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Nordette is diagnosed for

An oral contraceptive, Nordette is commonly referred to as the "the Pill". Nordette 28 is used to prevent pregnancy or to regulate your menstrual cycle. Certain brands of birth control pills may be used for treating acne or as a "morning after" pill for emergency contraception. It contains two active ingredients (levonorgestrel and ethinyloestradiol). They are similar to hormones that your body naturally produces. Consult your doctor or pharmacist. Use of Nordette 28 does not protect against sexually transmitted diseases (e.g., HIV, gonorrhea).


Nordette Prescribed

To prevent an upset stomach, take Nordette 28 with food or immediately after a meal. Learn proper use of your particular brand of medication. Follow your dosing schedule carefully. Ask your doctor or pharmacist if you have any questions. Try to take Nordette 28 at the same time each day. During the first week of taking Nordette 28, use a supplemental form of birth control since it takes a while to be effective. Follow your physician's directions precisely if Nordette 28 is being used as a "morning after" pill.

Side Effects

There are a few side effects are associated with the use of Nordette 28. It may cause dizziness, lightheadedness, stomach upset, headache, bloating, or nausea. If these side effects persist, contact your doctor. Notify your physician if you experience any of the following conditions: severe depression, groin or calf pain, sudden severe headache, chest pain, shortness of breath, lumps in the breast, weakness or tingling in the arms or legs, yellowing of the eyes or skin. If you notice other effects not listed above, contact your physician or pharmacist.

Precautions

Prior to taking Nordette 28, tell your physician your entire medical history. Include any family medical history of: asthma, high blood pressure, kidney disease, liver heart disease, stroke, history of jaundice (yellowing skin/eyes) or high blood pressure during pregnancy, excessive weight gain or fluid retention during menstrual cycle, blood clots, heart attack, seizures, migraine headaches, breast cancer, high blood level of cholesterol or lipids (fats), diabetes, depression. The strength of the pill may cause a patchy, darkening of the skin on the face (melasma). Higher dosage strengths are more likely to cause melasma. Sunlight may intensify this darkening and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding use of sunscreens and protective clothing. It may take a long time for you to become pregnant after you stop taking birth control pills. Consult your physician. Do not smoke cigarettes. Birth-control pills slightly increase your risk of strokes, blood clots, high blood pressure, heart attacks, gallbladder disease, vision problems, and liver tumors. Cigarette smoking (especially 15 or more cigarettes daily) and age (women older than 35/smokers or 40/nonsmokers years of age) further increase the risk of stroke, blood clots, high blood pressure and heart attacks. Ask your pharmacist or physician for a copy of the patient labeling which explains these risks in more detail. Consult your doctor for any questions, including possible use in nonsmokers over 40 years of age. If you are near-sighted or wear contact lenses, you may develop vision problems. The tolerance level of the lenses may be diminished. Contact your eye physician if these problems occur. Prior to having surgery, including dental surgery, tell the doctor that you take birth control pills. Never use Nordette 26 if you become pregnant or think you may be pregnant or nursing.)

Consult Your Physician

Notify your doctor what prescription and nonprescription drugs you are taking. The medications that can potentially decrease the effectiveness of the pill include: griseofulvin, many antibiotics (e.g., penicillins, macrolides, tetracyclines, sulfas, cephalosporins), chloramphenicol, many seizure medications (e.g., phenytoin, barbiturates, primidone, carbamazepine), dapsone, rifamycins (e.g., rifampin), modafinil, nevirapine, nelfinavir, ritonavir, St John's wort, troglitazone. Ask your doctor if you should use additional birth control methods while taking any of the drugs mentioned above while taking birth control pills. Tell your doctor if you use: thyroid hormone drugs, certain benzodiazepines (e.g., diazepam, chlordiazepoxide), prednisone-like drugs, certain antidepressants (e.g., tricyclics), beta-blockers (e.g., metoprolol), "blood thinners" (anticoagulants such as warfarin), insulin. Nordette 28 can affect the results of certain lab tests (e.g., thyroid). Notifyall laboratory personnel that you are using the pill. Birth control pills may significantly intensify the effects of alcohol. Consult your physician or pharmacist about this. Do not start or stop any medicine without doctor or pharmacist approval.
Smoking cigarettes while using Nordette 28 increases your chances of getting heart disease or a stroke. It is not recommended to smoke while using Nordette 28.

Special Notificiations

The following information is intended to supplement, not substitute for, the expertise and judgment of your doctor, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional prior to using Nordette 28.

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea and vomiting. Females may experience vaginal bleeding.

Never allow others who are not prescribed Nordette 28, to use the drug. Keep all appointments with your doctor and the laboratory. A complete physical examination, are needed annually. Follow your doctor's instructions for examining your own breasts, and report any lumps immediately. A manufacturer's fact sheet about Nordette 28 should be dispensed with each prescription. Read the information carefully. Ask your physician or pharmacist any questions you may have.

Missed Dose

Because the missed dose advice differs, refer to the product package information for advice on missed doses. Ask your doctor or pharmacist if you have any questions.

Storage

Store Nordette 28 at room temperature away from heat, moisture and sunlight. Keep out of reach of children.

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