When should I be careful taking Estrostep Fe ?
* Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. This risk increases with age, becoming quite marked in women over 35 years old, and is even greater for those who are heavy smokers (15 or more cigarettes per day). Women who use oral contraceptives are strongly advised not to smoke.
* Do not take oral contraceptives if you are pregnant, plan to become pregnant, or are breast-feeding. Exposure to estrogen and progestin hormones can potentially harm a developing baby. If you become pregnant while taking oral contraceptives, you should stop taking it and call your doctor immediately.
* Because estrogens appear in breast milk, consult with your doctor before breast-feeding.
* Oral contraceptives slightly increase your risk of strokes, blood clots, high blood pressure, heart attacks, gallbladder disease, and liver tumors. Ask your pharmacist or doctor for a copy of the patient labeling which explains these risks in more detail.
* It may take a long time for you to become pregnant after you stop taking oral contraceptives. Discuss this issue with your doctor.
* this medication may cause a patchy, darkening of the skin on the face (melasma). Higher-strength oral contraceptives are more likely to cause melasma. Sunlight may intensify this darkening and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding use of sunscreens and protective clothing.
* If you are near-sighted or wear contact lenses, you may develop vision problems while using oral contraceptives. Also, your tolerance for wearing contact lenses may decrease. Contact your eye doctor if these problems occur.
* Before having surgery, including dental surgery, tell the doctor that you are taking an oral contraceptive.
* Discuss any concerns that you may have about the development of endometrial (uterine) or breast cancer with your doctor.
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