Justima Special Precautions

Regular visits to physician at least every 6 to 12 months to check progress.
Stop medication immediately and check with physician if pregnancy is suspected.
If schedules for laboratory tests, tell the physician if taking birth control pills; certain blood test may be affected by oral contraceptives.
Not refilling an old prescription for oral contraceptives without having a physical examination by physician, especially after pregnancy.
Stop using Justima and immediately go to the physician if the patient has possible signs of thrombosis, such as: Extreme pain and/or inflammation of one of the legs; intense and sudden chest pain, which may reach the left arm; sudden difficulty in breathing; sudden cough without clear cause; unusual headache, intense or prolonged, or worsening of a migraine; partial or complete vision loss, or double vision; difficulty or inability to speak; vertigo or fainting; weakness, abnormal sensations, or numbness of any part of the body.
Justima and Cancer: Women who take combined contraceptives have a slightly higher rate of breast cancer than women who don't, but it is not known if this is due to the medication. For example, it is possible that more tumors are detected in women who take contraceptives because they are examined by their physician more frequently. The breast cancer rate reduces gradually after the patient decide to stop taking combined hormonal contraceptives.
It is important to regularly examine the breast and go to the physician if the patient finds any lump.
Benign liver tumors have been found in women who use combined contraceptives on rare occasions and malignant tumors are even rarer. Go to the physician if the patient experiences sudden intense abdominal pain.