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  • Generic Name: (ethinyl estradiol/ferrous fumarate/norethindrone)
    Other Brands: N/A
  • Last Revised: 01/2016
    • What is this medication and its most common uses?

      Kaitlib Fe is a birth control pill used to prevent pregnancy. Kaitlib Fe contains two female hormones: an estrogen called ethinyl estradiol and a progestin called norethindrone.

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

      How does this medication work?

      Kaitlib Fe works by stopping a woman's egg from fully developing each month. The egg can no longer accept a sperm, thereby preventing pregnancy.

      Birth control pills do not protect against HIV infection (AIDS) and other sexually transmitted diseases. Always follow your healthcare provider's instructions.

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

      What: Based on the results of a clinical study, 1 to 3 women out of 100 women may get pregnant during the first year they use Kaitlib Fe. Your chance of getting pregnant depends on how well you follow the directions for taking your birth control pills. The more carefully you follow the directions, the less chance you have of getting pregnant.

      When: It may take 7 days for the pills to take effect in preventing pregnancy. Therefore, if you start taking Kaitlib Fe on a day other than the first day of your period or if you are starting after having been pregnant and have not yet had a period, use a back-up method of birth control (such as a condom or spermicide) until you have taken a light green pill for 7 days in a row.

      How do I know it is working?

      If you are taking the pill 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.

      Do not use Kaitlib Fe if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious heart and blood vessel problems from birth control pills, including death from heart attack, blood clots, or stroke. This risk increases with age and the number of cigarettes you smoke.

      More common side effects may include: nausea, vomiting, headaches or migraines, depression or mood complaints, spotting or bleeding between menstrual periods, acne, anxiety symptoms, breast pain or tenderness, weight gain.

      Less common side effects may include:

      Increased risk of blood clots in your legs, lungs, eyes, heart, or brain. Some women who take birth control pills may get high blood pressure, gallbladder problems, or rare cancerous or noncancerous liver tumors. Call your healthcare provider right away if you have persistent leg pain; sudden shortness of breath; sudden partial or complete blindness; severe pain in your chest; sudden, severe headache unlike your usual headaches; weakness or numbness in an arm or leg; trouble speaking, or jaundice (yellowing of your skin or the whites of your eyes).

      Unscheduled (irregular) vaginal bleeding or spotting may occur. Unscheduled bleeding may vary from slight staining to breakthrough bleeding, which is a flow much like a regular period, but which occurs between menstrual periods. Unscheduled 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. Such bleeding may be temporary and usually does not indicate any serious problems.

      Birth control pills may also cause decreased sexual desire; bloating or fluid retention; blotchy darkening of the skin (especially on the face); high blood sugar (especially in women who already have diabetes); high cholesterol (a type of fat in the blood) levels; or problems tolerating contact lenses.

    • Who should not take this medication?

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

      Do not take Kaitlib Fe if you have ever had breast cancer or any cancer that is sensitive to female hormones; blood clots in your arms, legs, or lungs; a stroke; or a heart attack; if you have liver disease (including liver tumors); certain heart valve problems or heart rhythm abnormalities that can cause blood clots to form in the heart; an inherited problem with your blood that makes it clot more than normal; high blood pressure that cannot be controlled with medicine; diabetes with kidney, eye, or blood vessel damage; or certain kinds of severe migraine headaches with aura, numbness, weakness, or changes in vision.

      Do not take Kaitlib Fe if you smoke and are over 35 years old, or if you are pregnant.

    • 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 Kaitlib Fe. Also, talk to your healthcare provider about your complete medical history, especially if you have ever had jaundice caused by pregnancy (also called cholestasis of pregnancy); have high blood pressure, diabetes, high cholesterol levels, depression, or hereditary angioedema (a rare genetic condition that causes swelling of various parts of the body); plan to have major surgery; 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: Take one pill a day. There are 24 light green pills with hormones, and 4 brown pills without hormones.

      Day 1 Start: Take the first light green pill of the first pack during the first 24 hours of your period. Continue taking one pill every day. After taking the last brown pill (Day 28) of the wallet, start taking the first light green pill from a new wallet the very next day whether or not you are having your period.

    • How should I take this medication?

      Take Kaitlib Fe exactly as prescribed by your healthcare provider. Be sure to read the instructions that came with your prescription before you start taking Kaitlib Fe.

      Chew and swallow one pill every day without water at the same time. Take the pills in the order directed on the wallet.

      You may feel sick to your stomach (nauseated), especially during the first few months that you take Kaitlib Fe. If you feel sick to your stomach, do not stop taking the pill. The problem will usually go away. If your nausea does not go away, call your healthcare provider.

      If you start taking Kaitlib Fe at the beginning of your period, you will not need to use a back-up method of birth control. However, if you start on a day other than the first day of your period or if you are starting after having been pregnant and have not yet had a period, use a back-up method of birth control (such as a condom or spermicide) until you have taken a light green pill for 7 days in a row.

      If you start taking Kaitlib Fe and you are switching from a combination hormonal method (such as another pill, vaginal ring, or patch), take the first light green pill on the first day you would have started your previous birth control pack. If you previously used a vaginal ring or transdermal patch, finish the 21 days of use and wait 7 days after removal of the ring or transdermal patch before starting Kaitlib Fe. Use a non-hormonal back-up method (such as a condom and spermicide) for the first 7 days you take Kaitlib Fe.

      If you start taking Kaitlib Fe and you are switching from a progestin-only method (such as a progestin-only pill, implant, intrauterine system, or injection), take the first light green pill on the day you would have taken your next progestin-only pill or on the day of removal of your implant or intrauterine system or on the day when you would have had your next injection. Use a non-hormonal back-up method the first 7 days you take Kaitlib Fe.

      If you miss a period, you could be pregnant. However, some women miss periods or have light periods on birth control pills, even when they are not pregnant. Contact your healthcare provider for advice if you think you are pregnant, miss one period and have not taken your birth control pills according to directions, or if you miss two periods in a row.

    • What should I avoid while taking this medication?

      Do not skip pills or take at intervals exceeding 24 hours. If you miss pills (including starting the pack late), you could get pregnant. The more pills you miss, the more likely you are to get pregnant.

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

      If Kaitlib Fe is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Kaitlib Fe 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 Kaitlib Fe during pregnancy. However, birth control pills taken by accident during pregnancy are not known to cause birth defects. Kaitlib Fe can be found in your breast milk, and may decrease the amount of milk you make. If you are breastfeeding, consider another birth control method until you are ready to stop breastfeeding. 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 miss one light green pill, take it as soon as you remember. Take the next pill at your regular time. This means you may take two pills in 1 day. You do not need to use a back-up birth control method if you have sex.

      If you miss two light green pills in a row in Week 1 or Week 2 of your pack, take two pills on the day you remember and two pills the next day, then take one pill a day until you finish the pack. You must use a non-hormonal birth control method (such as a condom and spermicide) as a back-up for those 7 days.

      If you miss two light green pills in a row in Week 3 or Week 4 of your pack, throw out the rest of the pill pack and start a new pack that same day. You must use a non-hormonal birth control method as a back-up for those 7 days after you restart your pills.

      If you miss three or more light green pills in a row at any time, throw out the rest of the pill pack and start a new pack that same day. You must use a non-hormonal birth control method as a back-up the next time you have sex and for the first 7 days after you restart your pills.

      If you forget any of the four brown "reminder" pills in Week 4, throw away the pills you missed. Keep taking one pill each day until the pack is finished. You do not need to use a back-up method of birth control.

      If you are still not sure of what to do about the pills you have missed, call your healthcare provider. Use a back-up birth control method anytime you have sex and keep taking 1 pill each day.

    • 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.
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