Start taking on the 1st day of the menstrual cycle. Take the white tab daily at the same time each day for 21 days. Subsequently, take the brown tab once daily for 7 days. Once completed, start a new pack as directed.
Should be taken with food: Take w/ meals to prevent GI upset.
May affect certain blood tests. Does not protect against transmission of HIV (AIDS) & other STDs eg, chlamydia, genital herpes or warts, gonorrhea, hepatitis B & syphilis. Can be a risk factor to patients w/ rash, vag infections, pancreatic inflammation, melasma. Pregnancy & lactation.
Irregular vag bleeding, fluid retention/edema, nausea, breast tenderness, change in appetite, headache, nervousness, depression, dizziness, loss of scalp hair, allergic reactions.
Efficacy may be affected or breakthrough bleeding may be increased w/ rifampin, drugs used for epilepsy eg, barbiturates (eg, phenobarb) & phenytoin, primidone, topiramate, carbamazepine, phenylbutazone, some drugs used for HIV or AIDS eg, ritonavir, modafinil, possibly certain antibiotics (eg, ampicillin & other penicillins & tetracyclines) & herbal products containing St. John's wort (Hypericum perforatum).
B03AA02 - ferrous fumarate ; Belongs to the class of oral iron bivalent preparations. Used in the treatment of anemia. G03AA06 - norgestrel and ethinylestradiol ; Belongs to the class of progestogens and estrogens in fixed combinations. Used as systemic contraceptives.