May be taken with or without food: Take at the same time each day.
Contraindications
Hypersensitivity. Active venous thromboembolic disorder; known or suspected sex steroid-sensitive malignancies; undiagnosed vag bleeding. Presence or history of severe hepatic disease. Known or suspected pregnancy.
Discontinue use if thrombosis & sustained HTN develops; in case of long-term immobilisation due to surgery or illness. Not for protection against HIV & other STDs. Breast & liver cancer; history of thromboembolic disorders; history of chloasma gravidarum; jaundice &/or pruritus related to cholestasis, gallstone formation, porphyria, SLE, haemolytic uraemic syndrome, Syndenham's chorea, herpes gestationis, ostosclerosis-related hearing loss, hereditary angioedema; GI disturbances. Diabetic patients especially during 1st mth of therapy. Changes in vag bleeding pattern; follicular development. Monitor estradiol serum levels. Concomitant use w/ medications decreasing etonogestrel plasma conc. Avoid sun or UV radiation exposure. Not to be used in patients w/ galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. Ectopic pregnancy. Not to be used during pregnancy. Growth & development of breastfed infants.
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