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Estrostep Fe Warnings and Precautions
Before taking Estrostep Fe, warnings and precautions for the birth control pill should be reviewed with your healthcare provider. For example, tell your healthcare provider if you have certain health conditions, such as depression, high cholesterol, or gallbladder disease. Some of these conditions can be made worse by Estrostep Fe. Warnings and precautions also extend to women who are pregnant or breastfeeding.
Estrostep Fe: What Should I Tell My Healthcare Provider?
You should talk with your healthcare provider prior to using Estrostep® Fe (norethindrone/ethinyl estradiol) if you have:- A history of heart attack or stroke
- A history of blood clots or a clotting disorder
- Chest pain
- Yellowing of the whites of the eyes or skin (jaundice) during a prior pregnancy or oral contraceptive use
- Liver disease, such as liver failure, cirrhosis, hepatitis, or liver tumors
- High cholesterol
- Gallbladder disease
- High blood pressure (hypertension)
- Diabetes
- Depression
- Migraines or other severe headaches
- Cancer (or if you have had cancer in the past)
- Unexplained vaginal bleeding.
Also, let your healthcare provider know if you:
- Have an upcoming surgery
- Smoke cigarettes
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding.
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
(Estrostep Fe is equivalent to Tri-Legest® Fe and Tilia™ Fe birth control pills. The information in this article also applies to Tri-Legest Fe and Tilia Fe.)
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD