Instructions

You may take with food to prevent stomach upset.

This medicine will work best if you take it at about the same time every day.

Store at room temperature away from heat, light, and moisture. Do not keep in the bathroom.

If this is the first time that you are using this medicine, please speak with your doctor about when you should start this medicine.

If you are switching from a different birth control pill, start this medicine on the same day you would start your other birth control pack.

If you are using a birth control pack with 28 pills, start the first pill of a new pack on the day after the last pill of the previous pack.

If you forget to take a dose, take it as soon as you remember. If it is time for your next dose, you are allowed to take 2 doses at once. Return to your normal dosing schedule on the following day. If you miss more than one dose, ask your doctor what you should do to get back on schedule.

Ask your doctor about using an extra form of birth control if you forget any doses of your medicine.

You may have mild vaginal bleeding or spotting while on this medicine. Do not stop taking the medicine if this happens. Contact your doctor if bleeding is heavy or lasts more than a few days.

This medicine may cause dark patches to appear on your face. Avoid sunlight and use sunscreen lotion to minimize further darkening of these skin patches.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Vomiting or diarrhea can prevent birth control pills from working well. If you have vomiting or diarrhea, ask if you need to use an extra form of birth control (such as condoms).

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

Do not use the medication any more than instructed.

Ask your doctor how to do a breast self-exam. Check monthly. Report any changes to your doctor.

Talk to your doctor about getting a complete physical exam every year while on this medicine.

Use condoms to reduce the risk of sexually transmitted diseases.

This medicine passes into breast milk. Ask your doctor before breastfeeding.

Do not use this medicine if you are pregnant. If you become pregnant, contact your doctor immediately.

Do not share this medicine with anyone who has not been prescribed this medicine.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• bloating
• breast pain or swelling
• headaches
• dark patches on skin or face
• menstruation changes (missed or fewer periods)
• nausea and vomiting
• vaginal bleeding or spotting between periods
• weight gain

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• breast lumps
• changes in memory, mood, or thinking
• depression or feeling sad
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• mood changes
• cramping of the uterus or bleeding from the vagina

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.