Before you begin taking a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Diane 35.
Birth control: Diane 35 should not be used only for the purpose of birth control. Women should use a non-hormonal method of birth control (such as condoms) while taking Diane 35. Birth control pills should not be taken at the same time as cyproterone - ethinyl estradiol.
Blood clots: Diane 35 appears to increase the risk of developing blood clots. This risk may be greater than that which occurs with birth control pills. These blood clots may form anywhere in the body, but are more noticeable when they occur in the large muscles, lung, brain (stroke), or heart (heart attack). This risk of developing blood clots is increased in women over 35 years of age. If you experience pain in the chest or leg, unexplained shortness of breath, fast and irregular heartbeat, severe headache, blurred vision, or slurred speech, get immediate medical attention.
Breast cancer: All women who take Diane 35 should practice breast self-examination. Ask your doctor to teach you how to do this. If you have a family history of breast cancer, you should be closely monitored by your doctor while taking Diane 35.
Diabetes: Diane 35 can cause changes in blood sugars. If you have diabetes or a family history of diabetes, discuss with your doctor how Diane 35 may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Diane 35, and whether any special monitoring is needed.
Depression: Hormones, such as cyproterone - ethinyl estradiol have been known to cause mood swings and symptoms of depression. If you have depression or a history of depression, discuss with your doctor how Diane 35 may affect your medical condition and whether any special monitoring is needed.
If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking Diane 35, contact your doctor as soon as possible.
Blood pressure: You should not take Diane 35 if you have high blood pressure that is not controlled by medication. If you have high blood pressure, discuss with your doctor how Diane 35 may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Diane 35, and whether any special monitoring is needed.
Liver function: Like other hormones, cyproterone - ethinyl estradiol can cause decreased liver function and liver disease. If you have decreased liver function or liver disease, discuss with your doctor how Diane 35 may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Diane 35, and whether any special monitoring is needed. Diane 35 should not be taken by women with severe liver disease.
If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.
Medical conditions: The combination of Obesity, high blood pressure, and diabetes greatly increases the risk of side effects from Diane 35. If you have this combination of medical conditions, discuss with your doctor how Diane 35 may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Diane 35, and whether any special monitoring is needed.
Diane 35 can cause fluid retention, which may worsen conditions such as high blood pressure, heart disease, or Kidney Disease.
Migraine: Diane 35 may cause migraine headaches to occur. If you experience a new pattern of headaches that is severe, persistent, or recurrent, contact your doctor as soon as possible. Cyproterone - ethinyl estradiol is not recommended for people who experience migraine headaches with aura.
Smoking: Smoking increases the risk of serious side effects on the heart and blood vessels. This risk increases with age and heavy smoking (15 or more cigarettes per day) and is even more serious for women over 35 years of age. Women who use Diane 35 should not smoke.
Surgery: Certain situations such as long-term bed confinement may make blood clots more likely. Discuss with your doctor the risks and benefits of temporarily stopping Diane 35. If you are scheduled for surgery, let all doctors involved in your care know that you are taking Diane 35.
Vaginal bleeding: Report any unusual vaginal bleeding to your doctor.
Vision and contact lenses: Like other hormones, cyproterone - ethinyl estradiol may cause changes to the shape of the eye. If your contact lenses do not seem to fit as well as they used to, consult your doctor or eye care professional. You may need to stop wearing them or be fitted for a different pair. If you experience any vision changes while taking Diane 35, contact your doctor.
Pregnancy: Diane 35 should not be taken by pregnant women as it can cause harm to the developing baby. If you become pregnant or suspect that you may be pregnant while taking Diane 35, contact your doctor immediately. After stopping treatment, you should wait until at least one normal menstrual cycle has occurred before trying to get pregnant.
Breast-feeding: Diane 35 passes into breast milk and can reduce the amount and quality of breast-milk produced. Diane 35 is not recommended for women who are breast-feeding.
