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Why is this medication prescribed?

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.

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 of This Medicine

Smoking cigarettes during the use of Ortho tricyclen has been found to greatly increase the chances of these serious side effects occurring. To reduce the risk of serious side effects, do not smoke ci garettes while you are taking Ortho tricyclen. Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. The risk increases with age and with heavy smoki ng (15 or more cigarettes per day) and is quite marked in women over 35 years of age.

What special precautions should I follow?

The following medicines may reduce the effectiveness of Ortho tricyclen. You should use an additional method of birth control during each cycle in which any of the following medicines are used:
< br> - Ampicillin
- Barbiturates
- Carbamazepine (e.g., Tegretol)
- Griseofulvin (e.g., Fulvicin)
- Penicillin V
- Phenytoin (e.g., Dilantin)
- Primidone (e.g., Mysoline)
- Rifampin (e.g., Rifadin)
- Ritonavir (e.g., Norvir)
- Tetracyclines (medicine for infection)
- Troglitazone (e.g., Rezulin)
- Rifampin (e.g., Rifadin)
- Ritonavir (e.g. , Norvir)
- Tetracyclines (medicine for infection)
- Troglitazone (e.g., Rezulin)

Proper Use of This Medicine

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.

How to Use

If you miss doses of your oral contraceptive, you may be at risk for becoming pregnant. Instructions about missed doses are different for different products. Carefully read the instructions in the man ufacturer's information for the patient. If you have any questions, call your doctor or pharmacist. If you miss pills, you may need to use a backup method of birth control for 7 days or until the end of the cycle.


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