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How do I use Leena?

Follow all directions on your prescription label carefully and take Leena tablets exactly as directed by your doctor.

Take the first pill on the first day of your period or on the first Sunday after your period begins. Take Leena at the same time every day. When the pack of pills runs out, start a new pack the

Breakthrough bleeding may occur, especially during the first 3 months of taking Leena. Tell your doctor if this bleeding continues or is very heavy.

What if I forget to use a dose of Leena?

Follow the instructions provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Missing a pill increases your risk of becoming pregnant.

• If you miss one active pill, take two pills on the day that you remember. Continue to take one pill per day for the rest of the pack.

• If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack.

• Use back-up birth control for at least 7 days following the missed pills.

• If you miss two active pills in a row in Week 3, throw out the rest of the pack and start a new pack the same day if you start on Day 1. If you start on Sunday, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day.

• If you miss three active pills in a row in Week 1, 2, or 3, throw out the rest of the pack and start a new pack on the same day if you start on Day 1. If you start on Sunday, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day.

• If you miss a reminder pill, throw it away and keep taking one reminder pill per day until the pack is empty. You do not need back-up birth control if you miss a reminder pill.

• If you miss two or more pills, you may not have a period during the month.

• If you miss a period for two months in a row, call your doctor because you might be pregnant.

What happens if I overdose on Leena?

In case of overdose, seek immediate medical attention or call Poison Control (1-800-222-1222) to find out what to do.

Symptoms of overdose on Leena may include:

• vaginal bleeding

• nausea

• vomiting

Before using Leena, tell your doctor if:

• you have high blood pressure

• you have varicose veins

• you have high cholesterol or triglycerides

• you have a history of irregular menstrual cycles

• you have a history of depression

• you have seizures or epilepsy

• you have diabetes

• you have underactive thyroid or gallbladder disease

• you have tuberculosis

• a history of fibrocystic breast disease, nodules, lumps or an abnormal mammogram

• untreated or uncontrolled high blood pressure

• a blood-clotting disorder

• circulation problems

• heart disease

• problems with your eyes, kidneys or circulation caused by diabetes

• unusual vaginal bleeding

• severe migraine headaches, especially if you are older than 35

• a history of jaundice caused by birth control pills or pregnancy

• if you smoke and are over 35 years old

• a history of hormone-related cancer such as breast cancer or uterine cancer

• liver disease or liver cancer

• Do not take Leena if you are pregnant or have recently had a baby.

• Stop taking Leena and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row.

• Taking Leena or any other birth control pills can increase risk of blood clots, stroke, or heart attack. You are even more at risk for developing blood clots, stroke or a heart attack if you have high blood pressure, diabetes, high cholesterol, or if you are overweight.

• Breakthrough bleeding may occur, especially during the first 3 months of taking Leena. Tell your doctor if this bleeding continues or is very heavy.

• Vomiting and diarrhea can prevent your birth control pills from working well. Use a back-up birth control if you are sick with severe vomiting or diarrhea.

You should not take Leena if you have:

• you have high blood pressure

• you have varicose veins

• you have high cholesterol or triglycerides

• you have a history of irregular menstrual cycles

• you have a history of depression

• you have seizures or epilepsy

• you have diabetes

• you have underactive thyroid or gallbladder disease

• you have tuberculosis

• a history of fibrocystic breast disease, nodules, lumps or an abnormal mammogram

• untreated or uncontrolled high blood pressure

• a blood-clotting disorder

• circulation problems

• heart disease

• problems with your eyes, kidneys or circulation caused by diabetes

• unusual vaginal bleeding

• severe migraine headaches, especially if you are older than 35

• a history of jaundice caused by birth control pills or pregnancy

• if you smoke and are over 35 years old

• a history of hormone-related cancer such as breast cancer or uterine cancer

• liver disease or liver cancer

• Do not take Leena if you are pregnant or have recently had a baby.

• Stop taking Leena and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row.

• Taking Leena or any other birth control pills can increase risk of blood clots, stroke, or heart attack. You are even more at risk for developing blood clots, stroke or a heart attack if you have high blood pressure, diabetes, high cholesterol, or if you are overweight.

• Breakthrough bleeding may occur, especially during the first 3 months of taking Leena. Tell your doctor if this bleeding continues or is very heavy.

• Vomiting and diarrhea can prevent your birth control pills from working well. Use a back-up birth control if you are sick with severe vomiting or diarrhea.

Additional precautions:

• you have high blood pressure

• you have varicose veins

• you have high cholesterol or triglycerides

• you have a history of irregular menstrual cycles

• you have a history of depression

• you have seizures or epilepsy

• you have diabetes

• you have underactive thyroid or gallbladder disease

• you have tuberculosis

• a history of fibrocystic breast disease, nodules, lumps or an abnormal mammogram

• untreated or uncontrolled high blood pressure

• a blood-clotting disorder

• circulation problems

• heart disease

• problems with your eyes, kidneys or circulation caused by diabetes

• unusual vaginal bleeding

• severe migraine headaches, especially if you are older than 35

• a history of jaundice caused by birth control pills or pregnancy

• if you smoke and are over 35 years old

• a history of hormone-related cancer such as breast cancer or uterine cancer

• liver disease or liver cancer

• Do not take Leena if you are pregnant or have recently had a baby.

• Stop taking Leena and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row.

• Taking Leena or any other birth control pills can increase risk of blood clots, stroke, or heart attack. You are even more at risk for developing blood clots, stroke or a heart attack if you have high blood pressure, diabetes, high cholesterol, or if you are overweight.

• Breakthrough bleeding may occur, especially during the first 3 months of taking Leena. Tell your doctor if this bleeding continues or is very heavy.

• Vomiting and diarrhea can prevent your birth control pills from working well. Use a back-up birth control if you are sick with severe vomiting or diarrhea.

What are the possible side effects of using Leena?

Contact your doctor if you experience these symptoms and if they do not go away:

• nausea, vomiting, bloating, or stomach cramps

• breast tenderness or swelling, nipple discharge

• darkening of facial skin or freckles

• problems with contact lenses

• increased hair growth or loss of scalp hair

• changes in appetite

• weight loss or weight gain

• vaginal itching or discharge

• changes in your menstrual periods or decreased sex drive

• signs of a severe allergic reaction: difficulty breathing, swelling of your face, lips, tongue, or throat, or hives

• sudden severe headache, problems with vision or balance, or slurred speech

• sudden numbness or weakness

• depression

• sudden rapid breathing, coughing or wheezing, or coughing up blood

• pain, warmth, swelling or redness in one or both legs

• chest pain or pain in the jaw or shoulder(s)

• nausea, sweating, upper stomach pain, itching, loss of appetite, or general ill feeling

• severe migraine headaches

• dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes)

• swelling in your hands, ankles, or feet

• a breast lump

Contact your doctor immediately or seek emergency medical attention if you experience any of these symptoms:

• nausea, vomiting, bloating, or stomach cramps

• breast tenderness or swelling, nipple discharge

• darkening of facial skin or freckles

• problems with contact lenses

• increased hair growth or loss of scalp hair

• changes in appetite

• weight loss or weight gain

• vaginal itching or discharge

• changes in your menstrual periods or decreased sex drive

• signs of a severe allergic reaction: difficulty breathing, swelling of your face, lips, tongue, or throat, or hives

• sudden severe headache, problems with vision or balance, or slurred speech

• sudden numbness or weakness

• depression

• sudden rapid breathing, coughing or wheezing, or coughing up blood

• pain, warmth, swelling or redness in one or both legs

• chest pain or pain in the jaw or shoulder(s)

• nausea, sweating, upper stomach pain, itching, loss of appetite, or general ill feeling

• severe migraine headaches

• dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes)

• swelling in your hands, ankles, or feet

• a breast lump

How do I store Leena?

Store this medicine at room temperature away from moisture and heat. Keep out of reach of children and away from pets.

Warnings

• Do not take this medicine if you smoke and are over 35 years old. Smoking can greatly increase your risk of blood clots, stroke, or heart attack. The risks increase the older you are and the more you smoke.

• Do not take this medication if you are nursing a baby. The hormones in birth control pills can slow breast milk production. They can also pass into breast milk and harm a nursing baby.

• Leena will not provide protection against the spread of human immunodeficiency virus (HIV, the virus that causes acquired immunodeficiency syndrome [AIDS]) and other sexually transmitted diseases.

Is Leena a Brand or Generic drug?