Medication Guide App

FEMODETTE

Active substance: GESTODENE

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Package booklet: Information for the user

Gestodene
Ethinylestradiol

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Important things to know about combined hormonal
contraceptives (CHCs):
R They are one of the most reliable reversible methods of contraception if
used correctly.
R They slightly increase the risk of having a blood clot in the veins and
arteries, especially in the first year or when restarting a combined
hormonal contraceptive following a break of 4 or more weeks.

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R Please be alert and see your doctor if you think you may have symptoms
of a blood clot (see section 2 “Blood clots”).
R The Pill may reduce your risk of cancer of the ovary and womb if used in
the long term.
R The Pill will not protect you against sexually transmitted diseases.
R This medicine can increase your risk of problems such as blood clots and
breast cancer.

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R Some women should not take the Pill because of current medical
problems or illnesses. Please read this booklet to make sure Femodette is
right for you.
R To prevent pregnancy it is important to take Femodette as instructed and
start each pack on time. Please make sure that you understand what to
do if you miss a pill or if you think you are pregnant.

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Read all of this booklet carefully before you start taking this medicine.
R Keep this booklet. You may need to read it again.
R If you have any questions or need more advice, ask your doctor, family
planning nurse or pharmacist.
R This medicine has been prescribed for you. Do not pass it on to others. It
may harm them.
R If any of the side effects gets severe, or if you notice any not listed in
this booklet, please tell your doctor, family planning nurse or
pharmacist.

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In this booklet:
l What Femodette does
m What you need to know before you use Femodette
2.1 When you should not use Femodette
2.2 When to take special care with Femodette
2.3 Blood clots

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2.4 The Pill and cancer
2.5 Taking other medicines
2.6 Taking Femodette with food and drink
2.7 Pregnancy and breast-feeding
2.8 Driving and using machines
2.9 Femodette contains lactose and sucrose

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n Taking Femodette
3.1 How to take it
3.2 Starting Femodette
3.3 A missed pill
3.4 A lost pill
3.5 If you are sick or have diarrhoea
3.6 Missed a period – could you be pregnant?

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3.7 Taking more than one pill should not cause harm
3.8 When you want to get pregnant

o Possible side effects
4.1 Serious side-effects – see a doctor straight away
4.2 Less serious side-effects
4.3 Bleeding between periods should not last long

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p

How to store Femodette

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q

What is in Femodette and who makes it

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l What Femodette does
Femodette is a combined oral contraceptive pill (‘the Pill’). You take it to
stop you getting pregnant.
This contraceptive contains two types of female sex hormones, oestrogen
and progestogen. These hormones stop you getting pregnant by working in
three ways: by preventing an egg being released from your ovaries; by
making the fluid (mucus) in your cervix thicker, which makes it more

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difficult for sperm to enter the womb; and by preventing the lining of your
womb thickening enough for an egg to grow in it.
Femodette is a 21-day Pill – you take one each day for 21 days, followed by
7 days when you take no pills.
The benefits of taking the Pill include:
R it is one of the most reliable reversible methods of contraception if used
correctly
C
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R it doesn’t interrupt sex

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R it usually makes your periods regular, lighter and less painful
R it may help with pre-menstrual symptoms.
Femodette will not protect you against sexually transmitted infections, such
as Chlamydia or HIV. Only condoms can help to do this.
Femodette needs to be taken as directed to prevent pregnancy.

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E
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m What you need to know before you use Femodette
General notes
Before you start using Femodette you should read the information on blood
clots in section 2. It is particularly important to read the symptoms of a
blood clot – see Section 2 “Blood clots”.
It’s important that you understand the benefits and risks of taking the Pill
before you start taking it, or when deciding whether to carry on taking it.

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Although the Pill is suitable for most healthy women it isn’t suitable for
everyone.
B Tell your doctor if you have any of the illnesses or risk factors
mentioned in this booklet.
Before you start taking the Pill
R Your doctor will ask about you and your family’s medical problems,
check your blood pressure and exclude the likelihood of you being
pregnant. You may also need other checks, such as a breast examination,
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but only if these examinations are necessary for you, or if you have any
special concerns.
While you’re on the Pill
R You will need regular check-ups with your doctor or family planning
nurse, usually when you need another prescription of the Pill.
R You should go for regular cervical smear tests.

R

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R Check your breasts and nipples every month for changes – tell your
doctor if you can see or feel anything odd, such as lumps or dimpling of
the skin.
R If you need a blood test tell your doctor that you are taking the Pill,
because the Pill can affect the results of some tests.
R If you’re going to have an operation, make sure your doctor knows
about it. You may need to stop taking the Pill about 4–6 weeks before
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the operation. This is to reduce the risk of a blood clot (see section 2.3).
Your doctor will tell you when you can start taking the Pill again.

2.1 When you should not use Femodette
You should not use Femodette if you have any of the conditions listed below.
If you do have any of the conditions listed below, you must tell your doctor.
Your doctor will discuss with you what other form of birth control would be
more appropriate.

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Do not take Femodette:
R If you have (or have ever had) a blood clot in a blood vessel of your legs
(deep vein thrombosis, DVT), your lungs (pulmonary embolus, PE) or
other organs
R If you know you have a disorder affecting your blood clotting – for
instance, protein C deficiency, protein S deficiency, antithrombin-III
deficiency, Factor V Leiden or antiphospholipid antibodies
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R If you need an operation or if you are off your feet for a long time (see
section ‘Blood clots’)
R If you have ever had a heart attack or stroke
R If you have (or have ever had) angina pectoris (a condition that causes
severe chest pain and may be a first sign of a heart attack) or transient
ischaemic attack (TIA – temporary stroke symptoms)
R If you have any of the following diseases that may increase your risk of a
clot in the arteries:

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P severe diabetes with blood vessel damage
P very high blood pressure
P a very high level of fat in the blood (cholesterol or triglycerides)
P a condition known as hyperhomocysteinaemia
R If you have (or have ever had) a type of migraine called ‘migraine with
aura’
R If you have or have ever had breast cancer
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R If you have ever had a severe liver disease, and you have been told by
your doctor that your liver function test results are not yet back to
normal
R If you have ever had liver tumours
R If you are allergic (hypersensitive) to any of the ingredients in Femodette.
B Tell your doctor or family planning nurse if you have any medical
problems or illnesses.

R

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2.2 When to take special care with Femodette
When should you contact your doctor?
Seek urgent medical attention
R if you notice possible signs of a blood clot that may mean you are
suffering from a blood clot in the leg (i.e. deep vein thrombosis), a
blood clot in the lung (i.e. pulmonary embolism), a heart attack or a
stroke (see ‘Blood clots` section below).
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For a description of the symptoms of these serious side effects please go to
“How to recognise a blood clot”.
Some of the conditions listed below can be made worse by taking the Pill. Or
they may mean it is less suitable for you. You may still be able to take
Femodette but you need to take special care and have check-ups more often.

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Tell your doctor if any of the following conditions apply to you.
If the condition develops, or gets worse while you are using Femodette, you
should also tell your doctor.
R If you have Crohn’s disease or ulcerative colitis (chronic inflammatory
bowel disease)
R If you have systemic lupus erythematosus (SLE – a disease affecting your
natural defence system)
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R If you have haemolytic uraemic syndrome (HUS – a disorder of blood
clotting causing failure of the kidneys)
R If you have sickle cell anaemia (an inherited disease of the red blood
cells)
R If you have inflammation of the pancreas (pancreatitis)
R If you have elevated levels of fat in the blood (hypertriglyceridaemia) or
a positive family history for this condition. Hypertriglyceridaemia has

R

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been associated with an increased risk of developing pancreatitis
(inflammation of the pancreas)
R If you need an operation, or you are off your feet for a long time (see in
section 2 ‘Blood clots’)
R If you have just given birth you are at an increased risk of blood clots.
You should ask your doctor how soon after delivery you can start taking
Femodette
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R If you have an inflammation in the veins under the skin (superficial
thrombophlebitis)
R If you have varicose veins
R If you have diabetes
R If you or your close family have ever had problems with your heart, or
circulation such as high blood pressure
R If you or your close family have ever had problems with blood clotting

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R If you have the inherited disease called porphyria
R If you are overweight (obese)
R If you have migraines
R If you have any illness that worsened during pregnancy or previous use
of the Pill (see section 4.2)

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2.3 Blood clots
Using a combined hormonal contraceptive such as Femodette increases your
risk of developing a blood clot compared with not using one. In rare cases a
blood clot can block vessels and cause serious problems.
Blood clots can develop:
R in veins (referred to as a ‘venous thrombosis’, ‘venous thromboembolism’
or VTE);

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R in the arteries (referred to as an ‘arterial thrombosis’, ‘arterial
thromboembolism’ or ATE).
Recovery from blood clots is not always complete. Rarely, there may be
serious lasting effects or, very rarely, they may be fatal.
It is important to remember that the overall risk of having a harmful
blood clot due to Femodette is small.

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HOW TO RECOGNISE A BLOOD CLOT
Seek urgent medical attention if you notice any of the following signs or
symptoms.
Are you experiencing any of these signs?
R swelling of one leg or along a vein in the leg
or foot especially when accompanied by:

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What are you possibly
suffering from?
Deep vein thrombosis

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P pain or tenderness in the leg which may
be felt only when standing or walking
P increased warmth in the affected leg
P change in colour of the skin on the leg
e.g. turning pale, red or blue
R sudden unexplained breathlessness or rapid
breathing

Pulmonary embolism

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R sudden cough without an obvious cause,
which may bring up blood
R sharp chest pain which may increase with
deep breathing
R severe light headedness or dizziness
R rapid or irregular heartbeat
R severe pain in your stomach

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If you are unsure, talk to a doctor as some of
these symptoms such as coughing or being short
of breath may be mistaken for a milder condition
such as a respiratory tract infection (e.g. a
‘common cold’).
Symptoms most commonly occur in one eye:
Retinal vein thrombosis
(blood clot in the eye)
R immediate loss of vision or
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R painless blurring of vision which can progress
to loss of vision
R chest pain, discomfort, pressure, heaviness
Heart attack
R sensation of squeezing or fullness in the
chest, arm or below the breastbone
R fullness, indigestion or choking feeling

R

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R upper body discomfort radiating to the back,
jaw, throat, arm and stomach
R sweating, nausea, vomiting or dizziness
R extreme weakness, anxiety, or shortness of
breath
R rapid or irregular heartbeats
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R sudden weakness or numbness of the face,
arm or leg, especially on one side of the body
R sudden confusion, trouble speaking or
understanding
R sudden trouble seeing in one or both eyes
R sudden trouble walking, dizziness, loss of
balance or coordination

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Stroke

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R sudden, severe or prolonged headache with
no known cause
R loss of consciousness or fainting with or
without seizure
Sometimes the symptoms of stroke can be brief
with an almost immediate and full recovery, but
you should still seek urgent medical attention as
you may be at risk of another stroke.
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R swelling and slight blue discolouration of an Blood clots blocking
extremity
other blood vessels
R severe pain in your stomach (acute abdomen)
B See a doctor as soon as possible. Do not take any more Femodette
until your doctor says you can. Use another method of contraception,
such as condoms, in the meantime.

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BLOOD CLOTS IN A VEIN
What can happen if a blood clot forms in a vein?
R The use of combined hormonal contraceptives has been connected with
an increase in the risk of blood clots in the vein (venous thrombosis).
However, these side effects are rare. Most frequently, they occur in the
first year of use of a combined hormonal contraceptive.
R If a blood clot forms in a vein in the leg or foot it can cause a deep vein
thrombosis (DVT).
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R If a blood clot travels from the leg and lodges in the lung it can cause a
pulmonary embolism.
R Very rarely a clot may form in a vein in another organ such as the eye
(retinal vein thrombosis).
When is the risk of developing a blood clot in a vein highest?
The risk of developing a blood clot in a vein is highest during the first year of
taking a combined hormonal contraceptive for the first time. The risk may

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also be higher if you restart taking a combined hormonal contraceptive (the
same product or a different product) after a break of 4 weeks or more.
After the first year, the risk gets smaller but is always slightly higher than if
you were not using a combined hormonal contraceptive.
When you stop Femodette your risk of a blood clot returns to normal within
a few weeks.

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What is the risk of developing a blood clot?
The risk depends on your natural risk of VTE and the type of combined
hormonal contraceptive you are taking.
The overall risk of a blood clot in the leg or lung (DVT or PE) with Femodette
is small.
R Out of 10,000 women who are not using any combined hormonal
contraceptive and are not pregnant, about 2 will develop a blood clot in
a year.

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R Out of 10,000 women who are using a combined hormonal contraceptive
that contains levonorgestrel, norethisterone, or norgestimate about 5-7
will develop a blood clot in a year.
R Out of 10,000 women who are using a combined hormonal contraceptive
that contains gestodene such as Femodette, between about 9 and 12
women will develop a blood clot in a year.

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R The risk of having a blood clot will vary according to your personal
medical history (see “Factors that increase your risk of a blood clot in a
vein” below).

Women who are not using a combined
hormonal pill and are not pregnant

Risk of developing a
blood clot in a year
About 2 out of 10,000
women

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Women using a combined hormonal
contraceptive pill containing levonorgestrel,
norethisterone or norgestimate
Women using Femodette

About 5-7 out of 10,000
women
About 9-12 out of 10,000
women

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Factors that increase your risk of a blood clot in a vein
The risk of a blood clot with Femodette is small but some conditions will
increase the risk. Your risk is higher:
R if you are very overweight (body mass index or BMI over 30kg/m2)
R if one of your immediate family has had a blood clot in the leg, lung or
other organ at a young age (e.g. below the age of about 50). In this case
you could have a hereditary blood clotting disorder

R

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R if you need to have an operation, or if you are off your feet for a long
time because of an injury or illness, or you have your leg in a cast. The
use of Femodette may need to be stopped several weeks before surgery
or while you are less mobile. If you need to stop Femodette ask your
doctor when you can start using it again.
R as you get older (particularly above about 35 years)
R if you gave birth less than a few weeks ago.
The risk of developing a blood clot increases the more conditions you have.
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Air travel (>4 hours) may temporarily increase your risk of a blood clot,
particularly if you have some of the other factors listed.
It is important to tell your doctor if any of these conditions apply to you,
even if you are unsure. Your doctor may decide that Femodette needs to be
stopped.
If any of the above conditions change while you are using Femodette, for
example a close family member experiences a thrombosis for no known
reason, or you gain a lot of weight, tell your doctor.

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BLOOD CLOTS IN AN ARTERY
What can happen if a blood clot forms in an artery?
Like a blood clot in a vein, a clot in an artery can cause serious problems. For
example, it can cause a heart attack or a stroke.

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Factors that increase your risk of a blood clot in an artery
It is important to note that the risk of a heart attack or stroke from using
Femodette is very small but can increase:
R with increasing age (beyond about 35 years)
R if you smoke. When using a combined hormonal contraceptive like
Femodette, you are advised to stop smoking. If you are unable to stop
smoking and are older than 35 your doctor may advise you to use a
different type of contraceptive

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R if you are overweight
R if you have high blood pressure
R if a member of your immediate family has had a heart attack or stroke
at a young age (less than about 50). In this case you could also have a
higher risk of having a heart attack or stroke
R if you, or someone in your immediate family, have a high level of fat in
the blood (cholesterol or triglycerides)
[44)

R if you get migraines, especially migraines with aura

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R if you have a problem with your heart (valve disorder, disturbance of the
rhythm called atrial fibrillation)
R if you have diabetes.
If you have more than one of these conditions or if any of them are
particularly severe the risk of developing a blood clot may be increased even
more.
If any of the above conditions change while you are using Femodette, for
example you start smoking, a close family member experiences a

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thrombosis for no known reason, or you gain a lot of weight, tell your
doctor.

2.4 The Pill and cancer
While high dose Pills reduces your risk of cancer of the ovary and womb if
used in the long term, it is not clear whether lower dose Pills like Femodette
also provide the same protective effects. However, it also seems that taking
the Pill slightly increases your risk of cancer of the cervix – although this
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may be due to having sex without a condom, rather than the Pill. All women
should have regular smear tests.
If you have breast cancer, or have had it in the past, you should not take
the Pill. The Pill slightly increases your risk of breast cancer. This risk goes
up the longer you’re on the Pill, but returns to normal within about 10 years
of stopping it. Because breast cancer is rare in women under the age of 40,
the extra cases of breast cancer in current and recent Pill users is small. For
example:

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R Of 10,000 women who have never taken the Pill, about 16 will have
breast cancer by the time they are 35 years old.
R Of 10,000 women who take the Pill for 5 years in their early twenties,
about 17–18 will have breast cancer by the time they are 35 years old.
R Of 10,000 women who have never taken the Pill, about 100 will have
breast cancer by the time they are 45 years old.
R Of 10,000 women who take the Pill for 5 years in their early thirties,
about 110 will have breast cancer by the time they are 45 years old.
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Your risk of breast cancer is higher:
R if you have a close relative (mother, sister or grandmother) who has had
breast cancer
R if you are seriously overweight.
B See a doctor as soon as possible if you notice any changes in your
breasts, such as dimpling of the skin, changes in the nipple or any
lumps you can see or feel.

R

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Taking the Pill has also been linked to liver diseases, such as jaundice and
non-cancer liver tumours, but this is rare. Very rarely, the Pill has also been
linked with some forms of liver cancer in women who have taken it for a
long time.
B See a doctor as soon as possible if you get severe pain in your
stomach, or yellow skin or eyes (jaundice). You may need to stop
taking Femodette.
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2.5 Taking other medicines
If you ever need to take another medicine at the same time as being on the
Pill, always tell your doctor, pharmacist or dentist that you’re taking
Femodette. Also check the booklets that come with all your medicines to see
if they can be taken with hormonal contraceptives.
Some medicines can have an influence on the blood levels of Femodette and
can stop it from working properly – for example:
R some medicines used to treat epilepsy

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R some medicines used to treat HIV and Hepatitis C Virus infections
(so-called protease inhibitors and non-nucleoside reverse transcriptase
inhibitors)
R griseofulvin (an anti-fungal medicine)
R certain antibiotics
R certain sedatives (called barbiturates)
R St. John’s Wort (a herbal remedy).
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If you do need to take one of these medicines, Femodette may not be
suitable for you or you may need to use extra contraception for a while. Your
doctor, pharmacist or dentist can tell you if this is necessary and for how
long.
Femodette can also affect how well other medicines work. Your doctor
may need to adjust the dose of your other medicine.

R

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In addition, Femodette can also interfere with the results of some blood
tests, so always tell your doctor that you are taking Femodette if you have a
blood test.

2.6 Taking Femodette with food and drink
There are no special instructions about food and drink while on Femodette.

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2.7 Pregnancy and breast-feeding
Do not use Femodette if you are pregnant. If you think you might be
pregnant, do a pregnancy test to confirm that you are before you stop
taking Femodette.
If you are breast-feeding, your doctor or family planning nurse may advise
you not to take Femodette. They will be able to suggest alternative
contraception. Breast-feeding may not stop you getting pregnant.

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2.8 Driving and using machines
Femodette has no known effect on the ability to drive or use machines.

2.9 Femodette contains lactose and sucrose
If you have been told by your doctor that you have intolerance to some
sugars, contact your doctor before using Femodette.

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n Taking Femodette
3.1 How to take it
To prevent pregnancy, always take Femodette as described below. Check
with your doctor or family planning nurse if you are not sure.
Take Femodette every day for 21 days
Femodette comes in strips of 21 pills, each marked with a day of the week.
R Take your pill at the same time every day.

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R Start by taking a pill marked with the correct day of the week.
R Follow the direction of the arrows on the strip. Take one pill each day,
until you have finished all 21 pills.
R Swallow each pill whole, with water if necessary. Do not chew the pill.
Then have seven pill-free days
After you have taken all 21 pills in the strip, you have seven days when you
take no pills. So if you take the last pill of one pack on a Friday, you will take
the first pill of your next pack on the Saturday of the following week.
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Within a few days of taking the last pill from the strip, you should have a
withdrawal bleed like a period. This bleed may not have finished when it is
time to start your next strip of pills. You don’t need to use extra
contraception during these seven pill-free days – as long as you have taken
your pills correctly and start the next strip of pills on time.
Then start your next strip
Start taking your next strip of Femodette after the seven pill-free days – even
if you are still bleeding. Always start the new strip on time.

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As long as you take Femodette correctly, you will always start each new strip
on the same day of the week.

3.2 Starting Femodette
As a new user or starting the Pill again after a break
It is best to take your first Femodette pill on the first day of your next period.
By starting in this way, you will have contraceptive protection with your first
pill.
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Changing to Femodette from another contraceptive Pill
R If you are currently taking a 21-day Pill: start Femodette the next day
after the end of the previous strip. You will have contraceptive protection
with your first pill. You will not have a bleed until after your first strip of
Femodette.
R If you are taking a 28-day Pill: start taking Femodette the day after
your last active pill. You will have contraceptive protection with your first
pill. You will not have a bleed until after your first strip of Femodette.

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R Or, if you are taking a progestogen-only Pill (POP or ‘mini Pill’): start
Femodette on the first day of bleeding, even if you have already taken
the progestogen-only Pill for that day. You will have contraceptive cover
straight away.
Starting Femodette after a miscarriage or abortion
If you have had a miscarriage or an abortion during the first three months
of pregnancy, your doctor may tell you to start taking Femodette straight
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away. This means that you will have contraceptive protection with your first
pill.
If you have had a miscarriage or an abortion after the third month of
pregnancy, ask your doctor for advice. You may need to use extra
contraception, such as condoms, for a short time.
Contraception after having a baby
If you have just had a baby, your doctor may advise you that Femodette
should be started 21 days after delivery provided that you are fully mobile.

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You do not have to wait for a period. You will need to use another method of
contraception, such as a condom, until you start Femodette and for the first
7 days of pill taking.

3.3 A missed pill
If you are less than 12 hours late with a pill, take it straight away. Keep
taking your pills at the usual time. This may mean taking two pills in one
day. Don’t worry – your contraceptive protection should not be reduced.
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If you are more than 12 hours late with a pill, or you have missed more
than one pill, your contraceptive protection may be reduced.
R Take the most recently missed pill as soon as you remember, even if it
means taking two at once. Leave any earlier missed pills in the pack.
R Continue to take a pill every day for the next seven days at your
usual time.
R If you come to the end of a strip of pills during these seven days, start
the next strip without taking the usual seven day break. You probably

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won’t have a bleed until after you finish the second strip of pills, but
don’t worry. If you finish the second strip of pills and don’t have a bleed,
do a pregnancy test before starting another strip.
R Use extra contraception for seven days after missing a pill, such as
condoms.
R If you have missed one or more pills from the first week of your strip
(days 1 to 7) and you had sex in that week, you could become pregnant.
Contact your doctor, family planning nurse or pharmacist for advice as
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soon as possible. They may recommend you use emergency
contraception.
If you have missed any of the pills in a strip, and you do not bleed in the
first pill-free break, you may be pregnant. Contact your doctor or family
planning clinic, or do a pregnancy test yourself.
If you start a new strip of pills late, or make your ‘week off’ longer than
seven days, you may not be protected from pregnancy. If you had sex in
the last seven days, ask your doctor, family planning nurse or pharmacist

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for advice. You may need to consider emergency contraception. You should
also use extra contraception, such as a condom, for seven days.

3.4 A lost pill
If you lose a pill,
Either take the last pill of the strip in place of the lost pill. Then take all the
other pills on their proper days. Your cycle will be one day shorter than
normal, but your contraceptive protection won’t be affected. After your
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seven pill-free days you will have a new starting day, one day earlier than
before.
Or if you do not want to change the starting day of your cycle, take a pill
from a spare strip if you have one. Then take all the other pills from your
current strip as usual. You can then keep the opened spare strip in case you
lose any more pills.

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3.5 If you are sick or have diarrhoea
If you are sick (vomit) or have very bad diarrhoea within 4 hours of taking
the Pill, your body may not get its usual dose of hormones from that pill. If
you are better within 12 hours of taking Femodette, follow the
instructions in section 3.4, A lost pill, which describes how to take another
pill.
If you are still sick or have diarrhoea more than 12 hours after taking
Femodette, see section 3.3, A missed pill.
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B Talk to your doctor if your stomach upset carries on or gets worse.
He or she may recommend another form of contraception.

3.6 Missed a period – could you be pregnant?
Occasionally, you may miss a withdrawal bleed. This could mean that you
are pregnant, but that is very unlikely if you have taken your pills correctly.
Start your next strip at the normal time. If you think that you might have
put yourself at risk of pregnancy (for example, by missing pills or taking
other medicines), or if you miss a second bleed, you should do a pregnancy

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test. You can buy these from the chemist or get a free test at your family
planning clinic or doctors surgery. If you are pregnant, stop taking
Femodette and see your doctor.

3.7 Taking more than one pill should not cause harm
It is unlikely that taking more than one pill will do you any harm, but you
may feel sick, vomit or have some vaginal bleeding. Talk to your doctor if
you have any of these symptoms.
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3.8 When you want to get pregnant
If you are planning a baby, it’s best to use another method of contraception
after stopping Femodette until you have had a proper period. Your doctor or
midwife relies on the date of your last natural period to tell you when your
baby is due. However, it will not cause you or the baby any harm if you get
pregnant straight away.

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o Possible side effects
Like all medicines, Femodette can cause side effects, although not everybody
gets them. If you get any side effect, particularly if severe and persistent, or
have any change to your health that you think may be due to Femodette,
please talk to your doctor.
An increased risk of blood clots in the veins (venous thromboembolism
(VTE)) or blood clots in the arteries (arterial thromboembolism (ATE)) is
present for all women using combined hormonal contraceptives. For more

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detailed information on the different risks from taking combined hormonal
contraceptives please see section 2 “What you need to know before you use
Femodette”.
B Tell your doctor, pharmacist or family planning nurse if you are
worried about any side effects which you think may be due to Femodette.

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4.1 Serious side effects – see a doctor straight away
Rare side effects (between 1 and 10 in every 10,000 users may be affected)
R harmful blood clots in a vein or artery for example:
P in a leg or foot (i.e. DVT)
P in a lung (i.e. PE)
P heart attack

R

P stroke

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P mini-stroke or temporary stroke-like symptoms, known as a transient
ischaemic attack (TIA)
P blood clots in the liver, stomach/intestine, kidneys or eye.
The chance of having a blood clot may be higher if you have any other
conditions that increase this risk (see section 2 for more information on the
conditions that increase risk for blood clots and the symptoms of a blood
clot).
Signs of a blood clot (see section 2 “Blood clots”)
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Signs of a severe allergic reaction or worsening of hereditary
angioedema:
R swelling of the hands, face, lips, mouth, tongue or throat. A swollen
tongue/throat may lead to difficulty swallowing and breathing
R a red bumpy rash (hives) and itching.
Signs of breast cancer include:
R dimpling of the skin

R

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R changes in the nipple
R any lumps you can see or feel.
Signs of cancer of the cervix include:
R vaginal discharge that smells and/or contains blood
R unusual vaginal bleeding
R pelvic pain
R painful sex.
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Signs of severe liver problems include:
R severe pain in your upper abdomen
R yellow skin or eyes (jaundice)
R inflammation of the liver (hepatitis)
R your whole body starts itching.
B If you think you may have any of these, see a doctor straight away.
You may need to stop taking Femodette.

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4.2 Less serious side effects
Common side effects (between 100 and 1000 in every 10,000 users may be
affected)
R feeling sick
R stomach ache
R putting on weight
R headaches
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R depressive moods or mood swings
R sore or painful breasts
Uncommon side effects (between 10 and 100 in every 10,000 users may be
affected)
R being sick and stomach upsets
R fluid retention
R migraine

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R loss of interest in sex
R breast enlargement
R skin rash, which may be itchy
Rare side effects (between 1 and 10 in every 10,000 users may be affected)
R poor tolerance of contact lenses
R losing weight
R increase of interest in sex
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R vaginal or breast discharge
Other side effects reported
R Bleeding and spotting between your periods can sometimes occur for
the first few months but this usually stops once your body has adjusted
to Femodette. If it continues, becomes heavy or starts again, contact
your doctor (see section 4.3).

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R Chloasma (yellow brown patches on the skin). This may happen even if
you have been using Femodette for a number of months. Chloasma may
be reduced by avoiding too much sunlight and/or UV lamps
R Conditions that may worsen during pregnancy or previous use of the
Pill:
P yellowing of the skin (jaundice)
P persistent itching (pruritus)
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P kidney or liver problems

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P gall stones
P certain rare medical conditions such as systemic lupus
erythematosus
P occurrence or deterioration of the movement disorder chorea
P blister-like rash (herpes gestationis) whilst pregnant
P an inherited form of deafness (otosclerosis)
P Crohn’s disease

R

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P ulcerative colitis
P a personal or family history of a form of sickle cell disease
P swelling of body parts (hereditary angioedema)
P an inherited disease called porphyria
P cancer of the cervix
B Tell your doctor, pharmacist or family planning nurse if you are
worried about any side effects which you think may be due to Femodette.
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Also tell them if any existing conditions get worse while you are taking
Femodette.

4.3 Bleeding between periods should not last long
A few women have a little unexpected bleeding or spotting while they are
taking Femodette, especially during the first few months. Normally, this
bleeding is nothing to worry about and will stop after a day or two. Keep
taking Femodette as usual. The problem should disappear after the first few
strips.

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You may also have unexpected bleeding if you are not taking your pills
regularly, so try to take your pill at the same time every day. Also,
unexpected bleeding can sometimes be caused by other medicines.
B Make an appointment to see your doctor if you get breakthrough
bleeding or spotting that:
R carries on for more than the first few months
R starts after you’ve been taking Femodette for a while
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R carries on even after you’ve stopped taking Femodette.

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Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/
yellowcard.
By reporting side effects you can help provide more information on the
safety of this medicine.

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p How to store Femodette
Keep all medicines out of the reach and sight of children.
Do not use Femodette after the expiry date shown on the strip.
Do not store above 25°C and protect from light.
Do not throw away any medicines down a drain or into a bin. Ask your
pharmacist what to do with any medicines you do not want. This will help to
protect the environment.

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q What is in Femodette and who makes it
What is in Femodette
Each box of Femodette contains 21 white sugar-coated tablets containing
75 micrograms of the progestogen gestodene, and 20 micrograms of the
oestrogen ethinylestradiol.
Femodette also contains the inactive ingredients:
lactose, maize starch, povidone, magnesium stearate (E572), sucrose,

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macrogol 6000, calcium carbonate (E170), talc,
montan glycol wax.
The company that holds the product licence for Femodette is:
Bayer plc, Bayer House, Strawberry Hill, Newbury, Berkshire, RG14 1JA.

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Femodette is made by:
Bayer Pharma AG, Berlin, Germany
or
Delpharm Lille SAS, Lys-Lez-Lannoy, France.
This booklet was last updated in June 2014.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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