Oral-L Tablet 21's belongs to a group of medications called 'hormonal contraceptives' primarily used for contraception and treating dysmenorrhea (irregular and painful periods). Contraception is a procedure that aims to prevent unwanted pregnancy for safe family planning. Dysmenorrhea is an irregular and painful menstrual period leading to abdominal pain, mood swings, digestion problems, fainting, vomiting, and nausea.

Oral-L Tablet 21's is a combination of two medications: Ethinylestradiol and Levonorgestrel. Ethinylestradiol is a synthetic female hormone (estrogen) that maintains a normal menstrual cycle (periods) in women. It works by fulfilling the deficiency of estrogen hormone, thereby preventing symptoms like night sweats, hot flushes, and mood swings. Levonorgestrel is a progestin (female sex hormones) that prevents the release of an egg from the ovary (female reproductive cells) or prevents fertilization of an egg by sperm (male reproductive cells). Oral-L Tablet 21's may also change the lining of the uterus to prevent the development of a pregnancy. Thus together, Oral-L Tablet 21's helps prevents pregnancy.

Take Oral-L Tablet 21's as prescribed by your doctor. Oral-L Tablet 21's can be taken with or without food but take it simultaneously every day for best results. Depending on your medical condition, you are advised to take Oral-L Tablet 21's for as long as your doctor has prescribed it for you. You may experience stomach pain, headache, nausea, breast pain, weight gain, and irregular uterine bleeding. Most of these side effects of Oral-L Tablet 21's do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor. Do not use Oral-L Tablet 21's if you are pregnant or have recently delivered a baby.

Inform your doctor before starting to Oral-L Tablet 21's if you are over 35 years or ever have a heart problem, cancer (breast, uterus, or vagina), uterine bleeding, liver, or kidney problems. Do not take Oral-L Tablet 21's if you are pregnant already or a breastfeeding mother. Oral-L Tablet 21's does not prevent the transmission of any sexually transmitted disease (STD), so use some other form of contraception (condom) during sexual intercourse if you have any STD or AIDS (acquired immunodeficiency syndrome).

Oral-L Tablet 21's is an oral hormonal combination drug, Ethinylestradiol and Levonorgestrel, primarily used for contraception. Oral-L Tablet 21's contains two female sex hormones, progestin (levonorgestrel) and estrogen (ethinylestradiol), which help prevent pregnancy in multiple ways. It prevents the release of an egg from the ovaries and makes the fluid present in the cervix difficult for sperm to enter the womb. In addition, it prevents the thickening of the uterus's inner wall, which is necessary for an egg to grow and multiply. Oral-L Tablet 21's is generally taken for 21 days starting from day one of the menstrual cycle, and then for the next seven days, it is not taken, and the same course is repeated.

• Headache
• Weight gain
• Acne (pimples)
• Stomach pain/cramps
• Tiredness
• Depression

Please inform your doctor if you have ever had heart disease, hypertension, obesity, cancer (breast, cervix, or uterus), diabetes mellitus, liver or kidney disease, or abnormal uterine bleeding as Oral-L Tablet 21's is known to contra-indicate. Check your breast every month for changes, such as if you feel lumps or see anything odd, please inform your doctor. Smoking may increase the risk of cardiovascular disease in women over 35 years when taking Oral-L Tablet 21's. Oral-L Tablet 21's does not protect against any sexually transmitted disease or HIV. If pregnancy occurs while you are taking Oral-L Tablet 21's, please consult your doctor. Do not start using a new medication without telling your doctor. Sometimes, you may experience spotting or bleeding in between missed periods or menstrual periods. If the spotting persists, please consult your doctor. Do not use Oral-L Tablet 21's if you are pregnant or have recently delivered a baby. If you have missed a dose or are late by 12 hours, please wear a condom for two days while sexual intercourse to avoid unwanted pregnancy. Do not take medicine if you are pregnant already or breastfeeding. If you have migraines, please inform your doctor, as taking Oral-L Tablet 21's may increase your headache.

Drug-drug interactions: Oral-L Tablet 21's may have an interaction with anti-epilepsy medicines (primidone, phenytoin, carbamazepine), medications used to treat tuberculosis (rifampicin, rifabutin), drugs used to treat HIV (ritonavir, efavirenz, paritaprevir) medicine used to treat fungal infections (griseofulvin, ketoconazole, itraconazole, posaconazole).

Drug-Food Interactions: Oral-L Tablet 21's interacts with St. John's wort (an antidepressant herbal supplement). Also, alcohol consumption and grapefruit juice should not be included with the Oral-L Tablet 21's.

Drug-Disease Interactions: Inform your doctor if you smoke, have or have ever had liver or kidney disease, heart disease, hypertension, diabetes mellitus, liver disease, abnormal uterine bleeding, breast, cervix, uterus cancer, or anaemia.

• PRIMIDONE
• PHENYTOIN
• CARBAMAZEPINE
• RIFABUTIN
• RITONAVIR
• EFAVIRENZ
• PARITAPREVIR
• GRISEOFULVIN
• KETOCONAZOLE
• ITRACONAZOLE
• POSACONAZOLE

• ​​Keep your weight under control with a body mass index (BMI) of 19.5-24.9.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Including 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.
• Do regular exercise to maintain weight fluctuations caused due to Oral-L Tablet 21's.
• Avoid chronic stress and exercise like running, as it might increase vaginal bleeding.
• Monitor your blood pressure daily and if there is too much fluctuation, immediately contact your doctor.
• Monitor your blood sugar level and blood pressure regularly to avoid any complications.
• Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complications.

• Stop taking this Oral-L Tablet 21's and inform your doctor immediately if you notice unexplained pain and swelling in your limbs, chest pain, shortness of breath, severe headache, or changes in vision. These could be symptoms of a blood clot in a vein.

Contraception: It is a procedure that aims to prevent pregnancy. A woman can only get pregnant if a man's 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 an irregular and painful period leading to abdominal pain, digestion problems, fainting, vomiting, and nausea. Generally, a menstrual cycle is about 25-30 days. But this cycle may be short or prolonged in dysmenorrhea, leading to excessive pain.