Do not take this medicine with any of the following medications:

-aminoglutethimide
-amprenavir, fosamprenavir
-atazanavir; cobicistat
-anastrozole
-bosentan
-exemestane
-letrozole
-metyrapone
-testolactone


This medicine may also interact with the following medications:

-acetaminophen
-antiviral medicines for HIV or AIDS
-aprepitant
-atorvastatin
-barbiturates
-certain antibiotics like rifampin, rifabutin, rifapentine, and possibly penicillins or tetracyclines
-certain diuretics like amiloride, spironolactone, triamterene
-certain medicines for fungal infections like griseofulvin, ketoconazole, itraconazole
-certain medicines for seizures like carbamazepine, oxcarbazepine, phenobarbital, phenytoin
-certain medications for high blood pressure or heart conditions like ACE-inhibitors, Angiotensin-II receptor blockers, eplerenone
-cholestyramine
-cobicistat
-corticosteroid like hydrocortisone and prednisolone
-cyclosporine
-dantrolene
-felbamate
-grapefruit juice
-heparin
-lamotrigine
-medicines for diabetes, including pioglitazone
-methotrexate
-modafinil
-NSAIDs
-potassium supplements
-pyrimethamine
-raloxifene
-St. John''s wort
-sulfasalazine
-tamoxifen
-topiramate
-thyroid hormones
-warfarin

They need to know if you have any of these conditions:

-abnormal vaginal bleeding
-adrenal gland disease
-blood vessel disease or blood clots
-breast, cervical, endometrial, ovarian, liver, or uterine cancer
-depression
-diabetes
-gallbladder disease
-heart disease or recent heart attack
-high blood pressure
-high cholesterol
-high potassium level
-kidney disease
-liver disease
-migraine headaches
-stroke
-systemic lupus erythematosus (SLE)
-thyroid disease
-tobacco smoker
-an unusual or allergic reaction to estrogens, progestins, folates, or other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Use an additional method of contraception during the first cycle that you take these tablets.

If you have any reason to think you are pregnant, stop taking this medicine right away and contact your doctor or health care professional.

Smoking increases the risk of getting a blood clot or having a stroke while you are taking birth control pills, especially if you are more than 35 years old. You are strongly advised not to smoke.

This medicine can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your doctor or health care professional if you feel you are retaining fluid.

This medicine may affect blood sugar levels. If you have diabetes, check with your doctor or health care professional before you change your diet or the dose of your diabetic medicine.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

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.

If you are going to have elective surgery, you may need to stop taking this medicine before the surgery. Consult your health care professional for advice.

This medicine does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.