Check the conditions that apply to you before taking this
medication:
["Before taking this medicine", "Taking Safyral can increase your risk of blood clots, stroke, or heart attack
You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight
Your risk of stroke or blood clot is highest during your first year of taking Safyral
Your risk is also high when you restart this medicine after not taking it for 4 weeks or longer.", "Smoking can greatly increase your risk of blood clots, stroke, or heart attack
Your risk increases the older you are and the more you smoke
You should not take Safyral if you smoke and are over 35 years old.", "Do not use if you are pregnant
Stop using Safyral and tell your doctor right away if you become pregnant, or if you miss 2 menstrual periods in a row
If you have recently had a baby, wait at least 4 weeks before taking Safyral.", "You should not take Safyral if you have:", "\\\\nan adrenal gland disorder
\\\\n\\\\n\\\\nkidney disease
\\\\n\\\\n\\\\nuntreated or uncontrolled high blood pressure
\\\\n\\\\n\\\\nheart disease (coronary artery disease, history of heart attack, stroke, or blood clot)
\\\\n\\\\n\\\\nan increased risk of having blood clots due to a heart problem or a hereditary blood disorder
\\\\n\\\\n\\\\ncirculation problems (especially if caused by diabetes)
\\\\n\\\\n\\\\na history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina
\\\\n\\\\n\\\\nunusual vaginal bleeding that has not been checked by a doctor
\\\\n\\\\n\\\\nliver disease or liver cancer
\\\\n\\\\n\\\\nsevere migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35
\\\\n\\\\n\\\\na history of jaundice caused by pregnancy or birth control pills
\\\\n\\\\n\\\\nif you smoke and are over 35 years old
or\\\\n\\\\n\\\\nif you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Technivie).\\\\n", "To make sure Safyral is safe for you, tell your doctor if you have ever had:", "\\\\nheart problems, high blood pressure, or if you are prone to having blood clots
\\\\n\\\\n\\\\nhigh levels of potassium in your blood
\\\\n\\\\n\\\\nhigh cholesterol or triglycerides, or if you are overweight
\\\\n\\\\n\\\\ndepression
\\\\n\\\\n\\\\nliver or kidney disease
\\\\n\\\\n\\\\nunderactive thyroid, diabetes, gallbladder disease
or\\\\n\\\\n\\\\na migraine headache.\\\\n", "The hormones in Safyral can pass into breast milk and may harm a nursing baby
Safyral may also slow breast milk production
Do not use if you are breast feeding.", " Safyral pregnancy and breastfeeding warnings (more detail)", "\\\\n\\\\n", "How should I take Safyral?", "Take Safyral exactly as prescribed by your doctor
Follow all directions on your prescription label
Do not take this medicine in larger or smaller amounts or for longer than recommended
Take your first pill on the first day of your period or on the first Sunday after your period begins
You may need to use back-up birth control, such as condoms with spermicide, when you first start using this medication.", "Take one pill every day, no more than 24 hours apart
When the pills run out, start a new pack the following day
You could get pregnant if you do not take one pill daily.", "You must take the pills in the right order for Safyral to be effective in preventing pregnancy
Follow the arrows shown on each row of pills in your blister pack
The last few pills you will take contain only levomefolate and not the contraceptive (birth control) medicines.", "Use back-up birth control if you are sick with severe vomiting or diarrhea.", "You may have breakthrough bleeding, especially during the first 3 months
Tell your doctor if this bleeding continues or is very heavy.", "If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time
Any doctor or surgeon who treats you should know that you are using Safyral.", "Store at room temperature away from moisture and heat."]
Talk to your doctor
One or more conditions apply to you. Please
consult a healthcare professional before taking this medication.