Do NOT use Mircette if:

• you are allergic to any ingredient in Mircette
• you are pregnant or think you may be pregnant
• you have blood clots in the legs, lungs, or eyes; or a history of heart attack, chest pain, or stroke
• you have known or suspected breast cancer or cancer of the lining of the uterus, cervix, or vagina, or have had vaginal bleeding of unknown causes
• you have a liver tumor or active liver disease, or a history of yellowing of the eyes or skin during pregnancy or previous birth control use
• you have headaches with neurological symptoms or will be on bed rest for a long period following surgery.

Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Mircette. Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have high blood pressure; high cholesterol, triglycerides, or calcium levels; have pancreatitis or gallbladder problems; or are obese
• if you have breast nodules, fibrocystic disease of the breast, an abnormal breast x-ray or mammogram, endometriosis or endometrial carcinomas, uterine fibroids, or irregular or scanty menstrual periods
• if you have diabetes, headaches, migraine headaches, epilepsy, or a history of mental depression
• if you are having surgery
• if you are a heavy smoker (15 or more cigarettes per day), especially if you are older 35 years.

Some medicines may interact with Mircette. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Azole antifungals (eg, itraconazole), aprepitant, bosentan, barbiturates (eg, phenobarbital), carbamazepine, felbamate, griseofulvin, HIV protease inhibitors (eg, ritonavir), hydantoins (eg, phenytoin), modafinil, nevirapine, penicillins (eg, amoxicillin), rifampin, St. John's wort, tetracyclines (eg, doxycycline), topiramate, and troglitazone because they may decrease the effectiveness of Mircette. Alternative forms of birth control are strongly recommended when taking any of these medicines along with this birth control medicine.
• Beta-blockers (eg, atenolol), selegiline, theophyllines (eg, aminophylline), and troleandomycin because the risk of their side effects may be increased by Mircette
• Lamotrigine because its effectiveness may be decreased by Mircette.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Mircette may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Important safety information:

• Mircette may cause dizziness or changes in vision. These effects may be worse if you take it with alcohol or certain medicines. Use Mircette with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• If you miss your period during the week of inactive pills, call your doctor immediately. A missed period may indicate that you are pregnant.
• Mircette may cause dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protective clothing when exposed to the sun, sunlamps, or tanning booths.
• Follow your doctor's instructions for examining your own breasts, and report any lumps immediately.
• Mircette may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Mircette.
• If you will be having surgery or will be confined to a chair or bed for a long period of time (such as a long plane flight), notify your doctor 3 to 4 weeks beforehand. Special precautions may need to be taken in these circumstances while you are taking Mircette.
• Bleeding or spotting may occur while taking Mircette. Do not stop taking Mircette if this occurs. If bleeding or spotting continues for more than 7 days or is heavy, contact your doctor.
• Mircette may increase the risk of stroke, heart attack, blood clots, high blood pressure, or similar problems. The risk may be greater if you smoke.
• Taking certain antibiotics or anticonvulsants while you are using Mircette, or vomiting or diarrhea may decrease the effectiveness of Mircette. To prevent pregnancy, use an additional form of birth control (such as condoms, spermicide, diaphragm) until your next period. If you have any questions, contact your doctor, nurse, or pharmacist.
• If you wear contact lenses and you develop problems with them, contact your doctor.
• Use of Mircette will not prevent the spread of sexually transmitted diseases (STDs).
• Lab tests, may be performed while you use Mircette. These tests may be used to monitor your condition or check for side effects. You will need to have follow-up exams at least once per year. Be sure to keep all doctor and lab appointments.
• Mircette should not be used in children; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: Do not use Mircette if you are pregnant. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. Continue to use another method of birth control (such as condoms). Mircette is found in breast milk. Do not breast-feed while you are taking Mircette. Do not take Mircette soon after delivery of a baby even if you are not breast-feeding. You should wait 4 weeks after delivery if you are not breast-feeding or 4 weeks after a second trimester abortion.

All medicines may cause side effects, but many people have no, or minor, side effects.

Check with your doctor if any of these most common side effects persist or become bothersome:

Breast tenderness or enlargement; changes in appetite; changes in weight; dizziness; headache; loss of scalp hair; nausea; nervousness; stomach cramps or bloating; vaginal spotting or breakthrough bleeding; vomiting.

Seek medical attention right away if any of these severe side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breast lumps; calf/leg pain or swelling; changes in vision; chest pain or heaviness in the chest; coughing up blood; difficulty wearing contact lenses; dark urine or light-colored bowel movements; dizziness or fainting; fever; loss of appetite; missed menstrual period; mood/mental changes; numbness of an arm or leg; persistent or recurrent abnormal vaginal bleeding; severe pain or tenderness in the stomach area; shortness of breath; sleeplessness; slurred speech; sudden severe headache (migraine); sudden shortness of breath; swelling of fingers or ankles; vaginal infection; vomiting; weakness or fatigue; weakness or numbness in the arm or leg; yellowing of the skin or eyes.

 This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.