Select 21 day (Ethinyl estradiol/ norethindrone)

Do's

Take 1 tablet each day for the first 21 days, then take 1 "reminder" pill daily for the following 7 days.

Begin a new pack after you have taken all the tablets in the current pack.

Talk to your healthcare provider about the best time to start your first pack based on your menstrual cycle.

Take your pills at roughly the same time every day.

Use a backup birth control method, such as condoms, during the first 7 days of your initial cycle.

Keep taking the pills even if you experience side effects such as spotting, light bleeding, or nausea during the first 3 months, as these symptoms usually improve over time.

Speak with your healthcare provider if nausea or any other side effects continue.

Don'ts

Do not stop taking the pills without first consulting your healthcare provider.

Do not change the dosage or the time you take the pills unless your healthcare provider advises you to do so.

Do not expect the pills to work immediately, as your body may take up to 3 months to fully adjust to the hormones.

Do not take the pills with certain medications, including some antibiotics, that may reduce their effectiveness. Always discuss any new medications with your healthcare provider.

Do not have unprotected sex if you miss one or more pills. Use a backup method, such as condoms, until you have spoken with your healthcare provider about how to manage missed doses.

Common side effects of Select 21 Day may include:

• Nausea
• Vomiting
• Headache
• Breast tenderness
• Irregular bleeding or spotting between periods
• Changes in menstrual flow
• Weight changes
• Mood changes
• Decreased libido

Serious side effects of Select 21 Day are rare but may include:

• Blood clots
• Severe leg pain
• Chest pain
• Shortness of breath
• Sudden severe headache
• High blood pressure
• Yellowing of the skin or eyes
• Dark urine
• Persistent abdominal pain
• Rash
• Itching
• Swelling
• Severe dizziness
• Difficulty breathing

This is not a complete list of possible side effects, and others may occur. If you experience any unusual or severe side effects while taking Select 21 Day, contact your healthcare provider for medical advice.

Warnings

Tell your healthcare provider about any medical conditions, allergies, medications you are taking, pregnancy status, breastfeeding, and any other relevant health information before starting this medication.

Discuss your risk with your healthcare provider, especially if you have a history of blood clotting. Watch for symptoms such as leg pain, swelling, chest pain, vision problems, or difficulty speaking, and seek immediate medical attention if they occur. This medication may increase the risk of blood clot formation.

If you have a history of depression, speak with your healthcare provider before taking this medication, as it may worsen your symptoms. Report any changes in mood, weight, sleep, or activity level.

If you have diabetes or a family history of diabetes, monitor your blood sugar closely, as this medication may affect blood sugar control.

Women with epilepsy should discuss the possibility of increased seizures with their healthcare provider before using this medication.

Fluid build-up in the cornea may occur, which can lead to vision problems and make wearing contact lenses uncomfortable. Contact your healthcare provider if you experience these symptoms.

If you have fibroids, your healthcare provider should monitor your condition closely while you are taking this medication.

If you suffer from migraines, discuss the possibility of worsening symptoms with your healthcare provider.

Smoking while taking birth control pills increases the risk of heart disease, particularly in women over the age of 35. Talk to your healthcare provider about your individual risk factors.

If you have liver problems, inform your healthcare provider before starting this medication, as it may affect liver function. Report symptoms such as fatigue, nausea, yellowing of the skin or eyes, dark urine, pale stools, abdominal pain, or itching.

Use an alternative form of birth control for at least one menstrual cycle after stopping this medication. Consult your healthcare provider if you do not have a menstrual period within 6 months after stopping treatment.

This medication does not protect against sexually transmitted infections. Use condoms to help protect against STIs.

Be alert for symptoms such as confusion, difficulty speaking, loss of coordination, sudden headache, or vision changes, and seek immediate medical attention if they occur. This medication increases the risk of stroke.

Before undergoing surgery, discuss the risks and benefits of temporarily stopping this medication with your healthcare provider. Make sure all healthcare providers involved in your care know that you are taking this medication.

Stop taking this medication immediately if you become pregnant.

Breastfeeding is not recommended while taking this medication.

Where To Buy Select 21 Day?

Select 21 Day is not available in the US. You can purchase it from online Canadian pharmacies. Canadian pharmacies offer competitive pricing on Select 21 Day. DoctorSolve is a certified online pharmacy intermediary that connects you with licensed Canadian pharmacies, providing access to safe and genuine Select 21 Day at lower costs. Simply add Select 21 Day with your required pack size to your cart, submit your valid prescription, and your order will typically arrive within 2–4 weeks.

How Much Does Select 21 Day Cost?

Select 21 Day is currently discontinued or unavailable for purchase in the United States, making it challenging for customers who rely on this product. However, Canadian pharmacies continue to offer Select 21 Day, providing a viable solution for Americans seeking access to it. Through DoctorSolve.com, customers can obtain Select 21 Day from licensed Canadian pharmacies. A 3-pack of 1 mg/35 mcg Select 21 Day is available for approximately $63.00. This provides continuity of access for customers who depend on this product.

Can I buy Select 21 Day over the counter?

No, you cannot buy Select 21 Day over the counter in the United States. Its active ingredients, levonorgestrel and ethinyl estradiol, require a prescription because they alter hormonal balance and carry cardiovascular risks. It may cause serious side effects such as blood clots and stroke.