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Important Facts If you miss one menstrual period and have taken your tablets as directed, continue taking them. However, if you miss one period and have not taken your tablets as directed or if you miss two menstrual periods and have taken the tablets as directed, call your doctor and use another method of birth control until you have a pregnancy test.

Before Using This Medicine If you are using Ortho tricyclen for contraception you should understand how their benefits and risks compare to those of other birth control methods. This is a decision you, your sexual partner, and your doctor will make. For Ortho tricyclen, the following should be considered:

Allergies¡XTell your doctor if you have ever had any unusual or allergic reaction to estrogens or progestins. A so tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Diet¡XMake certain your health care professional knows if you are on ny special diet, such as a low-sodium or low-sugar diet.

How should you take this medication? If you miss doses of your oral contraceptive, you may be at risk for becoming pregnant. Instructions about missed doses are different for different products. Carefully read the instructions in the man ufacturer's information for the patient. If you have any questions, call your doctor or pharmacist. If you miss pills, you may need to use a backup method of birth control for 7 days or until the end of the cycle.

Special warnings about this medication In some patients using estrogen-containing Ortho tricyclen, tenderness, swelling, or bleeding of the gums may occur. Brushing and flossing your teeth carefully and regularly and massaging your gums ma y help prevent this. See your dentist regularly to have your teeth cleaned. Check with your medical doctor or dentist if you have any questions about how to take care of your teeth and gums, or if you notice any tenderness, swelling, or bleeding of your gums. Also, it has been shown that estrogen-containing Ortho tricyclen may cause a healing problem called dry socket after a tooth has been remove d. If you are going to have a tooth removed, tell your dentist or oral surgeon that you are taking Ortho tricyclen.

What side effects can this medication cause? Healthy women who do not smoke cigarettes have almost no chance of having a severe side effect from taking Ortho tricyclen. For most women, more problems occur because of pregnancy than will occur fro m taking Ortho tricyclen. But for some women who have special health problems, Ortho tricyclen can cause some unwanted effects. Some of these unwanted effects include benign (not cancerous) liver tumo rs, liver cancer, or blood clots or related problems, such as a stroke. Although these effects are very rare, they can be serious enough to cause death. You may want to discuss these effects with your doctor.

If you suspect that you may have become pregnant, stop taking this medicine immediately and check with your doctor.

What special precautions should I follow? Breast disease (not involving cancer)¡XOrtho tricyclen usually protect against certain breast diseases, such as breast cysts or breast lumps; however, your doctor may want to follow your condition mor closely
- Cancer, including breast cancer (or history of or family history of)¡XOrtho tricyclen may worsen some cancers, especially when breast, cervical, or uterine cancers already exist. Use o Ortho tricyclen is not recommended if you have any of these conditions. If you have a family history of breast disease, Ortho tricyclen may still be a good choice but you may need to be tested more o ften
- Chorea gravidarum or
- Gallbladder disease or gallstones (or history of) or
- High blood cholesterol or


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