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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 Enpresse?

The use of Enpresse as contraception is to avoid pregnancy. There are numerous kinds and brands of drugs available. Some brands are not mentioned in this leaflet.It is also possible to use Enpresse for other purposes that are not covered in this guideline for medication.

Side effects of Enpresse

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. Do not use birth control pills, and contact your doctor immediately if you experience:

  • symptoms of a stroke—sudden weakness or numbness (especially for one leg) or a serious headache and slurred speech. problems with balance;
  • indications of a blood clot: sudden vision loss, chest pain, being short of breath, or coughing up blood. swelling or redness on an arm or leg
  • Heart attack symptoms: chest pressure or pain, expanding to your shoulder or jaw, sweating;
  • Liver problems: decreased appetite; stomach pain; fatigue; fever; dark stools; clay-colored urine; jaundice (yellowing of the eyes or skin);
  • Increased blood pressure, severe headache, blurred vision, and pounding in your neck or ear
  • Gallbladder issues include chalky-colored stools, stomach pain after eating, nausea, heartburn, bloating and severe upper abdominal pain that extends into your back;
  • variations in the pattern or intensity or intensity
  • an unidentified lump on the breast;
  • signs of symptoms of depression—sleep problems, fatigue, tiredness, mood swings.

Common adverse effects of Enpresse could include:

  • nausea and nausea (especially the first time you start taking this medication);
  • breast tenderness;
  • cutting-edge bleeding;
  • Acne and darkening of the facial skin
  • weight gain
  • issues with contact lenses.

This isn't a complete list of all the side effects. Others could happen. Contact your physician for advice regarding medical adverse effects. You may report any adverse reactions to the FDA at 1-800-FDA-1088.

Similar or related drugs

Norethindrone, Medroxyprogesterone, Levonorgestrel, Provera, Depo-Provera, and Mirena


Do not take birth control pills if you're pregnant or have had a recent baby.You shouldn't make use of birth control medications if you suffer from uncontrolled high blood pressure and coronary artery diseases, circulatory problems (especially associated with diabetes), vaginal bleeding that is not diagnosed, liver disease, cancer, and severe migraine headaches when you are also taking certain hepatitis C medications, if you're scheduled to undergo major surgery, if you smoke and are over 35 years old, or if you have had 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.If you are taking contraceptive pills, you may increase your chances of developing blood clots, strokes, or heart attacks.Smoking cigarettes can significantly increase the risk of stroke, blood clots, and heart attacks. You should not consume Enpresse if you smoke and are over the age of 35.

Prior to using this drug

This medicine may increase the risk of blood clots, stroke, and heart attack. There is a higher risk if you suffer from high blood pressure and insulin resistance, high cholesterol, or are obese. The risk of having a stroke or blood clots is highest in the first year of taking birth medications to control weight. The risk increases when you take this medicine again after having stopped taking it for four weeks or more.Smoking is a major contributor to the risk of stroke, blood clots, or heart attacks. Your risk increases as you age, in addition to the amount you smoke. Do not take a combination of birth control pills if you smoke and are more than 35.Do not use it if expecting. Stop using this medicine and notify your doctor immediately in case you fall pregnant or if you skip two menstrual periods in one row. If you've recently had an infant, you should wait at least four weeks before you start taking birth medication to control your pregnancy.Do not use birth pills to control your birth if you are suffering from:

  • untreated or not controlled high blood pressure that is not treated or controlled
  • Heart disease (chest pain, heart attack, coronary artery disease, the history of coronary artery disease, heart attack, and blood clots);
  • An increased risk of developing blood clots because of an issue with the heart or hereditary blood disorder
  • issues with circulation (especially when related to the condition of diabetes);
  • A history of cancer related to hormones such as breast cancer, vagina, or uterus/cervix;
  • vaginal bleeding that is unusual and has not been examined by the doctor;
  • Cancer of the liver or liver;
  • extremely severe headaches due to migraine (with the appearance of numbness, aura, weakening of vision, or other changes), particularly those who are over 35 years old;
  • the history of jaundice triggered by birth control pills or
    if you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir (Technivie).

Inform your doctor if you ever had:

  • heart disease, high blood pressure, or if you're susceptible to developing blood clots.
  • Triglycerides or high cholesterol, or if you're obese,
  • depression;
    a seizure or migraine headache;
  • diabetic, gallbladder disease;
  • kidney or liver disease;
  • irregular menstrual cycle;
  • fibrocystic cancer of the breast lumps, nodules, lumps, or abnormal mammograms.

Enpresse may reduce the production of breast milk. It is not recommended to feed your baby while taking this medication.

How do I take it ?

Follow the instructions on your prescription label, and go through all medication guides or instructions sheets. Follow the medication precisely as directed.The first time you take a pill is the day you begin your menstrual cycle, or on the first Sunday following your period starts. You might need to take additional birth control options, like condoms or spermicide, when you first begin using Enpresse. Follow the instructions of your physician.You should take a pill each day for at least 24 hours in between. If your pills expire, then start a fresh pack the next day. It is possible to become pregnant if you take a pill every day. Make sure you refill your prescription before you run out of pills completely.Certain birth control kits contain seven "reminder" pills to keep you on the same cycle. Your period is usually scheduled to begin after you take these pills for reminders.It is recommended to chew the chewable tablet (pill) and then swallow it using water in a glass, or, if you prefer, swallow your chewable tablet (pill) completely.Take it on an empty stomach for optimal results.Make sure you have a backup birth control plan if you're sick and vomiting a lot.There is a possibility that the bleeding will be a breakthrough, especially in the first three months. Inform your doctor if the bleeding persists or becomes very large.

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 short period of time. Any surgeon or doctor who treats you should be aware that you're taking birth pills to control your birth.When you are taking birth medication to control your birth, you will have to see your doctor frequently.Maintain at room temperature and 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 your chance of becoming pregnant.If you do not take active medication, you should take two pills the next day you can remember. Take one pill a day throughout the remainder of the regimen.If you have missed two active tablets in one row during the first or second week, you should take two pills a day for two days. Take one pill per day for the remainder of the group. Make sure to use a backup birth control plan for a minimum of 7 days after the missing pills.If you are missing two active pills during Week 3, you can throw away the remainder of your pack and begin another pack on the same day if you're a Day 1 starter. If you're the Sunday starter, continue taking a pill each day through Sunday. When you are done, take away the remainder of the pack and begin a new pack the following day.If you fail to take three active pills in a row during the week of 1 2 or 3, discard 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 through Sunday. On Sunday, toss away the rest of your pack and begin a new one for the day.

If you have missed at least two active medications, then you could not be having a period throughout the month. If you do not have a period for more than two months consecutively, contact your doctor, as there is a possibility that you are pregnant.If you don't remember a pill, throw it out and continue to take one pill a day until your pack is completely empty.

What happens if I overdose?

Get medical attention immediately, or contact us for help at the Poison Help Line at 1-800-222-1222. The symptoms of an overdose can include nausea, vomiting, and the feeling of drowsiness.

Avoid this

Avoid smoking when using birth control medications, especially if you are over 35 years old.Birth control pills won't safeguard you from sexually transmitted illnesses, including HIV or AIDS. Utilizing a condom is the only way to safeguard yourself from the aforementioned diseases.

Interaction with other drug

Other medications can affect birth control pills, such as medications that are prescribed and available over the counter, vitamins, and herbal products. Certain medications can reduce the effectiveness of birth control pills. efficient, which could cause pregnancy. Inform your doctor about your current medications as well as any medication you begin or stop taking.



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