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Lo Minastrin Fe Warnings and Precautions

Smoking cigarettes while taking Lo Minastrin Fe can increase your risk for heart attacks, blood clots, and strokes. Also, women who have a history of depression, cancer, or high blood pressure should pay special attention to the warnings and precautions with Lo Minastrin Fe. Women who have heart disease, liver disease, or certain other medical issues should not take this product.


What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using Lo Minastrin™ Fe (norethindrone/ethinyl estradiol) if you have:
In addition, let your healthcare provider know if you:
  • Have an upcoming surgery
  • Smoke cigarettes
  • Are pregnant or thinking of becoming pregnant
  • Are breastfeeding.
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Specific Precautions and Warnings for Lo Minastrin Fe

Some warnings and precautions to be aware of prior to taking Lo Minastrin Fe include the following:
  • Combined oral contraceptives increase the risk of blood clots, strokes, and heart attacks. These risks are quite small for healthy, young nonsmokers. Make sure to tell your healthcare provider if you have ever had a blood clot, stroke, heart attack, or chest pain. Smoking cigarettes greatly increases the risk of these serious Lo Minastrin Fe side effects. This risk is particularly high for smokers over the age of 35.
  • Lo Minastrin Fe does not protect against HIV, AIDS, or other sexually transmitted diseases (STDs). In many cases, it is advisable to use condoms in addition to this birth control pill.
  • Hormonal contraceptives, including Lo Minastrin Fe, can increase your blood pressure. This can be a problem if you already have high blood pressure.
  • Combined oral contraceptives may slightly increase the risk of breast cancer or cervical cancer, although this is an unresolved and controversial issue. However, these products seem to help protect women against ovarian and uterine cancer.
  • Oral contraceptives increase the risk of benign (noncancerous) liver tumors. In rare cases, these tumors can rupture and cause serious problems.
  • Hormonal contraceptives can make gallbladder disease worse. If you have had a problem with your gallbladder, Lo Minastrin Fe may not be the best contraceptive method for you.
  • Lo Minastrin Fe may increase blood sugar levels, particularly in women with diabetes. Your healthcare provider may need to monitor you more closely. Let him or her know if you have any sudden vision changes, as this may be a sign of a blood clot in the eyes (a possible side effect of Lo Minastrin Fe and other hormonal contraceptives).
  • Lo Minastrin Fe can change your menstrual bleeding patterns. Some women have breakthrough bleeding (bleeding between periods), while others may not have a period at all. It is normal to have shorter and lighter periods while using this drug. If you notice any unusual changes in your bleeding patterns, let your healthcare provider know. If you miss a period, you should make sure you are not pregnant.
  • This medication can affect your cholesterol. Your healthcare provider may need to check your cholesterol levels after you start it, especially if you already have high cholesterol.
  • In some cases, hormonal contraceptives can make depression worse. Let your healthcare provider know if you develop new or worsening depression symptoms while taking this medicine.
  • Just like other hormonal contraceptives, Lo Minastrin Fe can occasionally cause eye changes that make it more difficult to wear contact lenses.
  • Lo Minastrin Fe is a pregnancy Category X medication. This means that it should not be used during pregnancy (see Lo Minastrin Fe and Pregnancy).
  • Contraceptive hormones, such as the ones in Lo Minastrin Fe, pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Lo Minastrin Fe and Breastfeeding). Combined hormonal contraceptives are not usually recommended for breastfeeding women.
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