Ovral L is an estrogen and progestin combination contraceptive pill used to prevent pregnancy.

Take Ovral L exactly as it was prescribed for you.

If you need to have any type of medical tests or surgery, or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using birth control pills.

Severe side effects are relatively rare in women who are healthy and do not smoke while they are taking oral contraceptives.

The following symptoms or side effects may be related to blood clots and require immediate medical or emergency help:

weakness or numbness in the arms or legs, especially on one side of the body
vision or speech problems
swelling of the hands, feet or ankles, or rapid weight gain
sudden shortness of breath
sudden loss of coordination, especially on one side of the body
stomach pain (severe)
severe or sudden headaches
leg, arm or groin pain
dizziness or fainting spells
coughing up blood
chest pain

Contact your health care provider as soon as you can.

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products.

warfarin
topiramate
theophylline
tamoxifen or raloxifene
St. John's wort
soy isoflavones supplements
selegiline
ritonavir or other medicines for the treatment of the HIV virus or AIDS
prednisolone
phenytoin
oxcarbazepine
nefazodone
mycophenolate
modafinil
mineral oil
medicines for mental depression
medicines for diabetes, including troglitazone and pioglitazone
medicines for anxiety or sleeping problems, such as diazepam or temazepam
hydrocortisone
grapefruit juice
doxercalciferol
dantrolene
cyclosporine
clofibrate
carbamazepine
caffeine
bosentan
barbiturate medicines for producing sleep or treating seizures (convulsions)
aprepitant
antibiotics or medicines for infections, especially rifampin

Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check before stopping or starting any of your medicines.

If overdose is suspected, contact your local poison control center or emergency room immediately.

Do not use Ovral L if you have:

a history of a stroke or blood clot
circulation problems (especially if caused by diabetes)
a hormone-related cancer such as breast or uterine cancer
abnormal vaginal bleeding
liver disease or liver cancer
severe high blood pressure
severe migraine headaches
a heart valve disorder
a history of jaundice caused by birth control pills

A complete personal and family medical history and physical examination, including blood pressure, should be taken prior to the initiation of COC use.

Such medical examinations should be repeated periodically during the use of COCs.

Please consult your physician for all precautions to observe before starting on a course with Ovral L Tablets.

If you miss a dose of Ovral L contraceptive, or vomit the dose within an hour of taking it, you MUST contact your health care professional for instructions.

Ovral L is used as contraception to prevent pregnancy.

Ovral L may also be used for purposes other than those mentioned here.

Store at room temperature between 15 and 30 degrees C / 59 and 86 degrees F.

Before using Ovral L , tell your doctor if you have:

high blood pressure, heart disease, congestive heart failure, angina (chest pain), or a history of heart attack
high cholesterol or if you are overweight
a history of depression
gallbladder disease
diabetes
seizures or epilepsy
a history of irregular menstrual cycles
a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram
uterine fibroid tumors
varicose veins
tuberculosis