Ethinylestradiol+ferrous Fumarate+levonorgestrel
About Ethinylestradiol+ferrous Fumarate+levonorgestrel
Ethinylestradiol+ferrous Fumarate+levonorgestrel 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel, 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel
• Menstrual Regulation: Ethinylestradiol+ferrous Fumarate+levonorgestrel helps to regulate menstrual cycles, which provides relief for women with irregular periods and promotes hormonal balance.
• Menstrual pain relief: Ethinylestradiol+ferrous Fumarate+levonorgestrel also offers relief from menstrual cramps and discomfort, helping women in managing dysmenorrhea symptoms and improve their quality of life during menstruation.
• Hormonal balance: Ethinylestradiol+ferrous Fumarate+levonorgestrel is involved in balancing hormones that alleviate symptoms related to hormonal fluctuations, such as mood swings, irregular periods, and other associated issues.
• Facilitation of conception: Ethinylestradiol+ferrous Fumarate+levonorgestrel can also help to promote regular ovulation, increasing the chances of conception and supporting reproductive health for individuals trying to get pregnant.
• Support for endometriosis symptoms: Ethinylestradiol+ferrous Fumarate+levonorgestrel is sometimes used to manage endometriosis symptoms to provide relief from pain and discomfort.
Medicinal Benefits
By combining effective contraception with cycle regulation and iron supplementation, Ethinylestradiol+ferrous Fumarate+levonorgestrel 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.
Directions for Use
- Take Ethinylestradiol+ferrous Fumarate+levonorgestrel 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.
Storage
Side Effects of Ethinylestradiol+ferrous Fumarate+levonorgestrel
Common Side Effects (Usually mild):
- Mild nausea or stomach discomfort
- Headaches or mild dizziness
- Breast tenderness or swelling
- Minor weight fluctuations or fluid retention
- Spotting or bleeding between periods
Serious Side Effects (Call a doctor right away):
- Signs of an allergic reaction, such as difficulty breathing, severe skin rash, itching, or swelling of the face, lips, or throat
- Sudden, severe chest pain, coughing up blood, or sudden shortness of breath
- Pain, redness, or swelling in one of your calves
- A sudden, severe headache, confusion, or changes in your vision
- Severe pain in your stomach or abdomen
- Yellowing of your skin or eyes
Medicines Containing this Salt
View AllDrug 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel, 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 Interactions
Ethinylestradiol+ferrous Fumarate+levonorgestrel 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.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionAlcohol consumption should be avoided while using Ethinylestradiol+ferrous Fumarate+levonorgestrel
Pregnancy
unsafeEthinylestradiol+ferrous Fumarate+levonorgestrel is a category X drug. It is not recommended for use in pregnancy.
Breast Feeding
unsafeEthinylestradiol+ferrous Fumarate+levonorgestrel should not be used in breastfeeding mothers as this medicine may get excreted in the breast milk.
Driving
safe if prescribedEthinylestradiol+ferrous Fumarate+levonorgestrel may not affect your ability to drive.
Liver
cautionEthinylestradiol+ferrous Fumarate+levonorgestrel should be used with caution in patients with liver diseases.
Kidney
cautionEthinylestradiol+ferrous Fumarate+levonorgestrel should be used with caution in patients with kidney diseases.
Children
unsafeEthinylestradiol+ferrous Fumarate+levonorgestrel is not recommended for use in children.
Habit Forming
Diet & Lifestyle Advise
- Avoid smoking: Smoking while taking Ethinylestradiol+ferrous Fumarate+levonorgestrel 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.
Special Advise
Before taking Ethinylestradiol+ferrous Fumarate+levonorgestrel, look at your pill pack to see if it has 28 pills. The pill pack should have 21 “active” white pills (with hormones) to take for 3 weeks, followed by 1 week of brown iron-containing pills (without hormones).
Always inform your doctor that you are taking Ethinylestradiol+ferrous Fumarate+levonorgestrel as it may alter the results of some blood tests.
Patients Concern
Disease/Condition Glossary
Contraception: It is a procedure that aims to prevent pregnancy. A woman can only get pregnant if a man's sperm fertilizes her egg. Contraception aims to prevent this from happening by keeping egg and sperm apart by stopping egg production or not letting the uterus wall become thick. As a result, no fertilization takes place, so contraception is a safe method for family planning.
Dysmenorrhea: It is irregular and painful periods leading to abdominal pain/cramps, digestion problems, fainting, vomiting, and nausea. Generally, a menstrual cycle is about 25-30 days. However, in dysmenorrhea, this cycle may be short or prolonged, leading to excessive pain.
FAQs
Ethinylestradiol+ferrous Fumarate+levonorgestrel is used for birth control and treating dysmenorrhea (irregular and painful periods).
Ethinylestradiol+ferrous Fumarate+levonorgestrel is a contraceptive drug which prevents the release of an egg from the ovary. If the egg is released in the uterus, then Ethinylestradiol+ferrous Fumarate+levonorgestrel 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel without medical advice.
Ethinylestradiol+ferrous Fumarate+levonorgestrel may cause weight gain by increasing your appetite. However, consult your doctor if you notice sudden or rapid weight gain while using this medicine.
Ethinylestradiol+ferrous Fumarate+levonorgestrel 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel 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, Ethinylestradiol+ferrous Fumarate+levonorgestrel is not an emergency contraceptive pill. If you have concerns, consult a doctor.
No, Ethinylestradiol+ferrous Fumarate+levonorgestrel is not intended for delaying periods. It is primarily used as a contraceptive to prevent pregnancy. Do not use Ethinylestradiol+ferrous Fumarate+levonorgestrel for any other purpose other than what it is intended for.
If vomiting occurs within 4 hours after taking Ethinylestradiol+ferrous Fumarate+levonorgestrel, absorption may not be complete. In such condition, take another dose of Ethinylestradiol+ferrous Fumarate+levonorgestrel and follow your regular dosing time.
Ethinylestradiol+ferrous Fumarate+levonorgestrel is a combination of three medicines, levonorgesterol, ethinylestradiol, and ferrous fumarate.
Ethinylestradiol+ferrous Fumarate+levonorgestrel should be taken exactly as per the dose prescribed by your doctor. Swallow Ethinylestradiol+ferrous Fumarate+levonorgestrel 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel in your body.
Yes, avoid taking Ethinylestradiol+ferrous Fumarate+levonorgestrel if you are allergic to Ethinylestradiol+ferrous Fumarate+levonorgestrel, 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, Ethinylestradiol+ferrous Fumarate+levonorgestrel should not be taken by a person who smokes. Smoking increases the risk of blood clot.
Missing menstrual period while taking Ethinylestradiol+ferrous Fumarate+levonorgestrel 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, Ethinylestradiol+ferrous Fumarate+levonorgestrel 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, Ethinylestradiol+ferrous Fumarate+levonorgestrel 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 Ethinylestradiol+ferrous Fumarate+levonorgestrel. Therefore, please consult a doctor for proper guidance if you are planning to conceive.
Take Ethinylestradiol+ferrous Fumarate+levonorgestrel as prescribed by your doctor. Usually, it is recommended to start taking Ethinylestradiol+ferrous Fumarate+levonorgestrel 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, Ethinylestradiol+ferrous Fumarate+levonorgestrel is highly effective at preventing pregnancy. The high success rate is achieved by consistently taking Ethinylestradiol+ferrous Fumarate+levonorgestrel 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.

