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Choice Tablet is used for birth control and treating dysmenorrhea (irregular and painful periods). It works by preventing the release of an egg from ovaries and making sperm entry difficult to enter in the uterus to fertilise sperm and egg. In addition to this, it prevents the thickening of the uterus's inner wall, which is required for egg growth in the uterus. Ferrous fumarate is required to make up for the amount of iron that women lose during their menstrual period. It may cause common side effects such as acne, amenorrhea (absence of menses), tenderness, pain, or swelling of the breasts, decrease in the secretion of breast milk after giving birth, dizziness, oedema (fluid retention), gastrointestinal symptoms such as abdominal pain, cramps, and bloating, unwanted hair growth, intolerance to contact lenses, changes in sexual desire, loss of scalp hair, change in menstrual flow, dark patches on the skin, mood changes, nausea, nervousness, vaginal discharge, vomiting, and loss or gain of appetite.

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Written By Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ETHINYLESTRADIOL-0.03MG+FERROUS FUMARATE-60MG+LEVONORGESTREL-0.15MG

Manufacturer/Marketer :

DKT India Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Choice Tablet

Choice Tablet is a contraceptive tablet used to prevent pregnancy. It works by stopping ovulation and altering the lining of the womb to prevent fertilisation. Additionally, it helps regulate menstrual cycles and provides iron supplementation for women during their monthly cycles.

For this medicine to work effectively, you must take it consistently at the exact same time every day without skipping a dose. You can take this tablet with or without food, though taking it with a meal or at bedtime can help reduce any initial stomach upset. Eating a balanced diet and engaging in regular physical activity can also help support your body's natural cycle while taking this medication.

While using Choice Tablet , you might notice mild side effects like nausea, breast tenderness, or light spotting between your periods. These symptoms are usually temporary, but you should consult your doctor immediately if you experience severe headaches, sharp chest pain, or sudden swelling in your legs.

Talk to your doctor before taking this medicine if you have high blood pressure, diabetes, or a history of migraine headaches. Do not take this medication if you are currently pregnant, have unexplained vaginal bleeding, severe liver damage, or a high risk of blood clots.

Certain medications like anti-seizure drugs can make this pill less effective, while smoking while taking this medicine greatly increases your risk of serious cardiovascular issues. You should consult your healthcare provider if you are breastfeeding, and this medication is not intended for use in pregnant or elderly individuals.

Uses of Choice Tablet

Choice Tablet is a combined oral contraceptive with iron tablets that helps prevent pregnancy while providing additional menstrual and iron-related benefits. It is commonly prescribed for the following uses:

  • Pregnancy prevention: Choice Tablet helps prevent pregnancy by stopping the release of an egg from your ovaries each month and making it harder for sperm to reach an egg.
  • Menstrual cycle regulation: It helps establish regular, more predictable menstrual periods for women with irregular or painful cycles.
  • Iron deficiency prevention: The inclusion of an iron component helps prevent anemia by replacing the essential iron lost during monthly menstrual bleeding.
     

Key Benefits

By combining effective contraception with cycle regulation and iron supplementation, Choice Tablet offers several benefits that support both reproductive and overall health, including:

  • Highly Effective Birth Control: Provides reliable and reversible contraception when taken exactly as prescribed.
  • Regular and Predictable Periods: Helps establish a more consistent menstrual cycle, making periods easier to anticipate and manage.
  • Lighter and Less Painful Menstrual Bleeding: Reduces menstrual flow and eases cramps, improving comfort during each cycle.
  • Supports Healthy Iron Levels: The ferrous fumarate tablets help replace iron lost during menstruation, lowering the risk of iron deficiency and related fatigue.
  • May Improve Acne: Hormonal regulation may help reduce hormone-related acne, resulting in clearer skin for some women.
  • Improves Quality of Life: By preventing unintended pregnancy, reducing menstrual symptoms, and supporting healthy iron levels, this medicine allows many women to carry out their daily activities with greater comfort and confidence.
     
Side effects of Choice Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Vaginal bleeding can be abnormal if it is not related to menstruation, and needs immediate attention and cannot be ignored.
  • Get a physical examination and follow your doctor's instructions to get relief from bleeding.
  • Avoid using vaginal sprays or perfumed soaps that increase itching and irritation.
  • Prefer practicing yoga and meditation to reduce stress and anxiety, as it can worsen vaginal bleeding.
  • Take a balanced diet and manage your weight.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • Mild physical activity can increase blood flow and lessen pain from tense or irritated muscles.
  • Pain might be reduced with a supportive, properly fitting bra, particularly when exercising.
  • Limit or stay away from items that can cause breast pain, like spicy and caffeine-containing foods.
  • vitamin E medication which could ease breast pain and encourage rest.
  • Mood swings can be managed but cannot be controlled. Therefore, spending time in nature can help you feel light and improve your mood.
  • Practice meditation, deep breathing and do regular exercise that can positively affect your mood. Also helps in processing the situation before responding to it.
  • Food has direct impact on mood. Therefore, eat foods that are less processed and reduce sugar intake.
  • Consult your doctor if the mood swings are uncontrollable or unmanageable.

Directions for Use

  • Take Choice Tablet with food to avoid stomach upset or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Choice Tablet Works

Choice Tablet contains three active ingredients - levonorgestrel, ethinylestradiol and ferrous fumarate - that work together to prevent pregnancy and support your iron levels during your menstrual cycle. Levonorgestrel is a progestin, a synthetic form of the natural hormone progesterone. It helps prevent pregnancy by suppressing ovulation, thickening the cervical mucus to make it more difficult for sperm to reach and fertilise an egg, and thinning the lining of the uterus, making it less suitable for pregnancy should fertilisation occur. Ethinylestradiol is a synthetic form of the hormone oestrogen. It works together with levonorgestrel to suppress ovulation, regulate the menstrual cycle, and enhance the contraceptive effect by helping maintain changes in the cervical mucus and uterine lining. Ferrous fumarate is an iron supplement included in the reminder tablets. It helps replace the iron lost during menstrual bleeding, supports the production of healthy red blood cells, and helps reduce the risk of iron deficiency. Together, these ingredients help provide effective contraception, regulate the menstrual cycle, and maintain healthy iron levels during your treatment cycle.
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Alcohol

Caution

Alcohol consumption should be avoided while using Choice Tablet

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Pregnancy

Unsafe

Choice Tablet is a category X drug. It is not recommended for use in pregnancy.

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Breast Feeding

Unsafe

Choice Tablet should not be used in breastfeeding mothers as this medicine may get excreted in the breast milk.

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Driving

Safe if prescribed

Choice Tablet may not affect your ability to drive.

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Liver

Caution

Choice Tablet should be used with caution in patients with liver diseases.

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Kidney

Caution

Choice Tablet should be used with caution in patients with kidney diseases.

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Children

Unsafe

Choice Tablet is not recommended for use in children.

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Heart

Unsafe

Choice Tablet is not recommended for use in heart patients as it can lead to side effects like heart attack, blood clots, or stroke in some patients.

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Geriatrics

Unsafe

Choice Tablet is not recommended for use in elderly patients and postmenopausal women.

What if I have taken an overdose of Choice Tablet

In case of an accidental overdose, which may cause symptoms like severe nausea, vomiting, or sudden vaginal bleeding, seek immediate medical attention or contact your local poison control centre.

Diet & Lifestyle Advise

  • Avoid smoking: Smoking while taking Choice Tablet significantly increases your risk of serious cardiovascular complications, such as blood clots, stroke, or heart attack.
  • Enhance iron absorption: Consume foods rich in vitamin C, such as citrus fruits, bell peppers, and leafy greens, to help your body better absorb the iron component.
  • Limit calcium and caffeine near dose times: Avoid drinking coffee, tea, or consuming dairy products at the same time as your tablet, as these can block iron absorption.
  • Stay hydrated and active: Drink plenty of water and move regularly during long trips to maintain healthy blood circulation and reduce the risk of clot formation.
     

Health Queries

I recently had an abortion and want to prevent pregnancy. Should I use condoms or take any tablets?

Vikas Singh

Vikas Singh

M Pharmacy

After an abortion, it is important to choose a reliable method to prevent pregnancy based on your needs. Condoms are a safe option and also protect against infections, but they depend on correct use every time. Tablets like oral contraceptive pills can give more consistent protection if taken regularly. The choice depends on your comfort, health and plans. Consult your doctor to decide the most suitable and safe method for you.
health query

Have a query?

How Soon It Starts Working

The time required for Choice Tablet to start to work: The time required for Choice Tablet to show its action is unknown. The time for which the effects of Choice Tablet last: The duration of action for Choice Tablet is unknown.

What if you forget to take Choice Tablet

If you miss one active tablet, take it as soon as you remember, even if you have to take two tablets on the same day. If you miss two or more active tablets in a row, take the most recent missed tablet immediately, throw away the other missed tablets, and use a backup barrier method of birth control (like condoms) for the next seven days while continuing your daily schedule. If you miss any of the iron reminder tablets at the end of the pack, simply throw them away and start your new pack on time. Talk to your doctor or pharmacist if you are confused about missed doses.

Storage

•Store Choice Tablet at controlled room temperature between 20°C and 25°C (68°F to 77°F). •Keep the tablets inside their original blister packaging until you are ready to take them to protect them from light and moisture.

Drug Warnings

  • Does Not Protect Against Sexually Transmitted Infections: This medication is strictly for preventing pregnancy; it does not protect you or your partner against HIV or any other sexually transmitted infections.
  • Follow the Pill Pack Correctly: Always double-check the pill pack sequence daily to ensure you are taking the active tablets and reminder tablets in the correct order.
  • Vomiting or Severe Diarrhoea: If you experience severe vomiting or diarrhoea within 3 to 4 hours of taking an active tablet, treat it as a missed dose and use backup contraception.
  • Inform Healthcare Providers Before Surgery: Inform any surgeon, dentist, or hospital staff that you take Choice Tablet , as you may need to temporarily stop taking it before major surgeries to prevent blood clots.
  • Attend Regular Health Check-ups: Perform regular breast self-exams and schedule routine annual physicals with your doctor while using this medication.
     

Drug-Drug Interactions

verifiedApollotooltip

Choice Tablet may interact with certain medicines, reducing its contraceptive effectiveness or increasing the risk of side effects. Inform your doctor about all prescription, over-the-counter, and herbal medicines you are taking, including:

  • Anti-Seizure Medicines and Tuberculosis Treatments: May become less effective if taken with anti-seizure medications (like carbamazepine or phenytoin) or tuberculosis treatments (like rifampin), which can increase the risk of an unplanned pregnancy.
  • HIV Medicines and St. John's Wort: May interact with certain HIV medications or herbal supplements like St. John's Wort, reducing the contraceptive's strength.
     
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip

Certain foods and beverages may affect the absorption or effectiveness of this medicine:

  • Grapefruit and Grapefruit Juice: Grapefruit may slightly increase the levels of the hormonal components of this medicine in some people, which could increase the likelihood of side effects. This interaction is generally not considered clinically significant for most users but discuss regular grapefruit consumption with your doctor if you have concerns.
  • Dairy Products and Calcium Supplements: Dairy products or calcium supplements can significantly reduce the absorption of the iron component if taken at the same time.
     
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[GYNECOLOGY RELATED DRUGS]

FAQs

Choice Tablet is used for birth control and treating dysmenorrhea (irregular and painful periods).
Choice Tablet is a contraceptive drug which prevents the release of an egg from the ovary. If the egg is released in the uterus, then Choice Tablet prevents the egg growth by thickening the uterus wall.
Take the missed pill as soon as you remember, even if this means taking two pills in one day. If you miss two or more active pills, your protection against pregnancy may be reduced, and you may need to use a backup contraceptive method, such as condoms, for the next 7 days. Follow the missed-dose instructions provided with your pill pack or contact your doctor or pharmacist if you are unsure what to do. Never stop taking Choice Tablet without medical advice.
Choice Tablet may cause weight gain by increasing your appetite. However, consult your doctor if you notice sudden or rapid weight gain while using this medicine.
Choice Tablet cannot prevent spread or transmission of sexually transmitted diseases (STDs) like HIV, genital herpes, gonorrhea, and chlamydia. So, it is safe to use other reliable contraceptive measures such as male or female condoms or to prevent STDs.
The common side effects of Choice Tablet are acne, tenderness, pain, or swelling of the breasts, dizziness, oedema (fluid retention), abdominal pain, cramps, and bloating, unwanted hair growth, changes in sexual desire, change in menstrual flow, mood changes, nausea, vaginal discharge, vomiting, and loss or gain of appetite. If the side effects are persistent, reach out to your doctor.
No, Choice Tablet is not an emergency contraceptive pill. If you have concerns, consult a doctor.
No, Choice Tablet is not intended for delaying periods. It is primarily used as a contraceptive to prevent pregnancy. Do not use Choice Tablet for any other purpose other than what it is intended for.
If vomiting occurs within 4 hours after taking Choice Tablet , absorption may not be complete. In such condition, take another dose of Choice Tablet and follow your regular dosing time.
Choice Tablet is a combination of three medicines, levonorgesterol, ethinylestradiol, and ferrous fumarate.
Choice Tablet should be taken exactly as per the dose prescribed by your doctor. Swallow Choice Tablet as a whole with water, do not crush, break or chew it. But try to take it at the same time each day, to ensure consistent levels of Choice Tablet in your body.
Yes, avoid taking Choice Tablet if you are allergic to Choice Tablet , if you are suffering with blood clots, heart attacks, strokes, gallbladder disease, liver tumours, kidney problem, cancer of the ovary, breast, cervix, or vagina, and inflammation of the pancreas and if you are pregnant, are over 35 years of age or suffering from diabetes, high blood pressure or cholesterol problem. However, consult your doctor if you have any concerns.
No, Choice Tablet should not be taken by a person who smokes. Smoking increases the risk of blood clot.
Missing menstrual period while taking Choice Tablet can happen for a few reasons. It might be due to the medication itself, or it could indicate pregnancy. Some women may also miss periods or have lighter periods even if they are not pregnant. Therefore, please consult your doctor if you have missed one or two periods or think you are pregnant.
Yes, Choice Tablet can cause bleeding or spotting between regular menstrual periods, particularly during the first three months of use. This usually decreases with time. Consult your doctor if this side effect persist for more than seven days or if the bleeding is heavy.
Yes, Choice Tablet is an effective contraceptive when used as prescribed by your doctor.
Usually, your normal fertility may return after some time but still there is a possibility to get pregnant immediately after stopping Choice Tablet . Therefore, please consult a doctor for proper guidance if you are planning to conceive.
Take Choice Tablet as prescribed by your doctor. Usually, it is recommended to start taking Choice Tablet according to the day of the week from 5th day of your menstrual cycle counting first day of bleeding as day one.
When taken correctly, Choice Tablet is highly effective at preventing pregnancy. The high success rate is achieved by consistently taking Choice Tablet at the same time each day, without missing doses.
It is generally not recommended to take this medicine while breastfeeding, as the hormones can pass into breast milk and may decrease your milk supply. Talk to your doctor or pharmacist about safe, non-hormonal contraceptive options during this time.
Yes, moderate alcohol consumption does not directly reduce the effectiveness of this birth control pill. However, heavy drinking can cause you to forget to take your daily pill or cause vomiting within a few hours of taking it, which can lower its effectiveness. Talk to your doctor if you have concerns.
You may need to stop taking this medication several weeks before any major surgery or periods of prolonged bed rest to lower your risk of developing blood clots. Always inform your surgeon or healthcare provider that you are taking this pill. Talk to your doctor for specific instructions.

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Country of origin

INDIA

Manufacturer/Marketer address

67 A, 2nd Floor, Hem-dil Building, Linking Road, Opp. Lawrence English High School & Post Office, Santacruz West, Mumbai - 400054
Other Info - CHO0019

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