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   ALESSE
 
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Uses
 Alesse does not protect against any sexually transmitted diseases. Alesse is used for patients who want to prevent pregnancy. Talk to your doctor or pharmacist about when to start Alesse. There may be some variation from product to product. For this medication to be effective it should be taken regularly.
Directions
 Alesse is taken orally with water and can be taken with food if stomach upset occurs. To be effective, Alesse must be taken daily and continuously.
Side Effects
 Side effects of Alesse that have been reported with this medicine include: headache blood clots water retention breast tenderness nausea. If you experience other bothersome side effects, contact your health care provider.
Precautions
 Patients who have had breast cancer, or undiagnosed abnormal vaginal bleeding should NOT use this medication. The risk of cardiovascular side effects increases in women over 35 who smoke cigarettes. Let your doctor know your complete medical history before taking this medicine. People with certain health conditions should not take this medicine. If you suspect that you may be pregnant, do not take this medicine. For nursing mothers, not all oral contraceptives are safe; talk with your physician regarding which one may be right for you.
Interactions
 Several medications reduce the effectiveness of birth control pills such as Alesse and should be used with caution. Consult your doctor or pharmacist if you are taking any of the following: seizure medications antibiotics warfarin medications to help you sleep St. John's wort can interfere with birth control pills and lead to pregnancies. Avoid St. John's wort while taking birth control pills.
Missed Dosages
 Take your next dose of Alesse as soon as you remember. If it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not double doses.
Storage
 Store Alesse at room temperature and away from excess heat and moisture (not in the bathroom). Keep this medication in the container it came in, tightly closed, and out of reach of children. Throw away any medication that is outdated or no longer needed.
   
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