WARNING

Ortho-Novum 1/35 is a combination oral contraceptive pill that contains two hormones, an estrogen (ethinyl estradiol) and a progestin (norethindrone). While it is an effective form of birth control, it does come with certain risks and side effects that you should be aware of. Here are some of the potential risks associated with taking Ortho-Novum 1/35:

• Blood clots: The use of combination oral contraceptives like Ortho-Novum 1/35 increases the risk of developing blood clots. This risk is higher in women who smoke, are overweight, or have a history of blood clotting disorders.
• Cardiovascular problems: Taking Ortho-Novum 1/35 may increase the risk of cardiovascular problems such as heart attack, stroke, or high blood pressure, especially in women who have underlying health conditions.
• Hormonal side effects: Some women may experience hormonal side effects such as breast tenderness, nausea, headache, mood changes, or changes in menstrual bleeding patterns.
• Increased cancer risk: Studies have shown a slightly increased risk of breast and cervical cancer in women who use combination oral contraceptives, although the overall risk remains relatively low.
• Interactions with other medications: Ortho-Novum 1/35 can interact with certain medications, such as antibiotics or anticonvulsants, potentially reducing the effectiveness of both the contraceptive pill and the other medication.
• Other considerations: Ortho-Novum 1/35 does not protect against sexually transmitted infections (STIs), so additional precautions should be taken if you are at risk of contracting STIs.

It is important to note that while these risks exist, many women tolerate Ortho-Novum 1/35 well and do not experience significant side effects. However, it is crucial to discuss your medical history, current medications, and any concerns with a healthcare professional before starting any contraceptive method to assess the most suitable option for you.

Why is this medication prescribed?

Ortho-Novum 1/35 is primarily prescribed as a hormonal contraceptive, commonly known as “the pill,” to prevent pregnancy. It is a combination oral contraceptive pill that contains both an estrogen (ethinyl estradiol) and a progestin (norethindrone).

Ortho-Novum 1/35 works by preventing ovulation, the release of an egg from the ovary, and by making the cervical mucus thicker, which makes it more difficult for sperm to reach the egg. It also changes the lining of the uterus, making it less suitable for implantation of a fertilized egg.

In addition to its contraceptive properties, Ortho-Novum 1/35 may also be prescribed for other medical purposes, such as:

• Menstrual cycle regulation: The pill can help regulate irregular or heavy menstrual periods and reduce symptoms associated with premenstrual syndrome (PMS).
• Hormone replacement therapy: In some cases, Ortho-Novum 1/35 may be prescribed as hormone replacement therapy for women who are experiencing menopausal symptoms or have a hormone deficiency.
• Acne treatment: The pill can be effective in treating mild to moderate acne by regulating hormone levels that contribute to the development of acne.

It is important to note that Ortho-Novum 1/35 should only be prescribed by a healthcare professional who will assess your individual medical history, lifestyle, and preferences to determine if it is a suitable contraceptive option for you.

How should this medicine be used?

Ortho-Novum 1/35 should be used exactly as prescribed by your healthcare professional. It typically comes in a pack of 28 pills, with 21 active pills containing the hormones and 7 placebo pills. Here’s a general guide on how to use Ortho-Novum 1/35:

• Start on the first day of your menstrual cycle: Begin taking the active pills on the first day of your menstrual cycle (the first day of bleeding). This provides immediate contraceptive protection.
• Take one pill daily: Take one active pill at the same time each day for 21 consecutive days. It is recommended to take the pill with a glass of water, with or without food.
• Follow the pill order: The pack is labeled with the days of the week to help you keep track. Follow the order of the pills as indicated on the pack, taking one pill per day.
• Take the placebo pills: After finishing the 21 active pills, take the 7 placebo pills (they may be a different color) in the pack. These pills do not contain hormones but help you maintain the habit of taking a pill every day. Menstrual bleeding usually occurs during the placebo pill week.
• Start a new pack: Once you have finished all the placebo pills, start a new pack of Ortho-Novum 1/35 the next day, even if you are still bleeding. Continue this cycle of 21 active pills followed by 7 placebo pills.
• Backup contraception: It is recommended to use a backup method of contraception, such as condoms, during the first month of starting Ortho-Novum 1/35 to ensure additional protection against pregnancy.

Remember to read and follow the instructions provided with your specific pack of Ortho-Novum 1/35 and consult your healthcare professional if you have any questions or concerns about its usage.

Other uses for this medicine

Here are some additional uses of Ortho-Novum 1/35:

• Menstrual cycle regulation: Ortho-Novum 1/35 can help regulate irregular menstrual periods and reduce symptoms associated with premenstrual syndrome (PMS).
• Hormone replacement therapy: In some cases, Ortho-Novum 1/35 may be prescribed as hormone replacement therapy for women who are experiencing menopausal symptoms or have a hormone deficiency.
• Acne treatment: Ortho-Novum 1/35 can be effective in treating mild to moderate acne by regulating hormone levels that contribute to the development of acne.

What special precautions should I follow?

Special precautions to consider while using Ortho-Novum 1/35 include:

• Consultation with a healthcare professional: Before starting Ortho-Novum 1/35 or any other contraceptive method, it is important to have a thorough consultation with a healthcare professional. They will assess your medical history, current medications, and any specific health concerns to determine if Ortho-Novum 1/35 is suitable for you.
• Pregnancy and breastfeeding: Ortho-Novum 1/35 should not be used during pregnancy. If you become pregnant or suspect you might be pregnant while using Ortho-Novum 1/35, discontinue use and consult your healthcare professional. It is generally recommended to wait until after breastfeeding is completed before starting Ortho-Novum 1/35.
• Blood clotting risks: Combination oral contraceptives like Ortho-Novum 1/35 can increase the risk of blood clots. This risk is higher in women who smoke, are overweight, have a history of blood clotting disorders, or are immobilized for prolonged periods. It is important to discuss your individual risk factors with your healthcare professional.
• Interactions with other medications: Ortho-Novum 1/35 can interact with certain medications, including some antibiotics, anticonvulsants, and antifungal medications. Inform your healthcare professional about all the medications, including over-the-counter and herbal supplements, you are currently taking to avoid potential interactions.
• Side effects and monitoring: Like any medication, Ortho-Novum 1/35 can cause side effects. It is important to be aware of any changes in your health while taking it and report any concerns to your healthcare professional. Regular check-ups may be recommended to monitor your overall health and the effects of the medication.

Remember, these precautions are general guidelines, and it is essential to consult your healthcare professional for personalized advice and information specific to your situation.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with taking Ortho-Novum 1/35. However, it is generally recommended to maintain a healthy and balanced diet while using any oral contraceptive.

What should I do if I forget a dose?

• If you are less than 24 hours late: Take the missed pill as soon as you remember, even if it means taking two pills on the same day. Continue taking the rest of the pills at the usual time. This should not affect the contraceptive effectiveness.
• If you are more than 24 hours late: Take the missed pill as soon as you remember, even if it means taking two pills on the same day. However, in this case, additional backup contraception (e.g., condoms) should be used for the next seven days. If you had unprotected sex during the time you missed the pill, there is a risk of pregnancy, and you should consult your healthcare professional for further guidance.

What side effects can this medication cause?

Ortho-Novum 1/35, like any medication, can cause side effects. While not everyone experiences these side effects, some of the common ones associated with Ortho-Novum 1/35 may include:

• Nausea: Some women may experience mild nausea, especially when starting the pill. Taking Ortho-Novum 1/35 with food or at bedtime can help reduce this side effect.
• Headache: Headaches or migraines can occur in some women using Ortho-Novum 1/35. If you experience severe or persistent headaches, it is important to consult your healthcare professional.
• Breast tenderness: Ortho-Novum 1/35 can cause breast tenderness or enlargement in some women. This side effect is usually temporary and resolves on its own.
• Changes in menstrual bleeding: Women may experience changes in their menstrual bleeding patterns while using Ortho-Novum 1/35. This can include lighter or heavier periods, irregular bleeding, spotting between periods, or the absence of withdrawal bleeding during the placebo pill week.
• Mood changes: Some women may experience changes in mood, such as mood swings, irritability, or depression. If you notice significant changes in your mood or mental well-being, it is advisable to discuss them with your healthcare professional.
• Weight changes: Ortho-Novum 1/35 may cause slight weight gain or weight loss in some individuals. However, it is important to note that the effect on weight is generally minimal.
• Other side effects: Other less common side effects of Ortho-Novum 1/35 may include bloating, changes in appetite, changes in sexual desire, or skin reactions.

It is important to remember that these side effects vary from person to person, and not everyone will experience them. If you have any concerns or if the side effects are persistent or severe, it is recommended to consult your healthcare professional for further guidance. They can provide personalized advice and address any specific concerns you may have.

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

• Storage: Ortho-Novum 1/35 should be stored at room temperature, away from excessive heat, moisture, and direct sunlight. Keep it out of reach of children and pets.
• Disposal: When it comes to disposing of Ortho-Novum 1/35, follow any specific instructions provided by your healthcare professional or pharmacist. If no specific instructions are given, you can generally dispose of the unused or expired medication by taking it to a local pharmacy or using a drug take-back program. Do not flush it down the toilet or throw it in the trash unless instructed to do so.

In case of emergency/overdose

In case of an emergency or suspected overdose of Ortho-Novum 1/35, contact emergency services or your local poison control center immediately. Be prepared to provide them with information such as the medication name, dosage, and the number of pills taken.

What other information should I know?

In addition to the above, here are a few other important points to keep in mind:

• Ortho-Novum 1/35 does not protect against sexually transmitted infections (STIs). If you are at risk of STIs, consider using barrier methods, such as condoms, in addition to your birth control pills.
• Inform your healthcare provider about any other medications, supplements, or herbal products you are taking, as they may interact with Ortho-Novum 1/35.
• Smoking increases the risk of serious cardiovascular side effects while taking Ortho-Novum 1/35, especially in women over 35 years old. It is generally advised to avoid smoking while using hormonal contraceptives.
• Ortho-Novum 1/35 may increase the risk of blood clots, particularly in women who have certain medical conditions or a history of blood clotting disorders. Discuss your medical history with your healthcare provider before starting this medication.
• If you miss a pill, follow the instructions provided with your medication package or consult your healthcare provider for guidance.

It’s important to have regular check-ups and follow-ups with your healthcare provider while using Ortho-Novum 1/35 to monitor your health and ensure its effectiveness.