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Other medical problems
- tell your doctor and pharmacist if you are allergic to estrogen, progestin, or any other medications.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitami ns, and nutritional supplements you are taking.
- tell your doctor what herbal products you are taking, especially St. John's wort.
- tell your doctor if you have or have ever had breast lump s or cancer;
- do not take Ortho tricyclen if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Ortho tricyclen, call your doctor immediately. < br> - if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Ortho tricyclen.

Precautions Before Using This Medicine
The presence of other medical problems may affect the use of Ortho tricyclen. Make sure you tell your doctor if you have any other medical problems, especially:
- Abnormal changes in menstrual or uterine bleeding or
- Endometriosis or
- Fibroid tumors of the uterus¡XOrtho tricyclen usually improve these female conditions but sometimes they can make them worse or make the diagnosis o these problems more difficult
- Blood clots (or history of) or
- Heart or circulation disease or
- Stroke (or history of)¡XIf these conditions are already present, Ortho tricyclen may ave a greater chance of causing blood clots or circulation problems, especially in women who smoke tobacco.

Side Effects
Healthy women who do not smoke cigarettes have almost no chance of having a severe side effect from taking Ortho tricyclen. For most women, more problems occur because of pregnancy than will occur fro m taking Ortho tricyclen. But for some women who have special health problems, Ortho tricyclen can cause some unwanted effects. Some of these unwanted effects include benign (not cancerous) liver tumo rs, liver cancer, or blood clots or related problems, such as a stroke. Although these effects are very rare, they can be serious enough to cause death. You may want to discuss these effects with your doctor.

If you suspect that you may have become pregnant, stop taking this medicine immediately and check with your doctor.

Proper Use of This Medicine
Take this medicine with food to help prevent nausea that might occur during the first few weeks. Nausea usually disappears with continued use or if the medicine is taken at bedtime.

When you begin to use Ortho tricyclen, your body will require at least 7 days to adjust before a pregnancy will be prevented. You will need to use an additional birth control method for at least 7 days. Some d octors recommend using an additional method of birth control for the first cycle (or 3 weeks) to ensure full protection. Follow the advice of your doctor or other health care professional.

Tr y to take the doses no more than 24 hours apart to reduce the possibility of side effects and to prevent pregnancy.

Why is this drug prescribed?
Ortho tricyclen (birth-control pills) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing the release of eggs f rom the ovaries (ovulation) and changing the cervical mucus and the lining of the uterus. Ortho tricyclen are a very effective method of birth control, but they do not prevent the spread of AIDS and o ther sexually transmitted diseases.






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