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Written By Urvashi Bharti , MBBS
Reviewed By Sunny S , MBBS
Non returnable*
COD available

Online payment accepted

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Manufacturer/Marketer

Pfizer Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Apr-24

for this medicine

About Ovral L Tablet 21's

Ovral 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.

Ovral 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). Ovral L Tablet 21's may also change the lining of the uterus to prevent the development of a pregnancy. Thus together, Ovral L Tablet 21's helps prevents pregnancy.

Take Ovral L Tablet 21's as prescribed by your doctor. Ovral 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 Ovral 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 Ovral 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 Ovral L Tablet 21's if you are pregnant or have recently delivered a baby.

Inform your doctor before starting to Ovral 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 Ovral L Tablet 21's if you are pregnant already or a breastfeeding mother. Ovral 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).

Uses of Ovral L Tablet 21's

Contraception, Dysmenorrhea (irregular menstrual periods)

Directions for Use

Ovral L Tablet 21's is an oral contraceptive pill preferably taken with or without food but should be taken simultaneously every day for best results. Ovral L Tablet 21's is generally prescribed for 21 days starting from the first day of your menstrual cycle. It should not be taken for the remaining seven days afterwards. The course will remain the same every month.

Medicinal Benefits

Ovral L Tablet 21's is an oral hormonal combination drug, Ethinylestradiol and Levonorgestrel, primarily used for contraception. Ovral 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. Ovral 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.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Ovral L Tablet 21's

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

Drug Warnings

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 Ovral 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 Ovral L Tablet 21's. Ovral L Tablet 21's does not protect against any sexually transmitted disease or HIV. If pregnancy occurs while you are taking Ovral 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 Ovral 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 Ovral L Tablet 21's may increase your headache.

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 Ovral L Tablet:
Using etretinate and Ovral L Tablet can cause severe birth defects.

How to manage the interaction:
Taking Etretinate with Ovral L 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 Ovral L Tablet:
Coadministration of Acitretin with Ovral L 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 Ovral L 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 Ovral L Tablet:
Taking Ovral L 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 Ovral L 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 Ovral L Tablet:
Taking Ovral L Tablet with Tranexamic acid may increase the risk of blood clot formation.

How to manage the interaction:
Taking Ovral L 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 Ovral L Tablet:
Coadministration of Phenytoin and Ovral L Tablet may lower Ovral L Tablet blood levels and effects.

How to manage the interaction:
Although taking Ovral L 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(Ovral L 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 Ovral L Tablet:
Carfilzomib can occasionally cause dangerous blood clots and using it together with Ovral L Tablet may increase the risk.

How to manage the interaction:
Co-administration of Carfilzomib with Ovral L 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 Ovral L Tablet:
Taking Ovral L Tablet with Mycophenolate mofetil can decrease the levels of Ovral L Tablet in the body. This increases the risk of severe bleeding and unintended pregnancy.

How to manage the interaction:
Although taking Mycophenolate Mofetil and Ovral L 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 Ovral L Tablet:
A combined use of Ovral L Tablet with mycophenolic acid may reduce the blood levels and effects of Ovral L 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 Ovral L Tablet, but they can be taken together if a doctor has prescribed them. However, if you take hormone replacement (Ovral L 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 Ovral L Tablet:
Using Ovral L Tablet with tizanidine can result in increased side effects.

How to manage the interaction:
Although taking Ovral L 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 Ovral L Tablet:
Taking Ovral L Tablet and Boceprevir may reduce the blood levels and effects of Ovral L 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 Ovral L 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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ETHINYLESTRADIOL-0.03MG+LEVONORGESTREL-0.15MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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ETHINYLESTRADIOL-0.03MG+LEVONORGESTREL-0.15MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit, Grapefruit Juice

How to manage the interaction:
Taking Grapefruit or Grapefruit juice while on the treatment with Ethinylestradiol, Levonorgestrel can lead to increase in blood levels of Ethinylestradiol, Levonorgestrel. Avoid or limit the consumption of grapefruit and grapefruit juice during treatment with Ethinylestradiol, Levonorgestrel.

Diet & Lifestyle Advise

  • ​​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 Ovral 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.

Habit Forming

No

Therapeutic Class

CONTRACEPTIVES

Ovral L Tablet 21's Substitute

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Author Details

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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

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

Special Advise

  • Stop taking this Ovral 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.

Disease/Condition Glossary

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.

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