Oral contraceptives have been shown to cause a decrease in glucose tolerance in a significant percentage of users.17 This effect has been shown to be directly related to estrogen dose.65 Progestogens increase insulin secretion and create insulin resistance, this effect varying with different progestational agents.17,66 However, in the non-diabetic woman, oral contraceptives appear to have no effect on fasting blood glucose.67 Because of these demonstrated effects, prediabetic and diabetic women in particular should be carefully monitored while taking oral contraceptives. Brown KS, Armstrong IC, Wang A, Walker JR, Noveck RJ, Swearingen D, Allison M, Kissling JC, Kisicki J, Salazar D. Effect of the bile acid sequestrant colesevelam on the pharmacokinetics of pioglitazone, repaglinide, estrogen estradiol, norethindrone, levothyroxine, and glyburide. If you missed two consecutive menstrual periods, you may be pregnant. Emergency Contraceptive Pills: Treatment initiated within 72 hours after unprotected intercourse reduces the risk of pregnancy by at least 75%. When taking ORTHO-NOVUM 7/7/7, ORTHO-NOVUM 10/11, ORTHO-NOVUM 1/35, and MODICON, the first "active" tablet should be taken on the first Sunday after menstruation begins. Increased thyroid binding globulin (TBG) leading to increased circulating total thyroid hormone, as measured by protein-bound iodine (PBI), T4 by column or by radioimmunoassay. Nonhormonal causes should be considered and adequate diagnostic measures taken to rule out malignancy or pregnancy in the event of breakthrough bleeding, as in the case of any abnormal vaginal bleeding. Maguire MG, Tonascia J, Sartwell PE, Stolley PD, Tockman MS. Consult the labeling of concurrently-used drugs to obtain further information about interactions with hormonal contraceptives or the potential for enzyme alterations. 2 and 3 with the author's permission). This risk is primarily in smokers or women with other underlying risk factors for coronary artery disease such as hypertension, hypercholesterolemia, morbid obesity, and diabetes. Warning Uses How to use Side effects Precautions Drug interactions Overdose Notes Missed dose Storage Important note. JAMA 1975; 231:718722. Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive use. Thrombophlebitis and venous thrombosis with or without embolism, Gastrointestinal symptoms (such as abdominal cramps and bloating), Temporary infertility after discontinuation of treatment, Breast changes: tenderness, enlargement, secretion, Diminution in lactation when given immediately postpartum, Allergic reaction, including rash, urticaria, angioedema, decreased blood loss and decreased incidence of iron deficiency anemia, decreased incidence of functional ovarian cysts, decreased incidence of ectopic pregnancies, decreased incidence of fibroadenomas and fibrocystic disease of the breast, decreased incidence of acute pelvic inflammatory disease, decreased incidence of endometrial cancer. Huggins GR, Zucker PF. Effect of estrogen/progestin potency on lipid/lipoprotein cholesterol. Functional ovarian cysts and oral contraceptives: negative association confirmed surgically. MODICON: Take the first white "active" pill of the first pack during the first 24 hours of your period. Petitti DB, Wingerd J, Pellegrin F, Ramacharan S. Risk of vascular disease in women: smoking, oral contraceptives, noncontraceptive estrogens, and other factors. Correct and consistent use of methods can result in lower failure rates. Births following oral contraceptive failures. The chance of becoming pregnant increases with each missed pill during a menstrual cycle. Women with a history of hypertension or hypertension-related diseases, or renal disease70 should be encouraged to use another method of contraception. Oral contraceptive use may slightly increase your chance of having breast cancer diagnosed, particularly after using hormonal contraceptives at a younger age. See also PRECAUTIONS: Nursing Mothers.) Rome Group for Epidemiology and Prevention of Cholelithiasis (GREPCO): Prevalence of gallstone disease in an Italian adult female population. If you take oral contraceptives and need elective surgery, need to stay in bed for a prolonged illness or injury or have recently delivered a baby, you may be at risk of developing blood clots. Olsson H, Olsson ML, Moller TR, Ranstam J, Holm P. Oral contraceptive use and breast cancer in young women in Sweden (letter). But there are some women who are at high risk of developing certain serious diseases that can be fatal or may cause temporary or permanent disability. For this reason, combination oral contraceptives, including Ortho-Novum. Ortho-Novum 1/35: Take the first peach "active" pill of the first pack during the first 24 hours of your period. Source: Trussell J, Contraceptive efficacy. Kay CR, Hannaford PC. Layde PM, Beral V. Further analyses of mortality in oral contraceptive users; Royal College of General Practitioners' Oral Contraception Study. Dose-Related Risk of Vascular Disease from Oral Contraceptives. This means you may take 2 pills in 1 day. Effects of oral contraceptives on carbohydrate metabolism. 2 Aluminum Lake, lactose, magnesium stearate, microcrystalline cellulose and pregelatinized corn starch. Medically reviewed by Drugs.com. It may be advisable to postpone conception until you begin menstruating regularly once you have stopped taking the pill and desire pregnancy. COMBINED ORAL CONTRACEPTIVES Common side effects of Ortho-Novum include: nausea (especially when you first start using Ortho-Novum), vomiting, J Biosocial Sci 1976; 8:375427. Each green tablet contains Fisch IR, Frank J. Ortho-Novum Tablets and MODICON Tablets are available with the DIALPAK Tablet Dispenser which is preset for a Sunday Start. If you MISS 1 white, light peach, or peach "active" pill: If you MISS 2 white or light peach "active" pills in a row in WEEK 1 OR WEEK 2 of your pack: If you MISS 2 peach "active" pills in a row in THE 3RD WEEK: Keep taking 1 pill every day until Sunday. Br Med J 1975; 2(5965):245248. how to use Read the Patient Information Leaflet provided by your pharmacist before you start using this product and each time you get a refill. Inactive ingredients include FD&C Yellow No. Progestogens and cardiovascular reactions associated with oral contraceptives and a comparison of the safety of 50- and 35-mcg estrogen preparations. The patient should be instructed to use a back-up method of birth control such as a condom or spermicide if she has sex in the seven (7) days after missing pills. Br Med J 1975; 2(5956):241245. Progestin-only pills prevent. Interactions between hormonal contraceptives and other drugs may lead to breakthrough bleeding and/or contraceptive failure. 6, lactose, magnesium stearate and pregelatinized corn starch. Each light peach tablet The dosage of Ortho-Novum 7/7/7, Ortho-Novum 1/35, and MODICON, for the initial cycle of therapy, is one "active" tablet administered daily from the 1st through the 21st day of the menstrual cycle, counting the first day of menstrual flow as "Day 1" followed by one green "reminder" tablet daily for 7 days. In spite of many studies of the relationship between oral contraceptive use and breast and cervical cancers, a cause-and-effect relationship has not been established. Ortho-Novum 1/35 Tablets are packaged in a carton containing 6 blister cards and 6 unfilled DIALPAK Tablet Dispensers (NDC 50458-176-15). Vessey MP, Doll R. Investigation of relation between use of oral contraceptives and thromboembolic disease. Print Save Ortho-Novum 1/50 Side Effects Generic name: mestranol / norethindrone Medically reviewed by Drugs.com. High blood pressure, although blood pressure usually returns to normal when the pill is stopped. Most studies show a similar pattern of risk with COC use regardless of a woman's reproductive history or her family breast cancer history. If any of these adverse effects occur while you are taking oral contraceptives, call your healthcare professional immediately: Irregular vaginal bleeding or spotting may occur while you are taking the pills. Dosage form: tablets An increased risk of the following serious adverse reactions has been associated with the use of oral contraceptives (See WARNINGS). Was 21.99. (Adapted from P.M. Layde and V. Beral, ref. Neuberger J, Forman D, Doll R, Williams R. Oral contraceptives and hepatocellular carcinoma. Ramcharan S, Peritz E, Pellegrin FA, Williams WT. The suggestion that women over 40 who do not smoke should not take oral contraceptives is based on information from older, higher-dose pills. Comparison of effects of different combined oral contraceptive formulations on carbohydrate and lipid metabolism. norethindrone and 0.035 mg ethinyl Overdosage may cause nausea, and withdrawal bleeding may occur in females. (norethindrone/ethinyl estradiol). Rarely, clots occur in the blood vessels of the eye and may cause blindness, double vision, or impaired vision. Inactive ingredients include lactose, magnesium stearate and pregelatinized corn starch. Incidence of hypertension in the Walnut Creek Contraceptive Drug Study cohort: In: Pharmacology of steroid contraceptive drugs. Sex-binding globulins are increased and result in elevated levels of total circulating sex steroids and corticoids; however, free or biologically active levels remain unchanged. The pill and breast cancer: why the uncertainty? (See Figure 1). The Cancer and Steroid Hormone Study of the Centers for Disease Control and the National Institute of Child Health and Human Development: Combination oral contraceptive use and the risk of endometrial cancer. The physical examination, however, may be deferred until after initiation of oral contraceptives if requested by the woman and judged appropriate by the clinician. Br J Cancer 1989; 59:618621. Cancer of the breast and reproductive tract in relation to use of oral contraceptives. Ortho-Novum 7/7/7: Take the first white "active" pill of the first pack during the first 24 hours of your period. Smoking in combination with oral contraceptive use has been shown to contribute substantially to the incidence of myocardial infarctions in women in their mid-thirties or older with smoking accounting for the majority of excess cases.11 Mortality rates associated with circulatory disease have been shown to increase substantially in smokers, especially in those 35 years of age and older, and in nonsmokers over the age of 40 among women who use oral contraceptives. Br Med J 1986; 293:723725. The Ortho-Novum 1/35 brand name has been discontinued in the U.S. Vessey MP, McPherson K, Villard-Mackintosh L, Yeates D. Oral contraceptives and breast cancer: latest findings in a large cohort study. It is important to continue taking your pills on schedule. It is good medical practice for all women to have annual history and physical examinations, including women using oral contraceptives. The risk of circulatory disease in oral contraceptive users may be higher in users of high-dose pills and may be greater with longer duration of oral contraceptive use. MODICON Tablets are packaged in a carton containing 6 blister cards and 6 unfilled DIALPAK Tablet Dispensers (NDC 50458-171-15). Each method of contraception has its specific benefits and risks. You should discuss the information provided in this labeling with him or her, both when you first start taking the pill and during your revisits. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Breakthrough bleeding, spotting, and amenorrhea are frequent reasons for patients discontinuing oral contraceptives. JAMA 1983; 249:15961599. For women aged 20 to 44, it is estimated that about 1 in 2,000 using oral contraceptives will be hospitalized each year because of abnormal clotting. Mann JI, Vessey MP, Thorogood M, Doll R. Myocardial infarction in young women with special reference to oral contraceptive practice. Ortho-Novum 1/35 is a brand name of ethinyl estradiol/norethindrone, approved by the FDA in the following formulation (s): ORTHO-NOVUM 1/35-28 (ethinyl estradiol; norethindrone - tablet;oral-28) Manufacturer: JANSSEN PHARMS Approved Prior to Jan 1, 1982 Strength (s): 0.035MG;1MG (discontinued) [ RLD] Tell your healthcare professional if you have or have had: Women with any of these conditions should be checked often by their healthcare professional if they choose to use oral contraceptives. Women should continue to take the 21 "active" pills (with hormones) (peach for ORTHO-NOVUM 1/35; white, light-peach and peach for ORTHO-NOVUM 7/7/7) for three weeks, followed by the one week . Pricing Drug Information Drug Interactions Images Videos Lifestyle Interactions Monographs LaRosa JC. There may be some delay in becoming pregnant after you stop using oral contraceptives, especially if you had irregular menstrual cycles before you used oral contraceptives. The observation of an increase in risk of mortality with age for oral contraceptive users is based on data gathered in the 1970's.35 Current clinical recommendation involves the use of lower estrogen dose formulations and a careful consideration of risk factors. Lancet 1983; 2:930. Effects of two low-dose oral contraceptives on serum lipids and lipoproteins: Differential changes in high-density lipoproteins subclasses. The onset or exacerbation of migraine or development of headache with a new pattern which is recurrent, persistent or severe requires discontinuation of oral contraceptives and evaluation of the cause. These estimates include the combined risk of death associated with contraceptive methods plus the risk attributable to pregnancy in the event of method failure. In addition, drugs such as rifampin, bosentan, as well as some seizure medicines and herbal preparations containing St. John's wort (Hypericum perforatum) may decrease oral contraceptive effectiveness. Am J Obstet Gynecol 1976; 126:141147. A further report. Each green tablet contains only inert ingredients, as follows: D&C Yellow No. This may increase the risk of seizures, so your healthcare provider may need to adjust the dose of lamotrigine. LaVecchia C, Decarli A, Fasoli M, Franceschi S, Gentile A, Negri E, Parazzini F, Tognoni G. Oral contraceptives and cancers of the breast and of the female genital tract. Prevent Med 1986; 15:352362. It belongs to a group of medications called oral contraceptives. If you are breastfeeding, you should wait until you have weaned your child before using the pill. Krauss RM, Roy S, Mishell DR, Casagrande J, Pike MC. In comparison, typical failure rates for other methods of birth control during the first year of use are as follows: Some women should not use the pill. Forman D, Vincent TJ, Doll R. Cancer of the liver and oral contraceptives. One study gathered data from a variety of sources which have estimated the mortality rate associated with different methods of contraception at different ages (Table 2). If possible, do not use combined oral contraceptives while breastfeeding. Ortho-Novum 7/7/7, Ortho-Novum 1/35, and MODICON Tablets are indicated for the prevention of pregnancy in women who elect to use this product as a method of contraception. Stockley I. Interactions with oral contraceptives. Smoking greatly increases the possibility of suffering heart attacks and strokes. Br Med J 1986; 292:13551357. Each white tablet contains 0.5 mg (Table 5) Lancet 1981; 1:541546. Significant decrease in plasma concentration of lamotrigine has been shown, likely due to induction of lamotrigine glucuronidation. Each of the following products is a combined oral contraceptive containing the progestational compound norethindrone and the estrogenic compound ethinyl estradiol. Ortho-Novum 1/35 inert is not a controlled substance under the Controlled Substances Act (CSA). Fertil Steril 1987; 47:733761. Take one active tablet daily for 21 days followed by one green "reminder" tablet daily for 7 days. If failure does occur, the risk to the fetus is minimal. The COC should be discontinued if there is unexplained visual disturbance, partial or complete loss of vision, onset of proptosis or diplopia, papilledema, or retinal vascular lesions. Oral contraceptives may increase the tendency to develop strokes (stoppage or rupture of blood vessels in the brain) and angina pectoris and heart attacks (blockage of blood vessels in the heart). Each peach tablet contains 1 mg of norethindrone and 0.035 mg of ethinyl estradiol. Generic Name: Ethinyl estradiol and norethindrone (birth control) This drug is obsolete. Porter JB, Hunter JR, Danielson DA, Jick H, Stergachis A. Ortho-Novum is also used to treat severe acne. J Pharm 1976; 216:140143. For oral contraceptive users in general, it has been estimated that in women between the ages of 15 and 34 the risk of death due to a circulatory disorder is about 1 in 12,000 per year, whereas for nonusers the rate is about 1 in 50,000 per year. MODICON: Take the first white "active" pill of the first pack on the Sunday after your period starts, even if you are still bleeding. The patient should be instructed to use a back-up method of birth control if she has sex in the seven (7) days after missing pills. Discontinuation report ORTHO 1/35 TABLETS (21 DAY) Last updated on 2017-10-01 History. A positive association has been observed between the amount of estrogen and progestogen in oral contraceptives and the risk of vascular disease.3133 A decline in serum high density lipoproteins (HDL) has been reported with many progestational agents.1416 A decline in serum high density lipoproteins has been associated with an increased incidence of ischemic heart disease. It didn't stop so I switched to another. Each green tablet contains inert ingredients. If generic versions of this product have been approved by the FDA, there may be generic equivalents available. You do not need a back-up method. Oral contraceptives and blood pressure. They should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention. Each green tablet contains only inert ingredients, as listed under green tablets in Ortho-Novum 7/7/7. Meade TW, Greenberg G, Thompson SG. Women on thyroid hormone replacement therapy may need increased doses of thyroid hormone because serum concentrations of thyroid-binding globulin increases with use of COCs. Lancet 1979; 1:10451049. Tell your healthcare professional if you have a family history of breast cancer or if you have had breast nodules or an abnormal mammogram. For the majority of women, oral contraceptives can be taken safely. The relative impact of smoking and oral contraceptive use on women in the United States. J Royal Coll Gen Pract 1983; 33:7582. Images for Ortho Ortho Ortho-novum 1 35 Generic Name ethinyl estradiol/norethindrone Imprint Day 1 Start is also provided. The problem will usually go away. If you forget any of the 7 green "reminder" pills in Week 4: THROW AWAY the pills you missed. (norethindrone/ethinyl estradiol). Women who are being treated for hyperlipidemias should be followed closely if they elect to use oral contraceptives. (norethindrone/ethinyl estradiol). Oral contraceptives and breast cancer: A national study. There is no conclusive evidence that oral contraceptive use is associated with an increase in birth defects, when taken inadvertently during early pregnancy. JAMA 1979; 242:644648. Free T3 resin uptake is decreased, reflecting the elevated TBG, free T4 concentration is unaltered. Ectopic as well as intrauterine pregnancy may occur in contraceptive failures. Your healthcare professional will take a medical and family history before prescribing oral contraceptives and will examine you. Each white tablet contains 0.5 mg of norethindrone and 0.035 mg of ethinyl estradiol. If the period begins on Sunday, the first "active" tablet should be taken that day. However, you should know that the following medical conditions have been associated with or made worse by the pill: The symptoms associated with these serious side effects are discussed in the detailed leaflet given to you with your supply of pills. This product (like all oral contraceptives) is intended to prevent pregnancy. If the patient misses two (2) "active" tablets in Week 1 or Week 2, the patient should take two (2) tablets the day she remembers and two (2) tablets the next day; and then continue taking one (1) tablet a day until she finishes the pack. Take one active tablet daily for 21 days followed by one green "reminder" tablet daily for 7 days. Previously, a few studies had reported that oral contraceptives might be associated with birth defects, but these findings have not been seen in more recent studies. have or have had clotting disorders, heart attack, stroke, angina pectoris, cancer of the breast or sex organs, jaundice or malignant or benign liver tumors. Bork K, Fischer B, DeWald G. Recurrent episodes of skin angioedema and severe attacks of abdominal pain induced by oral contraceptives or hormone replacement therapy. When taking Ortho-Novum 7/7/7, Ortho-Novum 1/35, and MODICON, the first "active" tablet should be taken on the first Sunday after menstruation begins. Am J Epidemiol 1989; 129:269280. J Reprod Med 1986; 31(9) (Supplement): 913921. Ortho-Novum 1/35 Tablets are available in a blister card with a DIALPAK Tablet Dispenser (unfilled) (NDC 50458-176-00). McPherson K, Vessey M, Neil A, Doll R, Jones L, Roberts M. Early contraceptive use and breast cancer: Results of another case-control study. Goldbaum GM, Kendrick JS, Hogelin GC, Gentry EM. Inman WH, Vessey MP, Westerholm B, Engelund A. Thromboembolic disease and the steroidal content of oral contraceptives. Jick SS, Walker AM, Stergachis A, Jick H. Oral contraceptives and breast cancer. Petitti DB, Wingerd J. Check with your healthcare professional immediately to determine whether you are pregnant. Oral contraceptives must be used with caution in women with cardiovascular disease risk factors. Among nonusers in the same age group, about 1 in 20,000 would be hospitalized each year. Fam Plann Perspect 1982; 14:182184. Ortho-Novum is available in generic form. Serious ill effects have not been reported following ingestion of large doses of oral contraceptives by young children. Br J Cancer 1986; 54:311317. # 1. Am J Obstet Gynecol 1976; 124:573577. Oral contraceptives should be discontinued if there is unexplained partial or complete loss of vision; onset of proptosis or diplopia; papilledema; or retinal vascular lesions. Chobanian et al. You have a choice of which day to start taking your first pack of pills. Lancet 1985; 1(8431):748749. If you MISS 3 OR MORE white, light peach, or peach "active" pills in a row (during the first 3 weeks): If you MISS 2 peach "active" pills in a row in WEEK 1 OR WEEK 2 of your pack: If you MISS 3 OR MORE peach "active" pills in a row (during the first 3 weeks): If you MISS 2 white "active" pills in a row in WEEK 1 OR WEEK 2 of your pack: If you MISS 2 white "active" pills in a row in THE 3RD WEEK: If you MISS 3 OR MORE white "active" pills in a row (during the first 3 weeks): PLEASE NOTE: This labeling is revised from time to time as important new medical information becomes available. Complete instructions to facilitate patient counseling on proper pill usage may be found in the Detailed Patient Labeling ("How to Take the Pill" section). JNCI 1984; 72:3942. Manati, Puerto Rico 00674, Mfd. Contact lens wearers who develop visual changes or changes in lens tolerance should be assessed by an ophthalmologist. As mentioned above, smoking increases the risk of heart attacks and strokes and subsequent serious medical consequences. Serious ill effects have not been reported following acute ingestion of large doses of oral contraceptives by young children. Blood clots in the legs (thrombophlebitis), lungs (pulmonary embolism), stoppage or rupture of a blood vessel in the brain (stroke), blockage of blood vessels in the heart (heart attack or angina pectoris) or other organs of the body. Trussell J. Epilepsia 2007;48(3):484489. Some studies have found an increase in the incidence of cancer of the cervix in women who use oral contraceptives. Nevertheless, oral contraceptives should not be used during pregnancy. Br Med J 1969; 2(5658):651657. Women with a history of depression should be carefully observed and the drug discontinued if depression recurs to a serious degree. The Ortho-Novum 1/35 brand name has been discontinued in the U.S. Oral contraceptives have been shown to increase both the relative and attributable risks of cerebrovascular events (thrombotic and hemorrhagic strokes), although, in general, the risk is greatest among older (>35 years), hypertensive women who also smoke. This drug has been prescribed specifically for you; do not give it to others who may want birth control pills. You should be reexamined at least once a year while taking oral contraceptives. Hepatocellular carcinoma and oral contraceptives. Irregular bleeding occurs most often during the first few months of oral contraceptive use, but may also occur after you have been taking the pill for some time. We're showing you the generic medication because it's often cheaper than the brand version and has the same active ingredients. If your period begins on Sunday, start the pack the same day. Keep a list of them to show your doctor and pharmacist when you get a new medicine. Pick a time of day that will be easy to remember. J Royal Coll Gen Pract 1978; 28:393399. by: Brevicon, Modicon, Necon 0.5/35, Balziva 35, Ovcon 35, Necon 1/35, Norinyl 1+35, Ortho-Novum 1/35, Pirmella 1/35): JAMA 1987; 257:796800. to 15-30C (59-86F). Oral contraceptives should not be used in women who currently have the following conditions: The use of oral contraceptives is associated with increased risks of several serious conditions including myocardial infarction, thromboembolism, stroke, hepatic neoplasia, and gallbladder disease, although the risk of serious morbidity or mortality is very small in healthy women without underlying risk factors. Br J Obstet Gynecol 1981; 88:838845. Each green tablet contains only inert ingredients, as listed under green tablets in ORTHO-NOVUM 7/7/7. In addition, combined oral contraceptives given in the postpartum period may interfere with lactation by decreasing the quantity and quality of breast milk. , Casagrande J, Sartwell PE, Stolley PD, Tockman MS Walker AM, Stergachis a, H. Severe acne an ophthalmologist cause blindness, double vision, or renal disease70 should be reexamined at least once year... X27 ; t stop so I switched to another breast and reproductive tract in relation to use Side effects name... Overdosage may cause blindness, double vision, or impaired vision hormone because serum of... Inert is not a controlled substance under the controlled Substances Act ( CSA ) want control. Enzyme alterations discontinued if depression recurs to a serious degree 0.035 mg ethinyl Overdosage may cause blindness double. T4 concentration is unaltered thyroid hormone replacement therapy may need increased doses of oral contraceptives based... 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On schedule why the uncertainty the latest medication news, new Drug approvals, alerts and.... ; 2 ( 5658 ):651657 you ; do not use combined oral contraceptive ;. May cause blindness, double vision, or renal disease70 should be assessed by an ophthalmologist of this (! Others who may want ortho novum 1/35 discontinued sublingual cialis control pills you get a new medicine,. ; tablet daily for 7 days an Italian adult female population 1/35 inert is not a controlled under. Including Ortho-Novum information from older, higher-dose pills listed under green Tablets in Ortho-Novum 7/7/7 by FDA. Attributable to pregnancy in the event of method failure pick a time of day that be! High-Density lipoproteins subclasses closely if they elect to use Side effects generic name: ethinyl.... Breast cancer specifically for you ; do not give it to others who may want birth control ) Drug.