Buy Jolessa Online

(Ethinyl Estradiol/Levonorgestrel)

The active ingredients in Jolessa are levonorgestrel and ethinyl estradiol.

• Jolessa works by using a combination of estrogen and progestin hormones to prevent pregnancy. These hormones affect several reproductive processes in the body.
• The mechanism of action involves several effects:
• Preventing ovulation so the ovary does not release an egg.
• Thickening cervical mucus to make it harder for sperm to reach the egg.
• Changing the lining of the uterus to reduce the chance of implantation.
• Because Jolessa is an extended-cycle contraceptive, the active pills are taken for 84 consecutive days, followed by a short hormone-free interval. This extended dosing schedule results in fewer menstrual periods compared with traditional birth control pills.
• Combination oral contraceptives such as Jolessa work best when taken consistently at the same time every day.

Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide before using Jolessa. However, the following is a synopsis of the general guidelines for the use of Jolessa:

• Take Jolessa exactly as prescribed by your healthcare provider.
• The medication is taken by mouth once daily.
• Take one tablet each day at the same time.
• Jolessa packs typically contain 84 active pills followed by 7 inactive pills.
• Begin the first cycle according to your healthcare provider’s instructions, often on the first day of your menstrual period.
• Start a new pack immediately after finishing the previous pack.

If a dose is missed, follow the instructions in the patient information leaflet or contact your healthcare provider.

Some mild or common side effects of Jolessa include:

• Breakthrough bleeding.
• Irregular vaginal bleeding.
• Breast tenderness.
• Nausea.
• Headache.
• Bloating.
• Mood changes.
• Weight gain.

Some individuals may experience serious side effects while using Jolessa. These side effects may require immediate medical attention. If you experience any of the following, contact your healthcare provider or seek emergency medical help:

• Heart attack symptoms such as chest pain, abdominal discomfort, sweating, nausea, and dizziness.
• Stroke: sudden numbness or weakness in the arm, leg, or face, confusion, trouble seeing, severe headache, and trouble walking.
• Deep vein thrombosis (blood clot in the leg) with symptoms such as leg cramp, swelling, pain, and muscle tightness.
• Pulmonary embolism (blood clot in the lung) with symptoms like cough, chest pain, trouble breathing, and a racing heart.
• Liver or gallbladder problems such as yellowing of the skin or the whites of the eyes (jaundice), tiredness, pain in the right upper stomach, and dark urine.
• Allergic reactions such as swelling, rash, hives, and shortness of breath.
• Increased risk of cervical and breast cancer.

These are not all of the possible side effects of Jolessa. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.

Before starting Jolessa, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including:

• High blood pressure or hypertension.
• Heart disease or coronary artery disease.
• Liver disease or hepatitis C.
• High cholesterol or triglycerides.
• Gallbladder disease.
• Amenorrhea.
• A history of blood clots or pulmonary embolism.
• Breast cancer or other hormone-related cancers.
• Jolessa should not be used as protection against sexually transmitted diseases. Other methods, such as condoms, may be needed to prevent infections.
• Patients should speak with a health care professional before using herbal products or supplements that may affect hormone levels.

Boxed Warning

Combination hormonal contraceptives carry a serious safety warning related to smoking and liver risks. Cigarette smoking significantly increases the risk of serious cardiovascular side effects, especially in women over 35 years of age and those who smoke heavily (15 or more cigarettes per day). For this reason, women using oral contraceptives are strongly advised not to smoke. In addition, these contraceptives should not be used alongside certain hepatitis C treatments containing ombitasvir, paritaprevir, ritonavir, with or without dasabuvir, as this combination may lead to harmful increases in liver enzymes (ALT).

Jolessa should not be used in individuals who have:

• A history of blood clots or thromboembolism.
• Known or suspected breast cancer.
• Severe liver disease.
• Known hypersensitivity to ethinyl estradiol, levonorgestrel, or any ingredient in the medication.
• Uncontrolled high blood pressure or other major heart problems.
• Females over the age of 35 who smoke or have migraine headaches.
• Migraine headaches with aura.
• Currently pregnant.
• Undiagnosed vaginal bleeding.
• Take certain hepatitis C medications that contain ombitasvir, paritaprevir, and ritonavir, with or without dasabuvir.

Your healthcare provider will review your medical history to determine whether Jolessa is appropriate.

Jolessa may begin preventing ovulation shortly after starting the first cycle when taken correctly. However, additional contraceptive protection, such as spermicide or another method, may be recommended during the first week of use.

When Jolessa takes other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:

• Rifampin or rifabutin, which may decrease hormone levels and reduce contraceptive effectiveness.
• Carbamazepine, phenytoin, barbiturates, felbamate, or topiramate, which may increase hormone metabolism and reduce effectiveness.
• Ritonavir or nevirapine, which may alter hormone concentrations.
• St. John’s wort, which may reduce contraceptive effectiveness.
• Griseofulvin, which may decrease hormone levels.
• Cyclosporine, which may have altered levels when taken with estrogen-containing contraceptives.
• Atorvastatin.
• Dasabuvir.
• Temazepam.
• Tizanidine.

Patients should inform their healthcare provider about all supplements and herbal products they take.

Jolessa is available as oral tablets in extended-cycle packs.

Typical packs contain:

84 active tablets containing levonorgestrel and ethinyl estradiol.

7 inactive tablets.

These tablets are taken daily as part of a 91-day contraceptive cycle.

It should be stored at room temperature, away from the reach of children or pets.

Jolessa has been manufactured by Teva Pharmaceuticals and other pharmaceutical companies.

Yes, generic versions of levonorgestrel and ethinyl estradiol extended-cycle contraceptives are available.

If you wish to stop taking Jolessa, speak with your healthcare provider. They can help determine the safest way to discontinue the medication and discuss alternative forms of contraception if needed.

Stopping the medication may result in the return of regular menstrual cycles.

Jolessa should not be used during pregnancy. If pregnancy occurs while taking the medication, contact your healthcare provider for medical advice.

Talk to your doctor if you are already breastfeeding or if you have any plans to breastfeed. Your healthcare provider will determine whether Jolessa is appropriate during breastfeeding.