WARNING

Enpresse is a combination birth control pill that contains two hormones: ethinyl estradiol and levonorgestrel. Like all medications, Enpresse carries some risks, though they are generally low for most users. Here are some of the potential risks associated with taking Enpresse:

• Blood Clots: Birth control pills like Enpresse can increase the risk of blood clots, particularly in women who smoke, are overweight, or have a history of blood clots.
• Cardiovascular Issues: There may be a slightly increased risk of heart attack, stroke, or other cardiovascular problems in women taking Enpresse, especially in those with pre-existing heart conditions or high blood pressure.
• High Blood Pressure: Enpresse may cause an increase in blood pressure, particularly in women who are predisposed to hypertension.
• Liver Problems: In rare cases, birth control pills like Enpresse can cause liver problems, including liver tumors or jaundice.
• Cancer Risks: Some studies suggest that long-term use of birth control pills may be associated with a slightly increased risk of breast and cervical cancer, although the evidence is not conclusive.
• Other Side Effects: Users of Enpresse may experience other side effects such as nausea, vomiting, breast tenderness, mood changes, or changes in menstrual bleeding patterns.

It’s important for individuals considering taking Enpresse or any other birth control pill to discuss the potential risks and benefits with their healthcare provider, especially if they have any pre-existing medical conditions or risk factors.

Why is this medication prescribed?

Enpresse is prescribed primarily as a form of contraception to prevent pregnancy. It is a combination birth control pill that contains two hormones: ethinyl estradiol and levonorgestrel. These hormones work together to prevent ovulation (the release of an egg from the ovary) and to make the cervical mucus thicker, which helps prevent sperm from reaching the egg.

In addition to preventing pregnancy, Enpresse may also be prescribed for other purposes, including:

• Regulating Menstrual Cycles: Some women may use Enpresse to help regulate irregular menstrual cycles, reduce menstrual cramps, or alleviate symptoms of premenstrual syndrome (PMS).
• Reducing Acne: Enpresse may be prescribed to help reduce acne in some women by regulating hormone levels that contribute to acne breakouts.
• Treating Endometriosis: Enpresse may be used as part of the treatment for endometriosis, a condition where tissue similar to the lining of the uterus grows outside of the uterus, causing pain and other symptoms.
• Managing Polycystic Ovary Syndrome (PCOS): Enpresse may be prescribed to help regulate menstrual cycles and reduce symptoms associated with PCOS, such as irregular periods and excessive hair growth.

It’s important to note that Enpresse should only be used as prescribed by a healthcare provider, and individuals considering its use should discuss their medical history and any potential risks or side effects with their healthcare provider.

How should this medicine be used?

Enpresse is a birth control pill that contains two hormones: ethinyl estradiol and levonorgestrel. It is typically used to prevent pregnancy when taken correctly. Here are the general guidelines for using Enpresse:

• Starting Enpresse: Begin taking Enpresse on the first day of your menstrual period (Day 1 Start). If you start on the first day of your period, you are immediately protected against pregnancy. You can also start Enpresse on the Sunday after your period starts (Sunday Start). If you start on Sunday, use an additional method of contraception for the first 7 days.
• Daily Use: Take one pill every day at the same time each day. It’s important to take the pills in the correct order as directed by the packaging.
• Missed Pills:
  • If you miss one active pill, take it as soon as you remember and take the next pill at the usual time. This may mean taking two pills in one day.
  • If you miss two active pills in a row in Week 1 or Week 2, take two pills on the day you remember and two pills the next day. Then continue taking one pill per day until you finish the pack. Use an additional method of contraception for the next 7 days.
  • If you miss two active pills in a row in Week 3, or if you miss three or more active pills in a row in any week, skip the missed pills and continue taking one pill per day until you finish the pack. Use an additional method of contraception for the next 7 days. Consider starting a new pack immediately after finishing the current one without a break.
  • If you miss any reminder pills, throw them away and keep taking one pill per day until you finish the pack.
• Follow-up Packs: After finishing one pack, start the next pack the following day, even if you are still having your period. There is no break between packs.
• Additional Protection: Use condoms or another barrier method of contraception if you are sick (vomiting or diarrhea) or taking medications that may interfere with the effectiveness of Enpresse.
• Regular Check-ups: It’s important to have regular check-ups with your healthcare provider to monitor your health and discuss any concerns or side effects you may be experiencing.

Always follow the instructions provided by your healthcare provider or the information leaflet that comes with your medication. If you have any questions or concerns about using Enpresse, consult your healthcare provider for guidance.

Other uses for this medicine

Aside from its primary use as a contraceptive, Enpresse may also be prescribed for the treatment of acne and to regulate menstrual cycles. The combination of ethinyl estradiol and levonorgestrel in Enpresse can help regulate hormone levels, which may lead to improvements in acne and menstrual irregularities.

What special precautions should I follow?

When taking Enpresse, there are several special precautions to keep in mind:

• Medical History: Before starting Enpresse, inform your healthcare provider about your complete medical history, including any previous or existing medical conditions such as high blood pressure, diabetes, blood clotting disorders, liver disease, or any history of breast or reproductive organ cancers.
• Allergies: Inform your healthcare provider of any allergies you have, especially if you have had allergic reactions to estrogen, progestin, or any other medications.
• Interactions: Notify your healthcare provider of all medications, supplements, and herbal products you are currently taking, as certain medications may interact with Enpresse, affecting its effectiveness or increasing the risk of side effects.
• Smoking: If you smoke, it’s essential to inform your healthcare provider, as smoking while using Enpresse can increase the risk of serious cardiovascular side effects, such as blood clots, heart attack, or stroke, especially in women over 35 years old.
• Blood Clot Risk: Enpresse may increase the risk of blood clots, particularly in women with other risk factors such as obesity, prolonged immobilization, or a family history of blood clotting disorders.
• Monitoring: Your healthcare provider may recommend periodic monitoring while taking Enpresse, including blood pressure checks, cholesterol tests, and evaluations for any signs of adverse effects or complications.
• Pregnancy: Enpresse should not be used during pregnancy. If you become pregnant while taking Enpresse, contact your healthcare provider immediately.
• Missed Doses: It’s crucial to take Enpresse exactly as prescribed. Missing doses or taking pills at irregular intervals may decrease its effectiveness in preventing pregnancy.

Always follow your healthcare provider’s instructions and guidance while using Enpresse, and consult them if you have any questions or concerns about its use or potential side effects.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Enpresse. However, maintaining a healthy lifestyle with a balanced diet and regular exercise is generally recommended for overall health and well-being.

What should I do if I forget a dose?

• If you forget to take one active pill, take it as soon as you remember, even if it means taking two pills in one day. Then continue taking one pill daily at the usual time. No backup contraception is needed.
• If you miss more than one active pill (for example, if you forget to take two or more active pills in a row), take the missed pill(s) as soon as you remember and continue taking one pill daily at the usual time. Additionally, use backup contraception (such as condoms) for the next 7 days.
• If you miss any of the 7 inactive pills (placebo pills), you can simply discard the missed pill and continue taking one pill daily at the usual time. It’s important to start the next pack of pills on schedule.

What side effects can this medication cause?

Enpresse, like any medication, can cause side effects. Not everyone will experience these side effects, and their severity can vary from person to person. Some common side effects of Enpresse may include:

• Nausea: Feeling sick to your stomach is a common side effect, especially when you first start taking Enpresse. Taking the pill with food or at bedtime may help alleviate this symptom.
• Headaches: Some individuals may experience headaches while taking Enpresse. These headaches are usually mild and temporary but may persist in some cases.
• Breast Tenderness: Your breasts may feel sore or tender, especially during the first few months of taking Enpresse. This side effect typically resolves on its own over time.
• Irregular Bleeding: You may experience spotting or breakthrough bleeding between periods, especially during the first few months of using Enpresse. This side effect often resolves as your body adjusts to the medication.
• Changes in Menstrual Flow: Enpresse may cause changes in your menstrual cycle, including lighter or heavier periods or the absence of menstruation altogether. These changes are typically not a cause for concern but should be discussed with your healthcare provider if they persist or are bothersome.
• Mood Changes: Some individuals may experience mood swings or changes in mood while taking Enpresse. If you notice significant changes in your mood or emotional well-being, discuss them with your healthcare provider.
• Weight Changes: While weight changes are not common side effects of Enpresse, some individuals may experience slight weight gain or weight loss. Maintaining a healthy lifestyle with diet and exercise can help manage any changes in weight.
• Decreased Libido: Some individuals may experience a decrease in libido (sex drive) while taking Enpresse. If this side effect is bothersome, discuss it with your healthcare provider.
• Skin Changes: Enpresse may affect your skin, leading to changes such as acne improvement or exacerbation. Some individuals may experience clearer skin, while others may notice an increase in acne.
• Serious Side Effects: While rare, Enpresse can also cause serious side effects such as blood clots, heart attack, stroke, liver problems, and high blood pressure. Seek medical attention immediately if you experience symptoms such as severe chest pain, sudden shortness of breath, severe headaches, or vision changes.

It’s essential to discuss any side effects you experience with your healthcare provider. They can provide guidance on managing side effects and determine if any adjustments to your treatment are necessary.

What should I know about storage and disposal of this medication?

Storage and disposal of Enpresse:

• Storage:
  • Store Enpresse at room temperature away from moisture, heat, and light.
  • Keep the medication out of reach of children and pets.
  • Do not store Enpresse in the bathroom or kitchen, where it may be exposed to moisture or heat.
• Disposal:
  • Properly dispose of expired or unused Enpresse pills.
  • Do not flush medications down the toilet unless instructed to do so. Instead, dispose of them through a medicine take-back program or by following local guidelines for medication disposal.
  • If you are unsure about how to dispose of Enpresse, consult your healthcare provider or pharmacist for guidance.

In case of emergency/overdose

• In case of an overdose of Enpresse (taking too many pills), seek emergency medical attention or contact a poison control center immediately.
• Symptoms of overdose may include nausea, vomiting, vaginal bleeding, and other adverse effects. It’s important to seek medical help promptly.

What other information should I know?

• Enpresse does not protect against sexually transmitted infections (STIs). It is important to use condoms or other barrier methods of contraception to reduce the risk of STIs.
• Inform any healthcare provider you see, including dentists and emergency room doctors, that you are taking Enpresse. Some medications and medical procedures may interact with Enpresse, affecting its effectiveness.
• Attend regular check-ups with your healthcare provider while taking Enpresse to monitor your health and discuss any concerns or changes in your condition.
• Follow your healthcare provider’s instructions for taking Enpresse precisely. Missing doses or taking pills at irregular intervals may reduce its effectiveness in preventing pregnancy.
• Be aware of the signs and symptoms of potential side effects or complications associated with Enpresse and contact your healthcare provider if you experience any concerning symptoms.

As always, it’s crucial to follow the guidance provided by your healthcare provider and carefully read the medication information leaflet included with Enpresse for specific instructions and precautions. If you have any questions or concerns about Enpresse, don’t hesitate to consult your healthcare provider or pharmacist for further clarification.