"i can&#039;t give this medication a 10 without being on it for a long time, but what i can say is that this medication was recommended to me 2 different doctors who also take it themselves. also, i can say that my side-effects from my previous birth control are going away after taking kariva. i had the worst mood-swings and anxiety from ortho-tri-cyclen. i was always either angry and upset for or hysterically crying for no good reason. from the first time i took kariva, my mood dramatically improved. i actually feel friendly towards others for the first time in months."