Progestins For Contraceptive Use - Systemic
Progestins For Contraceptive Use *** Before Using *** How to Use *** Fore Safe Use *** Side Effects
Fore Safe Use
The best for you that your health care professional check
your progress at regular appointments
. This will allow your dosage to be
adjusted to your changing needs and will allow any unwanted effects to be
detected. These appointments are usually every 12 months when you are taking progestins
by mouth for birth control.
-
If you are receiving the medroxyprogesterone injection for contraception,
a physical exam is needed only every 12 months, but you need an injection
every 3 months - 13 weeks.
-
If you are using the levonorgestrel implants, your family doctor will want
to check the area where they were placed within 30 days after they are put
into or removed from your arm. After that, a visit every 12 months usually
is all that is needed.
Progestins may cause some people to become dizzy
.
Make sure you know how you react to this drug before you drive, use machines,
or do anything else that could be dangerous if you are not alert.
Vaginal bleeding of various amounts may occur between your regular menstrual
periods during the first 3 months of use. This is not unusual and does not
mean you must stop the drug. This is sometimes called spotting when
the bleeding is slight, or breakthrough bleeding when it is heavier. If this
occurs, continue on your regular dosing schedule
Check
with your family doctor
:
-
If vaginal bleeding continues for an unusually long time.
-
If your menstrual period has not started within 45 days of your last
period.
Missed menstrual periods may occur
If you suspect
a pregnancy, you must call your family doctor immediately
.
If you are scheduled for any laboratory tests, tell your health care professional
that you are taking a progestin. Progestins can change certain test results.
The following medication might reduce the effectiveness of progestins for
contraception:
-
Aminoglutethimide - Cytadren
-
Carbamazepine - Tegretol
-
Phenobarbital
-
Phenytoin - Dilantin
-
Rifabutin - Mycobutin
-
Rifampin - Rifadin
Sometimes your family doctor may use these medication with progestins
for contraception but will give you special directions to follow to make sure
your progestin is help you
Use a second method
of birth control
while using these medication that reduce the effectiveness
of progestins for contraception. If you are using medroxyprogesterone injection
for contraception, continue using a back-up method of birth control until
you have your next injection, even if those medication that effect contraceptives
are discontinued. If you are using the oral tablets or implants, continue
using a back-up method of birth control for a full cycle - or 4 weeks, even
if those medication that effect contraceptives are discontinued.
If you vomit your oral progestin-only contraceptive for any reason within
hours of taking it, do not take another dose. Return to your regular dosing
schedule and use an additional back-up method of birth control for 48 hours.
If you are receiving levonorgestrel tablets for emergency contraception
and vomiting occurs within 1 hour of taking either dose of the drug, contact
your physician to discuss whether the dose must be repeated.
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