Levonorgestrel and ethinyl estradiol tablets usp 0.15 mg 0.03 mg

Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive COC use. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked.

Levonorgestrel and ethinyl estradiol combination is used to prevent pregnancy. It works by stopping a woman's egg from fully developing each month. The egg can no longer accept a sperm and fertilization pregnancy is prevented. No contraceptive method is percent effective. Birth control methods such as having surgery to become sterile or not having sex are more effective than birth control pills.

Levonorgestrel and ethinyl estradiol tablets usp 0.15 mg 0.03 mg

Levonorgestrel and ethinyl estradiol tablets USP are an extended-cycle oral contraceptive consisting of 84 pink active tablets each containing 0. The structural formulas are as follows:. Each white inert tablet contains the following inactive ingredients: croscarmellose sodium, lactose monohydrate, magnesium stearate and microcrystalline cellulose. Combination oral contraceptives act by suppression of gonadotropins. Although the primary mechanism of this action is inhibition of ovulation, other alterations include changes in the cervical mucus which increase the difficulty of sperm entry into the uterus and changes in the endometrium which reduce the likelihood of implantation. No specific investigation of the absolute bioavailability of levonorgestrel and ethinyl estradiol tablets in humans has been conducted. The effect of food on the rate and the extent of levonorgestrel and ethinyl estradiol absorption following oral administration of levonorgestrel and ethinyl estradiol tablets has not been evaluated. The apparent volume of distribution of levonorgestrel and ethinyl estradiol are reported to be approximately 1. Levonorgestrel is about Levonorgestrel and its phase I metabolites are excreted primarily as glucuronide conjugates. Metabolic clearance rates may differ among individuals by several-fold, and this may account in part for the wide variation observed in levonorgestrel concentrations among users. First-pass metabolism of ethinyl estradiol involves formation of ethinyl estradiolsulfate in the gut wall, followed by 2-hydroxylation of a portion of the remaining untransformed ethinyl estradiol by hepatic cytochrome P 3A4 CYP3A4. Levels of CYP3A4 vary widely among individuals and can explain the variation in rates of ethinyl estradiol hydroxylation. Hydroxylation at the 4-, 6-, and positions may also occur, although to a much lesser extent than 2-hydroxylation. The terminal elimination half-life for levonorgestrel after a single dose of levonorgestrel and ethinyl estradiol tablets about 30 hours.

Use of levonorgestrel and ethinyl estradiol tablets before menarche is not indicated.

The photos shown are samples only Not all photos of the drug may be displayed. Your medication may look different. If you have questions, ask your pharmacist. Smoking raises your risk of stroke, heart attack, blood clots, and high blood pressure from hormonal birth control such as the pill, patch, ring. The risk of these serious problems increases with age and with the number of cigarettes you smoke. Do not smoke or use tobacco.

Levonorgestrel and ethinyl estradiol tablets USP are an extended-cycle oral contraceptive consisting of 84 pink active tablets each containing 0. The structural formulas are as follows:. Each white inert tablet contains the following inactive ingredients: croscarmellose sodium, lactose monohydrate, magnesium stearate and microcrystalline cellulose. Combination oral contraceptives act by suppression of gonadotropins. Although the primary mechanism of this action is inhibition of ovulation, other alterations include changes in the cervical mucus which increase the difficulty of sperm entry into the uterus and changes in the endometrium which reduce the likelihood of implantation.

Levonorgestrel and ethinyl estradiol tablets usp 0.15 mg 0.03 mg

It is very important that you use this medicine exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. This medicine comes with patient instructions.

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If scheduled bleeding does not occur, consider the possibility of pregnancy. Each white to off-white active tablet contains the following inactive ingredients: lactose monohydrate, magnesium stearate, and polacrilin potassium. Do not stop levonorgestrel and ethinyl estradiol tablets because of the bleeding. This type of bleeding may be transient and without significance; however, if the bleeding is persistent or prolonged, the patient is advised to consult her healthcare provider. Use sunscreen if you have to be in the sunlight. If you miss 2 pills in a row in Week 3, or you miss 3 or more pills in a row during Weeks 1, 2, or 3 of the pack, follow these steps:. Sunlight may worsen this effect. The risk of morbidity and mortality increases significantly in the presence of other underlying risk factors such as certain inherited thrombophilias, hypertension, hyperlipidemias, obesity and diabetes. If the bleeding lasts for more than 7 consecutive days, talk to your healthcare provider. This medicine will not prevent HIV infection or other sexually transmitted diseases. In case of overdosage, contact your healthcare provider or pharmacist.

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Levonorgestrel and ethinyl estradiol tablets have not been studied in postmenopausal women and is not indicated in this population. Vomiting or diarrhea can prevent your birth control pills from working well. The administration of oral contraceptives to induce withdrawal bleeding should not be used as a test for pregnancy. Pregnancies and breakthrough bleeding have been reported by users of combined hormonal contraceptives who also used some form of the herbal supplement St. In the U. Thursday, take the pill under "Thursday" and do not take the missed pills. The photos shown are samples only Not all photos of the drug may be displayed. Levonorgestrel and ethinyl estradiol tablets may affect the way other medicines work, and other medicines may affect how well levonorgestrel and ethinyl estradiol tablets work. The relative risk of venous thrombosis in women who have predisposing conditions is twice that of women without such medical conditions. Certain endocrine and liver function tests and blood components may be affected by oral contraceptives:.