<s>[INST] it s my first time to take the oral contraceptive pills and the side effect is horrible esp the severe headache and vomit and there s an increase irritability . i have a thyroid problem and was diagnosed last year of ovarian cyst on my right but was cleared out. I am taking belara pills.. i am 26 year old and have already a son. I used IUD before,. what will im going to do? should i stop or continue.. it made me so sick for 4 days now. thanks. [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.I will suggest you take Cap PAN D SR half hour prior to dinner, then 30 minutes after dinner you take your pill. Please do not miss the pill. I always tell my patients that when they are using pills for the first time; they might have problems like nausea, vomiting,headache, irritability, mood changes, acne, some feeling of bloating.So I will suggest you to deal with these symptoms with medication as suggested. Usually these symptoms fade away after one week's use of pills. So I would like to assure you that you will be better in week's time, and please do not discontinue the pills. If at all you have missed/ not taken on some days, I will suggest you to use barrier method-condom ,in this cycle.I hope my answer helps you.Thanks. </s>