Brand Name: Ortho Tri-Cyclen

Generic Name: Ethinyl estradiol and norgestimate

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Brand Name: Ortho Tri-Cyclen

Most Common Medical Uses
Ortho Tri-Cyclen is most commonly used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions.

How to Take This Medication
Take as directed by your doctor. Take one pill every day, no more than 24 hours after your last dose. With a 28-day cycle pack, take one pill daily. When the pack is empty, throw it away and begin a new pack the next day. The 28-day cycle contains seven pills that are either placebos or iron supplements, to remind you to take your pills daily. They are taken while you are menstruating. With a 21-day cycle pack, take one pill daily for 21 days, then do not take any pills for 7 days. You should have your period during the 7 days with no pills. Resume your pills on the 8th day with a new package.

Possible Side Effects
Possible side effects of taking Ortho Tri-Cyclen include nausea, vomiting, bleeding between menstrual periods, breast tenderness, or weight change. See your doctor if you experience sudden shortness of breath, sharp chest pains, changes in vision, numbness in your arms or legs, severe stomach pain, sudden severe headache or leg pain or difficulty wearing your contact lenses. Talk to your doctor about any side effect that seems unusual or concerns you.

Precautions
Smoking cigarettes while using this medicine may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. Certain antibiotics may decrease the effectiveness of this medicine. Therefore, it is recommended you use an additional form of birth control until your next period. Advise your doctor or dentist that you are using this medicine before having any medical or dental treatments, emergency care or surgery. This medicine may cause dark patches, especially on your face. Exposure to the sun may intensify this condition. If you experience dark patches, use protective clothing and sunscreen when exposed to the sun, sunlamps, or tanning booths. Do not take birth control pills if you are pregnant or if you think you might be pregnant.

Drug Interactions
Talk to your doctor before taking any prescription or over-the-counter medicines, including herbal products, especially if you taking certain types of antibiotics, any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines. Some drugs may decrease the effectiveness of birth control pills which may result in pregnancy. Use a second form of birth control if you are taking penicillin antibiotics, tetracycline antibiotics or barbiturates. Drugs other than those listed here may also interact with Ortho Tri-Cyclen.

Missed Dose
If you miss a dose of this medicine, take it as soon as you remember or take two pills at the time of your next regularly scheduled dose. It is important to read all information contained in the package insert as it may have slightly different instructions in the case of missed pills. Speak with your doctor or pharmacist if you have any questions.

Storage
Store this medicine at room temperature in a tightly-closed container, away from heat, moisture, and light. Keep this and all medications out of the reach of children.

Notes
Use an additional form of birth control if you miss several doses or if you are taking drugs that decrease the effectiveness of birth control pills. Do not share Ortho Tri-Cyclen with others for whom it was not prescribed, since they may have a problem that is not effectively treated by this drug.