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Generic name: ethinyl estradiol and levonorgestrel [ETH-in-ill-ess-tra-DYE-ol-and-LEE-vo-nor-JESS-trel]
Brand names: Afirmelle, Altavera, Amethyst, Aubra, Aubra EQ,… Show all 28 brands
Drug class: contraceptives

What is Chateal?

Chateal can be used to prevent pregnancy. Chateal is available in many different brands and forms. This leaflet does not list all brands.Chateal can be used in other ways not mentioned in this guide.

Side effects of chateal

If you experience any of the following symptoms of an allergic reaction, seek immediate medical attention: difficulty breathing, hives, swelling of the face, lips, or throat.

Birth control pills can cause serious side effects. Call your doctor immediately if:

  • Signs of stroke: sudden numbness, weakness, or slurred words, especially on one side;
  • Signs of a blood clot: sudden vision loss, chest pain, shortness of breath, blood in the cough, swelling of an arm or leg
  • Heart attack symptoms: chest pain or pressure; pain spreading to the jaw or shoulder; sweating.
  • Liver problems: fatigue, nausea, fatigue, dark urine, clay-coloured stools, and jaundice
  • Increased blood pressure--signs include severe headache, blurry vision or an intense pounding in the neck or ears;
  • Gallbladder problem:chalky-coloured stools, stomach pain after eating, nausea, heartburn, bloating, and severe upper stomach pain that may spread to your back;
  • You may experience swelling of your ankles, feet, or hands.
  • Changes in the pattern of migraine headaches or their severity;
  • A breast lump,
  • Symptoms of depression include sleep problems, fatigue, and mood changes.

Side effects of Chateal include:

  • Symptoms of nausea and vomiting (especially at first when taking the medicine);
  • Breast tenderness
  • Bleeding
  • Acne is a darkening of the facial skin.
  • Weight gain or weight gain.
  • Contact lenses are causing problems.

There may be other side effects. Call your physician immediately if experiencing side effects; otherwise, the FDA can be reached at 1-800-FDA-1088 to report them.

Similar/related drugs

Norethindrone, Depo-Provera, Provera, Levonorgestrel, Medroxyprogesterone, Yaz


Pregnancy or breastfeeding mothers should avoid birth control pills to stay protected while using contraception.Birth control pills should not be used if: you have uncontrolled high blood pressure, heart problems, coronary artery diseases, circulation issues (especially in diabetes), undiagnosed bleeding vaginal, liver disease or cancer, severe headaches or migraines, if your surgery will require major surgery, if you are smoking and older than 35, if a blood clot has occurred, if jaundice was caused by pregnancy, birth control pills, or cancer of the breast, uterus, cervix, or vaginaBirth-control pills may increase your risk for blood clots or stroke.Smoking increases your risk for blood clots and stroke. Do not take Chateal if you are over 35.

Before you take this drug

This medicine increases your risk of a stroke or heart attack. If you suffer from high blood pressure, diabetes, high cholesterol, or obesity, you're at an even greater risk. The risk of a stroke or blood clot increases during the first year you take birth control pills. Restarting after more than 4 weeks could pose serious health hazards.Smoking increases your risk of blood clots and strokes. The more you smoke, the greater the risk. If you are older than 35 and smoke, it is not recommended that you take combination birth-control pills.Do not use it if you are pregnant. Stop using this medicine and tell your doctor right away if you become pregnant or miss two menstrual periods in a row. Wait at least four weeks after giving birth to take birth control pills.

If you are pregnant, or if:

  • Untreated or uncontrolled hypertension;
  • Heart Disease (Chest discomfort, coronary artery diseases, history of strokes or blood clots and/or heart attacks);
  • An increased risk of blood clots as a result of a heart condition or hereditary blood disorder
  • Circulatory problems (especially when caused by diabetes);
  • A history of cancers of the breast, uterus, cervix, or vagina
  • Unusual vaginal bleeding that goes undetected;
  • Liver disease or liver cancer
  • Frequent migraine headaches among individuals older than 35 are particularly troubling.
  • Pregnancy or birth control pill related jaundice
  • If you take any hepatitis C medication containing ombitasvir, paritaprevir or ritonavir (Technivie), please inform your healthcare provider right away.

Tell your doctor immediately of any of the following conditions:

  • If you suffer from cardiovascular disease, high blood pressure or are susceptible to blood clots then this product could be the right one for you.
  • If you have high cholesterol, triglycerides, or are overweight, this may be a sign.
  • Depression;
  • A seizure or migraine headache;
  • Gallbladder Disease
  • Liver or kidney disease
  • Menstrual irregularities;
  • Fibrocystic Breast Disease can produce lumps or nodules on mammograms which need further evaluation.

Chateal may slow down the production of breast milk. This medicine should not be used while breastfeeding.

How to take Chateal?

Read all instructions or guides that come with your medication and follow all directions. Follow the directions on the label.First, take your first pill the day after you start your period. When you start using Chateal, you may need to use a backup birth control method, such as a condom or spermicide. You should follow your doctor's advice.One pill per day is recommended, but no more than one every 24 hours. Start a new package the next day when the pills are finished. If you don't take a pill every day, you may become pregnant. Refill your prescription before you run out.Some birth control packages contain seven "reminder pills" to help you maintain your regular cycle. Your period will typically commence once you start taking these reminder pills.

The chewable pill (tablet) should be chewed and then sucked down with water. If you prefer, you can swallow the tablet whole. Take it with an empty stomach.If you experience severe diarrhoea or vomiting, use backup birth control measures as soon as possible.You might experience bleeding during the first three months. If the bleeding persists or intensifies significantly, notify your healthcare provider as soon as possible.You may have to temporarily stop taking this medication if you are going to be undergoing major surgery or a long period of bed rest.Please inform any physician or surgeon treating you if you use birth control pills.You will need to see your doctor regularly if you are taking birth control pills.Store away from moisture, heat, and light at room temperature.

What happens if I miss the dose?

Please read the instructions that come with your medication. You are more likely to become pregnant if you miss a pill.Take two pills the next day if you forget to take one. Take one pill a day for the remainder of the pack.If you missed two active pills consecutively in Week 1 or 2, take two pills a day for two consecutive days. Take one pill a day for the remainder of the package.Once a pill has been missed, use an alternative birth control method for at least seven days as backup protection.If you missed two active pills consecutively in Week 3, you can throw away the remaining pack of pills and begin a new one the next day, if you started on Day 1. If you started taking pills on Sunday, continue taking one pill each day until Sunday when you will throw away what remains from that package and begin another one.

If you missed three active pills consecutively in Weeks 1, 2, and 3, you can throw the rest out and start over with a brand new pack the next day if you started on Day 1. If you started taking pills on Sunday, continue taking one pill each day until Sunday when you will throw away what remains from that package and begin another one.You may not get a period if you miss more than two active pills. Call your doctor if you have missed two periods in a row. You might be pregnant.If you forget a pill reminder, just discard it and continue taking one per day until your pack of pill reminders has run dry.

What happens if I overdose?

Reach the Poison Help Line immediately on 1-800-222-1222 if experiencing poison-related symptoms, or seek emergency medical attention immediately. Overdose symptoms include nausea, vomiting, and drowsiness.

What should be avoided?

Do not smoke while taking birth control pills, especially if you're older than 35.Birth control pills do not protect against sexually transmissible diseases like HIV and AIDS; therefore, using a condom is the only reliable means of protecting oneself against these risks.

Interaction with other drug

Other drugs, such as vitamins, herbal products, prescription and over-the-counter medicines, and prescription and over-the-counter medications, may interact with birth-control pills. Birth control pills can be less effective if you take certain drugs. This may lead to pregnancy. Informing your physician of all medications you are currently taking and any that have changed or begun using is imperative to keeping up with good health and maintaining good overall wellness.




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