Ethinyl Estradiol-Cyproterone-Oral (cont.)

HOW TO USE: Take this medication by mouth, once a day, at the same time each day; or take as directed by your doctor. If this is your first time using this medicine, take your first dose on the first day of your period (menstruation) and continue each day for 21 days until all the tablets are taken. Wait 7 days and begin another packet. Menstrual bleeding should occur during the 7 days without medication. Each new packet should begin on the same day of the week that started the previous course, regardless of whether your period has begun. Wait 7 days after finishing each packet before starting the next packet. It may take up to several months of continued use to notice a relief in symptoms. If you are unsure how to use this medication, ask your doctor or pharmacist.

SIDE EFFECTS: Nausea, vomiting, cramps, headache, breast tenderness, change in sexual desire, or mid-cycle (breakthrough) bleeding/spotting may occur. If these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if you have any of these serious side effects: swelling or pain in the legs, dizziness, vision changes. Tell your doctor immediately if you have any of these unlikely but serious side effects: chest pain, one-sided weakness, irregular heartbeat, dark urine, yellowing of the eyes or skin, stomach/abdominal pain, mental/mood changes, an unusual change in amount of urine. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: migraine headaches, blood clots, strokes, eye (vascular retinal) disease, high blood pressure, diabetes, obesity, asthma, high cholesterol, seizures, heart problems, kidney problems, liver problems, cancer, abnormal vaginal bleeding, vaginal fibroids, family history of cancer, lupus (SLE) or rheumatoid arthritis, mood disorders (e.g., depression), drug allergies. If you become bedridden, you are more likely to experience serious drug side effects (blood clots); consult your doctor. This drug may cause a patchy, darkening of the skin on the face (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. This medication must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. Avoid pregnancy for at least one month after stopping this medication. Use non-hormone birth control (e.g., latex condoms) during that time. Tell your doctor immediately if you miss your menstrual period, since this medication must not be used if you are pregnant. This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

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