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If you are having headaches you should let the prescriber know. If you experience any visual disturbances you should let the prescriber know. No the paracetamol will not affect the BCP, nor will any other OTC pain reliever, even if it is taken orally. The route has no bearing on it, oral or rectal.
As far as how long until no other BC methods? If you want to be very certain, wait until you have completed one month. Many prescribers based on the brand of pill also will say either immediately or within 7 days it will begin to be effective. It depends on the brand and the day you start it. Read the pamphlet insert with the pill it will explain this.
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