Juleber

What is Juleber?

Juleber contains a mixture of female hormones that prevents ovulation. Juleber can also cause changes to your cervical mucus, uterine lining, and other linings. This makes it more difficult for fertilised eggs to adhere to the uterus.

Juleber can be used to help prevent pregnancy. This medicine is available in many different brands. This leaflet does not list all available brands. Juleber can be used in other ways not mentioned in the medication guide.

Side effects of Juleber

If you experience any of the following symptoms of an allergic reaction: difficulty breathing, hives or any sort of swelling on your lips, face, throat or tongue. Get medical help immediately.

Some birth control pills can cause severe side effects. Call your doctor immediately if:

• Signs of a Stroke: sudden numbness, weakness, or severe headache; slurred or distorted speech.
• Signs of a blood clot in the lung include chest pain, sudden coughing fits and shortness of breath; dizziness.
• Signs of a deep blood clot—pain or swelling in a leg
• Heart attack symptoms: chest discomfort, 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 coloured urine; clay-coloured stool; jaundice (yellowing skin or eyes);
• Increased blood pressure: severe headaches, blurred or distorted vision, and a pounding sensation in the neck, ears, or head;
• Depression: personality changes, low self-esteem, sleep disturbances, and thoughts of harming yourself.
• A breast lump or swelling of the hands, feet, or ankles;
• Changes in migraine headaches' pattern or severity

Juleber can cause side effects such as:

• Weight gain or nausea (vomiting), breast tenderness (bleeding), or breast tenderness
• Acne is a darkening or discoloration of the skin.
• Contact lenses are causing problems.

There may be other side effects. For medical advice on side effects, call your doctor. Report side effects by calling the FDA at 1-800-FDA-1088.

Warnings

Avoid taking birth control pills when you're pregnant or have just had a child.

Birth control pills should be avoided if: you suffer from heart disease, circulatory problems, vaginal bleeding that is not diagnosed, liver issues, severe migraines, you are planning major surgery, you take certain hepatitis C medications, you smoke, you're over 35 and 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.

Before you take this drug

Birth control pills can increase your risk of blood clots, strokes, and heart attacks. If you suffer from hypertension or diabetes, you may be at 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.

Smoking increases your risk for blood clots and strokes caused by birth control pills. This is especially true if you're older than 35. Avoid using Juleber if pregnant. Tell your doctor immediately if you are pregnant or have missed more than two periods. 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, heart disease (chest discomfort, coronary artery disease), history of stroke, heart attack, or circulation issues, blood clots, or increased risk for blood clots because of a blood disorder or heart condition;
• A history of cancers of the uterus, cervix, or breast
• Unusual vaginal bleeding not checked by your doctor
• Liver disease or liver cancer, if you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir with or without dasabuvir, or if you have a history of jaundice caused by pregnancy or birth control pills;
• Severe migraine headaches with aura, numbness, weakness, or changes in vision, especially for those older than 35 who smoke and/or are above 35,

If you've ever:

• Heart disease, high blood pressure, varicose veins, or If you have a tendency to have blood clots, high cholesterol, triglycerides, or are overweight,
• Gallbladder disease, depression, migraine headaches, and diabetes
• Liver or kidney disease
• Irregular periods, fibrocystic breast disease, or lumps and nodules on a mammogram.

A doctor can tell you if breastfeeding is possible while taking this medication.

How to take Juleber?

Read all the instructions or guides that come with your medication and follow all the directions. Follow the directions on your prescription label.

Your first pill will be taken on your first period day or the first Sunday following your period. When you start taking this medication, it may be necessary to use a backup birth control method, like 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 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. Refill your prescription before the pills run out. Some birth control packages contain seven reminder pills that help you maintain your cycle. Usually, your period begins while you're using the reminder pills.

It is possible that you are bleeding through the skin. If it persists or becomes very heavy, tell your doctor. If you have severe nausea or diarrhoea, use backup birth control. You should tell any doctor who treats you that you use birth control pills. You will have to see your doctor frequently if you are taking birth-control pills. Keep away from heat and moisture. Store 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 one pill a day until the remainder of the package is used. Take two pills a day, two consecutive days if you missed two active pills. 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 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 can start over if you missed three pills consecutively in the first, second, or third week. 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 may miss your period if you don't take two pills or more. Call your doctor if you have missed two periods in a month. You might be pregnant. You can throw away the missed pill and continue taking one pill per day until you finish your pack.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. Overdose symptoms include nausea, vomiting, and vaginal bleeding.

What should be avoided?

Don't smoke when taking birth control pills. This is especially true if you are more than 35 years old. Birth control pills do not stop the spread of your illness. Share razors and toothbrushes. Consult your doctor about how to avoid HIV transmission when sexing.

Interaction with other drug

Inform your doctor of all other medications you are taking, including:

• Phenylbutazone;
• Griseofulvin;
• Bosentan;
• Rifampin;
• John's Wort;
• Glecaprevir/pibrentasvir;
• Anticonvulsants are antiepileptics such as carbamazepine (oxcarbazepine), lamotrigine (topiramate), or felbamate.

The list below is not exhaustive. Juleber may be affected by other drugs, such as vitamins and herbs. This list does not include all possible drug interactions.