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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 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
birth control pills, 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.
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You may not be
able to take birth control pills, or you may
require a dosage adjustment or special
monitoring during treatment if you have any
of the conditions listed above.
|
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Birth
control pills are in the FDA
pregnancy category X. This means
that birth control pills are known
to 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
birth control pills?
Take 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 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
your birth control pills at room
temperature away from moisture and
heat. |
What should I avoid
while taking my birth control pills?
|
 |
Avoid
smoking. It greatly increases your
risk of a heart attack, stroke, and
blood clot formation. |
Birth control
pills do not protect you from
sexually transmitted diseases including HIV
or 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
the birth control pills and seek
emergency medical attention or
contact your doctor immediately: |
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an
allergic reaction (difficulty
breathing; closing of the throat;
swelling of the 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 menstrual cycle,
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oily
skin or acne,
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changes in sex drive,
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lethargy or fatigue,
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bloating, |
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changes in skin color, or
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changes in blood sugar.
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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 (Luminal, Solfoton);
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rifampin (Rifadin);
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phenytoin (Dilantin);
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carbamezepine (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.
|
