When the pills run out, start a new pack the following day. Take one pill every day, no more than 24 hours apart. You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. You will take your first pill on the first day of your period or on the first Sunday after your period begins. Do not take this medicine in larger or smaller amounts or for longer than recommended. How should I take ethinyl estradiol and levonorgestrel?įollow all directions on your prescription label. a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.a history of irregular menstrual cycles.diabetes, underactive thyroid, gallbladder disease.high cholesterol or triglycerides, or if you are overweight.To make sure birth control pills are safe for you, tell your doctor if you have: if you smoke and are over 35 years old.a history of jaundice caused by pregnancy or birth control pills or.severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35.unusual vaginal bleeding that has not been checked by a doctor.a history of hormone-related cancer such as breast or uterine cancer.problems with your eyes, kidneys or circulation caused by diabetes.a blood-clotting disorder or circulation problems.heart disease (coronary artery disease, uncontrolled heart valve disorder, history of heart attack, stroke, or blood clot).untreated or uncontrolled high blood pressure.You should not take birth control pills if you have:
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