What Should I Watch For While Using This Medication
How to use Ethinylestradiol Levonorgestrel? (Microgynon, Stediril, Lovette) – Doctor Explains
Emergency birth control is not to be used routinely to prevent pregnancy. Discuss birth control options with your health care provider. Make a follow-up appointment to see your health care provider in 3 to 4 weeks after using this medicine.
It is common to have spotting after using this medicine. If you miss your next period, the possibility of pregnancy must be considered. See your health care professional as soon as you can and get a pregnancy test.
Smoking increases the risk of getting a blood clot or having a stroke while you are taking birth control pills, especially if you are more than 35 years old. You are strongly advised not to smoke.
This medicine does not protect you against HIV infection or any other sexually transmitted diseases.
How To Start Levonorgestrel And Ethinyl Estradiol Tablets
Levonorgestrel and ethinyl estradiol tablets are dispensed in an Extended-Cycle Blister Pack . Levonorgestrel and ethinyl estradiol tablets should be started on a Sunday . For the first cycle of a Sunday Start regimen, an additional method of contraception should be used until after the first 7 consecutive days of administration.
Instruct patients to take levonorgestrel and ethinyl estradiol tablets once a day by mouth at the same time every day for 91 days. To achieve maximum contraceptive effectiveness, levonorgestrel and ethinyl estradiol tablets should be taken exactly as directed and at intervals not exceeding 24 hours. For patient instructions regarding missed pills, see FDA-approved patient labeling.
Estimates Of Mortality From Contraceptive Use
One study gathered data from a variety of sources which have estimated the mortality rate associated with different methods of contraception at different ages . These estimates include the combined risk of death associated with contraceptive methods plus the risk attributable to pregnancy in the event of method failure. Each method of contraception has its specific benefits and risks. The study concluded that with the exception of oral contraceptive users 35 and older who smoke and 40 and older who do not smoke, mortality associated with all methods of birth control is less than that associated with childbirth. The observation of a possible increase in risk of mortality with age for oral contraceptive users is based on data gathered in the 1970s but not reported until 1983. However, current clinical practice involves the use of lower estrogen dose formulations combined with careful restriction of oral contraceptive use to women who do not have the various risk factors listed in this labeling.
Therefore, the Committee recommended that the benefits of oral contraceptive use by healthy nonsmoking women over 40 may outweigh the possible risks. Of course, older women, as all women who take oral contraceptives, should take the lowest possible dose formulation that is effective.
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How Should I Use This Medication
Take this medicine by mouth. Follow the instructions provided by your health care provider exactly. Your doctor may want you to use a quick-response pregnancy test prior to using the tablets. Take the first dose as soon as you can after having unprotected sex, preferably in the first 24 hours, but no later than 72 hours after the event. You MUST take the second dose 12 hours after you take the first dose. Do not take any extra pills. Extra pills will not decrease your risk of pregnancy, but may increase your risk of side effects.
Contact your pediatrician regarding the use of this medicine in children. Special care may be needed. This medicine has been used in female children who have started having menstrual periods.
A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
Ethinyl Estradiol & Levonorgestrel Precautions
Do not take birth control pills if you:
- Smoke and are over 35 years old
- A history of heart attack or stroke
- A history of blood clots in the legs , lungs , or eyes
- A history of blood clots in the deep veins of your legs
- Unexplained vaginal bleeding
- Yellowing of the whites of the eyes or of the skin during pregnancy or during previous use of the pill
- Known or suspected pregnancy
- Rare cancerous or noncancerous liver tumors
All of these events are uncommon in healthy women.
If any of these adverse effects occur while you are taking oral contraceptives, call your healthcare provider immediately:
- Sharp chest pain, coughing of blood, or sudden shortness of breath .
- Pain in the calf .
- Crushing chest pain or heaviness in the chest .
- Sudden severe headache or vomiting, dizziness or fainting, disturbances of vision or speech, weakness, or numbness in an arm or leg .
- Sudden partial or complete loss of vision .
- Severe pain or tenderness in the stomach area .
- Difficulty in sleeping, weakness, lack of energy, fatigue, or change in mood .
- Jaundice or a yellowing of the skin or eyeballs, accompanied frequently by fever, fatigue, loss of appetite, dark-colored urine, or light-colored bowel movements .
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What Happens If I Miss A Levonorgestrel Pill
Follow the patient instructions supplied with your medication. If you not understand these directions, ask your physician or pharmacist.
You may need to use back-up birth control for a short time period to prevent pregnancy.
You may not have a period during the month if you miss a couple of pills. Alternately, your period may arrive at an unscheduled times. Ask your doctor or pharmacist if you have any questions or concerns.
If you frequently forget to take your birth control pills as directed, contact your doctor and consider switching to another form of birth control.
If you miss a reminder pill during the 7 day cycle it will have no effect, just skip it and continue with the rest of the pack until empty.
What Are Levonorgestrel Birth Control Pills
Levlite Levonorgestrel tablets are birth control pills that aid in preventing pregnancy. Levonorgestrel birth control pills also aid in making periods more regular, relieving period pains, decreasing blood loss, and decreasing risk of ovarian cysts.
Levonorgestrel-Ethinyl Estradiol is a combination hormone medication used to prevent pregnancy. It contains two female hormones that prevent ovulation . Levonorgestrel tablets also increase the thickness of vaginal fluid to help prevent fertilization . In addition, Levonorgestrel pills also change the lining of the uterus to prevent attachment of a fertilized egg. A fertilized egg passes out of the body if it is unable to attach to the uterus.
Levonorgestrel and ethinyl estradiol tablets might also be used for functions not listed in this medication guide.
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Side Effects Of Levonorgestrel Tablets
If your Physician has recommended and prescribed Levonorgestrel tablets to you, they feel that the benefit to you outweighs the risk of any side effects. Some of these side effects are unlikely, however here is a list of common Levonorgestrel side affects:
- vomiting and nausea
- swelling of the ankles or feet
- changes in appetite
- vaginal itching, bleeding or discharge
- changes in menstrual periods or irregular periods
- reduced sex drive
How To Take Levonorgestrel Birth Control Pills
Patch & Play: Twirla® (levonorgestrel and ethinyl estradiol) transdermal system
Follow the directions given by your doctor or on the prescription label.
You may have to use backup birth control, like a spermicide or condoms, when you begin using Levlite birth control. The pills take approx. one month to cycle through and begin working in your body. Follow the directions of your physician.
Starting the Sunday after your period ends, take one pill at the same time everyday for 21 days straight. After 21 days, there is a 7 day break while the menstrual cycle commences. After those 7 days, begin the next package and 21 day cycle. If you miss one pill during the 21 day cycle, you may be at risk of getting pregnant. You may also take
Your period will normally start and end during the 7 day cycle.
Tell your physician if bleeding is quite significant or continues past the 7 day cycle.
See a physician regularly while taking birth control pills. This will be required to ensure proper health and continued use of the birth control .
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Proper Use Of Levonorgestrel Ethinyl Estradiol And Ferrous Bisglycinate
It is very important that you use levonorgestrel, ethinyl estradiol, and ferrous bisglycinate exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.
Levonorgestrel, ethinyl estradiol, and ferrous bisglycinate comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
Levonorgestrel, ethinyl estradiol, and ferrous bisglycinate is available in blister packs. Each blister pack contains 28 tablets with different colors that need to be taken in the same order as directed on the blister pack.
When you begin using levonorgestrel, ethinyl estradiol, and ferrous bisglycinate, your body will require at least 7 days to adjust before a pregnancy will be prevented. Use a second form of contraception for the first 7 days of your first cycle of pills.
Take levonorgestrel, ethinyl estradiol, and ferrous bisglycinate at the same time each day. Birth control pills work best when no more than 24 hours pass between doses.
Do not skip or delay taking your pill by more than 24 hours. If you miss a dose, you could get pregnant. Ask your doctor for ways to help you remember to take your pills or about using another method of birth control.
You may have light bleeding or spotting when you first take the pill.
If you are switching from another birth control method to using Balcoltraâ¢:
Negative Aspects Of Menstruation
Nowadays, more and more people believe that menstruation is simply the sign that the process of reproduction has failed and, for the sake of reproductive efficiency, this process has to be repeated month after month, until a successfully nested fertilized egg starts to develop.35 If this is true, the main reasons for considering menstruation as a positive sign, is that it takes place when pregnancy does not. However, this argument may be utilized to reach very different conclusions.
Some, like Coutinho and Segal35 have gone as far as to define regular menstruation as unnatural, since in the early times, young women were either pregnant or lactating almost continuously. In this respect, it has been calculated that, from the days of primitive foraging societies to the 20th century, the mean number of menstrual bleeds a woman would experience during her fertile age, increased from 160 to 450.44 Therefore, from a medical point of view, menstruation has no beneficial effects for anyone, and for many women it is harmful to their health.45
This means that menstruation has been viewed as unhealthy both from a medical and an anthropological viewpoint. Reviewing all these data, OGrady34 concluded that it may be less that menstruation causes the onset of infectious diseases than that our treatment of menstruation interferes with a natural immune process.
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What May Interact With This Medication
Do not take this medicine with the following medication:
This medicine may also interact with the following medications:
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
Before Taking This Medicine
Taking ethinyl estradiol and levonorgestrel can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of taking birth control pills. Your risk is also high when you restart this medicine after not taking it for 4 weeks or longer.
Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke. You should not take combination birth control pills if you smoke and are over 35 years old.
Do not use if you are pregnant. Stop using this medicine and tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking birth control pills.
You should not take birth control pills if you have:
untreated or uncontrolled high blood pressure
an increased risk of having blood clots due to a heart problem or a hereditary blood disorder
unusual vaginal bleeding that has not been checked by a doctor
liver disease or liver cancer
severe migraine headaches , especially if you are older than 35
a history of jaundice caused by pregnancy or birth control pills or
if you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir .
Tell your doctor if you have ever had:
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What Is The Most Important Information I Should Know About Levonorgestrel And Ethinyl Estradiol Tablets
Do not use levonorgestrel and ethinyl estradiol tablets if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from hormonal birth control pills, including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.
Advice In Case Of Gastrointestinal Disturbances
In case of severe vomiting or diarrhea, absorption may not be complete and additional contraceptive measures should be taken. If vomiting or diarrhea occurs within 3-4 hours after taking a white to off-white tablet, handle this as a missed tablet .
Levonorgestrel and Ethinyl Estradiol Tablets, USP are available as round, biconvex, unscored tablets, packaged in carton of 3 pouches, each pouch contains Extended-Cycle Tablet Blister Pack of 91 tablets, each containing a 13-week supply of tablets in the following order:
- 84 white to off-white tablets, each containing 0.15 mg of levonorgestrel and 0.03 mg ethinyl estradiol debossed with 212 on the one side and plain on the other side
- 7 green inert tablets debossed with 279 on the one side and plain on the other side.
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What Is Ethinyl Estradiol Folic Acid And Levonorgestrel
Ethinyl estradiol and levonorgestrel prevent ovulation and also cause changes in your cervical and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus. Folic acid is a type of B vitamin that helps prevent a rare birth defect that could occur in a baby if you get pregnant while taking birth control pills or shortly after stopping them.
Ethinyl estradiol, folic acid, and levonorgestrel is a combination drug used to prevent pregnancy.
Ethinyl estradiol, folic acid, and levonorgestrel may also be used for purposes not listed in this medication guide.
Coc Use Before Or During Early Pregnancy
What are ethinyl estradiol & gestodene combined pills & its effectiveness? – Dr. Shailaja N
Extensive epidemiological studies have revealed no increased risk of birth defects in women who have used oral contraceptives prior to pregnancy. Studies also do not suggest a teratogenic effect, particularly in so far as cardiac anomalies and limb-reduction defects are concerned, when oral contraceptives are taken inadvertently during early pregnancy. Discontinue levonorgestrel and ethinyl estradiol tablets use if pregnancy is confirmed.
Administration of oral contraceptives to induce withdrawal bleeding should not be used as a test for pregnancy .
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Risk Of Liver Enzyme Elevations With Concomitant Hepatitis C Treatment
During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal , including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications such as COCs. Discontinue Levonorgestrel and Ethinyl Estradiol tablets prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir . Levonorgestrel and Ethinyl Estradiol tablets can be restarted approximately 2 weeks following completion of treatment with the combination drug regimen.
What Happens If I Miss A Dose
Follow the patient instructions provided with your medicine. Missing a pill increases your risk of becoming pregnant.
If you miss one active pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.
If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.
If you miss two active pills in a row in Week 3, throw out the rest of the pack and start a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day.
If you miss three active pills in a row in Week 1, 2, or 3, throw out the rest of the pack and start a new pack on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack that day.
If you miss two or more active pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.
If you miss a reminder pill, throw it away and keep taking one reminder pill per day until the pack is empty.
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