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Precautions

Do NOT use Alesse if:

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• you have a good blood clotting problems, severe blood clots (eg, in the lungs, legs, eyes), certain circulation problems (eg, bleeding inside the brain, cardiac arrest, stroke), or breast cancer

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• you are at risk for developing severe blood clots or have certain heart related illnesses (eg, certain heart valve problems, certain kinds of irregular heartbeat)
• you might have chest pain due to angina; some types of headaches or migraines with aura; severe or uncontrolled hypertension; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; or undiagnosed abnormal vaginal bleeding; or diabetes that affects circulation

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• you've liver disease, liver tumors or cancer, or possibly a good reputation for yellowing of the eyes or skin caused by pregnancy or prior birth control method use

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Contact your physician or health care provider straight away if any of these apply to you.

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Some medical ailments may interact with Alesse. Tell your physician or pharmacist in case you have any health concerns, especially if any from the following sign up for you:

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• if you might be pregnant, about to get pregnant, or are breast-feeding

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• for those who have allergies to medicines, foods, or any other substances

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• when you have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, a lump in the breast, heart related illnesses, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, blood pressure, kidney problems, blood problems (eg, porphyria), blood inside the urine, depression or any other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing from the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or even a reputation cancer

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• if you're overweight, you might have not yet had the first period, or perhaps you use tobacco

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• if you have given birth or otherwise ended a pregnancy within the past a month.

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Some medicines may communicate with Alesse. Tell your health care provider if you might be taking another medicines, especially any with the following:

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• Aprepitant, azole antifungals (eg, itraconazole, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, dexamethasone, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, oxcarbazepine, penicillins (eg, amoxicillin), phenylbutazone, primidone, rifabutin, rifampin, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone given that they may decrease Alesse's effectiveness, resulting in breakthrough bleeding or pregnancy

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• Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline since the chance of their side effects might be increased by Alesse

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This is probably not an entire set of all interactions that will occur. Ask your medical provider if Alesse may communicate with other medicines that you simply take. Check with your medical provider before starting, stop, or alter the dose from a medicine.

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Important safety information:

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• Alesse might cause dizziness. This effect could possibly be worse if you get it with alcohol or certain medicines. Use Alesse with caution. Do not drive or perform other possibly unsafe tasks before you discover how you answer it.

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• Follow your doctor's instructions for examining your own breasts, and report any lumps immediately.

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• If you will likely be having surgical treatment or will probably be restricted to a bed or chair for a long period of time (like a long plane flight), notify a medical expert 3 to 30 days ahead of time. Special precautions may need to be taken during these circumstances while taking Alesse.

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• You should usually not take Alesse within 30 days after giving birth or otherwise not ending a pregnancy. Discuss any queries or concerns using your doctor.
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• Bleeding or spotting may occur while taking Alesse. Do not stop taking Alesse if it occurs. If bleeding or spotting continues for over 1 week or perhaps heavy, speak to your doctor.

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• Alesse may restrict certain lab tests. Be sure your doctor and lab personnel know you're using Alesse.

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• Taking certain antibiotics, anticonvulsants, or another medicines, as listed in the interactions section, while you're using Alesse may reduce the effectiveness of Alesse. To prevent pregnancy, make use of an extra kind of contraceptive (eg, condoms) until your next period.

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• If you wear lenses and you develop difficulties with them, speak to your doctor.
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• Alesse usually takes time for it to wear off after your last dose. You is probably not able to conceive for several months after stopping Alesse.Discuss any concerns using your doctor or pharmacist.

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• Lab tests, for example PAP tests, might be performed as you use Alesse. These tests might be used to monitor your problem or check for unwanted side effects. Be sure to keep all doctor and lab appointments.

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