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What is Estrostep Fe?
Estrostep Fe contains a combination of female hormones that prevents ovulation. The medication can also cause changes to your cervical mucus or uterine lining. This makes it more difficult for fertilized eggs to adhere to the uterusEstrostep FE is used to avoid pregnancy. Estrostep Fe can also be used as a treatment for moderate acne by women over 15 who have begun menstruating and wish to take birth-control pills. Norethindrone is available in many brands. This leaflet does not list all available brands.Estrostep Fe can be used in other ways not mentioned in the medication guide.
Side effects of Estrostep Fe
If you experience any of the following symptoms of an allergy reaction, seek immediate medical attention: difficulty breathing, hives, swelling in your lips, face, throat, or tongue.
The side effects of this medicine can be serious. If you experience:
- Signs of a Stroke: sudden numbness, weakness, or severe headache; slurred or shaky speech.
- Signs of a blood clot in the lungs: chest pain, sudden cough and shortness of breath; dizziness. Coughing blood.
- Signs of a deep blood clot—pain or swelling in one leg
- Heart attack symptoms: chest pain, pressure or pain in your shoulder or jaw, nausea, and sweating.
- Liver problems: swelling around the midsection of your body; upper right stomach pain; lack of appetite; dark colored urine; clay-colored stool; jaundice (yellowing skin or eyes);
- Increased blood pressure: severe headaches, blurred or distorted vision, and pounding of the neck, ears, or head;
- Depression: mood shifts, low self-esteem, lack of interest in activities you used to enjoy, sleep disturbances, and thoughts of harming yourself.
- A breast lump or swelling of the hands, feet, or ankles;
- A change in migraine headaches' pattern or intensity
Some of the side effects that Estrostep Fe can cause include:
- Nausea, vomiting;
- Breast tenderness or bleeding.
- Headache or contact lens problems
There may be other side effects. For medical advice on side effects, call your doctor. Report adverse events by calling the FDA at 1-800-FDA-1088.
Similar/related drugs
Norethindrone, Levonorgestrel, Medroxyprogesterone, Depo-Provera, Provera, and Nexplanon
Warnings
Avoid using birth control pills while pregnant or after having a recent baby.Birth control pills should be avoided if: you are suffering from uncontrolled hypertension, heart problems, circulatory issues (especially in diabetes), liver diseases or liver cancers, migraine headaches that last for days, you're planning major surgery, you're over 35 and smoke, you had a previous heart attack or stroke, a blood clot or jaundice due to pregnancy, birth control pills, or Cancer of the breast, uterus, cervix or vagina is an increasing threat in our society.Smoking or using birth control pills, particularly if you're older than 35 years, can increase the risk of blood clots, strokes, or heart attacks.
Before you take this drug
Birth control pills may increase the risk of stroke or heart attack. If you suffer from high blood pressure, diabetes, high cholesterol, or are overweight, you're at even greater risk. The risk of stroke and blood clots is greatest during the first year you take birth control pills. You are at high risk when you start taking birth control pills again after a break of 4 weeks.If you're older than 35, smoking can raise your chances of experiencing a stroke or heart attack due to birth control pills.Avoid using Estrostep Fe if pregnant. Tell your doctor immediately if you are pregnant or miss two menstrual cycles in a single month. Wait at least four weeks after giving birth if you've just had your baby.
If you are pregnant, or if:
- Untreated or uncontrolled hypertension or heart disease
- An increased risk for blood clots as a result of a blood disorder or heart disease;
- Circulatory problems, especially if they are caused by diabetes
- A history of cancers of the uterus, breast, vagina, or cervix;
- Unusual vaginal bleeding not checked by your doctor
- Liver disease, or cancer of the liver;
- Severe migraine headaches, especially in older people over 35.
- Pregnancy or taking birth-control pills has a history of jaundice resulting in jaundice symptoms.
- If you are aged 35 or over and still smoking, the risks may increase dramatically.
- If you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir with or without dasabuvir.
If you've ever:
- If you have heart disease, blood pressure problems, or are susceptible to blood clots, then this is the product for you.
- If you have high cholesterol, triglycerides, or are overweight,
- Depression;
- A seizure or migraine headache;
- Gallbladder disease or underactive thyroid?
- Liver or kidney disease
- Uneven menstrual cycle, or fibrocystic breast disease Lumps, nodules, or abnormal mammograms
A doctor can tell you if breastfeeding is possible while taking this medication.
How to take Estrostep Fe?
Read all the instructions or guides that come with your medication and follow all the directions. Follow the directions on your prescription label.When you start taking this drug, it is possible that you will need a backup birth control method, like condoms with spermicide. You should follow your doctor's advice.One pill per day is recommended, but no more than one every 24 hours. Start a fresh pack of pills the next day when the old ones run out. If you don't take one daily pill, it is possible to become pregnant.Some birth control packages contain "reminder pills" to help you maintain your normal cycle. Usually, your period begins when you use these pills.If you have severe nausea or diarrhea, use backup birth control.It is possible that you are bleeding through the skin. If it persists or becomes very heavy, tell your doctor.You may have to temporarily stop taking this medication if you are going through major surgery or if you will need long-term rest. You should let any doctor who treats you know you're using Estrostep Fe.You will have to see your doctor frequently if you are taking birth-control pills.Keep away from heat and moisture at room temperature.
What happens if I miss the dose?
Read all the instructions or guides that come with your medication. You are more likely to become pregnant if you miss a pill.Take two active pills the next day if you forget. Take 1 pill a day until the remainder of the package.Take two pills a day for two consecutive days if you missed two active pills back-to-back in the first or second week. Take one pill a day until the end of your pack. After missing a pill, use a backup birth control method for at least seven days.
You can start fresh the next day if your Day 1 starter pack is empty. You can continue to take a pill each day up until Sunday if you started on Sunday. Throw out the remaining pills on Sunday and begin a brand new package that same day.You can start over if you have missed three pills consecutively in the first, second, or third week. You can continue taking the pill until Sunday if you started on Sunday. Throw out the remaining pills on Sunday and begin a brand new package that same day.You may miss your period if you don't take two active pills or more. Call your doctor if you have missed a period in two consecutive months. You might be pregnant.You can throw away the missed pill and continue taking one reminder per day until you run out of pills.
What happens if I overdose?
Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care.An overdose may cause vomiting and bleeding.
What should be avoided?
Don't smoke when taking birth-control pills, particularly if you are more than 35 years old.The birth control pill will not shield you against sexually transmissible diseases, including HIV and AIDS. The only way to prevent these diseases is by using a condom.
Interaction with other drug
Inform your doctor of all medications you are currently taking, such as:
- Rifampin;
- Troglitazone;
- Atorvastatin;
- Glecaprevir/pibrentasvir;
- Anticonvulsants such as carbamazepine, phenytoin, and phenobarbital
The list below is not exhaustive. Estrostep Fe may be affected by other drugs, such as vitamins and herbs.This list does not cover all possible drug interactions.