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What is Mircette?

Mircette (ethinyl estradiol and desogestrel) contains a combination of female hormones that prevent ovulation (the release of an egg from an ovary). This medicine also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.

Mircette is a birth control pill used for contraception to prevent pregnancy.

Mircette may also be used for purposes not listed in this medication guide.
Important information

Do not use Mircette if you are pregnant or if you have recently had a baby.

You should not take Mircette if you have any of the following conditions: uncontrolled high blood pressure, heart disease, a blood-clotting disorder, circulation problems, diabetic problems with your eyes or kidneys, unusual vaginal bleeding, liver disease, liver cancer, severe migraine headaches, if you smoke and are over 35, or if you have ever had breast or uterine cancer, jaundice caused by birth control pills, a heart attack, a stroke, or a blood clot.
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Taking Mircette can increase your risk of blood clots, stroke, or heart attack, especially if you have certain other conditions, or if you are overweight.

Smoking can greatly increase your risk of blood clots, stroke, or heart attack. You should not take Mircette if you smoke and are over 35 years old.
Before taking this medicine

Taking Mircette 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 birth control pills. Your risk is also high when you restart Mircette after not taking them 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 combination birth control pills if you smoke and are over 35 years old.

Do not use if you are pregnant. Stop taking this medicine and tell your doctor if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking Mircette.

You should not take Mircette if you have:

untreated or uncontrolled high blood pressure;

heart disease (coronary artery disease, uncontrolled heart valve disorder, history of heart attack, stroke, or blood clot);

a blood-clotting disorder or circulation problems;

problems with your eyes, kidneys or circulation caused by diabetes;

a history of hormone-related cancer such as breast or uterine cancer;

unusual vaginal bleeding that has not been checked by a doctor;

liver disease or liver cancer;

severe migraine headaches (with aura, numbness, weakness, or vision changes);

a history of jaundice caused by pregnancy or birth control pills; or

if you smoke and are over 35 years old.

To make sure Mircette are safe for you, tell your doctor if you have:

high blood pressure, varicose veins;

high cholesterol or triglycerides;

a history of depression;

underactive thyroid, gallbladder disease;

seizures or epilepsy;

a history of irregular menstrual cycles;

tuberculosis; or

a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.

The hormones in Mircette can pass into breast milk and may harm a nursing baby. This medicine may also slow breast milk production. Do not use Mircette if you are breast feeding a baby.
How should I take Mircette?

Take Mircette 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.

Before you start taking Mircette

The correct way to take Mircette tablets is to take one pill every day at the same time. If you miss pills you could get pregnant. This includes starting the pack late. The more pills you miss, the more likely you are to get pregnant.
Many women have spotting or light bleeding, or may feel sick to their stomach during the first 1 to 3 packs of Mircette. If you feel sick to your stomach, do not stop taking the pill. The problem will usually go away. If it doesn't go away, check with your doctor or healthcare provider.
Missing pills can also cause spotting or light bleeding, even when you make up these missed pills. On the days you take 2 pills to make up for missed pills, you could also feel a little sick to your stomach.
If you have vomiting or diarrhea, for any reason, or if you take some medicines, including some antibiotics, your pills may not work as well. Use a back-up method (such as condoms, foam, or sponge) until you check with your doctor or healthcare provider.
If you have trouble remembering to take the pill, talk to your doctor or healthcare provider about how to make pill-taking easier or about using another method of birth control.
If you have any questions or are unsure about the information found on this page, call your doctor or healthcare provider.

Before you start taking your pills

Decide what time of day you want to take your pill. It is important to take it at about the same time every day.
Look at your pill pack: it will have 28 pills: this 28 pill pack has 26 "active" [white and yellow] pills (with hormones) and 2 "inactive" [light-green] pills (without hormones).
Also find: where on the pack to start taking the pills, in what order to take the pills (follow the arrows) and the week numbers.
Be sure you have ready at all times: another kind of birth control (such as condoms, foam, or sponge) to use as a back-up in case you miss pills and an extra, full packet of Mircette.

When to start the first pack of Mircette pills

You have a choice of which day to start taking your first pack Mircette. Decide with your doctor or healthcare provider which is the best day for you. Pick a time of day which will be easy to remember.

Day 1 start

Pick the day label strip that starts with the first day of your period (this is the day you start bleeding or spotting, even if it is almost midnight when the bleeding begins).
Place this day label strip in the cycle tablet dispenser over the area that has the days of the week (starting with Sunday) imprinted on the blister card. Note: if the first day of your period is a Sunday, you can skip steps #1 and #2.
Take the first "active" [white] pill of the first pack during the first 24 hours of your period.
You will not need to use a back-up method of birth control, since you are starting the pill at the beginning of your period.

Sunday start

Take the first "active" [white] pill of the first pack on the Sunday after your period starts, even if you are still bleeding. If your period begins on Sunday, start the pack that same day.
Use another method of birth control as a back-up method if you have sex anytime from the Sunday you start your first pack until the next Sunday (7 days). Condoms, foam, or the sponge are good back-up methods of birth control.

What to do during the month

Take one pill at the same time every day until the pack is empty. Do not skip pills even if you are spotting or bleeding between monthly periods or feel sick to your stomach (nausea). Do not skip pills even if you do not have sex very often.

When you finish a Mircette pack or switch your brand of pills

21 pills: wait 7 days to start the next pack. You will probably have your period during that week. Be sure that no more than 7 days pass between 21 day packs.

28 pills: start the next pack on the day after your last pill. Do not wait any days between packs.

You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.

Use a back-up birth control if you are sick with severe vomiting or diarrhea.

If you need surgery or medical tests or if you will be on 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 Mircette.

While taking Mircette, you will need to visit your doctor regularly.

Store Mircette at room temperature away from moisture and heat.
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