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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