Patient/Family Teaching

• Instruct patient to take medication exactly as directed; do not skip or double up on missed doses. Missed doses may be taken as long as it is not right before next dose. Gradually decrease dose prior to discontinuation

• Advise patient to report to health care professional any unusual vaginal bleeding or signs of deep vein thrombophlebitis

• Advise patient that this medication may have teratogenic effects. Contraception should be used during therapy and for at least 4 months after therapy is completed

• Discuss with patient the possibility of hair loss. Explore methods of coping

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