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Estrogen and Progestin (Oral Contraceptives)

Alesse; Apri; Aviane; Brevicon; Demulen; Desogen; Estrostep; Genora; Jenest; Levlen; Levlite; Levora; Lo/Ovral; Loestrin; Low-Ogestrel; Microgestin; Mircette; Modicon; Necon; Norinyl; Nordette; Nortrel; Ogestrel; Ortho-Cept; Ortho-Cyclen; Ortho-Novum; Ortho Tri-Cyclen; Ovcon; Ovral; Tri-Levlen; Tri-Norinyl; Triphasil; Trivora; Yasmin; Zovia<BR>Other name(s): Birth-control pills; ethinyl estradiol and desogestrel; ethinyl estradiol and drospirenone; ethinyl estradiol and ethynodiol; ethinyl estradiol and levonorgestrel; ethinyl estradiol and norethindrone; ethinyl estradiol and norgestimate; ethinyl estradiol and norgestrel; mestranol and norethindrone Logo

Alesse; Apri; Aviane; Brevicon; Demulen; Desogen; Estrostep; Genora; Jenest; Levlen; Levlite; Levora; Lo/Ovral; Loestrin; Low-Ogestrel; Microgestin; Mircette; Modicon; Necon; Norinyl; Nordette; Nortrel; Ogestrel; Ortho-Cept; Ortho-Cyclen; Ortho-Novum; Ortho Tri-Cyclen; Ovcon; Ovral; Tri-Levlen; Tri-Norinyl; Triphasil; Trivora; Yasmin; Zovia
Other name(s): Birth-control pills; ethinyl estradiol and desogestrel; ethinyl estradiol and drospirenone; ethinyl estradiol and ethynodiol; ethinyl estradiol and levonorgestrel; ethinyl estradiol and norethindrone; ethinyl estradiol and norgestimate; ethinyl estradiol and norgestrel; mestranol and norethindrone Logo

Brand name(s): Alesse; Apri; Aviane; Brevicon; Demulen; Desogen; Estrostep; Genora; Jenest; Levlen; Levlite; Levora; Lo/Ovral; Loestrin; Low-Ogestrel; Microgestin; Mircette; Modicon; Necon; Norinyl; Nordette; Nortrel; Ogestrel; Ortho-Cept; Ortho-Cyclen; Ortho-Novum; Ortho Tri-Cyclen; Ovcon; Ovral; Tri-Levlen; Tri-Norinyl; Triphasil; Trivora; Yasmin; Zovia
Other name(s): Birth-control pills; ethinyl estradiol and desogestrel; ethinyl estradiol and drospirenone; ethinyl estradiol and ethynodiol; ethinyl estradiol and levonorgestrel; ethinyl estradiol and norethindrone; ethinyl estradiol and norgestimate; ethinyl estradiol and norgestrel; mestranol and norethindrone

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Cigarette smoking increases the risk of serious side effects from oral contraceptives, including heart attacks, blood clots, and strokes. This risk is higher for women over 35 years old and heavy smokers (15 or more cigarettes per day). If you take oral contraceptives, you should not smoke.

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Estrace questions
Here's my situation:

I'm a 17 year old transgender female who is currently 5 days on Estrace (4mg daily) for Hormone Replacement Therapy (HRT). I am also on Spironolactone (200mg daily) for an anti-androgen.

I'd like to know of any substances I should avoid that might decrease the effectiveness of the said drugs, especially information regarding the actual effects of alcohol and caffeine.

Alcohol is bad for obvious reasons, since this hormone regimen is an awful stress on my liver, but does it actually alter in any way the effectiveness of the drug? I have also heard rumors that caffeine can slow the effects of it, but the only evidence I have found states that caffeine actually RAISES ones estrogen levels substantially (500mg caffeine daily, or about 5 cups, yields 70% higher estrogen levels in the average person, regardless of gender.)

I've also searched for any form of base website on Estrace, but have turned up empty-handed. Do they have a website that describes what to do and what to avoid once on a regimen?

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