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Demulen Warnings and Precautions
Before you start taking Demulen, make sure you are aware of potential problems that this birth control pill might cause, such as an increased risk of developing a heart attack, stroke, or blood clot. Demulen warnings and precautions also apply to women who have certain health conditions, such as heart disease, diabetes, or a blood-clotting disorder.
You should talk with your healthcare provider prior to using Demulen® (ethynodiol diacetate/ethinyl estradiol) if you have:
- High blood pressure (hypertension)
- Chest pain
- Gallbladder disease
- Diabetes
- Depression
- Migraines or other severe headaches
- Yellowing of the whites of the eyes or skin (jaundice) during a prior pregnancy or oral contraceptive use
- Liver disease, such as liver failure, cirrhosis, hepatitis, or liver tumors
- A clotting disorder or have ever had a blood clot
- A history of heart attack or stroke
- High cholesterol
- Cancer (or if you have had cancer in the past)
- Unexplained vaginal bleeding.
Also, let your healthcare provider know if you:
- Have an upcoming surgery
- Smoke cigarettes
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding.
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
(Brand-name Demulen is no longer available in the United States, as it was discontinued by its manufacturer. However, generic versions, sold under the names Zovia® and Kelnor™, are still available. If your healthcare provider writes you a prescription for Demulen, your pharmacist will automatically substitute one of the generic versions.)
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD



