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Generic name: ethinyl estradiol and levonorgestrel [ETH-in-ill-ess-tra-DYE-ol-and-LEE-vo-nor-JESS-trel]
The brand names are: Afirmelle, Altavera, Amethyst, Aubra, Aubra EQ,…
Drug class: contraceptives

What is Altavera?

Altavera is used as a contraceptive to stop pregnancy. There are numerous varieties and brands of Altavera available. There aren't all the brands included in this brochure.Altavera could also be utilised for other purposes that are not covered in this guideline for medication.

Side effects of Altavera

Contact a medical professional immediately. If you are experiencing warning signs of an allergic response, such as hives, difficulty breathing, and swelling of your lips, face, and tongue,

Birth control pills can result in serious adverse effects. Take birth control pills off your list and contact your doctor immediately if you suffer from:

  • Symptoms of a stroke—sudden weakness or numbness (especially on the opposite part of your body) or an extreme headache and slurred speech. Balance issues;
  • Indications of a blood clot: sudden vision loss, chest pain, feeling tired, and coughing up blood. Swelling or redness of the leg or arm;
  • Heart attack symptoms: chest pressure or pain, expanding into your shoulder or jaw, sweating;
  • Liver problems: decreased appetite; stomach pain; fatigue; fever; black stools; dark urine; jaundice (yellowing of the eyes or skin);
  • High blood pressure, severe headache, blurred vision, and pounding in your ears or neck;
  • Gallbladder problem--chalky-colored stools, stomach pain after eating, nausea, heartburn, bloating, and severe upper stomach pain that may spread to your back;
  • Swelling in your ankles, hands, or feet;
  • Shifts in the pattern of or intensity or intensity
  • An unidentified lump on the breast;
  • Signs of symptoms of depression—sleep problems, fatigue, and fatigued mood swings.

Common negative side effects of Altavera include:

  • Vomiting and nausea, dizziness, and nausea (especially the first time you start taking the medicine);
  • Tenderness in the breast;
  • Breaking bleeding;
  • Acne and darkening of the facial skin
  • Weight gain
  • Issues with contact lenses.

This is not a comprehensive list of all side effects. Others could happen. Consult your physician to seek medical advice on the effects. It is possible to report any adverse reaction to FDA by calling 1-800-FDA-1088.


Do not take birth control pills if you're pregnant or have recently had a child.It is not recommended to make use of birth control pills when you suffer from uncontrolled blood pressure and coronary artery diseases, circulatory problems (especially those with diabetes) or vaginal bleeding that is not diagnosed, liver disease or cancer, and severe migraine headaches in the event that you are also taking a certain hepatitis C medication, or if you are scheduled for major surgery, if you smoke and are over 35 or have ever suffered an attack of the heart, stroke, blood clot, or jaundice that is caused by birth control pills or breast cancer vagina, uterus/cervix, or uterus.The use of contraceptives or birth control pills may increase your chances of developing blood clots or strokes, as well as heart attacks.Smoking is a major contributor to the risk of stroke, blood clots, and heart attacks. You should not use Altavera when you smoke or are older than 35.

Prior to use this drug

The use of this medication can increase the chances of developing blood clots, a heart attack, or a stroke. There is a higher risk if you suffer from diabetes, high blood pressure, high cholesterol, or are obese. Your risk of suffering from a stroke or blood clots is greatest in the first year of taking birth medication to control your weight. Your risk of stroke is also higher when you take this medication again after having stopped taking it for four weeks or more.Smoking is a major contributor to the chance of stroke, blood clots, or heart attacks. Your risk increases with age as well as the longer you smoke. Do not smoke or take birth control pills that combine when you smoke and are older than 35.Do not use if expecting. Stop using this medication and notify your doctor immediately in case you fall pregnant or if you have missed two menstrual cycles in a row. If you've had an infant, you should wait at least four weeks before starting birth medication to control your pregnancy.

Do not use birth control pills when you are:

  • Untreated or not controlled high blood pressure that is not treated or controlled
  • Heart disease (chest pain heart attack, coronary artery disease history of heart attack stroke, and blood clot);
  • An increased chance of getting blood clots because of a heart condition or hereditary blood disorder
  • Circulatory problems (especially when due to diabetes);
  • A history of cancer related to hormones as well as cancers of the breast, vagina, or uterus;
  • Abnormal vaginal bleeding that hasn't been examined by an ophthalmologist;
  • The liver, or cancer of the liver;
  • Extremely severe headaches due to migraine (with the appearance of numbness, aura, weakening of vision, or other changes), particularly those who are older than 35 years old.
  • An occurrence of jaundice that was caused by birth control pills
  • If you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir (Technivie).

Talk to your physician in the event that you've been afflicted by:

  • Heart disease, high blood pressure, or if you're prone to developing blood clots.
  • High cholesterol or triglycerides, or if you're overweight;
  • Depression;
  • A seizure or migraine headache;
  • Diabetes, gallbladder disease,
  • Kidney disease or liver failure;
  • Irregular menstrual cycles;
  • Fibrocystic breast cancer lumps, nodules, or abnormal mammograms.

Altavera may slow down the production of breast milk. It is not recommended to feed your baby while taking this medication.

How to take Altavera?

Follow all instructions on the prescription label and read the medication guide or instructions sheets. Make sure you use the medication precisely as directed.Start your first dose on the very first day your cycle begins, or the day after your period starts. It is possible to require backup birth control, like condoms or fertiliser, before you begin taking Altavera. Follow the instructions of your physician.You should take one pill a day and no more than 24 hours in between. If the pills are empty, then start a fresh pack the next day. It is possible to become pregnant if you don't take a pill every day. Make sure you refill your prescription before you run out of pills completely.Some birth control packs include seven "reminder" pills to keep you on track with your cycle. The period usually begins when you're using these pills for reminders.The tablet chewable (pill) and then swallow it using an ice cube, or, if you prefer, you can swallow your chewable tablet (pill) completely. It is advised to take the pill with a full stomach.Utilise a backup birth control plan if you're sick with severe vomiting or diarrhoea.It is possible to experience the bleeding as a breakthrough, especially in the first three months. Inform your doctor if the bleeding persists or becomes very massive.If you are undergoing major surgery or have been in bed for a long time, you may need to discontinue using this medication for a brief period of time. Any surgeon or doctor who treats you must be aware that you're taking contraceptives for birth.If you take birth medication to control your birth, you will be required to see your physician often.Keep at room temperature, free of heat, moisture, and light.

What happens if I miss the dose?

Follow the instructions for patients provided along with your prescription. If you do not take your medication, it increases the likelihood of becoming pregnant.If you have missed the active dose, you should take two pills the next day you can remember. Take one pill per day throughout the remainder of the package.If you have missed the two pills that are active in weeks 1 and 2, you should take two pills daily for two days. Then, take one pill a day throughout the remainder of the group. You should use backup birth control for at least 7 days after the missing pills.If you are missing two active pills during Week 3, you can throw out the remainder of your pack and start with a fresh pack the next day if you're a Day 1 starter. If you're a Sunday-based starter, continue taking a dose every day up to Sunday. When you are done, take away the rest of your pack and begin a new pack for the day.If you do not take three active pills in a row during the weeks of 1–2 or 3, you should throw away the remainder of your pack and start a fresh pack the next day if you're an active day 1 starter. If you're the Sunday starter, continue taking a pill each day up to Sunday. When you are done, take away the remainder of the pack and start a fresh pack for the day.If you skip 2 or 3 active tablets, you might not be having a period throughout the month. If you do not have two consecutive months, contact your doctor, as there is a possibility that you are pregnant.If you do not remember to take a reminder pill, discard it and take one pill a day until your pack is full.

What happens if I overdose?

For medical emergencies, seek immediate attention. For assistance, call or call the Poison Help line at 1-800-222-1222. Overdose symptoms can include nausea, vomiting, and the feeling of drowsiness.

What should be avoided?

Avoid smoking when you are taking birth control medication, especially if you are over 35 years old.Birth control pills won't help you fight sexually transmitted illnesses, including HIV and AIDS. Utilising a condom is the only way to shield yourself from the aforementioned diseases.

Interaction with other drugs

Other medications can interfere with birth control pills, such as prescription and over-the-counter medicines, vitamins, and herbal products. Certain drugs may cause birth control pills to become less efficient, and this could result in a pregnancy. Inform your doctor about your current medications as well as any medications you are about to start or stop taking.




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