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How should this medicine be used?
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.

Side Effects
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?
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.

Attention
If you wish to stop taking Ortho tricyclen and become pregnant, use another method of birth control for at least 3 months after you stop taking the tablets to be sure that the medication will not harm the fetus. It may take a long time for you to become pregnant after you stop taking Ortho tricyclen, especially if you have never had a baby or if you had irregular, infrequent, or complete absence o f menstrual periods before taking Ortho tricyclen. Questions should be discussed with your doctor.

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.

What is this medicine
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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