Mirumigest Tablet 10'S

Tell your doctor before taking this medicine, if you: Are allergic (hypersensitive) to MIRUMIGEST or any of the other ingredients of this medicine Are suffering from a blood clot (thromboembolic disorder) in your veins Have or have ever had a severe arterial disease, including cardiovascular disease, such as a heart attack, stroke or heart disease which causes a reduced blood supply (angina pectoris) Have diabetes with blood vessel damage Have or have ever had severe liver disease Have or have ever had a benign or malignant liver tumour Have any unexplained vaginal bleeding Are using hormonal contraceptives of any form (tablet, patch, intrauterine system) Have a close relative who has had breast cancer Have ever suffered from depression Have high blood pressure Have ever had chloasma Suffer from pain in your lower abdomen MIRUMIGEST with food and drink During MIRUMIGEST treatment, you should avoid drinking grapefruit juice, because this may increase the levels of MIRUMIGEST in your blood. This may increase the risk of getting side effects If you become pregnant while taking MIRUMIGEST you are at a slightly increased risk of having an extrauterine pregnancy (the embryo develops outside the womb) Tell your doctor before you start taking MIRUMIGEST, if you had an extrauterine pregnancy in the past or have an impaired function of the Fallopian tubes Do not take this medicine if you are pregnant or breast-feeding MIRUMIGEST is not for use in girls before menarche (first menstrual bleeding) The use of MIRUMIGEST may affect the strength of the bone of adolescents (12 to under 18 years) If you are under 18 your doctor will, therefore, carefully weigh the benefits and risks of using MIRUMIGEST for you as an individual patient, considering possible risk factors for bone loss (osteoporosis)

Always take MIRUMIGEST exactly as your doctor has told you The following statements apply to MIRUMIGEST unless otherwise prescribed by your doctor You can start treatment with MIRUMIGEST on any day of your natural cycle If you take more MIRUMIGEST There have been no reports of serious harmful effects from taking too many MIRUMIGEST at one time. However, if you are concerned, contact your doctor If you forget to take MIRUMIGEST MIRUMIGEST will be less effective if you miss a dose. If you miss one or more medicine, take one dose only as soon as you remember, and then continue next day taking the medicine at your usual time Do not take a double dose to make up for a forgotten dose If you stop taking MIRUMIGEST If you stop taking MIRUMIGEST, your original endometriosis symptoms may return

Like all medicines, this medicine can cause side effects, although not everybody gets them. Changes in your bleeding pattern, such as spotting, irregular bleeding or your periods may stop completely Weight gain Depressed mood, problems sleeping, nervousness, loss of interest in sex, or changed mood Headache or migraine Nausea, abdominal pain, wind, swollen tummy or vomiting Acne or hair loss Back pain Breast discomfort, ovarian cyst or hot flushes Uterine/vaginal bleeding including spotting Weakness or irritability Anemia Weight loss or increase in appetite Anxiety, depression or mood swings Imbalance in the autonomic nervous system (controls unconscious bodily functions, e.g. perspiration) or disturbed attention Dry eye Tinnitus Unspecific circulatory problems or uncommon palpitations Low blood pressure Shortness of breath (gastrointestinal inflammation), Inflammation of the gums (gingivitis) Dry skin, excessive sweating, severe itching of the whole body, male pattern hair growth (hirsutism), Brittle nails, dandruff, dermatitis, abnormal hair growth, hypersensitive response to light or problems with skin pigmentation Pains in your bones, muscle spasms, pains and/or a sensation of heaviness in your arms and hands or legs and feet Urinary tract infection Vaginal thrush, dryness of the genital area, vaginal discharge

Always tell your doctor which medicines or herbal products you are already using. Tell your doctor, if you are taking this, Medicines can have an influence on the blood levels of MIRUMIGEST and can make it less effective, or can cause undesirable effects. Medicines used for the treatment of epilepsy (e.g. phenytoin, barbiturates, primidone, carbamazepine, oxcarbazepine, topiramate, felbamate) Tuberculosis (e.g. rifampicin) HIV and Hepatitis C Virus infections (so-called protease inhibitors and non-nucleoside reverse transcriptase inhibitors such as ritonavir, nevirapine, efavirenz) Fungal infections (griseofulvin, ketoconazole) Herbal remedy St.John's wort

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