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Precautions and Warnings With Pirmella

Specific Pirmella Precautions and Warnings

Some of the warnings and precautions to be aware of prior to using this drug include the following:
  • When you take the pill correctly, your risk of pregnancy is quite low. However, if you take Pirmella incorrectly, your risk of pregnancy significantly increases. Make sure you understand exactly how to take Pirmella, including how and when to start it and what to do if you miss any pills.
  • Although this probably seems obvious, it is important to state that birth control pills, including Pirmella, do not protect against HIV, AIDS, or other sexually transmitted diseases (STDs). In many cases, women are advised to use condoms in addition to Pirmella.
  • Combined oral contraceptives, including Pirmella, increase the risk of life-threatening problems, such as heart attacks, strokes, and blood clots. The risk is minimal for healthy, young, nonsmoking women. However, 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 Pirmella side effects. This risk is particularly high for smokers over the age of 35.
  • Pirmella may react with a number of different medications (see Drug Interactions With Pirmella). Many of these interactions are severe enough to increase the risk of unintentional pregnancy.
  • 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. Therefore, if you have had a problem with your gallbladder, Pirmella may not be the best contraceptive method for you.
  • Pirmella may increase blood sugar levels, particularly in women with diabetes. Your healthcare provider may need to monitor you more closely in this case. 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 Pirmella and other hormonal contraceptives).
  • Pirmella 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 Pirmella. However, 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.
  • In some cases, hormonal contraceptives can make depression worse. Let your healthcare provider know if you develop new or worsening symptoms of depression while taking Pirmella.
  • As with any other hormonal contraceptive, Pirmella can cause eye changes that make it more difficult to wear contact lenses.
  • Pirmella is a pregnancy Category X medication. This means that it should not be used during pregnancy (see Ortho-Novum and Pregnancy, as Pirmella is a generic version of Ortho-Novum).
  • Contraceptive hormones, such as the ones in Pirmella, do pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking Pirmella (see Ortho-Novum and Breastfeeding). Combined hormonal contraceptives are not usually recommended for women who are breastfeeding.
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