How Should I Take Loestrin 24 Fe
Take Loestrin 24 Fe exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Each blister card of Loestrin 24 Fe contains 24 white, round tablets with 1 mg norethindrone acetate and 20 mcg ethinyl estradiol and 4 brown tablets containing 75 mg ferrous fumarate. The ferrous fumarate tablets do not serve any therapeutic purpose.
Take your first pill on the first day of your period or on the first Sunday after your period begins. You may need to use back-up birth control, such as condoms with spermicide, when you first start using this medication. Follow your doctor’s instructions.
Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not take one pill daily. Get your prescription refilled before you run out of pills completely.
Use a back-up birth control if you are sick with severe vomiting or diarrhea.
You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.
If you need major surgery with long-term bed rest, you may need to stop using Loestrin 24 Fe for a short time. Any doctor or surgeon who treats you should know that you are using birth control pills.
While taking Loestrin 24 Fe, you will need to visit your doctor regularly.
Dosage Forms And Strengths
Lo Loestrin Fe is available in blister packs.
Each blister pack contains in the following order:
- 24 blue, round tablets imprinted with WC on one side and 421 on the other and each containing 1 mg norethindrone acetate and 10 mcg ethinyl estradiol.
- 2 white, hexagonal tablets imprinted with WC on one side and 422 on the other and each containing 10 mcg ethinyl estradiol.
- 2 brown, round tablets imprinted with WC on one side and 624 on the other and each containing 75 mg ferrous fumarate. The ferrous fumarate tablets do not serve any therapeutic purpose.
Changes In Plasma Levels Of Co
COCs containing some synthetic estrogens may inhibit the metabolism of other compounds. COCs have been shown to significantly decrease plasma concentrations of lamotrigine, likely due to induction of lamotrigine glucuronidation. This may reduce seizure control therefore, dosage adjustments of lamotrigine may be necessary. Consult the labeling of the concurrently-used drug to obtain further information about interactions with COCs or the potential for enzyme alterations.
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Risk Of Liver Enzyme Elevations With Concomitant Hepatitis C Treatment
During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal , including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications, such as COCs. Discontinue Lo Loestrin Fe prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir . Lo Loestrin Fe can be restarted approximately 2 weeks following completion of treatment with the Hepatitis C combination drug regimen.
What If You Missed A Loestrin Pill
If you missed a Loestrin pill, your actions will depend on the brand youre using, how many pills youve missed, and how far into the birth control package you are.
Be aware that if you forget a birth control pill, you may have a chance of becoming pregnant.
Follow the patient instructions supplied with your medication or ask your doctor or pharmacist the best way to proceed for your specific body. Below is a guideline to follow if you missed a Loestrin pill:
If you missed one Loestrin 24 blue pill:Take the missed pill as soon as you can and then take the next pill at your usual time. This may mean you take two pills in one day.
If you missed two Loestrin 24 blue pills in a row in the first or second week of the pack:Your menstrual cycle will likely be thrown off. Take 2 pills on the day you remember and 2 pills the following day. Then continue taking one pill a day until the pack is empty. Use backup birth control for at least 7 days of taking birth control pills consistently to ensure you do not become pregnant.
If you missed two Loestrin 24 blue or white pills in a row in the third or fourth week of the pack:Your menstrual cycle will likely be thrown off and you may not have your period this month. Contact your doctor or Physician if you miss 2 periods in a row because you may become pregnant. Throw out the remainder of the pack and start a new one. Use backup birth control for 7 days to ensure you do not become pregnant.
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How To Start Lo Loestrin Fe
Instruct the patient to begin taking Lo Loestrin Feon Day 1 of her menstrual cycle . One blue tablet should be taken daily for 24 consecutive days, followed by one white tablet daily for 2 consecutive days, followed by one brown tablet daily for 2 consecutive days. Instruct the patient to use a non-hormonal contraceptive as back-up during the first 7 days if she starts taking Lo Loestrin Fe other than on the first day of her menstrual cycle.
For postpartum women who do not breastfeed or after a second trimester abortion, Lo Loestrin Fe may be started no earlier than 4 weeks postpartum. Recommend use of a non-hormonal back-up method for the first 7 days. When COCs are used during the postpartum period, the increased risk of thromboembolic disease associated with the postpartum period must be considered . The possibility of ovulation and conception before starting COCs should also be considered.
Lo Loestrin Fe may be initiated immediately after a first-trimester abortion or miscarriage if the patient starts Lo Loestrin Fe immediately, additional contraceptive measures are not needed.
To Have Spotting While On The Pill
Yes, it’s normal. Spotting, also called irregular bleeding or breakthrough bleeding, typically happens during the first few months of taking a new birth control pill. It may take time for your body to adjust to the new hormone levels.
If spotting still occurs after being on the pill for more than 6 months you should see your healthcare provider to make sure there isn’t another underlying condition.
What is Lo Loestrin® Fe?
Lo Loestrin Feis a prescription birth control pillused for the prevention of pregnancy. If you are moderately obese,discuss with your healthcare provider whether Lo Loestrin Feis appropriate for you.
IMPORTANT RISK INFORMATION
WARNING TO WOMEN WHO SMOKE
Do not use Lo Loestrin Fe if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from birth control pills, including death from heart attack, blood clots, or stroke. This risk increases with age and the number of cigarettes you smoke.
Who should not take Lo Loestrin Fe?
Do not use Lo Loestrin Fe if you have or have had blood clots, history of heart attack or stroke, high blood pressure that medicine cannot control, breast cancer or any cancer that is sensitive to female hormones, liver disease or liver tumors, unexplained bleeding from the vagina, if you are or may be pregnant, or if you take Hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of liver enzymes in the blood.
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How Long Does Lolo Take To Be Effective
Upon starting the Lolo pack, you will need to continue using a secondary method of protection because you are starting the pill at the beginning of your period.
How Is Loestrin Supplied
Loestrin 1/20 are packaged in cartons of five blister cards. Each card contains 21 light yellow, round, flat-faced, beveled-edge, unscored tablets debossed with stylized b on one side and 977 on the other side. .
Loestrin Fe 1/20 are packaged in cartons of five blister cards. Each card contains 21 light yellow, round, flat-faced, beveled-edge, unscored tablets debossed with stylized b on one side and 977 on the other side and 7 brown, round, flat-faced, beveled-edge, unscored tablets debossed with stylized b on one side and 247 on the other side. Each brown tablet contains 75 mg ferrous fumarate. The ferrous fumarate tablets are present to facilitate ease of drug administration via a 28 day regimen, are non-hormonal, and do not serve any therapeutic purpose. .
Loestrin 1.5/30 are packaged in cartons of five blister cards. Each card contains 21 pink, round, flat-faced, beveled-edge, unscored tablets debossed with stylized b on one side and 978 on the other side. .
Store at 20° to 25°C .
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Carbohydrate And Lipid Metabolic Effects
Carefully monitor prediabetic and diabetic women who are taking Lo Loestrin Fe. COCs may decrease glucose tolerance in a dose-related fashion.
Consider alternative contraception for women with uncontrolled dyslipidemias. A small proportion of women will have adverse lipid changes while on COCs.
Women with hypertriglyceridemia, or a family history thereof, may be at an increased risk of pancreatitis when using COCs.
Why Is This Medication Prescribed
Oral contraceptives are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation . They also change the lining of the uterus to prevent pregnancy from developing and change the mucus at the cervix to prevent sperm from entering. Oral contraceptives are a very effective method of birth control, but they do not prevent the spread of human immunodeficiency virus and other sexually transmitted diseases.
Some brands of oral contraceptives are also used to treat acne in certain patients. Oral contraceptives treat acne by decreasing the amounts of certain natural substances that can cause acne.
Some oral contraceptives are also used to relieve the symptoms of premenstrual dysphoric disorder in women who have chosen to use an oral contraceptive to prevent pregnancy.
Before Taking This Medicine
Taking Loestrin 24 Fe can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of taking birth control pills. Your risk is also high when you restart birth control pills after not taking them for 4 weeks or longer.
Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke. You should not take Loestrin 24 Fe if you smoke and are over 35 years old.
Do not use if you are pregnant. Stop using Loestrin 24 Fe and tell your doctor right away if you become pregnant, or if you miss 2 menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before taking Loestrin 24 Fe.
You should not take Loestrin 24 Fe if you have:
To make sure Loestrin 24 Fe are safe for you, tell your doctor if you have ever had:
heart problems, high blood pressure, or if you are prone to having blood clots
high cholesterol or triglycerides, or if you are overweight
irregular menstrual cycles or
fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.
The hormones in Loestrin 24 Fe can pass into breast milk and may harm a nursing baby. Birth control pills may also slow breast milk production. Do not use if you are breast feeding a baby.
Is One Pill More Effective Than Another
In general, all birth control brands are found to be an incredibly effective method of pregnancy prevention. The pill has a very low failure rate, meaning it is successful at preventing pregnancy. Specifically it works around 95-99% of the time, when taken at the same time every day, as your doctor directs. The American Journal of Obstetricians and Gynecologists states that with typical use, both the combined pill and mini pill are 91% effective in preventing pregnancy.
The effectiveness drops if you skip, miss, or switch the times when you take pills. For example, if you are on the pill but miss more than 3 pills that month, you should use emergency contraception if you have unprotected sex.
If you know taking a pill every day is going to be a struggle, you may want to consider using a different method of contraception. For some women, an IUD, shot, arm implant,vaginal ring, or patch could work better with their lifestyle. If you want to know more about the specifics, ask your doctor.
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Switching From Another Hormonal Method Of Contraception
If the patient is switching from a combination hormonal method such as: Another pill Vaginal ring Patch
- Instruct her to take the first blue tablet on the day she would have taken her next COC pill. She should not continue taking the tablets from her previous birth control pack, and should not skip any days between packs. If she does not have a withdrawal bleed, rule out pregnancy before starting Lo Loestrin Fe.
- If she previously used a vaginal ring or transdermal patch, she should start using Lo Loestrin Fe on the day she would have resumed the previous product.
If the patient is switching from a progestin-only method such as a: Progestin-only pill Intrauterine system Injection
- Instruct her to take the first blue tablet on the day she would have taken her next progestin-only pill, or had her next injection or on the day of removal of her implant.
- If switching from an IUD, depending on the timing of removal, back-up contraception may be needed.
Are There Any Risks Associated With Loestrin Fe 1/20
As is the case with many types of hormonal contraceptives, Loestrin Fe 1/20 is associated with the risk of serious cardiovascular events in women who smoke while using these contraceptives. Cardiovascular events that may occur include stroke, heart attack, blood clots, and high blood pressure.
The risk of experiencing cardiovascular issues increases with the age of the woman and the number of cigarettes that are smoked. Women ages 35 and older are considered to be at especially high risk, and it is strongly advised not to smoke at all while using Loestrin Fe 1/20.
Women with a history of blood clots or blood clotting disorders should speak to their healthcare provider about their medical history before using a hormonal contraceptive like Loestrin Fe 1/20, as hormone treatments can increase the risk of experiencing dangerous blood clots.
Women who have diabetes may have their blood sugar affected by Loestrin Fe 1/20, so they should check their blood sugar regularly and talk to their doctor about their results.
Women should be sure to give their doctor a complete medical history and a comprehensive list of all prescription medications, over the counter medications, vitamins, supplements, and herbs that they are taking in order to prevent any potential drug interactions.
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How Does Loestrin Fe 1/20 Work
Loestrin Fe 1/20 works to prevent pregnancy in three main ways.
Thinning the uterine lining makes implantation of a fertilized egg less likely.
While Loestrin prevents pregnancy, it is not effective as emergency birth control and should not be taken by women who are currently pregnant. It also is not appropriate for girls who have not started menstruating.
- Glucose tolerance may be decreased.
- Serum folate levels may be depressed by oral contraceptive therapy. This may be of clinical significance if a woman becomes pregnant shortly after discontinuing oral contraceptives.
Dosage And Administration For 21 Day Dosage Regimen
To achieve maximum contraceptive effectiveness, Loestrin 21 must be taken exactly as directed and at intervals not exceeding 24 hours.
Loestrin 21 provides the patient with a convenient tablet schedule of 3 weeks on 1 week off. Two dosage regimens are described, one of which may be more convenient or suitable than the other for an individual patient. For the initial cycle of therapy, the patient begins her tablets according to the Day 1 Start or Sunday Start regimen. With either regimen, the patient takes one tablet daily for 21 consecutive days followed by one week of no tablets.
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Which Birth Control Pill Is Right For Me
You should consider your risk of unpleasant side effects, how easy it is to access, and the price of the particular brand your doctor recommends.
When searching for the best birth control pill, you and your doctor might ask:
Is the pill safe for you?
Which pill has a low hormone dose, but is still effective?
What type of pill will work the best, without unpleasant side effects?
Do you need any secondary benefits from the pill ?
Will your insurance plan cover the pill?
Is the pill affordable?
Do you need additional health or lifestyle benefits ?
The birth control pill is very effective at preventing pregnancy, with only a 7% failure rate. You can compare that to the 13% failure rate of male condoms .
Besides preventing pregnancy, the pill offers other advantages for women because it may help with:
Irregular periods by regulating the menstrual cycle
Painful period cramps
Let your doctor know if youre looking for any secondary benefits from the pill.
Next, well get into our recommendations and common questions.
Comparison Of Hormone Levels In Birth Control Pills
Last updated on By Jing J.
If you have to take birth control pills, what would be the best ones to take? Check out the comparison of hormone levels and side effects of various birth control pills.
Recently some of you asked me about birth control pills: If you have to take birth control pills, what would be the best ones to take, i.e., which birth control pill has the least side effects?
First, I think this is a conversation you ought to have with your healthcare provider since he or she would have the most intimate knowledge regarding your health condition and could recommend the best option for you.
That being said, I think it would be helpful to compare the hormone levels in various birth control pills, so you can be educated and ask the right questions when you discuss your options with your doctor.
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