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Reviewed By Sunny S , MBBS
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Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Apr-24

for this medicine

About Choice Tablet 28's

Choice Tablet 28's belongs to the class of medications called ‘contraceptives’ primarily used for birth control and treating dysmenorrhea (irregular and painful periods). Contraception is a procedure that aims to prevent pregnancy and is used in family planning. Dysmenorrhea is irregular and painful, leading to abdominal pain, digestion problems, fainting, vomiting, and nausea.

Choice Tablet 28's is a combination of three medicines: Levonorgesterol, Ethinylestradiol, and Ferrous fumarate. Choice Tablet 28's works by preventing the release of an egg from ovaries and making sperm entry difficult to enter in the uterus to fertilise sperm and egg. In addition to this, Choice Tablet 28's prevents the thickening of the uterus's inner wall, required for an egg growth in the uterus. Ferrous fumarate is required to make up for the amount of iron in the women lost during their menstrual period. 

You should take this medicine as prescribed by your doctor.  The common side effects are acne, amenorrhea (absence of menses), tenderness, pain, or swelling of the breasts, decrease in the secretion of breast milk after giving birth, dizziness, oedema (fluid retention), gastrointestinal symptoms such as abdominal pain, cramps, and bloating, unwanted hair growth, intolerance to contact lenses, changes in sexual desire, loss of scalp hair, change in menstrual flow, dark patches on the skin, mood changes, nausea, nervousness, vaginal discharge, vomiting, and loss or gain of appetite. If the side effects are persistent, reach out to your doctor.

Do not take Choice Tablet 28's if you are allergic to any contents of it. Please do not smoke while you are using Choice Tablet 28's as it increases the risk of a blood clot. Inform your doctor before starting Choice Tablet 28's if you are over 35 years, smoke, have or ever had a heart problem, uncontrolled hypertension (high blood pressure), cancer of breast, uterus, or vagina, liver diseases, diabetes that affect blood vessels, headache with disruption of the brain function, and prolonged immobilization due to a surgery. Do not take this medicine if you are pregnant or breastfeeding. 

Uses of Choice Tablet 28's

Contraception, Dysmennohrea (irregular menstrual cycle)

Directions for Use

Tablet: Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Choice Tablet 28's is a combination of three medicines: Levonorgestrel, Ethinylestradiol, and Ferrous fumarate. It is primarily used for contraception (prevent pregnancy). It increases menstrual cycle regularity and decreases blood loss. It decreases the incidence of iron-deficiency anemia, dysmenorrhea (irregular or painful periods), functional ovarian cysts, and ectopic pregnancies (pregnancy outside the womb). Long-term use may decrease the incidence of fibroadenomas and fibrocystic disease of the breast (lumps in the breast), acute pelvic inflammatory disease (inflammation of the pelvic organs), and cancer of the ovary and vagina

Storage

Store in a cool and dry place away from sunlight

Side Effects of Choice Tablet 28's

  • Acne
  • Amenorrhea (absence of menses)
  • Tenderness, pain, or swelling of the breasts
  • Decrease in secretion of breast milk after giving birth
  • Dizziness
  • Edema (fluid retention)
  • Gastrointestinal symptoms such as abdominal pain, cramps, and bloating
  • Unwanted hair growth
  • Intolerance to contact lenses
  • Changes in sexual desire
  • Loss of scalp hair
  • Change in menstrual flow
  • Dark patches on the skin
  • Mood changes
  • Nausea
  • Nervousness
  • Vaginal discharge
  • Vomiting
  • Loss or gain of appetite

Drug Warnings

Choice Tablet 28's increases the risk of blood clots, heart attacks, strokes, gallbladder disease, liver tumors, cancer of the ovary, breast, cervix, or vagina, and inflammation of the pancreas. Do not stop taking this medicine even if there is irregular menses or spotting. Missing pills can also cause spotting or light bleeding. Do not switch to another brand or another type of birth control without informing your doctor. 

Drug-Drug Interactions

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LevonorgestrelEtretinate
Critical
LevonorgestrelAcitretin
Critical

Drug-Drug Interactions

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LevonorgestrelEtretinate
Critical
How does the drug interact with Choice Tablet:
Using etretinate and Choice Tablet can cause severe birth defects.

How to manage the interaction:
Taking Etretinate with Choice Tablet can cause an interaction, consult a doctor before taking it. Do not stop using any medications without talking to a doctor.
LevonorgestrelAcitretin
Critical
How does the drug interact with Choice Tablet:
Coadministration of Acitretin with Choice Tablet can increase the risk and severity of birth defects in unborn when taken by a pregnant woman.

How to manage the interaction:
Taking Acitretin with Choice Tablet together is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. Consult a doctor if you get pregnant while taking these medications. Never use acitretin if you are pregnant. Do not stop using any medications without talking to a doctor.
LevonorgestrelTranexamic acid
Critical
How does the drug interact with Choice Tablet:
Taking Choice Tablet with Tranexamic acid may increase the risk of blood clot formation which can lead to serious conditions such as heart problems and kidney failure.

How to manage the interaction:
Taking Tranexamic acid with Choice Tablet may leads to an interaction but can be taken if prescribed by the doctor. However, if you experience chest pain; shortness of breath; coughing up blood; blood in the urine; sudden loss of vision; and pain, redness, or swelling in your arm or leg, consult the doctor immediately. Do not stop using any medications without talking to a doctor.
EthinylestradiolTranexamic acid
Critical
How does the drug interact with Choice Tablet:
Taking Choice Tablet with Tranexamic acid may increase the risk of blood clot formation.

How to manage the interaction:
Taking Choice Tablet with Tranexamic acid is not recommended, as it can lead to an interaction, but can be taken if a doctor has prescribed it. However, if you suffer from chest discomfort, shortness of breath, blood in the urine, blood in the cough, sudden loss of vision, and pain, redness, or swelling in your arm or leg, consult doctor immediately. Do not stop using any medications without talking to a doctor.
LevonorgestrelPhenytoin
Severe
How does the drug interact with Choice Tablet:
Coadministration of Phenytoin and Choice Tablet may lower Choice Tablet blood levels and effects.

How to manage the interaction:
Although taking Choice Tablet and phenytoin together can result in an interaction, it can be taken if a doctor has prescribed it. If you use hormone replacement treatment(Choice Tablet) for menopause, consult the doctor if your symptoms do not improve or if you begin to bleed abnormally. Do not discontinue any medication without consulting a doctor.
LevonorgestrelCarfilzomib
Severe
How does the drug interact with Choice Tablet:
Carfilzomib can occasionally cause dangerous blood clots and using it together with Choice Tablet may increase the risk.

How to manage the interaction:
Co-administration of Carfilzomib with Choice Tablet can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these signs, it's important to contact a doctor right away: blood clots that can be harmful, high blood pressure or cholesterol, heart problems like heart attack or blockage in the lung, stroke, complications, chest pain, difficulty breathing, coughing up blood, sudden vision loss, pain, redness, or swelling in an arm or leg, and numbness or weakness on one side of your body. Do not discontinue any medications without consulting a doctor.
LevonorgestrelMycophenolate Mofetil
Severe
How does the drug interact with Choice Tablet:
Taking Choice Tablet with Mycophenolate mofetil can decrease the levels of Choice Tablet in the body. This increases the risk of severe bleeding and unintended pregnancy.

How to manage the interaction:
Although taking Mycophenolate Mofetil and Choice Tablet together can cause an interaction, it can be taken if a doctor has suggested it. Contact a doctor if you experience worsening of your symptoms such as hot flashes, vaginal dryness, or abnormal bleeding. Do not discontinue any medication without consulting a doctor.
LevonorgestrelMycophenolic acid
Severe
How does the drug interact with Choice Tablet:
A combined use of Choice Tablet with mycophenolic acid may reduce the blood levels and effects of Choice Tablet, which may make it less reliable as a form of birth control, mycophenolic acid may cause pregnancy loss in the first trimester and also birth defects in the unborn child.

How to manage the interaction:
There could be a possible interaction between Mycophenolic acid and Choice Tablet, but they can be taken together if a doctor has prescribed them. However, if you take hormone replacement (Choice Tablet) for menopause, and if you experience hot flashes, vaginal dryness, or abnormal bleeding consult a doctor. Do not discontinue any medications without a doctor's advice.
LevonorgestrelTizanidine
Severe
How does the drug interact with Choice Tablet:
Using Choice Tablet with tizanidine can result in increased side effects.

How to manage the interaction:
Although taking Choice Tablet and tizanidine together can result in an interaction, they can be taken if a doctor has prescribed it. However, if you experience drowsiness, confusion, slow heart rate, shallow breathing, feeling light-headed, fainting, consult the doctor. Do not discontinue any medication without consulting a doctor.
LevonorgestrelBoceprevir
Severe
How does the drug interact with Choice Tablet:
Taking Choice Tablet and Boceprevir may reduce the blood levels and effects of Choice Tablet, which may make it less reliable as a form of birth control.

How to manage the interaction:
Although there is a possible interaction between Choice Tablet and Boceprevir, you can take these medicines together if prescribed by a doctor. If you're taking any medications, your doctor can recommend other options that won't cause any problems. If you notice any of these signs - changes in your birth control, unexpected pregnancy, your own symptoms, feeling hot and sweaty, dryness down there, or unusual bleeding - make sure to contact a doctor right away. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Keep your weight under control with body mass index (BMI) 19.5-24.9.
  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complication.
  • Do regular exercise to maintain weight fluctuations caused due to Choice Tablet 28's.
  • Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
  • Try to include heart-healthy omega 3 fatty acid containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

Habit Forming

No

Therapeutic Class

GYNECOLOGY RELATED DRUGS

Choice Tablet 28's Substitute

Substitutes safety advice
  • SUVIDHA TABLET

    by Others

    1.38per tablet

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • RIFAMPICIN
  • PHENOBARBITAL
  • PHENYTOIN
  • PRIMIDONE
  • TOPIRAMATE
  • CARBAMAZEPINE
  • PHENYLBUTAZONE
  • RITONAVIR
  • MODAFINIL
  • HYPERICUM PERFORATUM

Special Advise

  • Before taking Choice Tablet 28's, look at your pill pack to see if it has 28 pills. The pill pack should have 21 “active” white pills (with hormones) to take for 3 weeks, followed by 1 week of brown iron-containing pills (without hormones).
  • Always inform your doctor that you are taking Choice Tablet 28's as it may alter the results of some blood tests.

Disease/Condition Glossary

Contraception: It is a procedure that aims to prevent pregnancy. A woman can only get pregnant if a man sperm fertilizes her egg. Contraception aims to prevent this from happening by keeping egg and sperm apart by stopping egg production or not letting the uterus wall become thick. As a result, no fertilization takes place, so contraception is a safe method for family planning.

Dysmenorrhea: It is irregular and painful periods leading to abdominal pain/cramps, digestion problems, fainting, vomiting, nausea. Generally, a menstrual cycle is about 25-30 days. But in dysmenorrhea, this cycle may be short or prolonged, leading to excessive pain.

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