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Alesse is an oral contraceptive pill.

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Manufacturer's Instructions
Uses .  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. If you miss a dose, take it as soon as you remember or double up on the next day. If you miss two doses, take 2 tablets as soon as you remember, or take two tablets on each of the next two days. Refer to package insert if more than 3 doses are missed. If you suspect that you may be pregnant, do not take Alesse. For nursing mothers, not all oral contraceptives are safe; talk with your physician regarding which one may be right for you. Alesse overdosage may cause nausea and bleeding in females. In case of Alesse overdosage, seek medical attention. For non emergencies, contact your local or regional poison control center at 1-800-222-1222.   Storage Store Alesse at room temperature and away from excess heat and moisture (not in the bathroom).  Cautions Alesse does not protect against any sexually transmitted diseases. Smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. This risk increases with age and with the amount of smoking and is quite marked in women over 35 years of age. Woman who use oral contraceptives such as Alesse should not smoke. Patients who have had breast cancer, or undiagnosed abnormal vaginal bleeding should NOT use. Taking Alesse may result in possible depletion of Vitamins; B-2, B-6, B-12 and folic acid. These vitamins are collectively called the "stress vitamins" and may be recommended to be replaced using a vitamin supplement. Talk to your doctor for more information.   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.  Side Effects Side effects of Alesse may include headache, blood clots, water retention, breast tenderness, or nausea, If you experience other bothersome side effects, contact your health care provider.

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