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Drug Uses
Mircette Tablets are indicated for the prevention of pregnancy
if you elect to use this product as a method of contraception.
Oral contraceptives must be used consistently
to prevent pregnancy. Take this medication with food or immediately
after a meal to avoid stomach upset. Try to take this medication
at the same time each day. This may help you to remember to
take it regularly. Oral contraceptives come in packets of
21 or 28 tablets. If you have a 21-tablet packet, take one
tablet daily for 21 days and then wait 7 days (no tablets)
before starting a new packet. If you have a 28-tablet packet,
take one tablet daily for 28 days in the order specified in
your packet. The last seven tablets in a 28-tablet packet
are a different color. These tablets do not contain ethinyl
estradiol and desogestrel; they contain iron (ferrous fumarate)
or an inactive ingredient and are used to permit continuous
daily dosing during the entire 28-day cycle. This eliminates
the need to count the number of days between cycles. A new
28-tablet packet should be started the day after taking your
28th tablet. When first starting on this medication, use an
additional method of birth control until you have correctly
taken at least 7 days' worth of tablets. Follow the directions
on your prescription label carefully concerning when to take
your first tablet (on the first or fifth day of your menstrual
period, or on the first Sunday on or after bleeding begins).
Take oral contraceptives exactly as directed by your doctor.
Do not take more or less of this medication unless your doctor
has advised you to do so. Do not stop taking this medication
without talking to your doctor.
Warnings/Precautions
Before taking this medication, tell your doctor if you have
high blood pressure, angina, or heart disease; had a stroke;
a bleeding or blood-clotting disorder; breast, uterine, or
another hormone-related cancer; liver disease or a history
of jaundice (yellowing of the skin and eyes) caused by use
of birth control in the past; undiagnosed, abnormal vaginal
bleeding; migraines; asthma; or seizures or epilepsy. You
may not be able to take birth control pills, or you may require
special monitoring during treatment if you have any of the
conditions listed above. Birth control pills are in the FDA
pregnancy category X. This means that birth control pills
are known to cause birth defects in an unborn baby. Hormonal
changes during pregnancy can have serious negative effects
on developing baby. Do not take birth control pills if you
are pregnant or think you might be pregnant. The hormones
in birth control pills pass into breast milk and may decrease
milk production. Do not take birth control pills without first
talking to your doctor if you are breast-feeding a baby.
If you MISS 1 active [white] pill:
1. Take it as soon as you remember. Take the next pill at
your regular time. This means you take 2 pills in 1 day.
2. You do not need to use a back-up birth control method if
you have sex.
If you MISS 2 active [white] pills in a row in WEEK 1 OR WEEK
2 of your pack:
1. Take 2 pills on the day you remember and 2 pills the next
day.
2. Then take 1 pill a day until you finish the pack.
3. You MAY BECOME PREGNANT if you have sex in the 7 days after
you miss pills.
You MUST use another birth control method (such as condoms,
foam, or sponge) as a back-up method for those 7 days.
If you MISS 2 active [white] pills in a row in WEEK 3:
1. If you are a Day 1 Starter:
THROW OUT the rest of the pill pack and start a new pack that
same day.
If you are a Sunday Starter:
Keep taking 1 pill every day until Sunday. On Sunday, THROW
OUT the rest of the pack and start a new pack of pills that
same day.
2. You may not have your period this month but this is expected.
However, if you miss your period 2 months in a row, call your
doctor or health care provider because you might be pregnant.
3. You MAY BECOME PREGNANT if you have sex in the 7 days after
you miss pills. You MUST use another birth control method
(such as condoms, foam, or sponge) as a back-up method for
those 7 days.
If you MISS 3 OR MORE active [white] pills in a row (during
the first 3 weeks):
1. If you are a Day 1 Starter:
THROW OUT the rest of the pill pack and start a new pack that
same day.
If you are a Sunday Starter:
Keep taking 1 pill every day until Sunday. On Sunday, THROW
OUT the rest of the pack and start a new pack of pills that
same day.
2. You may not have your period this month but this is expected.
However, if you miss your period 2 months in a row, call your
doctor or health care provider because you might be pregnant.
3. You MAY BECOME PREGNANT if you have sex in the 7 days after
you miss pills. You MUST use another birth control method
(such as condoms, foam, or sponge) as a back-up method for
those 7 days.
If you experience any of the following
serious side effects, stop taking the birth control pills
and seek emergency medical attention or contact your doctor
immediately: an allergic reaction (difficulty breathing; closing
of the throat; swelling of the lips, tongue, or face; or hives);
a blood clot in the lung (shortness of breath or pain in the
chest); a blood clot in an arm or leg (pain, redness, swelling,
or numbness of an arm or leg); high blood pressure (severe
headache, flushing, blurred vision); or liver damage (yellowing
of the skin or eyes, nausea, abdominal pain or discomfort,
unusual bleeding or bruising, severe fatigue). Other, less
serious side effects may be more likely to occur. Continue
to take the birth control pills and talk to your doctor if
you experience headache or dizziness; nausea, vomiting, or
diarrhea; breakthrough bleeding; or breast tenderness. These
side effects may disappear or be less noticeable after 3 to
6 months of birth control use. Ask your doctor or pharmacist
for advice if you find any side effect very bothersome. The
side effects listed below generally occur very rarely and
are not considered serious. If you experience any of the following,
talk to your doctor when it is convenient: depression; changes
in weight or appetite; vaginal yeast infection; changes in
your menstrual cycle; oily skin or acne; changes in your sex
drive; lethargy or fatigue; bloating; changes in skin color;
or changes in blood sugar. Side effects other than those listed
here may also occur. Talk to your doctor about any side effect
that seems unusual or that is especially bothersome.
Store below 86? F (30? C).
Serious ill effects have not been reported
following acute ingestion of large doses of oral contraceptives
by young children. Over dosage may cause nausea, and withdrawal
bleeding may occur in females.
Avoid smoking. Smoking greatly increases
the risk of a heart attack, stroke, or blood clot formation.
Birth control pills do not protect you from sexually transmitted
diseases including HIV or AIDS. Using a condom is the only
way to protect yourself from these diseases.
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