WARNING

Ortho-Cyclen is a combination oral contraceptive pill that contains two hormones: ethinyl estradiol and norgestimate. While it is an effective method of birth control, it is important to be aware of the potential risks associated with its use. Here are some of the risks of taking Ortho-Cyclen:

• Blood clots: Like other hormonal contraceptives, Ortho-Cyclen increases the risk of blood clots, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism. The risk is higher in women who smoke, are overweight, or have a history of blood clots.
• Cardiovascular problems: Ortho-Cyclen may increase the risk of heart attack, stroke, or high blood pressure, especially in women with existing cardiovascular conditions or those who smoke.
• Cancer risks: Some studies have suggested a slightly increased risk of breast and cervical cancer in women who use hormonal contraceptives, although the overall risk is still considered low.
• Liver problems: In rare cases, Ortho-Cyclen can cause liver problems, including benign liver tumors and liver cancer. Certain factors, such as a history of liver disease or heavy alcohol use, may increase this risk.
• Other side effects: Ortho-Cyclen may cause various side effects, including nausea, breast tenderness, headaches, mood changes, and weight gain. These effects are usually mild and tend to improve over time.

It’s essential to discuss your medical history and any potential risks with your healthcare provider before starting Ortho-Cyclen or any other contraceptive method. They can help assess your individual risk factors and guide you towards the most suitable contraceptive option for your needs.

Why is this medication prescribed?

Ortho-Cyclen is prescribed primarily as a contraceptive, meaning it is used to prevent pregnancy. It is a combination oral contraceptive pill that contains two hormones, ethinyl estradiol and norgestimate, which work together to prevent ovulation (the release of an egg from the ovaries). Additionally, Ortho-Cyclen thickens the cervical mucus, making it harder for sperm to reach the egg, and alters the lining of the uterus, reducing the likelihood of implantation.

Apart from contraception, Ortho-Cyclen may also be prescribed for other medical purposes, such as managing certain menstrual cycle-related conditions. Some of these conditions include:

• Hormonal regulation: Ortho-Cyclen can help regulate hormonal imbalances in women, potentially alleviating symptoms related to irregular menstrual cycles.
• Acne treatment: Ortho-Cyclen is approved by the U.S. Food and Drug Administration (FDA) for the treatment of moderate acne vulgaris in females who desire contraception. The hormonal components of Ortho-Cyclen can help reduce the severity and frequency of acne outbreaks.
• Polycystic ovary syndrome (PCOS): Ortho-Cyclen may be used as part of the treatment plan for women with PCOS to regulate menstrual cycles, reduce androgen levels, and manage associated symptoms like excessive hair growth (hirsutism) and acne.

It’s important to note that Ortho-Cyclen should only be used under the guidance and prescription of a healthcare professional. They will assess your specific needs and medical history to determine if Ortho-Cyclen is an appropriate choice for you.

How should this medicine be used?

Ortho-Cyclen should be used as prescribed by your healthcare provider. Here are general guidelines for using Ortho-Cyclen, but always follow the specific instructions provided with your prescription:

• Start on the first day of your menstrual cycle: It is common to start taking Ortho-Cyclen on the first day of your period. This ensures immediate contraceptive protection. If you start taking Ortho-Cyclen on any other day, additional contraceptive methods (such as condoms) should be used for the first 7 days.
• Take one pill daily: Take one pill at the same time every day, preferably with food or as directed by your healthcare provider. It is important to maintain a consistent daily schedule.
• Follow the pill pack instructions: Ortho-Cyclen usually comes in a 28-day pill pack. The pack will contain 21 active hormone pills and 7 placebo (inactive) pills. Take one active pill every day for 21 days, followed by one placebo pill daily for the remaining 7 days. The placebo pills are there to help you maintain a routine and should be taken even during your period.
• Start a new pack immediately: Once you finish the 28-day pack, start a new pack the following day, even if your period has not ended. This ensures continuous contraceptive protection.
• Missed pills: If you miss a pill, refer to the package instructions or consult your healthcare provider for specific guidance. Generally, if you miss one active pill, take it as soon as you remember and continue taking the rest of the pack as scheduled. If you miss multiple pills, additional contraceptive measures may be necessary.
• Consult your healthcare provider: If you have any questions or concerns about using Ortho-Cyclen, always consult your healthcare provider. They can provide personalized instructions and address any specific concerns you may have.

Remember, Ortho-Cyclen is a prescription medication, and it is important to use it exactly as directed to ensure its effectiveness as a contraceptive and to minimize potential risks.

Other uses for this medicine

While the primary use of Ortho-Cyclen is contraception, it may also have other benefits for some individuals. These may include:

• Regulation of menstrual cycles: Ortho-Cyclen can help regulate irregular periods, making them more predictable and reducing symptoms like heavy bleeding or painful cramps.
• Acne treatment: Ortho-Cyclen is FDA-approved for the treatment of moderate acne in females who are at least 15 years old and have started menstruating. It can help reduce acne by regulating hormone levels.
• Hormonal imbalance: Ortho-Cyclen can be prescribed to manage certain hormone-related conditions, such as polycystic ovary syndrome (PCOS) or hirsutism (excessive hair growth).

What special precautions should I follow?

Now, let’s discuss some special precautions to consider when using Ortho-Cyclen:

• Allergic reactions: If you are allergic to any of the ingredients in Ortho-Cyclen, you should avoid using it. Common signs of an allergic reaction include rash, itching, swelling, severe dizziness, or difficulty breathing.
• Medical history: Inform your healthcare provider about your complete medical history, including any past or present conditions, such as blood clots, cardiovascular problems, liver disease, breast or cervical cancer, or any other significant health issues.
• Medication interactions: Certain medications, such as antibiotics, anticonvulsants, antifungal drugs, and HIV medications, may interact with Ortho-Cyclen and reduce its effectiveness. It’s important to inform your healthcare provider about all the medications you are currently taking, including prescription, over-the-counter, and herbal products.
• Smoking: Smoking while using Ortho-Cyclen increases the risk of serious cardiovascular side effects, such as blood clots, heart attack, or stroke. It is generally recommended to avoid smoking while using hormonal contraceptives.
• Regular check-ups: Regularly visit your healthcare provider for check-ups and follow-up appointments to monitor your response to Ortho-Cyclen and address any concerns or side effects.

It is crucial to discuss your individual circumstances, medical history, and any potential risks with your healthcare provider before starting Ortho-Cyclen or any other contraceptive method. They can provide personalized guidance, help assess your suitability for the medication, and ensure your safety and well-being.

What special dietary instructions should I follow?

Ortho-Cyclen does not have specific dietary restrictions. However, it is generally recommended to take the pill with food to help minimize any potential gastrointestinal discomfort that may occur. Taking it consistently with food at the same time every day can also help you remember to take it.

What should I do if I forget a dose?

If you miss a dose of Ortho-Cyclen, follow these general guidelines:

• One Missed Pill: Take the missed pill as soon as you remember, even if it means taking two pills in one day. Then continue taking the remaining pills at the usual time. You may need to use backup contraception (such as condoms) for the next seven days.
• Two or More Missed Pills: Take the most recently missed pill as soon as you remember and take the next pill at the regular time. Discard any additional missed pills. Use backup contraception for the next seven days and consider contacting your healthcare provider for further instructions.

What side effects can this medication cause?

Ortho-Cyclen, like other hormonal contraceptives, can cause side effects in some individuals. It’s important to note that not everyone will experience these side effects, and their severity can vary. Common side effects of Ortho-Cyclen may include:

• Nausea: Some women may experience mild nausea, especially when starting Ortho-Cyclen. Taking the pill with food or before bed can help alleviate this symptom.
• Breast tenderness: Breast tenderness or swelling may occur, but it is usually temporary and resolves on its own.
• Headaches: Some individuals may experience headaches while taking Ortho-Cyclen. If the headaches become severe or persistent, it’s advisable to consult your healthcare provider.
• Mood changes: Some women may experience mood swings, irritability, or changes in their emotional well-being while using Ortho-Cyclen. If these symptoms are severe or disruptive, discuss them with your healthcare provider.
• Weight changes: Some individuals may experience slight weight gain or fluid retention while taking Ortho-Cyclen. However, significant weight gain is uncommon.
• Changes in menstrual bleeding: Ortho-Cyclen can cause changes in menstrual bleeding patterns. This may include lighter or heavier periods, irregular bleeding, spotting between periods, or the absence of periods. These changes are generally temporary and tend to stabilize after a few months of use.
• Other possible side effects: Other less common side effects may include abdominal pain, bloating, changes in libido, skin changes, and vision changes. If you experience any unusual or concerning symptoms, consult your healthcare provider.

Serious side effects of Ortho-Cyclen are rare but may include blood clots, high blood pressure, liver problems, and allergic reactions. It’s important to seek medical attention if you experience symptoms such as severe abdominal pain, chest pain, shortness of breath, severe headache, blurred vision, or signs of an allergic reaction.

Every individual is unique, and the side effects experienced can vary. If you have concerns about potential side effects or if you experience any troubling symptoms while taking Ortho-Cyclen, it’s advisable to consult your healthcare provider for guidance. They can assess your specific situation and provide appropriate advice.

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

• Storage: Ortho-Cyclen should be stored at room temperature (between 68°F to 77°F or 20°C to 25°C). Keep it away from direct sunlight, moisture, and excessive heat.
• Keep out of reach of children and pets: Ensure that Ortho-Cyclen is stored in a secure location where children and pets cannot access it.
• Do not use expired medication: Check the expiration date on the packaging and do not use Ortho-Cyclen if it has expired. Expired medication may not be effective and could potentially be harmful.
• Disposal: Do not dispose of Ortho-Cyclen in household trash or flush it down the toilet unless specifically instructed to do so. The best way to dispose of unused or expired medication is to take it to a drug take-back program or follow any specific disposal instructions provided by your local pharmacy or healthcare facility. These programs ensure safe and proper disposal of medications to protect the environment and prevent misuse.

In case of emergency/overdose

• If you believe you have taken an overdose of Ortho-Cyclen or are experiencing severe symptoms, call emergency services or your local poison control center immediately.
• Do not induce vomiting unless directed to do so by medical professionals.
• Provide as much information as possible about the medication, dosage, and time of ingestion to the medical professionals attending to the emergency.

What other information should I know?

• Medication interactions: Inform your healthcare provider about all medications you are currently taking, including prescription, over-the-counter, and herbal products. Some medications may interact with Ortho-Cyclen, affecting its effectiveness or increasing the risk of side effects.
• Regular check-ups: It is important to schedule regular check-ups with your healthcare provider while using Ortho-Cyclen to monitor your overall health, assess the effectiveness of the medication, and address any concerns or side effects.
• Effectiveness and backup contraception: While Ortho-Cyclen is an effective contraceptive when taken as directed, it does not provide protection against sexually transmitted infections (STIs). If STI protection is needed, it is recommended to use additional barrier methods, such as condoms.
• Pregnancy and breastfeeding: Ortho-Cyclen is contraindicated during pregnancy. If you become pregnant or suspect you may be pregnant while taking Ortho-Cyclen, discontinue its use and consult your healthcare provider. Ortho-Cyclen can also affect breastfeeding, and it is important to discuss its use with your healthcare provider if you are breastfeeding or planning to breastfeed.

Always follow the specific instructions provided by your healthcare provider and the packaging of Ortho-Cyclen. If you have any questions or concerns, consult your healthcare provider for personalized advice and guidance.