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MircetteMIRCETTE® (desogestrel/ethinyl estradiol and ethinyl estradiol) Tablets has excellent cycle control as demonstrated by clinical trials. The regimen begins with 21 days of 20 mcg ethinyl estradiol and 150 mcg desogestrel. The last seven days in the cycle start with two days of placebo pills, followed by five days of 10 mcg ethinyl estradiol pills.
MIRCETTE DRUG INFO
HOW TO USE:
Take mircette pills by mouth. Before you start taking these pills, first pick a convenient time of day that you will be able to take them at regularly. Swallow the pills with a drink of water at that time each day. Take with food to reduce the chances of stomach upset. Do not take more often than directed.
Most products (except Mircette) contain a 21-day supply of pills containing the active ingredients. Some products contain an additional 7 pills containing iron or inactive ingredients to be taken during the week of menstruation; this reduces the chance of missing the first day of the next cycle. Most products are to be started on the first Sunday after you start your period or on the first day of your period. You may need to ask your health care provider which day you should start your packet.
If you are taking the Mircette product, most of the 28 tablets contain active hormones. This product should be started on the first Sunday after you start your period or on the first day of your period.
Before starting this medication, read the paper on your prescription provided by your pharmacist. This paper will tell you about the specific product you are taking. Be sure you understand all of the instructions.
Keep an extra month's supply of your pills available to ensure that you will not miss the first day of the next cycle.
WHAT ARE MIRCETTE?
- Mircette contain a combination of hormones that are designed to prevent ovulation (the release of an egg from an ovary). The pills contain a form of estrogen and a form of progesterone, which are both female hormones related to conception.
- Mircette also have other effects that inhibit pregnancy. They cause the cervical mucous to thicken, which makes it harder for sperm to move toward the uterus, while simultaneously blocking the attachment of an egg to the uterine wall.
- Mircette is used to prevent pregnancy.
- Mircette may also be used for purposes other than those listed in this medication guide.
Severe side effects are relatively rare in women who are healthy and do not smoke while they are taking oral contraceptives. On average, more women have problems due to complications from getting pregnant than have problems with oral contraceptives. Many of the minor side effects may go away as your body adjusts to the medicine. However, the potential for severe side effects does exist and you may want to discuss these with your health care provider.
The following symptoms or side effects may be related to blood clots and require immediate medical or emergency help: chest pain; coughing up blood; dizziness or fainting spells; leg, arm or groin pain; severe or sudden headaches; stomach pain (severe); sudden shortness of breath; sudden loss of coordination, especially on one side of the body; swelling of the hands, feet or ankles, or rapid weight gain; vision or speech problems; weakness or numbness in the arms or legs, especially on one side of the body.
Other serious side effects are rare. Contact your health care provider as soon as you can if the following side effects occur: breast tissue changes or discharge; changes in vaginal bleeding during your period or between your periods; headaches or migraines; increases in blood sugar, especially if you have diabetes; increases in blood pressure, especially if you are known to have high blood pressure; symptoms of vaginal infection (itching, irritation or unusual discharge); tenderness in the upper abdomen; vomiting; yellowing of the eyes or skin.
Side effects that usually do not require medical attention (report to your health care provider if they continue or are bothersome): breakthrough bleeding and spotting that continues beyond the 3 initial cycles of pills; breast tenderness; mild stomach upset; mood changes, anxiety, depression, frustration, anger, or emotional outbursts; increased or decreased appetite; increased sensitivity to sun or ultraviolet light; nausea; skin rash, acne, or brown spots on the skin; tiredness; weight gain.
Visit your health care provider for regular checks on your progress. You should have a complete check-up every 6 to 12 months. If you have any unusual vaginal bleeding contact your prescriber or health care professional for advice. If you miss a period, the possibility of pregnancy must be considered. See your prescriber or health care provider as soon as you can.
Use an additional method of contraception during the first cycle that you take these tablets.
If you stop taking these tablets and want to get pregnant, a return to normal ovulation can take some time and may require patience. You may not return to normal ovulation and fertility for 3 to 6 months. Discuss your pregnancy plans with your health care provider.
If you are taking oral contraceptives for the treatment of acne, hirsutism (male-like hair growth), endometriosis or any other hormone related problems, multiple months of treatment may be required before any improvement is noticed in the symptoms.
Tobacco smoking increases the risk of getting a blood clot or having a stroke while you are taking mircette, especially if you are more than 35 years old. You are strongly advised not to smoke.
Oral contraceptives can increase your sensitivity to the sun and you may burn more easily. Use sunscreen and protective clothing during long periods outdoors. Tanning booths should be used with caution.
If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.
In some women, tenderness, swelling, or minor bleeding of the gums may occur. Notify your dentist if this happens. Brushing and flossing your teeth regularly may help limit this. See your dentist regularly and inform your dentist of the medicines you are taking.
You may get a vaginal yeast infection. If you have never had a yeast infection before, see your prescriber or other health care provider to confirm the problem. If you have had yeast infections in the past and are comfortable with self-medicating the problem, get and use a nonprescription medication to treat the yeast infection.
If you are going to have elective surgery, you may need to cease your contraceptive pills one month beforehand. Consult your health care professional for advice prior to scheduling the surgery.
Taking contraceptive pills does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.
Antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and griseofulvin; aprepitant, a medicine used for chemotherapy-induced nausea and vomiting; barbiturate medicines for producing sleep or treating seizures (convulsions); bosentan; carbamazepine; caffeine; clofibrate; cyclosporine; dantrolene; grapefruit juice; hydrocortisone; medicines for anxiety or sleeping problems, such as diazepam or temazepam; medicines for mental depression; medicines for diabetes, including troglitazone and pioglitazone; mineral oil; modafinil; mycophenolate; nefazodone; oxcarbazepine; phenytoin; prednisolone; ritonavir or other medicines for the treatment of the HIV virus or AIDS; selegiline; soy isoflavones supplements; St. John's wort; tamoxifen or raloxifene; theophylline; topiramate; warfarin.
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check before stopping or starting any of your medicines.
Prescriber needs to know if you have or ever had any of these conditions: blood clots; blood sugar problems, like diabetes; cancer of the breast, cervix, ovary, uterus, vagina, or unusual vaginal bleeding that has not been evaluated by a health care professional; depression; fibroids; gallbladder disease; heart or circulation problems; high blood pressure; jaundice; liver disease; menstrual problems; migraine headaches; tobacco smoker; stroke; an unusual or allergic reaction to estrogen/progestin, other hormones, medicines, foods, dyes, or preservatives; pregnant or trying to get pregnant; breast-feeding.
Try not to miss a dose. If you do, it may be necessary to consult your health care professional, especially if you are taking Mircette™.
For all products (except Mircette)
21-day schedule: If you miss one dose, take it as soon as you remember and then take the next pill at the regular time as usual. You may take 2 tablets in one day. If you miss two doses (days) in a row, take 2 tablets for the next 2 days, then, continue with your regular schedule. Whenever 1 or 2 doses are missed, you should use a second method of contraception for the next 7 days in addition to taking the pills. If you miss three doses in a row, you should notify your physician or other health care professional for instructions. You will probably need to throw away the rest of the tablets in that cycle pack and start over. Another method of contraception should be used until at least 7 doses have been taken in the new cycle. Missing a pill can cause spotting or light bleeding. Make sure that no more than 7 days pass at the end of the 21 day cycle, before you start your next pack of pills.
28-day schedule: Follow the same directions as above for the first 21 days of the schedule. If you miss 1 of the last 7 pills, you can either double the dose or skip it, but it is important to start the next month's cycle on the scheduled day.
For Mircette: You will need to contact your health care provider for specific instructions based on which tablets have been missed, for how many days they have been missed, and based on what week of your current cycle you are currently taking tablets.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.