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What side effects can this medication cause?
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

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

Why is this drug prescribed?
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.

Other medical problems
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.

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.






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