What is Ayuna? Uses, warnings & side effects

Your doctor will tell you how much medicine to use. Do not use more than directed.

Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

Carefully follow your doctor's instructions about when to start taking your medicine. You may begin taking the pills on the first day of your menstrual period, or on the Sunday after your period begins.

You should also use a second form of birth control (including condoms, diaphragms, or contraceptive foams and jellies) when you first start using this medicine.

Take this medicine at the same time every day. Birth control pills work best when there is no more than 24 hours between doses.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Missed dose: This medicine has specific patient instructions on what to do if you miss a dose. Read and follow these instructions carefully, and call your doctor if you have any questions.If you miss one active pill, take it as soon as you can. Then take your next pill at the regular time. This means you may take two pills in one day.If you miss two active pills in week 1 or 2, take two pills as soon as you can and two more pills the next day. Continue taking one pill a day until you finish the pack. Use another kind of birth control for seven days after you miss a dose.If you miss two active pills in week 3 or three or more active pills in a row in weeks 1, 2, or 3:Day 1 start€”Throw out the rest of your pills and start a new pack on the same day.Sunday start€”Continue taking one pill a day until Sunday, then throw out the rest of the pack and start a new pack that same day.Use a second form of birth control (including condom, spermicide) for 7 days after you miss a dose, to prevent pregnancy.You could have light bleeding or spotting any time you do not take a pill on schedule. The more pills you miss, the more likely you are to have bleeding.If you miss two periods in a row, call your doctor for a pregnancy test before you take any more pills.

You could have light bleeding or spotting any time you do not take a pill on time. The more pills you miss, the more likely you are to have bleeding.

To prevent a pregnancy, you should use a second form of birth control for the next seven days after you miss a dose. Some other forms of birth control include condoms, diaphragms, or contraceptive foams or jellies.

If you started this medicine on the Sunday after your period started and you miss three or more pink pills in a row during any week, keep taking one pill every day until the next Sunday. Then throw away the rest of your pills and start a new pack on that same Sunday.

To prevent a pregnancy, you should use a second form of birth control for the next seven days after you miss a dose. Some other forms of birth control include condoms, diaphragms, or contraceptive foams or jellies.

This medicine has specific patient instructions on what to do if you miss a dose. Read and follow these instructions carefully, and call your doctor if you have any questions

If you miss one pink pill, take it as soon as you can. Then take your next pill at the regular time. This means you may take two pills in one day.

If you miss two pink pills in a row during Week 1 or 2, take two pills as soon as you can. Take two more pills on the next day. Then go back to your regular schedule of taking one pill every day. Use a second form of birth control until you have been taking pink pills for seven days in a row.

If you miss your pills and change your schedule, you may not have a period for that month. Make sure your doctor knows if you miss your period two months in a row, because you may be pregnant.

If you started this medicine on Day 1 of your period and you miss two pink pills in a row during Week 3, throw out the rest of your pills and start a new pack the same day. If you miss three or more pink pills in a row during any week, throw out the rest of your pills and start a new pack the same day.

You could have light bleeding or spotting any time you do not take a pill on time. The more pills you miss, the more likely you are to have bleeding.

If you started this medicine on the Sunday after your period started and you miss two pink pills in a row during Week 3, keep taking one pill every day until the next Sunday. Then throw away the rest of your pills and start a new pack on that same Sunday.

This medicine is not right for everyone. Do not use this medicine if you had an allergic reaction to levonorgestrel or ethinyl estradiol, or if you are pregnant. Do not use this medicine if you have active liver disease or liver cancer, breast cancer, uterine cancer, a blood vessel disorder, heart disease, high blood pressure that is not controlled, or a history of blood clots, heart attack, or stroke. Do not use this medicine if you have unusual vaginal bleeding that has not been checked by a doctor or if you ever had jaundice (yellow skin or eyes) caused by pregnancy or birth control pills.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

This medicine will not protect you from getting HIV/AIDS or other sexually transmitted diseases.

You might have some light bleeding or spotting when you first start using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office.

If you miss two periods in a row, call your doctor for a pregnancy test before you take any more pills.

Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.

Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Sweating, nausea or vomiting, pain in your chest, jaw, and left arm.

Swelling in your hands, ankles, or feet.

Unusual bleeding or bruising.

Yellowing of your skin or the whites of your eyes.

It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.

Tell your doctor if you are breastfeeding, or if you have recently been pregnant. Tell your doctor if you have high blood pressure, high cholesterol, diabetes, breast lumps, migraine headache, hereditary angioedema, or a history of depression, epilepsy, gallbladder disease, heart disease, kidney disease, or irregular monthly periods. Tell your doctor if you smoke, wear contact lenses, or if you are having surgery that requires inactivity for a long time.

This medicine may cause the following problems:Increased risk of heart attack, stroke, or blood clotsIncreased risk of cancer (including cancer of the breast, endometrium, ovaries, and cervix)Liver problems (including liver tumor or cancer)Eye or vision problemsGallbladder diseaseHigh cholesterol in the bloodHigh blood pressure

Do not use this medicine together with medicine to treat hepatitis C virus infection, including ombitasvir/paritaprevir/ritonavir, with or without dasabuvir.

Some medicines can affect how levonorgestrel/ethinyl estradiol works. Tell your doctor if you are using any of the following:Acetaminophen, ascorbic acid (vitamin C), atorvastatin, bosentan, cyclosporine, phenylbutazone, rifampin, St John's wort, theophyllineMedicine to treat an infection (including ampicillin, fluconazole, griseofulvin, tetracycline, troleandomycin)Medicine to treat HIV/AIDS (including indinavir, modafinil, ritonavir)Medicine to treat seizures (including carbamazepine, felbamate, lamotrigine, oxcarbazepine, phenobarbital, phenytoin, primidone, topiramate)

Your risk of heart disease or stroke from this medicine is higher if you smoke. Your risk is also increased if you have diabetes or high cholesterol, or if you are overweight. Talk with your doctor about ways to stop smoking. Keep your diabetes under control. Ask your doctor about diet and exercise to control your weight and blood cholesterol level.

This medicine may also increase your risk of certain types of cancer. Talk to your doctor if you have concerns about this risk.

You might have some light bleeding or spotting when you first start using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office. You should not have a "normal" menstrual period until you start taking the white pills. The white pills are the last seven pills in your package and do not contain hormones.

Call your doctor for a pregnancy test if your menstrual period does not start when you take the last seven white pills.

Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

This medicine will not protect you from getting HIV, AIDS, or other sexually transmitted diseases. If this is a concern for you, talk with your doctor.