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At a glance

Norgestrel + Ethinyl Estradiol + Ferrous Fumarate is a combination oral contraceptive used for prevention of pregnancy. Norgestrel is a progestin and ethinyl estradiol is an estrogen that inhibit ovulation and affect cervical mucus and endometrium to make conception unfavourable.

Indications
  • Contraception
Pharmacology

Combination oral contraceptives suppress gonadotropins to inhibit ovulation, thicken cervical mucus to inhibit sperm penetration, and alter endometrium to prevent implantation.

Dosage

Adult Dose (Oral):

  • Start on day 1 of menstrual cycle
  • 1 active tablet daily for 21 days, then 7 inert (iron) tablets
  • Take at the same time each day
  • No break between packs
Side effects

Common Side Effects (>10%):

  • Edema
  • Weakness
  • Amenorrhea
  • Breakthrough bleeding
  • Change in menstrual flow
  • Spotting
  • Anorexia

Others: DVT, thrombophlebitis, depression, dizziness, headache, nervousness, somnolence, breast tenderness, galactorrhea, abdominal pain, nausea, vomiting, weight change, cholestatic jaundice. Potentially Fatal: Hepatic tumours; increased risk of thromboembolism.

Use in pregnancy

Use in Pregnancy: Norgestrel + Ethinyl Estradiol is highly unsafe during pregnancy (Category X); do not use during pregnancy.

Pregnancy Category: X — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Sex-steroid dependent cancer, past ectopic pregnancy, malabsorption syndromes, functional ovarian cysts, active liver disease, recurrent cholestatic jaundice, history of jaundice in pregnancy, history of CV or renal impairment, DM, asthma, epilepsy, migraine, depression, conditions exacerbated by fluid retention, hypertension, hypercalcaemia, CV and gall bladder diseases
Overdose effects

Limited information on overdose; symptomatic treatment.

Storage conditions

Store in a dry place, away from light; keep out of reach of children.

Norgestrel + Ethinyl Estradiol + Ferrous Fumarate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.