use another method of birth control
or to stop breast-feeding while taking oral contraceptives.
Adolescents This drug is frequently using for birth control
in teenage females and has not been shown to cause various side effects
or problems than it does in adults. Some teenagers may need extra information
on the importance of taking this medication exactly as prescribed.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
oral contraceptives, it is especially important that your health care professional
know if you are taking any of the following:
-
Amiodarone - Cordarone
-
Anabolic steroids - nandrolone " Anabolin ", oxandrolone "
Anavar ", oxymetholone " Anadrol ", stanozolol " Winstrol "
-
Androgens - male hormones
-
Anti-infectives by mouth or by injection - drug for infection
-
Barbiturates
-
Carbamazepine - Tegretol
-
Carmustine - BiCNU
-
Dantrolene - Dantrium
-
Daunorubicin - Cerubidine
-
Disulfiram - Antabuse
-
Divalproex - Depakote
-
Estrogens - female hormones
-
Etretinate - Tegison
-
Gold salts - drug for arthritis
-
Griseofulvin - Fulvicin
-
Hydroxychloroquine - Plaquenil
-
Mercaptopurine - Purinethol
-
Methotrexate - Mexate
-
Methyldopa - Aldomet
-
Naltrexone - Trexan - with long-term, high-dose use
-
Phenothiazines - acetophenazine " Tindal ", chlorpromazine "
Thorazine ", fluphenazine " Prolixin ", mesoridazine " Serentil ",
perphenazine " Trilafon ", prochlorperazine " Compazine ", promazine
" Sparine ", promethazine " Phenergan ", thioridazine " Mellaril ",
trifluoperazine " Stelazine ", triflupromazine " Vesprin ", trimeprazine
" Temaril "
-
Phenylbutazone - Butazolidin
-
Phenytoin - Dilantin
-
Plicamycin - Mithracin
-
Primidone - Mysoline
-
Rifabutin - Mycobutin
-
Rifampin - Rifadin
-
Troleandomycin - TAO These medication may increase the
risk of liver problems if taken with oral contraceptives; also, these medication
may decrease the effect of oral contraceptives and increase your risk of
pregnancy. Use of an additional form of birth control is recommended unless
directed otherwise by your health care professional
-
Corticosteroids - cortisone-like drug
-
Theophylline Oral contraceptives may increase the effects of
these medication and increase the risk of problems occurring
-
Cyclosporine Oral contraceptives increase the effect of cyclosporine
and increase the risk of problems occurring
-
Ritonavir - Norvir
-
Troglitazone - Rezulin These medication may decrease the
effect of oral contraceptives and increase your risk of pregnancy. Use of
an additional form of birth control is recommended unless directed otherwise
by your health care professional
-
Smoking, tobacco Smoking may decrease the effect of oral contraceptives
and increase the risk of causing serious blood clot, vein, or heart problems
Other Information for using
The presence of other medical
problems may effect the use of oral contraceptives. Make sure you tell your
family doctor if you have any other medical problems, especially:
-
Abnormal changes in menstrual or uterine bleeding
-
Endometriosis
-
Fibroid tumors of the uterus Oral contraceptives usually improve
these female conditions but sometimes they can make them worse or make the
diagnosis of these problems more difficult
-
Blood clots - or history of
-
Heart or circulation disease
-
Stroke - or history of If these conditions are already present,
oral contraceptives may have a greater risk of causing blood clots or circulation
problems, especially in women who smoke tobacco. Otherwise, oral contraceptives
may help prevent circulation and heart disease if you are healthy and do not
smoke
-
Breast disease - not involving cancer Oral contraceptives usually
protect against certain breast diseases, such as breast cysts or breast lumps;
however, your family doctor may want to follow your condition more closely
-
Cancer, including breast cancer - or history of or family history
of Oral contraceptives may worsen some cancers, especially when breast,
cervical, or uterine cancers already exist. Use of oral contraceptives is
not recommended if you have any of these conditions. If you have a family
history of breast disease, oral contraceptives may still be a good choice
but you may need to be tested more often
-
Chorea gravidarum
-
Gallbladder disease or gallstones - or history of
-
High blood cholesterol
-
Liver disease - or history of, including jaundice during pregnancy
or oral contraceptive use
-
Mental depression - or history of Oral contraceptives may make
these conditions worse or, rarely, cause them to occur again. Oral contraceptives
may still be a good choice but you may need to be tested more often
-
Diabetes mellitus - sugar diabetes Use of oral contraceptives
may cause an increase, usually only a small increase, in your blood sugar
and usually does not effect the amount of diabetes drug that you take.
You or your family doctor will want to test for any changes in your blood sugar for
12 to 24 months after starting to take oral contraceptives in case the dose
of your diabetes drug needs to be changed
-
Epilepsy - seizures - or history of
-
Heart or circulation problems
-
High blood pressure - hypertension
-
Migraine headaches Oral contraceptives may cause fluid build-up
and may cause these conditions to become worse; however, some people have
fewer migraine headaches when they use oral contraceptives
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