Norethindrone-Ethin Estradiol Tablets: uses, Side Effects, Dose, Precaution, Interaction
Generic name: NORETHINDRONE-ETHIN ESTRADIOL
Uses
The goal of this combined hormone medicine is contraception. It is made up of two hormones: estrogen and progestin. Birth control tablets may help with acne issues, menstrual cycle regulation, lowering the risk of ovarian cysts, and reducing menstrual discomfort and bleeding in addition to their contraceptive role. It’s crucial to comprehend the fact that this drug’s use does not provide protection against STIs such gonorrhea, chlamydia, or HIV.
How to Use a Tablet of Norethindrone-Ethin Estradiol:
Please read the Patient Information Leaflet before starting treatment with this drug the pharmacist sent you. Please do this each time you get a refill. Important details on when to take pills and what to do if you miss a dosage are included in the pamphlet. Please If you have any more inquiries, please contact your pharmacist or doctor.
Take this medicine by mouth as prescribed by your physician; this is usually once a day. Pick an identical time every day to keep everything running smoothly works for you and take the medication at that same time every day.
For chewable pills, you have two options: you may consume them whole or completely chew them before swallowing. Following the manufacturer’s directions for your particular brand exactly is essential.
Maintaining the regular usage of this medicine as exactly suggested by your doctor is crucial. variable types of birth control pills have variable amounts of progestin and estrogen in each active tablet at various times throughout the menstrual cycle. As a result of this, it is very important that you adhere to the. Directions on the label, start with the first pill in the pack, and continue in the right order without skipping any doses. If you start a new pack of pills later than normal, skip doses, or take your pill at a different time of day than usual, your chances of becoming pregnant go up.
If you throw up or have diarrhea, your birth control tablets could not work as well. As a precaution, it could be required to use spermicide or condoms, two different birth control methods, in such cases. For more detailed information, we advise referring to the instructions provided in the Patient Information Leaflet and speaking with your pharmacist or healthcare professional.
If you have nausea or upset stomach while taking this medicine, try taking it in the evening or just before bed. As an alternative, you may choose a different time of day that works better for your schedule as long as you take the prescription at the same time every day and leave a 24-hour gap between doses to ensure that you stick to your pattern. Please do not hesitate to consult your pharmacist or healthcare practitioner with any questions you may have.
There are 21 active tablets in your pill box and 7 reminder pills that are empty of medicine. Take one hormone-containing active tablet every day for 21 days in a row. If the package contains 28 tablets, take one inactive pill every day for 7 days after the final active pill, unless your doctor instructs you differently. On the other hand, unless your doctor instructs you differently, do not take any pills for seven days if your product includes 21 tablets. Ideally, your menstrual cycle will begin in the fourth week of the cycle. Once you have finished the final inactive tablet or have gone seven days without an active tablet, start a fresh pack the next day, whether or not your period has started. It’s advisable to see a doctor about this if your period does not appear.
The first tablet in the pack should be taken on the first Sunday after the start of your menstrual period or on the first day of your period if you are starting this medication for the first time and are not switching from another hormonal birth control method, like a patch or other birth control pills. If your menstruation starts on a Sunday, then that’s when you should start taking the prescription. To avoid conception during the first 7 days of the medicine’s exclusive cycle, use an extra non-hormonal birth control method, such spermicide or condoms, to give the medication enough time to take action. During the first week of the medicine, backup birth control is not necessary if you start taking it on the first day of your period.
Please contact your pharmacist or healthcare practitioner for information on how to switch from other hormonal birth control methods, including a patch or tablets, to this specific medicine. If there is anything that isn’t clear, or if you have any queries, you should see the Patient Information Leaflet or speak with your doctor or pharmacist for more thorough explanation.
Side Effects
This medicine may cause nausea, vomiting, headaches, bloating, breast tenderness, fluid retention that enlarges the ankles and feet, and variations in weight. Additionally, especially in the first few months of usage, it is possible to skip or have irregular periods, as well as suffer vaginal bleeding (spotting) in between periods. It is crucial that you notify your pharmacist or healthcare practitioner right away if any of these adverse effects worsen or continue. In the event that you miss two consecutive periods or one period because you took the pill incorrectly, you should go to the doctor and get a pregnancy test done.
Keep in mind that your healthcare provider has suggested this medicine because they believe the benefits exceed any possible negative effects. Many people who use this drug report minimal negative effects.
It is possible for this drug to cause an increase in blood pressure. So, it’s important to monitor your BP and report any changes to your doctor. you see any increased readings.
If you experience any serious side effects—which could include breast lumps, changes in mood or mental states like depression that starts or gets worse, severe stomach or abdominal pain, irregular variations in vaginal bleeding, darkened urine, or yellowing of the eyes or skin—notify your doctor right away.
Rarely, serious and sometimes deadly blood clot issues such deep vein thrombosis, heart attacks, pulmonary embolisms, or strokes may be brought on by this medicine. If any of the following adverse effects occur, get medical help right away: pain in the chest, jaw, or left arm; disorientation; abrupt dizziness or fainting; pain, swelling, or leg or groin heat; trouble talking; sudden, severe shortness of breath or rapid breathing; unusual headaches (including those that are accompanied by changes in vision or coordination, exacerbation of migraines, or sudden, severe headaches); unusual sweating; weakness on one side of the body; and changes in vision (such as double vision or partial or total blindness).
While extremely severe allergic reactions to this medication are rare, Even so, get to the hospital if you need medical help with experience any signs of a serious allergic reaction. These symptoms can include rash, itching, swelling, especially in the face, tongue, or throat, as well as extreme dizziness and difficulty breathing.
Please be aware that the information supplied may not include every possible adverse effect. For further advice and assessment, we highly advise that you contact your pharmacist or healthcare practitioner if you become aware of any effects that are not included above.
Warnings
If you use tobacco products or smoke cigarettes and you are at least 35 years old, do not this prescription. Smoking increases the risk of many serious health problems, including as blood clots, heart attacks, strokes, and high blood pressure, especially when used with hormonal birth control methods like the pill, patch, or ring. It is essential to emphasize that the likelihood of experiencing these serious health problems increases with age and is worsened by the amount of cigarettes smoked. As a result, it is strongly suggested that you avoid smoking and consuming tobacco products.
Precaution
Tell your pharmacist or doctor if you have any allergies before taking this or any other new medication. If you have an allergy to any hormones, including progestins like norethindrone or desogestrel or estrogens like ethinyl estradiol or mestranol, be sure to mention it. It’s also important to mention any other allergies you may have. Kindly note that this product can contain inactive ingredients that might cause allergic reactions or other negative consequences. You should speak with your pharmacist for a more thorough explanation.
Additionally, it is recommended that you provide your pharmacist or healthcare practitioner a thorough medical history before to starting this medicine, with special attention to the following aspects: any history of blood clotting abnormalities, such as protein C or protein S deficiency, or blood clots, especially those affecting the legs, eyes, or lungs. A history of cancer, particularly endometrial or breast cancer, elevated levels of cholesterol or triglycerides (blood fats), depressive episodes, a diagnosis of diabetes, abnormalities in breast examinations, high blood pressure, and any family or personal history of angioedema—a particular kind of swelling disorder—should also be disclosed. Any history of jaundice (yellowing of the eyes or skin) during pregnancy or while using hormonal birth control methods like pills or patches, kidney ailments, liver conditions, including the presence of tumors, obesity, strokes, swelling (edema), thyroid concerns, or unexplained vaginal bleeding are among the other pertinent medical histories. Swollen areas, migraines, heart problems, heart valve disease, irregular heartbeats, or a previous heart attack are also included.
It’s crucial to understand that this drug may affect blood sugar levels if you have diabetes. As such, it is best to follow the instructions for routine blood sugar monitoring and to share the findings with your healthcare professional. If you notice any signs that point to high blood sugar, including excessive thirst or urine, you should notify your doctor right away. Your diabetic medicine, exercise schedule, or food plan may need to be modified by your healthcare professional.
Finally, it is important to remember that aspartame and/or sugar may be included in chewable pills. It is best to proceed with care while contemplating the use of this medicine if you have diabetes, phenylketonuria (PKU), or any other disease that requires you to restrict or avoid these chemicals in your diet.
If you have just had surgery, are scheduled for surgery, or expect to be immobile for a prolonged period of time, including during a lengthy aircraft trip, please let your physician know. In particular, people with certain illnesses are more likely to develop blood clots. if a birth control method that involves hormones is being used. It may be essential to take certain care or temporarily stop using this drug.
It’s crucial to let your healthcare professional know about everything you use, including prescription, over-the-counter, and herbal supplements, before having any dental or surgical procedures done.
Melasma is a disease where uneven, dark spots on your face and skin might form as a result of using this drug. Sunlight exposure may make this impact worse. You should, therefore, restrict the quantity of time you spend in the sun, avoid using sunlamps and tanning beds, and while you are outside, use sunscreen and protective gear.
If you use contact lenses or are nearsighted, you may have vision issues or trouble using them while taking this prescription. Please let your eye doctor know if any of these problems occur.
When you stop using birth control pills, it might take a while for you to get pregnant. It is advised that you see your doctor for advice on this matter.
It is not recommended to take this medicine when pregnant. It is crucial that you notify your doctor right away if you get pregnant or think you may be pregnant. See your doctor about safe birth control options if you recently gave birth, lost your pregnancy, or had an abortion outside of the first three months of pregnancy. You should also find out when it’s okay to start using birth control that contains estrogen, like this drug.
Breast milk output may decrease as a result of this drug. A little amount has the potential to enter breast milk and negatively impact a breastfeeding baby. Therefore, you should see your doctor before starting a nursing routine.
Interaction
Drug interactions may change how well your prescriptions work or increase the likelihood of experiencing major adverse effects. Please be advised that not every possible medication interaction is covered in this text. Keeping a list of everything you take, including over-the-counter and prescription drugs, herbal supplements, and prescription prescriptions, is crucial. Your pharmacist and doctor should also have access to this list. Never start, stop, or change the dose of any drug without first getting your doctor’s permission.
Aromatase inhibitors (such as anastrozole and exemestane), fezolinetant, ospemifene, tamoxifen, tizanidine, tranexamic acid, and specific combination products used in the Ombitrasvir/paritaprevir/ritonavir, with or without ombitasvir, is the therapy of choice for patients with chronic hepatitis C. dasabuvir) are some products that may interact with this medication.
Certain medications have the ability to lessen the effectiveness of hormonal birth control by lowering the levels of birth control hormones in your body. Pregnancy risk may rise as a consequence of this decreased efficacy. Grizeofulvin, modafinil, rifamycins (like rifampin and rifabutin), ritonavir, St. John’s wort, antiepileptic pharmaceuticals (such barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate), HIV drugs (like nevirapine, nevinavir), and other medications are examples of such drugs.
When you start taking any new medicine, it’s crucial to let your doctor know. You should also talk about whether you need use any extra safe birth control techniques. Furthermore, you should notify your doctor right away if you see any new spotting or breakthrough bleeding, since these might be signs that your birth control is not working as it should.
Certain laboratory tests, including those that evaluate thyroid function and blood coagulation factors, may be affected by this medicine, which might result in false test findings. As a result, it is imperative that you let the laboratory staff and all of your medical professionals know that you are taking this medicine.
NOTE
Don’t give this medicine to anybody else.
While using this drug, it is essential to have frequent, thorough physical examinations as well as any necessary laboratory and medical testing (such as blood pressure checks, breast exams, pelvic exams, and Pap smears). Follow your physician’s recommendations for getting a breast exam, and report any lumps found right away. Attend all your appointments. planned lab and medical visits. For more specific information, please speak with your doctor.
Missed Dosage: For advise on missing doses, please see the instructions included in the product packaging. To avoid pregnancy, it might sometimes be essential to use contraceptives other than condoms, including spermicide. If you have any questions, don’t be afraid to ask either your pharmacist or your doctor.
It is advised to speak with your doctor about switching to an alternative form of birth control if you often fail to take your tablets as directed.
Storage: Keep this medicine out of the light and the moisture by keeping it at room temperature. Prescriptions should never be kept in the bathroom and should always be kept out of the reach of kids and animals.
Unless specifically directed to do so, you should never flush drugs down the toilet or dispose of them in a drain. When this product passes its expiry date or is no longer needed, please dispose of it properly. In this respect, you might consult your pharmacist or a nearby garbage disposal business for advice.
