Ethinyl Estradiol+dienogest

Dienogest+ethinyl Estradiol should not be used in case of any known allergy to either of the components. Inform your doctor if you have/had mental health disorders, arterial or thrombotic disorders, cardiovascular health disorders, liver disease, gallbladder disease, history of breast/uterine/cervical cancer, hormone-sensitive cancer or if you smoke. Women with a history of angioedema should exercise caution while taking Dienogest+ethinyl Estradiol as it may worsen the angioedema. Avoid taking Dienogest+ethinyl Estradiol during pregnancy or breastfeeding. It is advisable not to consume alcohol with Dienogest+ethinyl Estradiol. Inform the doctor right away if you notice any dark urine, yellowing of the eyes/skin, severe mood changes, or sudden heavy bleeding. Women with a tendency for chloasma/melasma (skin condition commonly seen in middle-aged women) should avoid sun exposure after taking Dienogest+ethinyl Estradiol.

Drug-Drug Interactions: Dienogest+ethinyl Estradiol may have interaction with antiepileptics (carbamazepine, phenytoin, felbamate, topiramate), antidepressant (St. John’s wort), antibiotics (rifampicin, rifabutin), anti-fungal (griseofulvin) and anti-HIV drugs (nelfinavir, ritonavir). 

Drug-Food Interactions: Avoid consumption of alcohol. Do not consume grapefruit juice as it may interfere with the absorption of Dienogest+ethinyl Estradiol. 

Drug-Disease Interactions: Inform your doctor if you have blood clotting disorders, hypertension, high cholesterol, breast disorders, cancer, depression, diabetes, angioedema, heart problems, cardiovascular disease, kidney disease, liver disease, stroke, unexplained vaginal bleeding and/or thyroid issues.

• As nausea and vomiting may occur with the use of Dienogest+ethinyl Estradiol, make sure to take it on light, small meals. 
• After starting Dienogest+ethinyl Estradiol, use another alternative non-hormonal contraceptive for at least ten days.
• Maintaining a healthy weight can go a long way in promoting healthy female reproductive health. Make sure you exercise for at least 30 minutes every day. However, do not engage in very strenuous physical exercise as this can worsen bleeding. 
• Regularly working night shifts can affect hormone production. Try to avoid night shifts. 
• Maintain good sexual hygiene and prevent any sexually transmitted diseases by practising only safe sex.
• Limit your intake of caffeine and alcohol. 
• Avoid smoking. 
• Avoid grapefruit juice while taking Dienogest+ethinyl Estradiol as this may interact with Dienogest+ethinyl Estradiol and affect its absorption. 
• Increase your intake of red vegetables, fruits, dry fruits, spinach, nuts and beans as these help in new blood formation. 
• Keeping your skin hydrated by drinking enough water can also do wonders for the overall quality of your skin. 
• Exfoliate your skin lightly but regularly. This helps wash away dry and dead cells, cleansing the skin.

• Do not skip tablets or delay intake by more than 12 hours. Try to catch up as early as possible in case of a missed dose. However, if the time for the second dose has come too close, revert to your original schedule. 
• Chart your menstrual cycle and take Dienogest+ethinyl Estradiol on day 1 of your cycle, i.e. day 1 of your period. 
• Use a condom or any non-hormonal contraceptive for the first ten days after starting Dienogest+ethinyl Estradiol.
• Please inform the doctor immediately if you notice any breast lump, dark urine, yellowing of the skin, mood changes, headache, palpitations, severe fatigue or any alarming changes in vaginal bleeding. 
• Call for the doctor right away in case of any stroke symptoms such as breathlessness, confusion, dizziness, left arm pain, jaw pain or sudden vision changes or any pulmonary embolism symptoms such as cough, leg pain, warmth, pain in calf etc.