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Norgestrel+ethinylestradiol

About

Norgestrel+ethinylestradiol is a combination drug containing birth control pills, primarily used for contraception and in treating dysmenorrhea (irregular and painful periods). Contraception is a procedure that aims to prevent pregnancy and is used in family planning. A woman can only get pregnant if a man's sperm fertilizes her egg. Dysmenorrhea is irregular and painful periods, leading to abdominal pain, digestion problems, fainting, vomiting, and nausea.

Norgestrel+ethinylestradiol contains Norgestrel and Ethinylestradiol, primarily used for contraception. It helps to prevent pregnancy in multiple ways. It prevents the release of an egg from the ovaries and makes the fluid present in the cervix thick, making it 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. 

Norgestrel+ethinylestradiol can be taken with or without food but take it at the same time every day for best results. Norgestrel+ethinylestradiol is meant to be taken on the first day of your menstrual cycle and should be continued all month. Like all medicines, Norgestrel+ethinylestradiol can cause side effects, although not everybody gets them. The most common side effects are headache, weight increase or decrease, acne, dysmenorrhea (irregular and painful periods), abdominal pain, cramps, depression, and nervousness. Most of these side effects 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 Norgestrel+ethinylestradiol if you are pregnant or have recently delivered a baby.

Inform your doctor before using Norgestrel+ethinylestradiol if you are over 35 years old, smoke, or have had a heart problem, breast cancer, uterus, or vagina. Also, keep your doctor informed about your health condition and all your ongoing medication before taking Norgestrel+ethinylestradiol to rule out any side effects. If you have missed a dose or are late by 12 hours, please wear a condom for five days while having sexual intercourse to avoid unwanted pregnancy. Do not take medicine if you are pregnant already or breastfeeding.

Uses of Norgestrel+ethinylestradiol

Contraception (Prevent pregnancy)

Medicinal Benefits

Norgestrel+ethinylestradiol contains Norgestrel and Ethinylestradiol, used in combination as birth control pills. It is primarily used for contraception. It helps to prevent pregnancy in multiple ways. It prevents the release of an egg from the ovaries and makes the fluid present in the cervix thick, making it 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.

Directions for Use

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

Storage

Store in a cool and dry place away from sunlight

Side Effects of Norgestrel+ethinylestradiol

  • Weight increase or decrease
  • Acne
  • Breast tenderness
  • Dysmenorrhea (irregular periods)
  • Abdominal pain
  • Cramps
  • Depression
  • Nervousness

In-Depth Precautions and Warning

Drug Warnings

Please inform your doctor if you have ever had deep-vein thrombosis, pulmonary embolism, heart disease, hypertension, breast cancer, diabetes mellitus, liver disease, or abnormal uterine bleeding as Norgestrel+ethinylestradiol is known to contra-indicate. Smoking may increase the risk of cardiovascular disease in women over 35 years when taking Norgestrel+ethinylestradiol. Norgestrel+ethinylestradiol does not protect against any sexually transmitted disease or HIV. If pregnancy occurs while you are taking Norgestrel+ethinylestradiol, please consult your doctor to use it as a birth control pill. 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 Norgestrel+ethinylestradiol 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 five days while having sexual intercourse to avoid unwanted pregnancy. Do not take medicine if you are pregnant already or breastfeeding.

Drug Interactions

Drug-Drug interactions: Norgestrel+ethinylestradiol may have an interaction with anti-viral medicines (paritaprevir, ritonavir), blood thinners (aspirin), pain-killer (acetaminophen), anti-anginal medication (diltiazem), drugs used to treat stomach acid (esomeprazole, posaconazole, omeprazole), and vitamins (vitamin B12).

Drug-Food Interactions: Norgestrel+ethinylestradiol interacts with non-prescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Also, alcohol consumption and grapefruit juice should not be included with Norgestrel+ethinylestradiol.

Drug-Disease Interactions: Inform your doctor if you smoke,  have or have ever had deep-vein thrombosis or pulmonary embolism, heart disease, hypertension, diabetes mellitus, liver disease, abnormal uterine bleeding, or breast cancer.

Drug-Drug Interactions Checker List:

  • RITONAVIR
  • ASPIRIN
  • ACETAMINOPHEN
  • ESOMEPRAZOLE
  • OMEPRAZOLE
  • PARITAPREVIR
  • DILITAZEM
  • POSACONAZOLE
  • CYANOCOBALAMIN
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      You are recommended not to consume alcohol along with Norgestrel+ethinylestradiol to avoid unpleasant side-effects.

    • Safety Warning

      Pregnancy

      unsafe

      Recommended not to use in pregnancy.

    • Safety Warning

      Breast Feeding

      caution

      Caution should be exercised, and it is advisable to consult a doctor before using it.

    • Safety Warning

      Driving

      safe if prescribed

      Norgestrel+ethinylestradiol has no or negligible influence on the ability to drive or use machines.

    • Safety Warning

      Liver

      caution

      There is insufficient information available on the usage of Norgestrel+ethinylestradiol in patients with liver dysfunction. Please consult your doctor.

    • Safety Warning

      Kidney

      safe if prescribed

      There is insufficient information available on the usage of Norgestrel+ethinylestradiol in patients with kidney dysfunction. Please consult your doctor.

    • Safety Warning

      Children

      caution

      Safety and efficacy of Norgestrel+ethinylestradiol are established in women of reproductive age. But sufficient studies have not to be performed on women less than 16 years of age. So, take Norgestrel+ethinylestradiol only when prescribed by a child specialist.

    Habit Forming

    No

    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.
    • Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complications.
    • Do regular exercise to maintain weight fluctuations caused due to Norgestrel+ethinylestradiol.
    • Monitor your blood pressure regularly and if there is too much fluctuation, then immediately contact your doctor.
    • 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.

    Special Advise

    • Norgestrel+ethinylestradiol may cause menstrual irregularities such as spotting / missed periods/bleeding between menstrual periods. Consult your doctor if the do not subside.
    • Stop other oral contraceptives if you are taking Norgestrel+ethinylestradiol for dysmenorrhea.

    Patients Concern

    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 irregular and painful periods 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.

    FAQs

    Norgestrel+ethinylestradiol contains Norgestrel and Ethinylestradiol, primarily used for contraception. It helps to prevent pregnancy in multiple ways. It prevents the release of an egg from the ovaries and makes the fluid present in the cervix thick, making it 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. 

    When taking Norgestrel+Ethinyl Estradiol, you can experience frequent vaginal bleeding. Headaches, nausea (feeling sick), depression (sad mood), and breast pain are other common side effects. Some of them are temporary and consult a doctor if the symptoms persist.

    Yes, Norgestrel+ethinylestradiol is known to cause weight gain. So, to avoid weight gain, do regular exercise, and eat home-cooked food.

    Usually, Norgestrel+ethinylestradiol is prescribed below the age of 35 years and not recommended for women over 35 years. Your doctor may weigh its benefits and prescribe you accordingly.

    Yes, Norgestrel+ethinylestradiol can cause spotting in between the regular periods. Usually, it does not persist, but if spotting does not reduce, please inform your doctor as medical attention may be required.

    No, the Norgestrel+ethinylestradiol does not protect against sexually transmitted diseases. It is an oral form of contraception that does not protect against STDs. So, use some other form of contraception to avoid transmission.

    Available Medicines for

    Norgestrel+ethinylestradiol

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