Medication Manual

Generic Name : Ethinyl Estradiol and Levonorgestrel

Pronunciation : ETH ih nill ess tra DYE all and lee voe nor JESS trell

TradeName : India- Choice Tab, Combee Tab, Combee-R Tab, Divacon Tab, Duoluton-L Tab, Ergest Tab, Ergest-Ld Pill, Locon Tab, Loette Tab, Oralcon-F Tab, Ovilow Film-Coated Tab, Ovipauz-L Film-Coated Tab, Ovral Tab, Ovral-G Tab, Ovral-L Tab, Trigestrel Tab, Triquilar Tab.
International- Jolessa and Seasonale.

Why it is prescribed : 
This combination medication contains estrogen and progestin, used as a highly effective oral contraceptive. In addition, it reduces the risk of ovarian and endometrial cancer, ovarian cysts and fibrocystic breast disease. It also helps to regularize cycles and reduce the incidence of anemia, premenstrual tension and pain during periods. It helps to improve endometriosis and pelvic inflammatory disease.

When it is to be taken : 
Adult: PO- Monophasic combined OC: As tab containing levonorgestrel 100-250 mcg and ethinyl estradiol 20-50 mcg: 1 tab once daily. Triphasic combined OC: Levonorgestrel 50-125 mcg + ethinyl estradiol 30-40 mcg: 1 tab once daily.

How it should be taken : 
It comes as a tablet to take by mouth once a day, with food or milk.

Special Instruction : 
*Caution should be exercised in patients with history of sex-steroid dependent cancer, past ectopic pregnancy, indigestion, ovarian cysts, active liver disease, jaundice, heart or kidney impairment; diabetes, asthma, epilepsy, migraine, depression,lactation, conditions exacerbated by fluid retention; increased level of calcium in blood, gall bladder diseases, high lipid levels, patients at risk of venous blood clot, breast cancer, preexisting Fibroid Tumors of the Uterus and benign tumor of the liver.
*Missed pills and interaction with other drugs may require additional contraceptive precautions.

Side Effects : 
Genitourinary- Menstrual irregularities, spotting, inflammation of vagina, breast cancer, tenderness, pain, enlargement, secretion, infertility after discontinuation of treatment.
Central Nervous System- Headache, dizziness, depression, changes in libido.
Gastrointestinal- Disturbance of appetite, nausea and vomiting, abdominal pain, cramps, and bloating, inflammation of pancreas.
Skin- Hair loss, local skin reactions, acne, severe allergic reactions, rash, darkening of skin over face.
Liver- Liver impairment, jaundice, gallstone formation.
Heart- High blood pressure.
Miscellaneous- Loss/Gain in weight.
Potentially Fatal- Liver tumors, increased risk of blood clot, increased chances of breast or cervical cancers in patients already at risk for these cancers.

Other Precautions : 
*Take properly s directed by your physician, without missing your dosage.

Storage Conditions : 
Store it at room temperature and in airtight container.


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