Ayuna (Marlissa)

Alternate Name: Afirmelle

Dosage Form: Disp Pack

Administration Route: By mouth

Drug Class: Contraceptive, Monophasic Contraceptive Combination

Generic Available: No

Strength: 0.15-30 MG-MCG

Warnings: Keep all medicine out of the reach of children. Never share your medicine with anyone. This medicine will not protect you from getting HIV/AIDS or other sexually transmitted diseases. You might have some light bleeding or spotting when you first start using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office. If you miss two periods in a row, call your doctor for a pregnancy test before you take any more pills. Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests. Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results. Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments. Sweating, nausea or vomiting, pain in your chest, jaw, and left arm. Swelling in your hands, ankles, or feet. Unusual bleeding or bruising. Yellowing of your skin or the whites of your eyes. It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant. Tell your doctor if you are breastfeeding, or if you have recently been pregnant. Tell your doctor if you have high blood pressure, high cholesterol, diabetes, breast lumps, migraine headache, hereditary angioedema, or a history of depression, epilepsy, gallbladder disease, heart disease, kidney disease, or irregular monthly periods. Tell your doctor if you smoke, wear contact lenses, or if you are having surgery that requires inactivity for a long time. This medicine may cause the following problems:Increased risk of heart attack, stroke, or blood clotsIncreased risk of cancer (including cancer of the breast, endometrium, ovaries, and cervix)Liver problems (including liver tumor or cancer)Eye or vision problemsGallbladder diseaseHigh cholesterol in the bloodHigh blood pressure

Food Warnings: Do not use this medicine together with medicine to treat hepatitis C virus infection, including ombitasvir/paritaprevir/ritonavir, with or without dasabuvir., Some medicines can affect how levonorgestrel/ethinyl estradiol works. Tell your doctor if you are using any of the following:Acetaminophen, ascorbic acid (vitamin C), atorvastatin, bosentan, cyclosporine, phenylbutazone, rifampin, St John's wort, theophyllineMedicine to treat an infection (including ampicillin, fluconazole, griseofulvin, tetracycline, troleandomycin)Medicine to treat HIV/AIDS (including indinavir, modafinil, ritonavir)Medicine to treat seizures (including carbamazepine, felbamate, lamotrigine, oxcarbazepine, phenobarbital, phenytoin, primidone, topiramate), Your risk of heart disease or stroke from this medicine is higher if you smoke. Your risk is also increased if you have diabetes or high cholesterol, or if you are overweight. Talk with your doctor about ways to stop smoking. Keep your diabetes under control. Ask your doctor about diet and exercise to control your weight and blood cholesterol level., This medicine may also increase your risk of certain types of cancer. Talk to your doctor if you have concerns about this risk., You might have some light bleeding or spotting when you first start using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office. You should not have a "normal" menstrual period until you start taking the white pills. The white pills are the last seven pills in your package and do not contain hormones., Call your doctor for a pregnancy test if your menstrual period does not start when you take the last seven white pills., Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results., Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments., This medicine will not protect you from getting HIV, AIDS, or other sexually transmitted diseases. If this is a concern for you, talk with your doctor.