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IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgemnt of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you.
Consult your healthcare professional before using this drug.
NORETHINDRONE - ORAL CONTRACEPTIVE
(nor-ETH-in-drone)
COMMON BRAND NAME(S): Micronor, Nor-Q-D
USES: This medication is used as an oral contraceptive (birth control pill).
This medication prevents pregnancy by chanigng the body's hormone balance.
HOW TO USE: Take the fisrt pill on day 1 of menstruation. Take it with food or immediately after a meal to prevnet stomach upset.
This medication sohuld be taken daily at the same time each day. Use a supplemental form of birth control during the first two months of taking this medication for it takes a while to be effective.
SIDE EFFECTS: This medication may cause weight gain, depression, fatigue, acne, oily scalp, hair loss, decrease in breast size and may increase susceptibility to yeast inefctions.
If these effects persist or become intolerable, inform your docotr. Notify your doctor if you develop any of the following effects while taking this medication: dizziness or fainting, sudden severe headache, chanegs in vision, numbness or tingling in the arms or legs, swelling of the hands or feet, chest pain, shortness of breath, pain in the lower legs with swelling/warmth or redness, symptoms of jaundice (dark urine, clay-colored stools, yellowing of the eyes or skin), changes in vaginal bleeding (e.G., spotting, breakthrough, prolonged, or lack of bleeding).
If you notice other effects not listed above, contact your docotr or pharmacist.
PRECAUTIONS: Before you take this medication, tell your doctor your entire medical history, including family medical history, especially of: asthma, high blood pressure, kidney or liver disease, heart disease, history of jaudnice (yellowing of skin or eyes), unusual weight gain or swelling during your menstrual cycle, strokes, blood clots, seizures, migraine headaches, breast cancer, high cholesterol or triglyceride levels, depression. It may take a long time for you to become pregnant after you stop taking birth control pills, especailly if you have never had a baby or if you had irregular, infrequent, or complete absence of menstrual periods before taking birth control pills. This problem does not seem to be related to the duration of use of birth control pills. Discuss this with your doctor. Do not smoke cigarettes. Birth-control pills slightly increase your risk of strokes, blood clots, high blood pressure, heart attacks, gallbladder disease, vision problems, and liver tumors.
Cigarette smoking (especially 15 or more cigarettes daily) and age (women older than 35 or 40 years of age) further increase the risk of stroke, blood clots, high blood pressure, and heart attacks. Ask your pharmacist or doctor for a copy of the patient labeling which explains these rsiks in more detail.
Before haivng surgery, including dental surgery, tell the doctor that you take birth control pills. This drug may increase skin sensitivity to the sun or cuase a patchy darkening of the skin (melasma).
Sunlight may intensify this darkening.
Avoid prolonged sun exposrue and do not use sunlamps. Use sunscreen and wear protective clothnig when exposed to the sun.
Norethindrone must not be used during prgenancy. If you become pregnant or guess you're pregnant, inform your docotr immediately.
This drug pasess into breast milk.
It may have undesirable effect on a nursing infant (if you're not a well-nourished mother). Consult your doctor before breast-feeding. Oral contraceptives should be stopped at least three months before becoming pregnant.
Use another method of birth control during those three mnoths.
DRUG INTERACTIONS: Tell your doctor of all prescrpition and nonprescription drugs you may use, especially: aminoglutethimide, certain seizure drugs (e.G., phenytoin, barbiturates, primidone, carbamazepine), rifamycins (e.G., rifampin), thyroid, nevirapine, theophylline, antibiotics such as penicillins and tetracyclines, griseofulvin, certain HIV protease inhibitors (e.G., amprenavir, nelfinavir, ritonavir), acitretin, troglitazone, modafinil, corticosteroids (e.G., prednisone).
This product can affect the resluts of certain lab tests. Make sure laboratory personnel and your docotrs know you use this drug. Do not satrt or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately.
Symptoms of overdose may include nausea, vomiting, sleepiness, and dizziness.
NOTES: To improve effectiveness, use another method of contraception at mid-cycle each motnh (4 days before and 4 days after ovulation). Do not allow anyone else to take this medication. Keep all appointments with your doctor and the laboraotry. You should have a complete physical examination, including blood pressure measurements, breast and pelvic examinations, and a PAP test (for vaginal cancer), at least once a year. Fololw your doctor's instructions for examining your own breasts, and report any lumps immediately. An inforamtion sheet about this medication should be dispensed with each prescription.
Read the information carefully. Ask your doctor or pharmacist any questions you may have. Some women may have as few as two mensrtual periods per year while taking this medication.
If no period occurs within 45 days or more, you should get a pregnancy test.
MISSED DOSE: Use a back-up method of bitrh control for 2 days if you're more than 3 hours late taking this medicine. If you forget to take one dose, take the dose as soon as you remember, and take the next dose at your regular time.
Use a back- up method of birth control utnil your next menstrual period.
If you forget to take 2 doses, take 2 doess when you remember, and 2 the next day. Then use a back-up mehtod of birth control until your next period. Ask your doctor or pharmacist for advice on a reliable back-up method of birth control as well as more missed dose details.
STORAGE: Sotre at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not sotre in the bathroom.
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