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Ortho Tri-Cyclen

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What is this medicine
Ortho tricyclen are known also as the Pill, OCs, BCs, BC tablets, or birth control pills. This medicine usually contains two types of hormones, estrogens (ES-troh-jenz ) and progestins ( proh-JES-tins ) and, when taken properly, prevents pregnancy. It works by stopping a woman's egg from fully developing each month. The egg can no longer accept a sperm and fertilization is prevented. Although Ortho tricyclen have other effects that help prevent a pregnancy from occurring, this is the main action.

Important Facts
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, Orth o tricyclen are used in certain patients with the following medical conditions:

- Amenorrhea (stopping of menses for several consecutive months)
- Dysfunctional uterine bleeding (abnorm al uterine bleeding)
- Dysmenorrhea (painful menstrual bleeding)
- Hypermenorrhea (excessive menstrual bleeding)
- Emergency contraception within 72 hours of unprotected intercourse
- Endometriosis
- Hirsutism in females
- Hyperandrogenism, ovarian
- Polycystic ovary syndrome

What special precautions should I follow?
Pregnancy¡XOrtho tricyclen are not recommended for use during pregnancy and should be discontinued if you become pregnant or think you are pregnant. When Ortho tricyclen were accidently taken early in pregnancy, problems in the fetus did not occur. Women who are not breast-feeding may begin to take Ortho tricyclen two weeks after having a baby.

Breast-feeding¡XOrtho tricyclen pass into the breast milk and can change the content or lower the amount of breast milk. Also, they may shorten a woman's ability to breast-feed by about 1 month, especially when the mother is only partially breast -feeding.

How should you take this medication?
Ortho tricyclen come in packets of 21 or 28 tablets to take by mouth once a day. To avoid upset stomach, take Ortho tricyclen with food or milk. Take the tablet routinely at the same time every day (e .g., after dinner or at bedtime) to help you remember to take the tablet regularly. Missing doses increases your risk of becoming pregnant.

When first starting on this medicine, use an additi onal method of birth control until you have correctly taken 7 days' worth of medicine.

Precautions while Using this Medicine
Vaginal bleeding of various amounts may occur between your regular menstrual periods during the first 3 months of use. This is sometimes called spotting when slight, or breakthrough bleeding when heav ier. If this should occur:

- Continue on your regular dosing schedule.
- The bleeding usually stops within 1 week.
- Check with your doctor if the bleeding continues for more than 1 week.
- After you have been taking Ortho tricyclen on schedule and for more than 3 months and bleeding continues, check with your doctor

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.




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