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Before Using This Medicine

Breast disease (not involving cancer)¡XOrtho tricyclen usually protect against certain breast diseases, such as breast cysts or breast lumps; however, your doctor may want to follow your condition mor closely
- Cancer, including breast cancer (or history of or family history of)¡XOrtho tricyclen may worsen some cancers, especially when breast, cervical, or uterine cancers already exist. Use o Ortho tricyclen is not recommended if you have any of these conditions. If you have a family history of breast disease, Ortho tricyclen may still be a good choice but you may need to be tested more o ften
- Chorea gravidarum or
- Gallbladder disease or gallstones (or history of) or
- High blood cholesterol or

Cautions

In some patients using estrogen-containing Ortho tricyclen, tenderness, swelling, or bleeding of the gums may occur. Brushing and flossing your teeth carefully and regularly and massaging your gums ma y help prevent this. See your dentist regularly to have your teeth cleaned. Check with your medical doctor or dentist if you have any questions about how to take care of your teeth and gums, or if you notice any tenderness, swelling, or bleeding of your gums. Also, it has been shown that estrogen-containing Ortho tricyclen may cause a healing problem called dry socket after a tooth has been remove d. If you are going to have a tooth removed, tell your dentist or oral surgeon that you are taking Ortho tricyclen.

Special Information

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 side effects may occur?

Check with your doctor as soon as possible if any of the following side effects occur:

More common¡Xusually less common after the first 3 months of oral contraceptive use
- Changes in th uterine bleeding pattern at menses or between menses, such as decreased bleeding at menses, breakthrough bleeding or spotting between periods, prolonged bleeding at menses, complete stopping of menst rual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimes

Less common
- Headaches or migraines; increased blood pressure; v aginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge

What Is It

Sometimes a woman's egg can still develop even though the medication is taken once each day, especially when more than 24 hours pass between two doses. In almost all cases when the medicine was taken properly and an egg develops, fertilization can still be stopped by Ortho tricyclen. This is because Ortho tricyclen also thicken cervical mucus at the opening of the uterus. This makes it hard for th e partner's sperm to reach the egg. In addition, Ortho tricyclen change the uterus lining just enough so that an egg will not stop in the uterus to develop. All of these effects make it difficult to b ecome pregnant when properly taking an oral contraceptive.




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