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What are birth
control pills?
Birth
control pills contain a combination
of hormones that is used 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 involved in conception.
Birth
control pills 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, and
they prevent the attachment of an
egg to the uterus.
Birth
control pills are used to prevent
pregnancy.
Birth
control pills may also be used for
purposes other than those listed in
this medication guide.
What should I discuss
with my healthcare provider before
taking birth control pills?
Before
taking this medication, tell your
doctor if you
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have high blood pressure,
angina, or heart disease;
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have had a stroke;
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have a bleeding or
blood-clotting disorder;
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have breast, uterine, or
another hormone-related
cancer;
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have liver disease or a
history of jaundice
(yellowing of the skin and
eyes) caused by use of birth
control in the past;
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have undiagnosed, abnormal
vaginal bleeding; |
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have migraines;
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have asthma; or |
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have seizures or epilepsy. |
You
may not be able to take birth
control pills, or you may require a
lower dose or special monitoring
during treatment if you have any of
the conditions listed above.
|
 |
Birth control pills are in
the FDA pregnancy category
X. This means that birth
control pills will cause
birth defects in an unborn
baby. Hormonal changes
during pregnancy can have
very serious negative
effects on a developing
baby. Do not take birth
control pills if you are
pregnant or if you think you
might be pregnant. |
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The hormones in birth
control pills pass into
breast milk and may decrease
milk production. Do not take
birth control pills without
first talking to your doctor
if you are breast-feeding a
baby. |
How should I take my
birth control pills?
Take
your birth control pills exactly as
directed by your doctor. If you do
not understand these directions, ask
your pharmacist, nurse, or doctor to
explain them to you.
Take
the first pill in a package on the
first Sunday after your period
begins (unless otherwise directed by
your doctor).
Take
one pill every day, no more than 24
hours after your last dose. Try to
take the pills at a time that you
will remember every day--for example
just before bed, with a meal, or
first thing in the morning.
Taking
your pill at night may help to
reduce any nausea or headache that
you may experience because of the
hormones.
If you
are on a 28-day cycle, take one pill
every day. When the pack runs out,
throw it away. Begin a new pack the
following day. The 28-day cycle
contains seven pills that are either
placebos (with no active
ingredients) or iron supplements.
These are "reminder" pills to keep
you on your regular cycle. They are
taken while you are menstruating.
If you
are on a 21-day cycle, take one pill
every day for 21 days, then do not
take any pills for 7 days. You
should have your period during the 7
days with no pills. Resume your
pills on the 8th day with a new
package.
Follow
your doctor's instructions about
using a second form of birth control
when you first start taking birth
control pills, when you are taking
antibiotics, or if you miss a pill.
If you are unsure what to do in any
of these cases, talk to your
pharmacist, nurse, or doctor about
how to ensure that you will not
become pregnant.
|
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Store birth control pills at
room temperature away from
moisture and heat. |
What should I avoid
while taking my birth control pills?
|
 |
Avoid smoking. Smoking
greatly increases your risk
of a heart attack, stroke,
or blood clot formation. |
Birth
control pills do not protect you
from sexually transmitted
diseases--including HIV and AIDS.
What are the possible
side effects of my birth control
pills?
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If you experience any of the
following serious side
effects, stop taking your
birth control pills and seek
emergency medical attention: |
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an allergic reaction
(difficulty breathing;
closing of your throat;
swelling of your lips,
tongue, or face; or hives);
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a blood clot in the lung
(shortness of breath or pain
in the chest);
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a blood clot in an arm or
leg (pain, redness,
swelling, or numbness of an
arm or leg);
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high blood pressure (severe
headache, flushing, blurred
vision); or
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liver damage (yellowing of
the skin or eyes, nausea,
abdominal pain or
discomfort, unusual bleeding
or bruising, severe
fatigue).
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Other,
less serious side effects may be
more likely to occur. Continue to
take your birth control pills and
talk to your doctor if you
experience
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headache or dizziness;
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nausea, vomiting, or
diarrhea; |
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breakthrough bleeding; or
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breast tenderness.
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These
side effects may disappear or be
less noticeable after 3 to 6 months
of birth control use. Ask your
doctor or pharmacist for advice if
you find any side effect very
bothersome.
The
side effects listed below generally
occur very rarely and are not
considered serious. If you
experience any of the following,
talk to your doctor:
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depression,
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changes in weight or
appetite,
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vaginal yeast infection,
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changes in your menstrual
cycle,
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oily skin or acné,
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changes in your sex drive,
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lethargy or fatigue,
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bloating,
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changes in your skin color,
or |
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changes in your blood sugar. |
Side
effects other than those listed here
may also occur. Talk to your doctor
about any side effect that seems
unusual or that is especially
bothersome.
What other drugs will
affect my birth control pills?
Some
drugs may decrease the effectiveness
of birth control pills, which may
result in pregnancy. Use a second
form of birth control if you are
taking
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a penicillin antibiotic such
as amoxicillin (Amoxil,
Polymox, Trimox, Wymox,
Utimox, A-Cillin, Larotid,
Augmentin, others),
ampicillin (Principen,
Omnipen, Penamp, Polycillin,
Amplin, Amcill, Totacillin,
others), bacampicillin (Spectrobid),
carbenicillin (Geocillin),
cloxacillin (Cloxapen,
Tegopen), dicloxacillin (Dynapen,
Dycill, Pathocil), nafcillin
(Nafcil, Nallpen, Unipen),
oxacillin (Bactocill,
Prostphlin), or penicillin (Veetids,
Pen Vee K, Bicillin,
Permapen, others);
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a tetracycline antibiotic
such as demeclocycline (Declomycin),
doxycycline (Doryx, Doxy,
Vibramycin, Vibra-Tabs,
others), minocycline (Minocin),
or tetracycline (Sumycin,
Teracyn, Achromycin, Robitet,
Panmycin, others);
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a barbiturate such as
amobarbital (Amytal),
butabarbital (Butisol),
mephobarbital (Mebaral),
secobarbital (Seconal), or
phenobarbital |
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rifampin (Rifadin); |
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phenytoin (Dilantin); |
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carbamazepine (Tegretol); or |
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griseofulvin (Grisactin,
Grifulvin V, Fulvicin PG). |
Drugs
other than those listed here may
also interact with birth control
pills. Talk to your doctor and
pharmacist before taking any
prescription or over-the-counter
medicines.
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