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Setlakin (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,… Display the full 18 brands.
Drug class: contraceptives

What is the Setlakin extended cycle?

Setlakin is a combination drug that contains the female hormones that hinder the ovulation process (the release of eggs from the ovary). Setlakin also triggers changes in the cervical mucus as well as the uterine liner, making it more difficult for sperm cells to enter the uterus as well as making it harder for fertilized eggs to attach to your uterus.

Setlakin is used as a contraceptive to stop the occurrence of pregnancy.Setlakin can also be used to treat conditions that are not mentioned in this guide.

Side effects of Setlakin extended cycle

Seek medical attention immediately in the event that you exhibit symptoms that indicate an allergy, such as symptoms of hives, breathing difficulties, and swelling of your lips, face, or tongue.

Birth control pills could result in serious adverse effects. Do not use birth control pills, and consult your physician immediately if you experience:

  • Symptoms of a stroke—sudden weakness or numbness (especially for one leg) and serious headache or slurred speech balance issues;
  • Symptoms of a blood clot: sudden vision loss, chest pain, being short of breath, and coughing up blood. Redness or swelling in the legs or arms;
  • Heart attack symptoms: chest pressure or pain; pain that spreads to your shoulder or jaw; nausea; sweating;
  • Liver problems: decreased appetite, stomach pain, fatigue, fever, black stools, dark urine, jaundice (yellowing of the eyes or skin);
  • High blood pressure, severe headache, blurred vision, and pounding inside your ears or neck;
  • Swelling in your ankles, hands, or feet;
  • Shifts in the pattern of or intensity or intensity
  • An unidentified lump on the breast;
  • Signs of symptoms of depression—sleep issues, weakness, fatigue, and mood changes.

Common negative side effects of Setlakin could include:

  • Moderate nausea (especially the first time you start using this medication), vomiting nausea, stomach cramps, bloating;
  • Breast tenderness or swelling of the breasts
  • Freckles or darkening of the facial skin; hair growth that is increased or loss of hair growth on the scalp;
  • Fluctuations in weight or appetite;
  • Issues with contact lenses;
  • Vaginal irritation or discharge
  • Menstrual changes and a decrease in sex drive

This list does not encompass every potential side effect and others could occur; to seek medical advice on any adverse reactions. Please contact your physician for guidance. You can report symptoms to the FDA at 1-800-FDA-1088.


Do not take birth control pills if you're pregnant or have had a recent baby.You shouldn't make use of birth control pills when you suffer from uncontrolled blood pressure or coronary arterial disease, circulatory problems (especially those with diabetes), undiagnosed vaginal bleeding, liver disease or cancer, and severe migraine headaches in the event that you also take certain hepatitis C medications, if you are scheduled for major surgery, if you smoke and are over 35 years old, or if you have suffered a heart attack, stroke, blood clot, or jaundice that is caused by birth control pills, as well as cancer of the uterus/cervix, breast, or vagina.

The use of contraceptive pills can increase the chance of having blood clots develop or strokes, as well as heart attacks.

Smoking is a major contributor to the risk of stroke, blood clots, and heart attacks. You should not use Setlakin if you smoke and are older than 35.

Prior to use this drug

This medicine may increase the chances of developing blood clots, strokes, and heart attacks. There is a higher risk if you suffer from diabetes, high blood pressure, high cholesterol, or are obese. The risk of having a stroke or blood clots is highest when you first begin taking birth medications to control weight. Your risk of stroke is also higher when you re-start this medication after you have not taken it for four weeks or more.

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

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

Do not use birth control pills when you suffer from:

  • Untreated or uncontrolled high blood pressure
  • Heart disease (chest pain or coronary artery disease; the history of a stroke, heart attack, or a blood clot);
  • An increased risk of developing blood clots because of heart problems or hereditary blood disorders
  • Circulatory problems (especially when due to diabetes);
  • An antecedent history of hormone-related cancer such as breast cancer, vagina, or uterus/cervix;
  • Vaginal bleeding unusual that hasn't been checked by the doctor;
  • Cancer of the liver or 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 control pills or
  • If you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir (Technivie).

Contact your physician immediately if you have experienced:

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

Setlakin can reduce the production of breast milk. It is not recommended to breastfeed during treatment with this drug.

How to take Setlakin?

Follow the instructions on the label of your prescription and read the medication guide or instructions sheets. Follow the medication precisely as directed.Start your first dose on one of the days during your cycle or on the first Sunday following the start of your period. You might need to take additional birth control options, like condoms or spermicides, before you begin using Setlakin. Follow the instructions of your physician.

Each day, take one pill and no more than 24 hours between. If the pills are empty and you are unable to take another, begin a new one the next day. It is possible to become pregnant if you don't take one pill a day. Make sure you refill your prescription before you run out of pills completely.

There is no need to have menstrual cycles every month, even if you're taking the extended-cycle hormone pill for birth control. Your period will instead occur once every 12 weeks.The birth control package for 91 days comes with three trays 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. Trays 1 and 2 contain 28 pills. Tray 3 holds 35 pills, which includes the seven reminder pills. Your period should start when you're using these reminder pills.

It is possible to experience the bleeding as a breakthrough, particularly in the first three months. Consult your physician if this bleeding persists or is extremely heavy.Utilize a backup birth control plan if you're sick with severe vomiting or diarrhea.

If you are undergoing major surgery or are being placed on bed rest for long periods of time, you may need to stop taking this medication for a brief duration. Any surgeon or doctor who cares for you must know that you are taking contraceptives for birth.When you are taking birth medication to control your birth, you will be required to see your physician frequently.Keep this medication in a cool, dry place at a temperature that is free of heat and moisture.

What happens if I miss the dose?

Follow the directions for use by your doctor on your medication. If you do not take your medication, it increases the likelihood of becoming pregnant.If you do not take the active dose, you should take two pills during the day you recall. Take one pill per day for the remainder of the package.

If you have missed the two pills that are active in one row, you should take two pills a day for two days. Then, take one pill a day for the remainder of the group. Make sure to use a backup birth control plan up to 7 consecutive days after the missing pills.

If you have missed three active pills in consecutive days, don't take the pills you missed. Keep taking 1 pill a day according to the package of pills, and keep the pills that you skipped in the container. There could be some bleeding or spotting when you miss three pills in the same row. Make sure you have backup birth control in place, at least for the next seven days.

If you do not remember to take the pill that reminds you, throw it out and continue taking one reminder pill each day until your pack is full. It is not necessary to take backup birth control pills if you fail to take the pill that reminds you. If your menstrual cycle does not start when you take the pills to remind you, contact your doctor since you may be pregnant.

What happens if I overdose?

Get medical attention immediately, or contact us for help at the Poison Help Line at 1-800-222-1222. Some symptoms of an overdose include nausea and vaginal bleeding.

What should be avoided?

Don't smoke 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. The use of a condom is your only method to safeguard yourself from these illnesses.

Interaction with other drugs

Other medications can interfere with birth control pills, such as prescription and over-the-counter medicines, vitamins, and herbal products. Certain drugs may cause birth control pills to become less effective, which could cause a pregnancy. Discuss with your physician all the medications you are currently taking and any medication you begin or stop taking.



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