The common side effects of Chateal include menstrual irregularities, headache, dizziness, breast discomfort, depression, disturbance of appetite, weight changes, fluid retention, nausea and vomiting, jaundice, BP increase, reduced menstrual loss, and spotting in early cycles. These side effects are seen in early stage of starting pills. These side effects resolve with progress of time. Advice 1.     Continue Chateal 2.     Take alprazolam 0.25 mg at bed time daily per oral for 10 days 3.     Keep yourself hydrated by drinking 4 – 5 liters of water daily 4.     Wear well-fitting bra to provided support 5.     Avoid coffee, smoking, high fat diet and alcohol 6.     Consume less salt in diet 7.     Do meditation and workout in gym Thanks