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Quartette (extended-cycle)

Generic name: ethinyl estradiol and levonorgestrel (extended-cycle) [ETH-in-ill-ess-tra-DYE-ol-and-lee-voe-nor-JESS-trel]
The brand names are: Amethia, Ashlyna, Camrese, Camrese Lo, Daysee, etc. Display the full 18 brands.
Drug class: contraceptives

What is the Quartette extended cycle?

Quartette is a drug combination that contains women's hormones that hinder the process of ovulation (the release of eggs from the ovary). Quartette is also a cause of changes in the cervical mucus as well as the uterine lining, which make it difficult for sperm to get into the uterus and more difficult for fertilized eggs to connect in the uterus. It is a contraceptive to avoid pregnancy. Quartette is also employed for other purposes that are not covered in this guideline for medication.

Side effects of Quartette's extended cycle

Seek medical attention immediately. If you are experiencing symptoms that indicate an allergy, such as hives,  breathing difficulties, or swelling of your lips, face, and tongue,

Birth control pills can have serious adverse consequences. Take birth control pills off your list and consult your physician immediately if you suffer from:

  • Indications of signs of a stroke—sudden weakening or numbness (especially in one part of your body) and extreme headaches or slurred speech; balance issues;
  • Symptoms of a blood clot: sudden vision loss, chest pain, being short of breath, and coughing up blood. Swelling or redness on an arm or leg
  • Heart attack symptoms include chest pressure or pain, expanding to your shoulder or jaw, nausea, and sweating.
  • Liver problems: a loss of appetite; stomach pain; fatigue; fever; dark urine; stools that are clay-colored; jaundice (yellowing of the eyes or skin);
  • High blood pressure, a severe headache, blurred vision, and pounding in your neck or ear;
  • Swelling in your ankles, hands, or feet;
  • Variations in the pattern or intensity or intensity
  • An unidentified lump on the breast; or
  • Signs of symptoms of depression—sleep issues, weakness, and fatigued mood changes.

Common adverse consequences of Quartette could include:

  • Moderate nausea (especially the first time you start using this medication), vomiting, and stomach cramps;
  • Tenderness or swelling of the breast and discharge from the nipple;
  • Freckles or darkening of the facial skin; more hair growth and loss of hair on the scalp;
  • Fluctuations in weight or appetite;
  • Issues with contact lenses;
  • Vaginal irritation or discharge
  • Changes in your menstrual cycle or a decreased desire to sex

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


Do not take birth control pills if you are pregnant or have recently had a child.

You shouldn't make use of birth control medications if you suffer from high blood pressure that is not controlled, coronary artery disease, circulation issues (especially associated with diabetes), undiagnosed vaginal bleeding liver disease or cancer, severe migraine headaches in the event that you also take certain hepatitis C medications, or in the event of major surgery, or if you smoke and are older than 35 or have had a heart attack, stroke, blood clot, or jaundice that is caused by birth pills, cervix, or uterus. If you are taking contraceptive pills, they may increase your chances of developing blood clots or strokes, as well as a heart attack.

Before you start taking this medicine,

The use of this medication can increase the chances of developing blood clots, a heart attack, or a stroke. There is a higher risk if you suffer from diabetes, high blood pressure, high cholesterol, or are obese. Your risk of suffering from a stroke or blood clot is greatest when you first begin taking birth control medication to control your weight. The risk increases when you take this medication again after not taking it for four weeks or more.

Smoking is a major contributor to the risk of stroke, blood clots, and heart attacks. and your risk increases with age as well as the longer you smoke. It is not recommended to have contraceptives if you smoke and are older than 35.

Do not take this medication if you're expecting. or Stop using this medicine and notify your doctor immediately if you fall pregnant or if you skip two menstrual periods in a row. If you've recently had an infant, you should wait at least four weeks before starting birth hormones.

Do not use birth control pills when you are:

  • Untreated or uncontrolled high blood pressure that is not treated or controlled
  • Coronary heart disease (chest pain or coronary artery disease; the history of a heart attack, stroke, or blood clot);
  • An increased risk of developing blood clots as a result of an illness in the heart or hereditary blood disorder
  • Circulatory problems (especially those due to diabetes);
  • An antecedent history of hormone-related cancer, such as breast cancer of the vagina or uterus;
  • Abnormal vaginal bleeding that hasn't been examined by the doctor;
  • Cancer of the liver;
  • Extremely severe headaches due to migraine (with an aura, numbness, visual changes, or weakness), particularly those who are over 35 years old;
  • The history of jaundice triggered by birth pills for control or
  • If you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir (Technivie).

Inform your doctor if you have ever suffered from:

  • Heart disease, high blood pressure, or if you're prone to blood clots.
  • High cholesterol or triglycerides, or if you're obese;
  • Depression;
  • Diabetes, underactive thyroid, gallbladder disease;
  • A seizure or migraine headache;
  • Irregular menstrual cycles;
  • Fibrocystic cancer of the breast lumps, nodules, lumps, or an abnormal mammogram.

Quartette may slow down the production of breast milk. It is not recommended to breastfeed when taking this medication.

How to take Quartette (extended cycle)

Follow the directions on the prescription label and also read all medication guides or instruction sheets. Make sure you use the medication precisely as directed.

Start your first dose on your first date of menstruation or on the Sunday immediately following the start of your period. It is possible to require other birth control methods like condoms or spermicide when you first begin taking Quartette. Follow the instructions of your physician. pill for Each day, take one pill for at least 24 hours. If the pills are empty, then start a fresh pack the next day. You could become pregnant if you don't take one pill a day. Refill your prescription before you are completely out of pills.

cycle, It is unlikely that you will experience an annual menstrual cycle, even if you're taking the extended-cycle contraceptive pill. Instead, your menstrual cycle should be scheduled at least every twelve weeks.

The birth control package for 91 days includes three trays with cards that contain 84 "active" pills and seven "reminder" pills. The pills must be used in a specific sequence to ensure you are on a consistent cycle. Two of the trays contain 28 pills. Tray 3 holds 35 pills, including seven reminder pills. Your period will begin when you're taking these pills to remind you of your period.

It is possible to experience bleeding that breaks out, most likely during the first three months. Inform your doctor if the bleeding persists or is extremely heavy. Make sure you have a backup birth control plan if you're sick and suffering from severe vomiting. If you require major surgery or are in bed for a long time, you may need to stop taking this medication for a brief period of time. Any surgeon or doctor who cares for you must know that you're taking contraceptives for birth.

If you take birth control pills, you'll have to visit your doctor frequently. Place this medication in a safe place in a room at a temperature that is free of heat and humidity.

What happens if I overdose?

Follow the directions for use given by your doctor for your medication. If you do not take your medication, it increases your chance of becoming pregnant.

If you do not take an active medication, you should take two pills during the day you recall. Take one pill each day for the remainder of the package. If you have missed two active tablets in succession, you should take two pills daily for two days. Take one pill each day for the remainder of the package. Make sure to use a backup birth control plan for a minimum of 7 days after the missing pills. If you have missed three active pills in the same day, do not take the pills that you missed. Keep taking one pill a day according to the label on the pill, and then leave the pills you missed in the container. There may be bleeding or spotting if you do not take three pills in the same row. Take a backup birth control pill for the next seven days.

If you do not remember a pill, discard it and continue taking one pill a day until the bottle is full. It is not necessary to take backup birth control if you do not take the pill that reminds you. If your menstrual cycle does not begin while you are taking the pills to remind you, contact your doctor, as you could be pregnant.

What happens if I overdose?

help Get medical attention immediately or contact the poison help line at 1-800-222-1222 for help. Some symptoms of an overdose include nausea and vaginal bleeding.

Avoid this

Avoid smoking when you are taking birth control medication, especially if you are over 35 years old. Birth control pills do not help you fight sexually transmitted illnesses, including HIV and AIDS. Utilizing a condom is the only method of protecting yourself from these illnesses.

Interaction with other drugs

Other drugs can affect birth control pills, such as prescription and over-the-counter medicines, vitamins, and herbal products. Certain medications can cause birth control pills to become less efficient, which could cause pregnancy. Discuss with your physician all the medications you are currently taking as well as any medications you are about to start or stop taking.





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