Cautiously notice ladies by using a history of despair and discontinue MARLISSA® (levonorgestrel and ethinyl estradiol tablets) if melancholy recurs to a significant diploma. Info to the association of COCs with onset of depression or exacerbation of existing melancholy are restricted.

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Based on your medical historical past, hormonal birth control is probably not for yourself. It’s essential to discuss your medical background that has a medical doctor before starting off birth control, particularly when you have got relatives history of significant health and fitness conditions including cancer, heart disease, liver tumors, blood clots, diabetic issues, or significant hypertension.

The therapeutic efficacy of Anastrozole may be decreased when made use of in combination with Ethinylestradiol.

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If vomiting takes place in three to four hours following using MARLISSA® (levonorgestrel and ethinyl estradiol tablets), the patient need to proceed just as if she missed a pill. In the event of extended vomiting or diarrhea, absorption might not be total and extra contraceptive measures need to be taken.

Bleeding irregularities may resolve over time or by shifting to a unique contraceptive product or service. If bleeding persists or takes place soon after Earlier normal cycles, Assess for brings about including pregnancy or malignancy.

Contraceptive hormones and/or metabolites are existing in human milk. COCs can minimize milk output in breastfeeding women. This reduction can arise Anytime but is less likely to happen after breastfeeding is nicely-founded. When possible, advise the nursing feminine to implement other methods of contraception till she discontinues breastfeeding.

Stop MARLISSA® (levonorgestrel and ethinyl estradiol read more tablets) if an arterial or venous thrombotic/thromboembolic party takes place.

When you pass up a reminder pill, toss it absent and retain using 1 reminder pill on a daily basis right until the pack is vacant.

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