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Merzee (birth control)

Generic name: Ethinyl estradiol and norethindrone (birth control pills) should be taken together as part of an effective contraception method. [ETH-in-il-ess-tra-DYE-ole and NORETHINdrone].
Brand names: Show all 73 brands. Alyacen 1/35, Alyacen 7/7/7, Aranelle, Aurovela 1.5/30 and Aurovela 1/20 are some examples.
Drug class: contraceptives

What is Merzee?

Merzee contains a mixture of female hormones that prevent ovulation. The medication can also cause changes to your cervical mucus or uterine lining.Fertilized eggs find it increasingly challenging to adhere to the uterus.Merzee can be used to stop pregnancy. Merzee can also be used for moderate acne by women over 15 who have begun menstruating and wish to take birth-control pills. There are several brands available of ethinyl esteradiol and norethindrone. This leaflet does not list all the available brands. Merzee can be used in other ways not mentioned in the medication guide.

Side effects of Merzee

If you experience any of the following signs and symptoms of an allergic reaction: difficulty breathing, hives, swelling in lips, face, throat or tongue and difficulty swallowing or speech impediments, it is recommended to seek medical assistance immediately: difficulty in taking deep breaths, difficulty in speaking out loud (dyspnea), or swelling of lips, face throat or tongue (Swelling).

The side effects of this medicine can be serious. If you experience:

  • Signs of stroke: sudden numbness, weakness, headaches, difficulty with speech or vision, and balance problems;
  • Signs of a blood clot in the lungs: chest pain, sudden cough, shortness of breath, or dizziness;
  • Signs of a deep blood clot: pain, swelling, and warmth in the leg
  • Heart attack symptoms include chest pain, pressure or pain that spreads to the jaw or shoulders, nausea, and sweating.
  • Liver problems: swelling around the midsection of your body, upper right stomach pain, lack of appetite, dark-colored urine, clay-colored stools, and jaundice.
  • Increased blood pressure—strong headaches, blurred or distorted vision, and a pounding sensation in the neck, ears, or head;
  • Depression is characterized by mood changes, low self-esteem, sleep disturbances, and thoughts of harming yourself.
  • A lump in the breast, hands, feet, or ankles;
  • A change in migraine headache severity or pattern

Merzee can cause a variety of side effects.

  • Nausea, vomiting;
  • Breast tenderness or bleeding.
  • Headache or contact lens problems

There may be other side effects. Call your physician immediately if experiencing side effects; report adverse events by calling the FDA's hotline: 1-800-FDA-1088

Warnings

Pregnant or newly breastfeeding women should refrain from taking birth control pills during their gestation or immediately post-birth. Do not take birth control pills if: you are uncontrolled; you have high blood pressure; you have heart disease; or you have coronary artery diseases. You also should avoid birth control pills if your liver is ill or if there has been liver cancer or disease. If you smoke, and especially if your age is over 35, taking birth control pills or smoking can raise the risk of blood clots or stroke.

Before you take this drug

Birth control pills may increase the risk of stroke or heart attack. If you suffer from high blood pressure or diabetes, have high cholesterol, or are overweight, 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. 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 getting a stroke or a heart attack from birth control pills Avoid using Merzee if pregnant. Tell your doctor immediately if you are pregnant or miss two menstrual cycles in a row. 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,
  • Cancer of the breast, uterus or cervix; cancers originating in vaginal tissue or ovarian tissue.
  • Unusual vaginal bleeding was not checked by your doctor.
  • Liver disease, or cancer of the liver;
  • Serious migraine headaches are increasingly occurring among older individuals over 35, particularly among women.
  • Are You At Risk of Jaundice Due to Pregnancy or Birth-Control Pills
  • If you are older than 35 and smoke,
  • 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 clots, high blood pressure, or are at risk of having them, then this is the product for you.
  • If you have high cholesterol, triglycerides, or are overweight,
  • Depression;
  • A seizure or migraine headache;
  • Gallbladder disease and underactive thyroid
  • Liver or kidney disease
  • Uneven menstrual cycle, fibrocystic breast disease, or lumps or nodules on a mammogram

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

How to take Merzee?

Read and follow all instructions or guides provided with your medication, such as on its prescription label. As soon as you begin taking this medication, it may be necessary to use another form of birth control, such as condoms with spermicide. Please follow your physician's advice. At least one pill should be taken per day, with at most two taken within 24 hours. When your old pills run out, begin using new ones on day 2. If you don't take one daily pill, it is possible to become pregnant. Certain birth control packages contain pills that remind you to follow your normal cycle. Usually, your period begins when you use these pills. If you have severe diarrhea or vomiting, 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. Merzee should be disclosed to any doctor who is treating you. Those taking birth-control pills must visit their physician regularly in order to take effective contraception. Keep away from heat and moisture at room temperature.

What happens if you miss a dosage?

Read and follow all instructions or guides provided 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 1 pill per dose for the remainder of your pack. After missing a pill, use a backup birth control method for at least seven days. If your Day 1 starter pack is empty, take one pill each day until Sunday if starting on that day; throw away any unopened packages on Sunday and begin your new package that day. If you miss three pills consecutively within any three week period, starting over may be possible. If your journey began on Sunday, continue taking your pill until then if starting again on Monday. 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. Simply dispose of any missed pills and continue taking one reminder per day until your supply runs out.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. An overdose can cause vomiting or bleeding.

What should be avoided?

Avoid smoking when taking birth-control pills if you are over 35. The use of birth control pills does not provide protection against sexually transmitted diseases, including HIV/AIDS. The only way to prevent these diseases is by using a condom.

Interaction with other drug

Inform your physician of all medications taken, including:

  • Rifampin;
  • Troglitazone;
  • Atorvastatin;
  • Glecaprevir/pibrentasvir;
  • Anticonvulsants such as carbamazepine, phenytoin, and phenobarbital

The list below is not exhaustive. Merzee may be affected by other drugs, such as prescription, over-the-counter, or herbal products. This list does not include all possible drug-drug interactions.