Nordette 28 - Birth
Control & regulation of Menstrual Cycle
Nordette 28 for pregnancy and
cycle control
Nordette 28 USES:
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. Consult your doctor or pharmacist. Use of
Nordette 28 does not protect you or your partner against sexually transmitted diseases (e.g., HIV, gonorrhea).
Nordette 28 Prescription
24 Hour Prescription Delivery of your
Nordette Prescription
Nordette 28
Important Note
The following information is intended to supplement, not substitute for,
the expertise and judgment of your physician, 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 before using this drug.
Warning
Smoking cigarettes while using Nordette 28 increases your chance of having
heart problems. Do not smoke while using Nordette 28. The risk of heart
problems increases with age (in women greater than 35 years of age) and
with frequent smoking (15 cigarettes per day or greater).
How to Use Nordette
Take Nordette 28 with food or immediately after a meal to prevent stomach
upset. Try to take Nordette 28 at the same time each day. This may help
you to remember to take it. Learn proper use of your particular brand of
medication. Follow your dosing schedule carefully. Be sure to ask your
doctor or pharmacist if you have any questions. Use a supplemental form of
birth control during the first week of taking Nordette 28 since it takes a
while to be effective. Follow your doctor's directions exactly if this
drug is being used as a "morning after" pill.
Nordette Side Effects
Nordette 28 may cause dizziness, headache, lightheadedness, stomach upset,
bloating, or nausea. If these effects persist or worsen, contact your
doctor. Notify your doctor if you experience: 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
doctor or pharmacist.
Precautions
Before you take Nordette 28, tell your doctor your entire medical history,
including family medical history, especially: 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. Depending on strength,
this drug may cause a patchy, darkening of the skin on the face (melasma).
Higher 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 doctor. 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
doctor 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. Also, your tolerance of
the lenses may decrease. Contact your eye doctor if these problems occur.
Before having surgery, including dental surgery, tell the doctor that you
take birth control pills. This drug must not be used during pregnancy. If
you become pregnant or think you may be pregnant, inform your doctor
immediately. Nordette 28 passes into breast milk. This may affect milk
production and may have harmful effects on a nursing infant. Consult your
doctor before breast-feeding.
Drug Interactions
Tell your doctor what prescription and nonprescription drugs you are
taking. Drugs that may 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. Also 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. This product can affect the
results of certain lab tests (e.g., thyroid). Inform all laboratory
personnel that you use this drug. Birth control pills may significantly
intensify the effects of alcohol. Consult your doctor or pharmacist about
this. Do not start or stop any medicine without doctor or pharmacist
approval.
Overdose
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.
Notes
Do not allow anyone else to take Nordette 28. Keep all appointments with
your doctor and the laboratory. You should have a complete physical
examination, including blood pressure measurements, breast and pelvic
examinations, and a PAP test (for vaginal cancer), at least once a year.
Follow your doctor's instructions for examining your own breasts, and
report any lumps immediately. A manufacturer's fact sheet about this drug
should be dispensed with each prescription. Read the information
carefully. Ask your doctor or pharmacist any questions you may have.
Missed Dose
Missed dose advice differs and depends on the brand used, and the number
of doses missed. Refer to the product package information for advice on
missed doses. Ask your doctor or pharmacist if you have any questions.
Storage
Store at room temperature between 59 and 86 degrees F (between 15 and 30
degrees C) away from moisture and sunlight. Do not store in the bathroom.
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