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Take this medication by mouth with water. You can take it with or without food. Take it as directed on the prescription label at the same time every day. Keep taking it unless your care team tells you to stop.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your care team about the use of this medication in children. It is not approved for use in children.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

Visit your care team for regular checks on your progress. You will need a regular breast and pelvic exam while on this medication. It may take several cycles of use to see improvement in your condition.
You may have a change in bleeding pattern or irregular periods. Many patients stop having periods while taking this medication.
Talk to your care team if you use tobacco products. Changes to your treatment plan may be needed. Tobacco increases the risk of getting a blood clot or having a stroke while you are taking this medication. This risk is higher if you are over the age of 35.
This medication can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your care team if you feel you are retaining fluid.
This medication may cause weak bones (osteoporosis). Only use this product for the amount of time your care team tells you to. The longer you use this product, the more likely you will be at risk for weak bones. Ask your care team how you can keep strong bones.
Talk to your care team if you wish to become pregnant or think you might be pregnant. This medication can cause serious birth defects. Estrogen and/or progestin hormones may not work as well while you are taking this medication. A barrier contraceptive, such as a condom or diaphragm, is recommended during and for 28 days after stopping treatment. Talk to your care team about other forms of contraception.
If you are going to need surgery or other procedure, tell your care team that you are using this medication.
If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your care team.
Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs).

If you miss a dose, take it within 4 hours of the time that it was supposed to be taken and take the next dose at the usual time. If more than 4 hours have passed, skip the missed dose. The next dose should be taken at the usual time. Do not take double or extra doses.

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, take the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.