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Progestin-Only Oral Contraceptives

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(pro jes' tin)

Brand name(s): Nor-QD; Ortho Micronor; Ovrette
Other name(s): Birth-control pills; minipill; norethindrone; norgestrel; POP

Contents of this page:

Why is this medication prescribed?

Progestin-only oral contraceptives are used to prevent pregnancy. Progestin is a female hormone. It works by preventing the release of eggs from the ovaries (ovulation) and changing the cervical mucus and the lining of the uterus. Progestin-only oral contraceptives are a very effective method of birth control, but they do not prevent the spread of AIDS and other sexually transmitted diseases.

How should this medicine be used?

Progestin-only oral contraceptives come as tablets to take by mouth. They are taken once a day, every day at the same time. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take progestin-only oral contraceptives exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Progestin-only oral contraceptives come in packs of 28 pills. Begin the next pack the day after the last pack is finished.

It is best to start taking progestin-only oral contraceptives on the first day of your menstrual period. If you start taking progestin-only oral contraceptives on another day, use a backup method of birth control (such as a condom and/or a spermicide) for the next 48 hours. If you have had a miscarriage or an abortion, you can start taking progestin-only oral contraceptives the next day.

Progestin-only oral contraceptives are safe for use by breast-feeding mothers. If you are fully breastfeeding (not giving your baby any food or formula), you may start taking this medication 6 weeks after delivery. If you are partially breast-feeding (giving your baby some food or formula), you should start taking this medication by 3 weeks after delivery.

Before taking progestin-only oral contraceptives, ask your pharmacist or doctor for a copy of the manufacturer's information for the patient and read it carefully.

Other uses for this medicine

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

What special precautions should I follow?

Before taking progestin-only oral contraceptives,

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose?

Take the missed dose as soon as you remember it, and go back to taking progestin-only contraceptives at your regular time. If you take a dose more than 3 hours late, be sure to use a backup method of birth control for the next 48 hours. If you are not sure what to do about the pills you have missed, keep taking progestin-only contraceptives and use a backup method of birth control until you speak to your doctor.

What side effects can this medication cause?

Progestin-only oral contraceptives may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:

Combined estrogen and progestin oral contraceptives may increase the risk of getting breast cancer, endometrial cancer, and liver tumors. It is not known whether progestin-only oral contraceptives also increase the risks of these conditions. Talk to your doctor about the risks of taking this medication.

Progestin-only oral ontraceptives may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

What storage conditions are needed for this medicine?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

What other information should I know?

Keep all appointments with your doctor.

Before you have any laboratory tests, tell the laboratory personnel that you take progestin-only oral contraceptives, as this medication may interfere with some laboratory tests.

Rarely, women can become pregnant even if they are taking oral contraceptives. You should get a pregnancy test if it has been more than 45 days since your last period or if your period is late and you missed one or more doses or took them late and had sex without a backup method of birth control.

If you want to become pregnant, stop taking progestin-only contraceptives. Progestin-only contraceptives should not delay your ability to get pregnant.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

Last Revised - 01/01/2003


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