Elestra Tablet 21'S

Talk to your doctor before taking this medicine, if you: Have had a blood clot in the leg, lung or other organ at a young age Are overweight Have polycystic ovary syndrome Have recently had a baby Have certain rare medical conditions such as systemic lupus erythematosus, Crohn’s disease or ulcerative colitis Have sickle cell disease Have breast cancer, or have had it in the past Have ever had problems with your heart or circulation, such as high blood pressure Have had migraines Are currently suffering from depression or have done so in the past Have the inherited disease called porphyria Have inflammation of the pancreas (pancreatitis) Have brown patches on your face or body (chloasma) Do not use ELESTRA if you are pregnant or breast-feeding ELESTRA has no known effect on the ability to drive or use machines

Take ELESTRA every day for 21 days It comes in strips of 21 pills, each marked with a day of the week Take your pill at the same time every day Start by taking a pill marked with the correct day of the week Follow the direction of the arrows on the strip. Take one pill each day, until you have finished all 21 pills Swallow the medicine whole with a glass of water. Do not chew the pill After you have taken all 21 pills in the strip, you have seven days when you take no pills Within a few days of taking the last pill from the strip, you should have a withdrawal bleed like a period If you are relying on this medicine to prevent pregnancy, always take ELESTRA as described here. You don’t need to use extra contraception during the seven pill-free days if you have taken your pills correctly and start the next strip of pills on time. Check with your doctor if you are not sure Start your next strip on day eight. Start taking your next strip of ELESTRA after the seven pill-free days (on day eight) – even if you are still bleeding. So, if you take the last pill of one pack on a Friday, you will take the first pill of your next pack on the Saturday of the following week. Always start the new strip on time If you take ELESTRA correctly, you will always start each new strip on the same day of the week If you take more ELESTRA It is unlikely that taking more than one pill will do you any harm, but you may feel sick, vomit or bleed from the vagina. Talk to your doctor if you have any of these symptoms If you forget to take ELESTRA If you are less than 12 hours late with a pill, take it straight away. Keep taking your pills at the usual time If you are more than 12 hours late with a pill, or you have missed more than one pill, your contraceptive protection may be reduced Take the most recently missed pill as soon as you remember, even if it means taking two at once If you stop taking ELESTRA Consult your doctor before stop taking this medicine

Like all medicines, ELESTRA can cause side effects, although not everybody gets them. Severe depression Signs of blood clot marked by an unusual sudden cough, severe pain in the chest which may reach the left arm, breathlessness, sudden changes to your hearing, sense of smell or taste, dizziness or fainting, weakness or numbness in any part of your body Signs of a severe allergic reaction or worsening of hereditary angioedema, swelling of the hands, face, lips, mouth, tongue or throat. A swollen tongue/throat may lead to difficulty swallowing and breathing A red bumpy rash (hives) and itching Signs of breast cancer marked by dimpling of the skin, changes in the nipple or any lumps you can see or feel Signs of cancer of the cervix marked by vaginal discharge that smells and/or contains blood, unusual vaginal bleeding, pelvic pain and painful sex Signs of severe liver problems marked by severe pain in your stomach, yellow skin or eyes (jaundice), inflammation of the liver (hepatitis) Feeling sick Stomach ache Weight gain Headaches Depressive moods or mood swings Sore or painful breasts Being sick and stomach upsets Fluid retention Migraine Loss of interest in sex Breast enlargement Skin rash, which may be itchy Poor tolerance of contact lenses Increase of interest in sex Vaginal or breast discharge Venous blood clot

Talk to doctor if you are taking or have recently taken any other medicines such as: Primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, used to treat epilepsy Rifampicin, used to treat tuberculosis Ritonavir, nevirapine, efavirenz, used to treat HIV and Hepatitis C Virus infections Griseofulvin, ketoconazole, used to treat fungal infections Etoricoxib, used to treat arthritis, arthrosis Bosentan, used to treat high blood pressure in the blood vessels in the lungs Theophylline (used to treat breathing problems) Tizanidine (used to treat muscle pain and/or muscle cramps) Ciclosporin St. John's wort, herbal remedy

Keep this medicine out of reach of children Store at room temperature (15-25ºC) Do not use after the expiry date