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Minastrin 24 Fe Warnings and Precautions

Women who smoke cigarettes while taking Minastrin 24 Fe have an increased risk for heart attacks, blood clots, and strokes. Also, women who have a history of depression, jaundice, or gallbladder disease should pay special attention to the warnings and precautions with Minastrin 24 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 taking Minastrin™ 24 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 Minastrin 24 Fe

Some warnings and precautions to be aware of prior to taking Minastrin 24 Fe include the following:
  • Combined oral contraceptives, including Minastrin 24 Fe, increase the risk for blood clots, strokes, and heart attacks. These risks are quite minimal 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 for these serious Minastrin 24 Fe side effects. This risk is particularly high for smokers over the age of 35.
  • Minastrin 24 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 medication.
  • Hormonal contraceptives 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, combined oral contraceptives 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, Minastrin 24 Fe may not be the best contraceptive method for you.
  • Minastrin 24 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 Minastrin 24 Fe and other hormonal contraceptives).
  • This medication 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 Minastrin 24 Fe. 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.
  • Minastrin 24 Fe 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.
  • Sometimes, hormonal contraceptives can make depression worse. Let your healthcare provider know if you develop new or worsening depression symptoms.
  • As with other hormonal contraceptives, Minastrin 24 Fe can cause eye changes that make it more difficult to wear contact lenses.
  • Contraceptive hormones, such as the ones in Minastrin 24 Fe, pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking this tablet (see Minastrin 24 Fe and Breastfeeding). Combined hormonal contraceptives are not usually recommended for breastfeeding women.
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