Do not take this medication with any of the following:
-Aromatase inhibitors, such as aminoglutethimide, anastrozole, exemestane, letrozole, testolactone
This medication may also interact with the following:
-Barbiturates, such as phenobarbital
-Bexarotene
-Bosentan
-Carbamazepine
-Certain antibiotics, such as erythromycin and clarithromycin
-Certain medications for anxiety or sleep
-Certain medications for fungal infections, such as ketoconazole, itraconazole
-Certain medications for hepatitis, HIV or AIDS
-Cyclosporine
-Dantrolene
-Ethotoin
-Grapefruit juice
-Griseofulvin
-Isoniazid (INH)
-Medications for diabetes
-Phenobarbital
-Phenytoin
-Primidone
-Raloxifene
-Rifabutin
-Rifampin
-Rifapentine
-Ritonavir
-St. John's Wort
-Steroid medications, such as prednisone or cortisone
-Tamoxifen
-Thyroid hormones
-Topiramate
-Warfarin

They need to know if you have any of these conditions:
-Blood vessel disease or blood clots
-Breast, cervical, endometrial, or uterine cancer
-Depression
-Diabetes
-Endometriosis
-Fibroids
-Gallbladder disease
-Heart disease or recent heart attack
-High blood cholesterol
-High blood pressure
-High level of calcium in the blood
-Hysterectomy
-Kidney disease
-Liver disease
-Migraine headaches
-Porphyria
-Protein C deficiency
-Protein S deficiency
-Stroke
-Systemic lupus erythematosus (SLE)
-Tobacco use
-Vaginal bleeding
-An unusual or allergic reaction to estrogens, progestins, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Visit your care team for regular checks on your progress. You will need a regular breast and pelvic exam. You should also discuss the need for regular mammograms with your care team and follow their guidelines.
Tobacco smoking increases the risk of getting a blood clot or having a heart attack or stroke. Avoid smoking.
If you are going to need surgery or other procedure, tell your care team that you are using this medication.

Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.