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