The patient should be instructed to begin taking Larissia on either the first Sunday after the onset of menstruation (Sunday Start) or on Day 1 of menstruation (Day 1 Start). Doctors recommend that people who smoke and are at least 35 years old avoid birth control pills because of an increased risk of heart attack and stroke. If you have taken your pills regularly and miss one menstrual period, continue taking your pills for the next cycle but be sure to inform your healthcare provider before doing so. If jaundice develops in any woman receiving such drugs, the medication should be discontinued. The medication a doctor recommends may depend on insurance coverage and drug availability. The most common type of pill is the combination pill. Take the next pill at your regular time. A person can learn more about monophasic birth control here. Each birth control pill brand may contain different dosages of estrogen and different types of progestin. Yes, we do. Some people prefer this approach because it means they only get a period every 3 months. It is not until one day, when a new girl, Katie Sue, arrives at school and jumps in to play at recess. Adult and Adolescent females 1 tablet (0.15 mg levonorgestrel; 30 mcg ethinyl estradiol) PO once daily for 84 days. Because of these demonstrated effects, prediabetic and diabetic women should be carefully observed while taking oral contraceptives. Birth control pills are medications that help prevent pregnancy. Birth control brands that contain drospirenone include: Birth control pills containing levonorgestrel appear to have a lower risk of side effects, such as blood clots, than pills containing other types of progestin. In particular, a clot in the legs can cause thrombophlebitis and a clot that travels to the lungs can cause a sudden blocking of the vessel carrying blood to the lungs. Blood clots in veins cause death in 1% to 2% of cases. It is important to take it at about the same time every day. However, some plans can opt-out of this coverage for religious reasons. DECIDE WHAT TIME OF DAY YOU WANT TO TAKE YOUR PILL. The risk of pregnancy increases with each active (white) tablet missed. The patient begins her next and all subsequent courses of tablets on the day after taking her last yellow tablet. If the pills fade, patients should continue to take them as directed. Oral contraceptives should be discontinued if there is unexplained partial or complete loss of vision; onset of proptosis or diplopia; papilledema; or retinal vascular lesions. Currently, no data indicate that any pill is more effective than another at reducing acne or excess hair growth. Ethinyl estradiol is excreted in the urine and feces as glucuronide and sulfate conjugates, and undergoes enterohepatic circulation. Unscheduled bleeding occurs most often during the first few months of oral-contraceptive use, but may also occur after you have been taking the pill for some time. provider about how to make pill-taking easier or about using another method of birth control. Each inactive, yellow tablet (7) contains the following inactive ingredients: lactose monohydrate, magnesium stearate, microcrystalline cellulose, polacrilin potassium and Aqua Polish Yellow 024.15 MS which contains hydroxypropylcellulose, hydrogenated cottonseed oil, hydroxypropylmethylcellulose, ferric oxide red, ferric oxide yellow, talc, and titanium dioxide. have or have had clotting disorders, heart attack, stroke, angina pectoris, cancer of the breast or sex organs, jaundice, malignant or benign liver tumors, or major surgery with prolonged immobilization. Triphasic - three hormone doses over a cycle. However, you should know that the following medical conditions have been associated with or made worse by the pill: 1. Unscheduled vaginal bleeding or spotting may occur while you are taking the pills. Ethinyl estradiol is about 97% bound to plasma albumin. However, to maintain effective protection against pregnancy, another method of contraception must be used as soon as menstruation resumes, the frequency or duration of breastfeeds is reduced, bottle feeds are introduced, or the baby reaches 6 months of age. The physical examination should include special reference to blood pressure, breasts, abdomen, and pelvic organs, including cervical cytology, and relevant laboratory tests. Oral contraceptives may worsen existing gallbladder disease or accelerate the development of gallbladder disease in women previously without symptoms. Call your doctor for medical advice about side effects. In rare cases, oral contraceptives can cause benign but dangerous liver tumors. All methods of birth control and pregnancy are associated with a risk of developing certain diseases which may lead to disability or death. Decide with your healthcare provider which is the best day for you. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, The American College of Obstetricians and Gynecologists (ACOG). Troleandomycin may also increase the risk of intrahepatic cholestasis during coadministration with combination oral contraceptives. Women with migraine also may be at increased risk of stroke with pill use. IF YOU HAVE DIARRHEA or IF YOU TAKE SOME MEDICINES, including some antibiotics, your pills may not work as well. Prescription only Prescribed for Birth Control. Your healthcare provider will take a medical and family history before prescribing oral contraceptives and will examine you. Benign hepatic adenomas are associated with oral-contraceptive use, although the incidence of these benign tumors is rare in the United States. However, not all birth control pills cause these side effects. Get your free Larissia discount coupon to use at your preferred pharmacy including CVS, Walgreens, Walmart & more. The chance of developing liver cancer from using the pill is thus even rarer. Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult. If your period begins on Sunday, start the pack that same day. Birth control - Access PDL Over-the-counter birth control (contraceptives) for women . Others get their period after starting a new pack of minipills each month. Vienva is the generic equivalent to Aviane, Sronyx, Orsythia and Larissia. You should check with your healthcare provider about risks to your unborn child of any medication taken during pregnancy. More recent studies, however, have shown that the relative risk of developing gallbladder disease among oral-contraceptive users may be minimal. Some women may encounter post-pill amenorrhea or oligomenorrhea (possibly with anovulation), especially when such a condition was preexistent. Previously, a few studies had reported that oral contraceptives might be associated with birth defects, but these studies have not been confirmed. The excess risk of blood clots is highest during the first year a woman ever uses a combined oral. Prescription only Prescribed for Birth Control. You should be reexamined at least once a year. Although cardiovascular disease risks may be increased with oral contraceptive use in healthy, non-smoking women over 40 (even with the newer low-dose formulations), there are also greater potential health risks associated with pregnancy in older women. For the majority of women, oral contraceptives can be taken safely. It is important to discuss any underlying health issues and concerns with a medical professional before deciding on a birth control option. This risk increases with age and amount of smoking and is quite pronounced in women over 35. It is recommended that for any patient who has missed two consecutive periods, pregnancy should be ruled out. Various studies give conflicting reports on the relationship between breast cancer and oral contraceptive use. If you experience fluid retention, contact your healthcare provider. They contain synthetic hormones. If bleeding persists or recurs, nonhormonal causes should be considered and adequate diagnostic measures taken to rule out malignancy or pregnancy in the event of breakthrough bleeding, as in the case of any abnormal vaginal bleeding. "Lipitor") Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Doctors consider pills containing levonorgestrel and ethinylestradiol to be an effective first-line treatment. Oral contraceptives, also known as birth control pills or the pill, are taken to prevent pregnancy, and when taken correctly, have a failure rate of approximately 1% per year (1 pregnancy per 100 women per year of use) when used without missing any pills. If spotting or breakthrough bleeding occur, the patient is instructed to continue on the same regimen. Venous thromboembolism may be fatal. If medication is begun on day one of the menstrual cycle, no back-up contraception is necessary. ANOTHER KIND OF BIRTH CONTROL (such as condoms or spermicide) to use as a back-up in case you miss pills. Oral contraceptives containing greater than 75 mcg of estrogens cause hyperinsulinism, while lower doses of estrogen cause less glucose intolerance. Another risk concerns pregnancy. Some brands containing these hormones include: Each packet of extended cycle pills, such as Seasonique, contains 12 weeks of combined hormonal birth control. If this occurs, a doctor may recommend a different birth control pill. The Committee concluded that although cardiovascular disease risks may be increased with oral-contraceptive use after age 40 in healthy nonsmoking women (even with the newer low-dose formulations), there are greater potential health risks associated with pregnancy in older women and with the alternative surgical and medical procedures which may be necessary if such women do not have access to effective and acceptable means of contraception. Amneal Pharmaceuticals LLC Bridgewater, NJ 08807. However, this excess risk appears to decrease over time after combination oral contraceptive discontinuation and by 10 years after cessation the increased risk disappears. Free T3 resin uptake is decreased, reflecting the elevated TBG; free T4 concentration is unaltered. If you take any Hepatitis C drug combination containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. Among couples attempting to avoid pregnancy, the percentage who continue to use a method for one year. In the event of amenorrhea, pregnancy should be ruled out. You have a choice of which day to start taking your first pack of pills. However, literature indicates that levonorgestrel is rapidly and completely absorbed after oral administration (bioavailability about 100%) and is not subject to first-pass metabolism. Speak to your healthcare provider about another method of birth control. Cohort studies have shown the relative risk to be somewhat lower, about 3 for new cases and about 4.5 for new cases requiring hospitalization. Oral contraceptive use may slightly increase your chance of having breast cancer diagnosed, particularly if you started using hormonal contraceptives at a younger age. 1. When the patient is switching from a 28-day regimen of tablets, she should start her first pack of Larissia on the day after her last tablet. ANNUAL NUMBER OF BIRTH-RELATED OR METHOD-RELATED DEATHS ASSOCIATED WITH CONTROL OF FERTILITY PER 100,000 NONSTERILE WOMEN, BY FERTILITY-CONTROL METHOD AND ACCORDING TO AGE. Larissia may not be as effective if you miss white active pills, and particularly if you miss the first few or the last few white active pills in a pack. A possible but not definite association has been found with the pill and liver cancer. If you are scheduled for any laboratory tests, tell your doctor you are taking birth control pills. There does not appear to be any increase in birth defects in newborn babies when pregnancy occurs soon after stopping the pill. For example, you should not take the pill if you have any of the following conditions: Tell your health-care provider if you have had any of these conditions. There may be times when you may not menstruate regularly after you have completed taking a cycle of pills. One study gathered data from a variety of sources which have estimated the mortality rate associated with different methods of contraception at different ages (TABLE III). This prevents pregnancy. Combination birth control pills contain different types of progestin. The generic name for Sronyx is ethinyl estradiol and levonorgestrel. The last 7 days of the 91-day cycle allow withdrawal bleeding to occur. New or worsening migraines or headaches. If you feel sick to your stomach, do not stop taking Larissia. Women with known or suspected carcinoma of the breast or personal history of breast cancer should not use oral contraceptives because breast cancer is usually a hormonally-sensitive tumor. Tell your healthcare provider if you have a family history of breast cancer or if you have had breast nodules or an abnormal mammogram. A history of blood clots in the deep veins of your legs. However, clinical pharmacology studies investigating drug interactions between combined oral contraceptives and these antibiotics have reported inconsistent results. A person needs a prescription from a doctor. The FDA has declared the following dosage regimens of oral contraceptives to be safe and effective for emergency contraception: for tablets containing 50 mcg of ethinyl estradiol and 500 mcg of norgestrel 1 dose is 2 tablets; for tablets containing 20 mcg of ethinyl estradiol and 100 mcg of levonorgestrel 1 dose is 5 tablets; for tablets containing 30 mcg of ethinyl estradiol and 150 mcg of levonorgestrel 1 dose is 4 tablets. Severe pain or tenderness in the stomach area (indicating a possibly ruptured liver tumor). At steady state, attained from at least day 6 onwards, maximum concentrations of ethinyl estradiol were 77 30 pg/mL and were reached at 1.3 0.7 hours after the daily dose. The elimination half-life for levonorgestrel is approximately 36 13 hours at steady state. The physical examination may be delayed to another time if you request it and your healthcare provider believes that it is appropriate to postpone it. Older women, as all women, who take oral contraceptives, should take an oral contraceptive which contains the least amount of estrogen and progestogen that is compatible with the individual patient needs. Oral contraceptives have been shown to increase blood pressure among users (see section 9 in WARNINGS). They're all the exact same dose of hormones. An increased risk of venous thromboembolic and thrombotic disease associated with the use of oral contraceptives is well established. If it doesnt go away, check with your healthcare provider. 10. She should not wait any days between packs. A decline in serum high-density lipoproteins has been associated with an increased incidence of ischemic heart disease. The average failure rate of large numbers of pill users is approximately 5% per year (5 pregnancies per 100 women per year of use) when women who miss pills are included. If you are breast-feeding, you should wait until you have weaned your child before using the pill. OTHER CONSIDERATIONS BEFORE TAKING ORAL CONTRACEPTIVES. Several of the anti-HIV protease inhibitors have been studied with co-administration of oral combination hormonal contraceptives; significant changes (increase and decrease) in the plasma levels of the estrogen and progestin have been noted in some cases. Women with migraine (particularly migraine/headaches with focal neurological symptoms, see CONTRAINDICATIONS) who take combination oral contraceptives may be at an increased risk of stroke. Generic name: levonorgestrel and ethinyl estradiol You do not need a back-up nonhormonal birth control method if you start your next pack on time. The use of combination oral contraceptives also increases the risk of other clotting disorders, including heart attack and stroke. Foams, creams, gels, vaginal suppositories, and vaginal film. Changes in Contraceptive Effectiveness Associated with Coadministration of Other Products: Contraceptive effectiveness may be reduced when hormonal contraceptives are coadministered with antibiotics, anticonvulsants, and other drugs that increase the metabolism of contraceptive steroids. These estimates include the combined risk of death associated with contraceptive methods plus the risk attributable to pregnancy in the event of method failure. The treatment schedule is one dose within 72 hours after unprotected intercourse, and a second dose 12 hours after the first dose. If spotting or breakthrough bleeding occurs. Vienva, Aviane, Lessina, Seasonique, +45 more. You may be at higher risk of a specific type of liver dysfunction if you take troleandomycin and oral contraceptives at the same time. The elimination half-life of ethinyl estradiol is 18 4.7 hours at steady state. This includes starting the pack late. Herbal products containing St. John's Wort (Hypericum perforatum) may induce hepatic enzymes (cytochrome P 450) and p-glycoprotein transporter and may reduce the effectiveness of contraceptive steroids. Typical failure rates are approximately 5% per year (5 pregnancies per 100 women per year of use) when women who miss pills are included. Studies from Britain have shown an increased risk of developing hepatocellular carcinoma in long-term (> 8 years) oral-contraceptive users. Last updated on Dec 1, 2022. Ethinyl estradiol concentrations did not increase from days 1 to 6, but did increase by 19% from days 1 to 21 (FIGURE I). You should inform your healthcare provider about all medicines you are taking, including nonprescription products. After a single dose of levonorgestrel and ethinyl estradiol to 22 women under fasting conditions, maximum serum concentrations of levonorgestrel are 2.8 0.9 ng/mL (mean SD) at 1.6 0.9 hours. DESCRIPTION Each cycle of Sronyx (Levonorgestrel and Ethinyl Estradiol Tablets USP) consists of 21 white active tablets each containing 0.1 mg levonorgestrel and 0.02 mg ethinyl estradiol; and seven peach . KEEP TAKING ONE PILL EACH DAY until you can reach your healthcare provider. If a woman is over the age of 40 and smokes, her estimated risk of death is four times higher (117/100,000 women) than the estimated risk associated with pregnancy (28/100,000 women) in that age group. These side effects, especially nausea and vomiting, may subside within the first three months of use. This estimate was lowered slightly (to 85%) to represent the percent who would become pregnant within one year among women now relying on reversible methods of contraception if they abandoned contraception altogether. The study concluded that with the exception of oral-contraceptive users 35 and older who smoke and 40 and older who do not smoke, mortality associated with all methods of birth control is less than that associated with childbirth. Progestin can cause increased water and salt retention, leading to bloating. Some studies suggest that oral contraceptive use has been associated with an increase in the risk of cervical intraepithelial neoplasia or invasive cervical cancer in some populations of women. The following noncontraceptive health benefits related to the use of oral contraceptives are supported by epidemiological studies which largely utilized oral-contraceptive formulations containing doses exceeding 0.035 mg of ethinyl estradiol or 0.05 mg of mestranol. Jaundice or a yellowing of the skin or eyeballs, accompanied frequently by fever, fatigue, loss of appetite, dark-colored urine, or light-colored bowel movements (indicating possible liver problems). In particular, some progestogens are known to decrease HDL cholesterol and cause glucose intolerance, while estrogens may create a state of hyperinsulinism. If in any cycle the patient starts tablets later than the proper day, she should protect herself against pregnancy by using a nonhormonal back-up method of birth control until she has taken a white tablet daily for 7 consecutive days. In a clinical trial with levonorgestrel and ethinyl estradiol tablets, 1,477 subjects had 7,720 cycles of use and a total of 5 pregnancies were reported. (See WARNINGS, 1a., 1d., and 8.). FE - Iron (ferrous fumarate) MES - Mestranol. Noncancerous cysts or lumps in the breast may occur less frequently. Take one pill at the same time every day until the pack is empty. 3. Birth Control Contraceptives The following forms of birth control (contraceptives) are available OTC and will be covered at $0 cost share when prescribed We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Your healthcare provider will take a medical and family history before prescribing oral contraceptives and will examine you. d. Dose-related risk of vascular disease from oral contraceptives, e. Persistence of risk of vascular disease, TABLE III: ANNUAL NUMBER OF BIRTH-RELATED OR METHOD-RELATED, DEATHS ASSOCIATED WITH CONTROL OF FERTILITY, PER 100,000 NONSTERILE WOMEN, BY FERTILITY-CONTROL, To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals at 1-877-835-5472 or FDA at 1800-FDA-1088 or. TABLE I: MEAN (SD) PHARMACOKINETIC PARAMETERS OF LEVONORGESTREL AND ETHINYL ESTRADIOL OVER A 21-DAY DOSING PERIOD. Larissia (ethinyl estradiol / levonorgestrel) Lo Loestrin Fe (ethinyl estradiol / norethindrone) Prescription only Prescribed for Birth Control. Unexplained vaginal bleeding (until a diagnosis is reached by your healthcare provider). Women who currently have or have had breast cancer should not use oral contraceptives because breast cancer is usually a hormone sensitive tumor. Indirect calculations have estimated the attributable risk to be in the range of 3.3 cases/100,000 for users, a risk that increases after four or more years of use. Healthcare providers should refer to the label of the individual anti-HIV protease inhibitors for further drug-drug interaction information. However, this leaflet is not a replacement for a careful discussion between you and your healthcare provider. Persistent hypertriglyceridemia may occur in a small population of combination oral contraceptive users. Though most plans must cover birth control pills, they may only cover certain options. During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal (ULN), including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications such as COCs. These include less painful menstruation, less menstrual blood loss and anemia, fewer pelvic infections, and fewer cancers of the ovary and the lining of the uterus. If you do not wish to become pregnant after stopping the pill, you should use another method of birth control immediately after stopping Larissia. Nevertheless, oral contraceptives should not be used during pregnancy. People in good health may consider an online consultation to get a prescription. Breakthrough bleeding and spotting are sometimes encountered in patients on oral contraceptives, especially during the first three months of use. Numerous epidemiological studies have examined the association between the use of oral contraceptives and the incidence of breast and cervical cancer. Oral contraceptives are highly effective. Oral contraceptives do not protect against transmission of HIV (AIDS) and other sexually transmitted diseases (STDs) such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis. https://www.healthcare.gov/coverage/birth-control-benefits/, https://www.womenshealth.gov/a-z-topics/birth-control-methods, https://www.acog.org/womens-health/faqs/combined-hormonal-birth-control-pill-patch-ring, https://www.cdc.gov/condomeffectiveness/index.html, https://www.cdc.gov/reproductivehealth/contraception/index.htm, https://www.ncbi.nlm.nih.gov/books/NBK430882/, https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-updated-information-about-risk-blood-clots-women-taking-birth-control, https://www.plannedparenthood.org/learn/birth-control/birth-control-pill/how-safe-is-the-birth-control-pill. Note: if the first day of your period is a Sunday, you can skip step #1. COCs contain an estrogen component and one of a dozen different progestins ( table 1 ). Ortho Tri-Cyclen and Ortho Tri-Cyclen Lo are both medications which prevent ovulation (and pregnancy) using female hormones. <br> Nobody kicked until Mean Jean kicked. Ethinyl estradiol is rapidly and almost completely absorbed from the gastrointestinal tract but, due to first-pass metabolism in gut mucosa and liver, the bioavailability of ethinyl estradiol is between 38% and 48%. When the patient is switching from a 21day regimen of tablets, she should wait 7 days after her last tablet before she starts Larissia. In addition, some of these increased risks may continue for a number of years after stopping combination oral contraceptives. The type and dose of progestogen may be important. If feasible, oral contraceptives should be discontinued at least four weeks prior to and for two weeks after elective surgery of a type associated with an increase in risk of thromboembolism and during and following prolonged immobilization. Healthcare professionals tend not to prescribe triphasic types of birth control. Because estrogens increase HDL cholesterol, the net effect of an oral contraceptive depends on a balance achieved between doses of estrogen and progestogen and the nature and absolute amount of progestogen used in the contraceptive. Keep taking 1 pill every day until Sunday. Mortality rates associated with circulatory disease have been shown to increase substantially in smokers over the age of 35 and nonsmokers over the age of 40 (FIGURE II) among women who use oral contraceptives. Levonorgestrel in serum is primarily bound to SHBG. During the first cycle of medication, the patient is instructed to begin taking Larissia during the first 24 hours of her period (day one of her menstrual cycle). Forgetting to take birth control can increase a persons chances of getting pregnant. Each packet of triphasic birth control contains 21 days of pills containing different dosages of estrogen and progestin each week. contraceptive. They have a more technical leaflet called the Professional Labeling which you may wish to read. In-creased plasma concentrations of cyclosporin, prednisolone and other corticosteroids, and theophylline have been reported with concomitant administration of oral contraceptives. Stomach cramps Bloating Spotting Breast tenderness Weight changes (up or down) Headache Raised blood pressure Depression Other side effects Yeast infection Spotty darkening of skin Change in sex drive Acne Change in appetite Source: DailyMed The following side effects have also been reported: Pregnancy Category X. Doctors most commonly prescribe combination birth control pills.Birth control pills can cause side effects and increase some health risks. Vienva. Aviane is an oral contraceptive pill that uses progestin and a low dose of estrogen hormones to help prevent pregnancy and regulate periods. This rate includes patients who did not take the drug correctly. Learn more here. IF YOU HAVE ANY QUESTIONS OR ARE UNSURE ABOUT THE INFORMATION IN THIS LEAFLET, contact your healthcare provider. A few adverse effects on the child have been reported, including yellowing of the skin (jaundice) and breast enlargement. IF YOU HAVE ANY QUESTIONS OR ARE UNSURE ABOUT THE INFORMATION IN THIS LEAFLET, call your healthcare provider. ; PRECAUTIONS, 3. Withdrawal bleeding should usually occur within 3 days following discontinuation of white tablets and may not have finished before the next pack is started. The inactive ingredients present are lactose monohydrate, magnesium stearate, microcrystalline cellulose, polacrilin potassium and Aqua Polish White 014.17 MS which contains hydroxypropylcellulose, hydrogenated cottonseed oil, hydroxypropylmethylcellulose, talc, and titanium dioxide. Pick a time of day which will be easy to remember. For most women, elevated blood pressure will return to normal after stopping oral contraceptives, and there is no difference in the occurrence of hypertension among ever- and never-users. Women who use oral contraceptives should be strongly advised not to smoke. In addition, a possible but not definite association has been found with the pill and liver cancers in two studies in which a few women who developed these very rare cancers were found to have used oral contraceptives for long periods. At least once a year same dose of progestogen may be times you. 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Technical leaflet called the professional Labeling which you may be at higher risk of associated! Drug availability vomiting, may subside within the first year a woman ever uses a combined oral pills can benign... Progestogens are known to decrease HDL cholesterol and cause glucose intolerance, while estrogens may create a state of.... Contraception is necessary method larissia vs sronyx ACCORDING to age & # x27 ; all. Not stop taking Larissia of ethinyl estradiol / levonorgestrel ) Lo Loestrin fe ( ethinyl over. Some people prefer this approach because it means they only get a.! Chance of developing hepatocellular carcinoma in long-term ( > 8 years ) users... Or an abnormal mammogram receiving such drugs, the medication a doctor recommends may depend insurance. People in good health may consider an online consultation to get a Prescription you should know that the following conditions!

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