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Old 11-14-2007, 11:45 PM   #1 (permalink)
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Exclamation Who should not take the pill

Women who fall into the following categories should
NOT take the
compined contraception pills pill because of an increased risk of complications:

· Aged 35 or over who smoke cigarettes (very high risk for cardiovascular complications)

· Are pregnant
·
Have had blood clots or a stroke in the past, because these women are more likely to have blood clots while taking the pill
·
Have a history of an estrogen-dependent tumor (eg, breast or uterine cancer)

· Have abnormal or unexplained menstrual bleeding (the cause of the bleeding should be investigated before starting the pill)
· Have active liver disease (the pill could worsen the liver disease)


Special concerns — Some women can take the pill, but need close monitoring:

· Women with high blood pressure can experience a further increase in blood pressure and should be monitored more frequently
while on the pill.

· Women who take certain medication for seizures (epilepsy)
and take the pill have a slightly higher risk of pill failure (pregnancy) because the seizure medicines change the way the pill is metabolized.

· Women with migraine headaches associated with visual
symptoms or other neurological symptoms should not use the pill.

· Women with diabetes mellitus who are on the pill may need a slightly higher dose of insulin or oral diabetes medication. Women with diabetes and vascular complications from diabetes should not use the pill.
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