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Rivelsa Extended-cycle

Generic name: ethinyl estradiol and levonorgestrel (extended cycle) [ETH-in-ill-ess-tra-DYE-ol-and-lee-voe-nor-JESS-trel]

Brand names: Amethia, Ashlyna, Camrese, Camrese Lo, Daysee,… Show all 18 brands
Drug class: contraceptives

What is Rivelsa Extended-Cycle?

Rivelsa contains female hormones, which prevent ovulation. Rivelsa can also cause changes to your cervical mucus or uterine lining. This makes it more difficult for fertilized eggs to adhere to the uterus and for sperm to reach Rivelsa can be used to stop pregnancy. Rivelsa can be used in other ways not mentioned in the medication guide.

Side effects of Rivelsa Extended-Cycle

If you experience any of the following symptoms of an allergy: difficulty breathing, hives, swelling in your lips, face, throat, or tongue

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

  • Signs of a Stroke: sudden numbness, weakness, or a severe headache; slurred words; problems with balance.
  • Signs of blood clots: sudden vision loss, chest pains, shortness of breath, blood in the cough, a swelling of an arm or leg, etc.
  • Heart attack symptoms: chest discomfort, pressure in your shoulder or jaw area, discomfort when trying to breathe deeply or swallow, nausea and sweating.
  • If you have liver disease, look for symptoms such as fatigue, nausea, body aches, dark urine or stools, and jaundice.
  • Increased blood pressure: severe headaches, blurred or distorted vision, and a pounding sensation in the neck, ears, or head;
  • You may experience swelling of your ankles or feet, hands, or even both.
  • Changes in migraine headaches' pattern or severity;
  • A breast lump, or
  • Symptoms of depression include sleep problems, fatigue, feeling weak, and changes in mood.

Side effects that may occur from Rivelsa include:

  • Mild nausea, especially when taking the medicine for the first time; vomiting; and stomach cramps.
  • Breast tenderness, swelling, or discharge.
  • Increased hair growth or loss of hair on the scalp;
  • Changes in appetite or weight
  • Contact lenses: problems with them
  • Vaginal itching, or discharge
  • Changes in menstrual cycles, reduced sexual drive

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.

Similar/related drugs

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

Warnings

Avoid using birth control pills when you're pregnant or have just had a child. Birth control pills should be avoided if: you are suffering from uncontrolled hypertension, cardiovascular disease, circulatory problems, undiagnosed bleeding in the vaginal area, liver disease (or liver cancer), severe headaches or migraines; you take certain hepatitis C medications; you plan to have a major operation; you smoke; you're over 35 years old; you had a previous heart attack or stroke; you suffered from jaundice due to pregnancy, birth control pills, or cancer of the breast or cervi Pill birth control can raise your chances of a stroke or heart attack. If you are older than 35 and smoke, it is not recommended that you take Rivelsa.

Before you take this drug

This medicine increases your risk of blood clots and stroke. If you suffer from high blood pressure, diabetes, high cholesterol, or are overweight, you're at even greater risk. Stroke and blood clot risks increase dramatically during the first year you use birth control pills.You are at high risk if you start taking this medication again after a break of 4 weeks. The older you get, the greater your risk. Your risk also increases with the amount of smoking you do. If you are older than 35 and smoke, it is not recommended that you take birth control pills. Avoid using it 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 to take birth control pills.

If you are pregnant, or if:

  • Untreated high blood pressure or hypertension
  • Heart disease (chest discomfort, coronary artery diseases, history of stroke, or blood clots);
  • 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
  • History of breast, uterus or cervical cancer; Vaginal or ovarian origin cancer;
  • 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 birth-control pill-related jaundice has been reported.
  • When taking any hepatitis C medication containing ombitasvir, paritaprevir or ritonavir (Technivie).

If you've ever:

  • If you have heart disease, blood clots, or high blood pressure,
  • If you have high cholesterol, triglycerides, or are overweight,
  • Depression;
  • Gallbladder disease and diabetes
  • A seizure or migraine headache;
  • Menstruation irregularities;
  • Fibrocystic Breast Disease symptoms include lumps, nodules or abnormal mammograms.

Rivelsa may help reduce breast milk production. While taking this medication, breastfeeding must not take place.

How to take Rivelsa Extended-Cycle?

Read and follow all instructions or guides included with your medication.Follow the directions on your prescription label. First, take your pill the day after you start your period. When you start taking Rivelsa, it may be necessary to have 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 its contents run dry. While taking the extended-cycle pill, you will not experience a monthly period. Your period will occur once every 12 weeks. Three trays of cards hold 84 pills "actives" and seven pills "reminders" in the 91-day pack. To maintain a regular period, you must take the pills according to a specific order. Each tray holds 28 pills. Tray 3 contains 35 pills, including 7 reminder pills. Use these reminders to start your period.You might experience bleeding during your first three months. If this bleeding is heavy or continues, tell your doctor.

If you have severe nausea or diarrhea, use backup birth control. 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 that you use birth control pills. You will have to see your doctor frequently if you are taking birth-control pills. Keep this medicine at room temperature, away from heat and moisture.

What happens if I miss the dose?

Please read the instructions 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 on consecutive days if you have 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. Do not take any active pills if you have missed three pills consecutively. Keep taking one pill daily, according to your package. Leave the missing pills inside the packaging. If you have missed three pills, there may be some bleeding. You should use a backup birth control method for the next seven days. You can throw away the missed pill and continue to take one pill per day until you run out of pills. Luckily, there's no need for backup birth control should you forget a pill.. Call your doctor if your period doesn't start when you take the pill reminders. You could be pregnant.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. Other symptoms of an overdose include vomiting or bleeding.

What should be avoided?

Smoking should not be part of taking birth-control pills if you are over 35. The birth control pill will not shield you against sexually transmissible diseases, including HIV and AIDS. Condom use can provide the only surefire way of protecting against these diseases.

Interaction with other drug

Other medications, such as prescription drugs, over-the-counter products, herbal products, and vitamins, may also interact with birth-control pills. Birth control pills can be less effective if you take certain drugs. This may lead to pregnancy. Inform your doctor of all the medications you are taking and those that you stop or start using.