Precautions and Warnings With Estarylla

Specific Estarylla Precautions and Warnings

Some warnings and precautions to be aware of prior to using this product include the following:
  • Combined oral contraceptives, including Estarylla, increase the risk for life-threatening problems, such as heart attacks, strokes, and blood clots. The risk is quite small for healthy, young, nonsmoking women. Make sure to tell your healthcare provider if you have ever had a blood clot, stroke, heart attack, or chest pain. Smoking cigarettes greatly increases the risk for these serious side effects. This risk is particularly high for smokers over the age of 35.
  • Like all birth control pills, Estarylla does not protect against HIV, AIDS, or other sexually transmitted diseases (STDs). In many cases, it is advisable to use condoms in addition to Estarylla.
  • Make sure you understand exactly how to take Estarylla, including how and when to start it and what to do if you miss pills. When taken correctly, Estarylla is quite effective for preventing pregnancy. However, it becomes much less effective if taken incorrectly. Most cases of accidental pregnancy while taking "the pill" are due to incorrect usage.
  • Combined oral contraceptives may slightly increase the risk of breast cancer and cervical cancer, although this is an unresolved issue. However, combined oral contraceptives seem to help protect women against ovarian and uterine cancer.
  • Oral contraceptives increase the risk of benign (noncancerous) liver tumors. Usually, these tumors are not dangerous; however, in rare cases, these tumors can rupture and cause serious problems.
  • Hormonal contraceptives can make gallbladder disease worse. If you have had problems with your gallbladder in the past, Estarylla may not be the best contraceptive method for you.
  • Estarylla may increase blood sugar, particularly in women with diabetes. Your healthcare provider may need to monitor you more closely in this case.
  • Let your healthcare provider know if you have any sudden vision changes, as this may be a sign of a blood clot in the eyes (a possible side effect of Estarylla and other hormonal contraceptives).
  • Estarylla can change your menstrual bleeding patterns. Some women have breakthrough bleeding (bleeding between periods), while others may not have a period at all. It is normal to have shorter and lighter periods while using this product. If you notice any unusual changes in your bleeding patterns, let your healthcare provider know. If you miss a period, you should make sure you are not pregnant.
  • Hormonal contraceptives can make depression worse in some people. Let your healthcare provider know if you develop new or worsening depression symptoms while taking this birth control pill.
  • Occasionally, Estarylla, as well as any other hormonal contraceptive, can cause eye changes that make it more difficult to wear contact lenses.
  • Estarylla is a pregnancy Category X medication. This means that it should not be used during pregnancy (see Ortho-Cyclen and Pregnancy).
  • Contraceptive hormones, such as the ones in Estarylla, pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the pill (see Ortho-Cyclen and Breastfeeding). Combined hormonal contraceptives are usually not recommended for breastfeeding women.
Last reviewed by: Kristi Monson, PharmD
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