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Drugs reference index «Norethindrone/Ethinyl Estradiol Chewable Tablets»

Norethindrone/Ethinyl Estradiol Chewable Tablets
Norethindrone/Ethinyl Estradiol Chewable Tablets


Norethindrone/Ethinyl Estradiol Chewable Tablets

Generic Name: Norethindrone/Ethinyl Estradiol (nor-ETH-in-drone/ETH-i-nil ES-tra-DYE-ol/FER-us FUE-ma-rate)Brand Name: Femcon Fe

Smoking cigarettes while using Norethindrone/Ethinyl Estradiol Chewable Tablets increases your chance of having heart problems. Do not smoke while using Norethindrone/Ethinyl Estradiol Chewable Tablets. The risk of heart problems increases with age and with frequent smoking. Women older than 35 years old and women who smoke 15 or more cigarettes per day are at a greater risk for heart problems.

Norethindrone/Ethinyl Estradiol Chewable Tablets are used for:

Preventing pregnancy. It may be used for other conditions as determined by your doctor.

Norethindrone/Ethinyl Estradiol Chewable Tablets are a combination progesterone and estrogen birth control pill. It works by preventing ovulation, altering the cervical mucus, and changing the lining of the uterus.

Do NOT use Norethindrone/Ethinyl Estradiol Chewable Tablets if:

  • you are allergic to any ingredient in Norethindrone/Ethinyl Estradiol Chewable Tablets
  • you are pregnant or think you may be pregnant
  • you have a history of blood clotting problems, severe blood clots (eg, in the lungs, legs, eyes), certain blood vessel problems (eg, bleeding in the brain, heart attack, stroke), or breast cancer
  • you are at risk for developing severe blood clots or have certain heart problems (eg, certain heart valve problems, certain types of irregular heartbeat)
  • you have chest pain caused by angina; certain types of headaches or migraines with aura; severe or uncontrolled high blood pressure; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; undiagnosed abnormal vaginal bleeding; diabetes that affects circulation
  • you have liver disease, liver tumors or cancer, or a history of yellowing of the eyes or skin caused by pregnancy or prior birth control use
  • you have had surgery and are or will be confined to a bed or a chair for an extended period of time
  • you are older than 35 years old and you smoke 15 or more cigarettes per day

Contact your doctor or health care provider right away if any of these apply to you.

Before using Norethindrone/Ethinyl Estradiol Chewable Tablets:

Some medical conditions may interact with Norethindrone/Ethinyl Estradiol Chewable Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, or a lump in the breast
  • if you have heart problems, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, high blood pressure, kidney problems, blood problems (eg, porphyria), blood in the urine, depression or other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing of the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or a history of cancer
  • if you are overweight, you have not yet had your first menstrual period, or you use tobacco
  • if you have given birth or otherwise ended a pregnancy within the past 4 weeks

Some MEDICINES MAY INTERACT with Norethindrone/Ethinyl Estradiol Chewable Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Atorvastatin or troleandomycin because they may increase the risk of Norethindrone/Ethinyl Estradiol Chewable Tablets's side effects
  • Acitretin, aprepitant, azole antifungals (eg, itraconazole, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, dexamethasone, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, oxcarbazepine, penicillins (eg, amoxicillin), phenylbutazone, primidone, rifabutin, rifampin, rufinamide, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone because they may decrease Norethindrone/Ethinyl Estradiol Chewable Tablets's effectiveness, resulting in breakthrough bleeding or pregnancy
  • Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline because the risk of their side effects may be increased by Norethindrone/Ethinyl Estradiol Chewable Tablets
  • Clofibric acid, lamotrigine, morphine, salicylic acid, temazepam, or valproic acid because their effectiveness may be decreased by Norethindrone/Ethinyl Estradiol Chewable Tablets
  • Penicillamine or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by the ferrous fumarate tablets in Norethindrone/Ethinyl Estradiol Chewable Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Norethindrone/Ethinyl Estradiol Chewable Tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Norethindrone/Ethinyl Estradiol Chewable Tablets:

Use Norethindrone/Ethinyl Estradiol Chewable Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Norethindrone/Ethinyl Estradiol Chewable Tablets. Talk to your pharmacist if you have questions about this information.
  • Take Norethindrone/Ethinyl Estradiol Chewable Tablets by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets may be swallowed whole or chewed and swallowed. If you chew Norethindrone/Ethinyl Estradiol Chewable Tablets, drink a full glass of water (8 oz/240 mL) right after you swallow it.
  • If you also take a bisphosphonate (eg, alendronate), do not take Norethindrone/Ethinyl Estradiol Chewable Tablets within 2 hours after you take it.
  • If you also take cefdinir, eltrombopag, methyldopa, quinolone antibiotics (eg, levofloxacin), or tetracyclines (eg, doxycycline), you may need to separate them from the ferrous fumarate tablets. Ask your doctor or pharmacist how you should take them with Norethindrone/Ethinyl Estradiol Chewable Tablets.
  • Begin taking Norethindrone/Ethinyl Estradiol Chewable Tablets on the first Sunday following the start of your period, unless otherwise directed by your doctor. If your period begins on a Sunday, begin taking Norethindrone/Ethinyl Estradiol Chewable Tablets on that day. Try to take Norethindrone/Ethinyl Estradiol Chewable Tablets at the same time every day, not more than 24 hours apart. After taking the last pill in the pack, start taking the first pill from a new pack the very next day.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets may not be effective for up to 7 days after you begin taking the first cycle of pills. Use a back-up method of birth control for the first 7 days after you start Norethindrone/Ethinyl Estradiol Chewable Tablets.
  • For Norethindrone/Ethinyl Estradiol Chewable Tablets to be effective it must be taken every day. Do not skip doses.
  • If you vomit within 3 to 4 hours after you take Norethindrone/Ethinyl Estradiol Chewable Tablets, follow the instructions for what to do if you miss a pill. If you have diarrhea, use a back-up method of birth control and talk with your doctor.
  • If you miss a dose of Norethindrone/Ethinyl Estradiol Chewable Tablets and remember it on the same day, take it as soon as possible and go back to your regular dosing schedule. If you do not remember until the next day or if you miss more than 1 dose of Norethindrone/Ethinyl Estradiol Chewable Tablets, see the additional patient information leaflet that comes with Norethindrone/Ethinyl Estradiol Chewable Tablets or contact your doctor for further instructions. You may need to use an extra form of birth control (eg, condoms). If you are not sure about how to handle missed doses of Norethindrone/Ethinyl Estradiol Chewable Tablets, use an extra form of birth control (eg, condoms) and talk with your doctor.

Ask your health care provider any questions you may have about how to use Norethindrone/Ethinyl Estradiol Chewable Tablets.

Important safety information:

  • Norethindrone/Ethinyl Estradiol Chewable Tablets may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Norethindrone/Ethinyl Estradiol Chewable Tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Follow your doctor's instructions for examining your own breasts, and report any lumps immediately.
  • If you will be having surgery or will be confined to a bed or chair for a long period of time (such as a long plane flight), notify your doctor 3 to 4 weeks ahead of time. Special precautions may need to be taken in these circumstances while taking Norethindrone/Ethinyl Estradiol Chewable Tablets.
  • You should usually not take Norethindrone/Ethinyl Estradiol Chewable Tablets within 4 weeks after giving birth. or otherwise ending a pregnancy. Discuss any questions or concerns with your doctor.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets may cause dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or wear protective clothing when exposed to the sun, sunlamps, or tanning booths.
  • Use of Norethindrone/Ethinyl Estradiol Chewable Tablets will not protect against HIV infection or prevent the spread of sexually transmitted diseases (STDs).
  • Bleeding or spotting may occur while taking Norethindrone/Ethinyl Estradiol Chewable Tablets. Do not stop taking Norethindrone/Ethinyl Estradiol Chewable Tablets if this occurs. If bleeding or spotting continues for more than 7 days or is heavy, contact your doctor.
  • Smoking while using Norethindrone/Ethinyl Estradiol Chewable Tablets may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Norethindrone/Ethinyl Estradiol Chewable Tablets.
  • Taking certain antibiotics, anticonvulsants, or other medicines, as listed in the interactions section, while you are using Norethindrone/Ethinyl Estradiol Chewable Tablets may decrease the effectiveness of Norethindrone/Ethinyl Estradiol Chewable Tablets. To prevent pregnancy, use an extra form of birth control (eg, condoms) until your next period.
  • If you wear contact lenses and you develop problems with them, contact your doctor.
  • If you miss your period, call your doctor immediately. A missed period may indicate that you are pregnant.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets may take time to wear off after your last dose. You may not be able to become pregnant for several months after stopping Norethindrone/Ethinyl Estradiol Chewable Tablets. Discuss any concerns with your doctor or pharmacist.
  • Lab tests, such as Pap tests, may be performed while you use Norethindrone/Ethinyl Estradiol Chewable Tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets should not be used in CHILDREN who have not had their first menstrual period; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY AND BREAST-FEEDING: Do not use Norethindrone/Ethinyl Estradiol Chewable Tablets if you are pregnant. If you think you may be pregnant, contact your doctor right away. Norethindrone/Ethinyl Estradiol Chewable Tablets are found in breast milk. Do not breast-feed while taking Norethindrone/Ethinyl Estradiol Chewable Tablets.

Possible side effects of Norethindrone/Ethinyl Estradiol Chewable Tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Breast tenderness or enlargement; changes in appetite; changes in weight; dizziness; hair loss; headache; nausea; stomach cramps or bloating; unusual spotting or bleeding; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); breast discharge; breast lumps; calf or leg pain, swelling, or tenderness; change in amount of urine produced; change in vaginal secretions; changes in vision or speech; confusion; coughing of blood; crushing chest pain or heaviness in the chest; dark-colored urine; depression; difficulty wearing contact lenses; fainting; fever; fluid retention (swelling of the fingers and ankles); light-colored bowel movements; mental or mood changes; missed menstrual period; numbness of an arm or leg; one-sided weakness; persistent or new headache or migraines; persistent or recurrent abnormal vaginal bleeding; persistent or severe dizziness; severe pain or tenderness in the stomach; shortness of breath; sudden partial or complete loss of vision; sudden severe headache or vomiting; unusual or persistent tiredness, lack of energy, or trouble sleeping; vaginal irritation or discharge; weakness; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include nausea; vaginal bleeding; vomiting.

Proper storage of Norethindrone/Ethinyl Estradiol Chewable Tablets:

Store Norethindrone/Ethinyl Estradiol Chewable Tablets at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Norethindrone/Ethinyl Estradiol Chewable Tablets out of the reach of children and away from pets.

General information:

  • If you have any questions about Norethindrone/Ethinyl Estradiol Chewable Tablets, please talk with your doctor, pharmacist, or other health care provider.
  • Norethindrone/Ethinyl Estradiol Chewable Tablets are to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Norethindrone/Ethinyl Estradiol Chewable Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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