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Before using Alesse

Some medical conditions may interact with Alesse . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

* if you are pregnant, planning to become pregnant, or are breast-feeding

* if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

* if you have allergies to medicines, foods, or other substances

* if you have endometriosis, growths in the uterus, abnormal mammogram, irregular menstrual periods, a lump in the breast, heart problems, diabetes, headaches or migraines, gallbladder problems, high blood cholesterol or lipid levels, high blood pressure, kidney problems, blood problems (eg, porphyria), blood in the urine, depression or other mental/mood problems, lupus, chorea, high blood calcium levels, yellowing of the eyes or skin, pancreas problems (eg, pancreatitis), seizures (eg, epilepsy), or a history of cancer

* if you are overweight, you have not yet had your first menstrual period, or you use tobacco

* if you have given birth or otherwise ended a pregnancy within the past 4 weeks

Some MEDICINES MAY INTERACT with Alesse . Tell your health care provider if you are taking any other medicines, especially any of the following:

* Atorvastatin, indinavir, or troleandomycin because they may increase the risk of Alesse ’s side effects

* Aprepitant, azole antifungals (eg, itraconazole, ketoconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, dexamethasone, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, oxcarbazepine, penicillins (eg, amoxicillin), phenylbutazone, primidone, rifabutin, rifampin, St. John’s wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone because they may decrease Alesse ’s effectiveness, resulting in breakthrough bleeding or pregnancy

* Beta-blockers (eg, propranolol), corticosteroids (eg, prednisolone), cyclosporine, or theophylline because the risk of their side effects may be increased by Alesse

* Clofibric acid, lamotrigine, morphine, salicylic acid, or temazepam because their effectiveness may be decreased by Alesse

This may not be a complete list of all interactions that may occur. Ask your health care provider if Alesse may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

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