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  • Generic Name: (norethindrone)
    Other Brands: N/A
  • Last Revised: 09/2014
    • What is this medication and its most common uses?

      Jolivette is a birth control pill used to prevent pregnancy.

    • What should I know when beginning and continuing on this medication?

      How does this medication work?

      Jolivette delivers hormones to suppress ovulation. If ovulation does not occur, your egg is not released, thereby preventing you from becoming pregnant. Jolivette also works by thickening the lining of your cervix, thereby inhibiting sperm penetration and by affecting other hormones in your body.

      Birth control pills do not protect against getting or giving someone HIV (AIDS) or any other sexually transmitted diseases (such as chlamydia, genital warts, or herpes).

      What are the beneficial effects of this medication and when should I begin to have results?

      What: When Jolivette is taken correctly without missing any pills, the chance of becoming pregnant is approximately 0.5% in the first year.

      When: The effects of pregnancy prevention are different depending on the day you start your first pack of pills. If you start on the first day of your period, the pills should be effective right away, and you therefore will not need a back-up method of birth control. If you start on any other day, use another method of birth control as a back-up method (such as a condom or spermicide) every time you have sex during the next 48 hours.

      How do I know it is working?

      If you are taking the pills as directed by your healthcare provider and not missing any doses, you should be protected from becoming pregnant.

    • What are the possible side effects of this medication?

      The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

      More common side effects may include: Irregular vaginal bleeding or spotting.


      Less common side effects may include:

      Ectopic pregnancy (a life-threatening condition where a pregnancy occurs outside the womb) that may lead to internal bleeding and infertility. Tell your healthcare provider if you experience unusual vaginal bleeding or abdominal pain.

      Ovarian cysts (small sacs of fluid in the ovary) with symptoms such as abdominal (stomach area) pain.

      Noncancerous but dangerous liver tumors or other liver problems, with symptoms such as severe pain or tenderness in your stomach area, or yellowing of your skin or the whites of your eyes, often accompanied by fever, fatigue, loss of appetite, dark-colored urine, or light-colored bowel movements.

      Jolivette may also cause headaches, nausea, breast tenderness, dizziness, weight gain, acne (pimples), or extra hair on your face or body.

    • Who should not take this medication?

      Do not take Jolivette if you are allergic to it or any of its ingredients.

      Do not take Jolivette if you are or think you may be pregnant.

      Do not take Jolivette if you currently have or have had certain cancers (including breast cancer), liver problems, or liver tumors.

      Do not take Jolivette if you have any unusual vaginal bleeding.

    • What should I tell my healthcare provider before I take the first dose of this medication?

      Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Jolivette. Also, talk to your healthcare provider about your complete medical history, especially if you have seizures; diabetes; migraines; heart, liver, thyroid, or kidney problems; or if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What is the usual dosage?

      The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

      Women and adolescents who have had their first menstrual period: There are 28 pills in the pill pack. Take the first pill of the first pack during the first 24 hours of your period. Continue to take one pill once a day for 28 days. After all 28 pills have been taken; start a new course the next day.

    • How should I take this medication?

      Take Jolivette exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Jolivette without first talking to your healthcare provider.

      Take your dose at the same time every day. Start the next pack the day after the last pack is finished. There is no break between packs. Always have your next pack of pills ready.

      You will not need to use a back-up method of birth control if you are starting the pill on the first day of your period. However, if you start taking Jolivette on any other day, use a backup method (such as a condom and/or spermicide) every time you have sex during the next 48 hours.

      If you vomit soon after taking a pill, use a backup method (such as a condom and/or spermicide) for 48 hours.

    • What should I avoid while taking this medication?

      Do not smoke cigarettes while you are taking Jolivette.

      Do not skip pills, even if you are spotting or bleeding between monthly periods, feel sick to your stomach (nausea), or if you do not have sex very often.

    • What are the possible food and drug interactions associated with this medication?

      If Jolivette is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Jolivette may interact with numerous medications. Therefore, it is very important that you tell your healthcare provider about any other medications you are taking.

    • May I receive this medication if I am pregnant or breastfeeding?

      Do not take Jolivette if you are pregnant. Jolivette can be found in your breast milk if you take it while breastfeeding.

      If you are fully breastfeeding, you may start taking Jolivette 6 weeks after delivery. If you are partially breastfeeding, you may start taking Jolivette 3 weeks after delivery.

      Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

       

    • What should I do if I miss a dose of this medication?

      If you are more than 3 hours late or you miss one or more pills, take the missed dose as soon as you remember and return to your regular dosing schedule. Use a backup method (such as a condom and/or spermicide) every time you have sex for the next 48 hours.

      If you are not sure what to do about the pills you missed, keep taking Jolivette as scheduled and use a backup method until you talk to your healthcare provider.

    • How should I store this medication?

      Store at room temperature.

    • Who should I contact in case of emergency or overdose?
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      In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
      National Poison Control#: Call 1-800-222-1222

      This PDR+ drug information has been developed by the Physicians’ Desk Reference Network (PDRN), a source of medication information trusted by doctors for over 65 years.

      This monograph summarizes the most important information about your medication and does not cover all the information you may need. If you have any questions or concerns or want to learn more about your medication, ask your healthcare provider; he/she will be able to provide answers to your questions. This medication should only be used by the patient for whom it was prescribed and should not be shared with other people.
    • Additional patient resources.
      back to top Use your PDR® Pharmacy Discount Card when you or a family member fills a prescription and ask for your PDR® Discount every
      time!
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    This discount plan is NOT insurance or a Medicare prescription drug plan. The plan is not intended as a substitute for insurance and does not meet creditable coverage requirements under state or federal law. The plan provides discounts at participating pharmacies on certain pharmaceutical supplies, prescription drugs, or medical equipment and supplies. The range of discounts will vary depending on the products received. Members are obligated to pay the pharmacy the entire amount of the discounted rate for such products at the point of sale. The plan does not pay pharmacies for products provided to members. No enrollment or periodic fees apply. The pharmacy may pay the plan a fee from amounts the pharmacy collects from the member. The discount plan organization is ProCare Pharmacy Benefit Manager, Inc.,1267 Professional Parkway, ProCare Office Park, Gainesville, GA 30507, 1-888-299-5383. Customer service is provided by PDR, LLC., 5 Paragon Drive, Montvale, NJ, 07645, 1-800-232-7379, www.pdr.net/DiscountCard, customerservice@pdr.net.