Noret 28 (Box)

Indications

This medication is recommended for use in the following situations:

Ovulation Inhibition

Condensing uterine mucus prevents sperm from entering the uterus.

By preventing the formation of membrane inside the uterus, the fertilized egg is unable to be accepted by the uterus.

It limits sperm movement by limiting the usual mobility of the fallopian tube. Because it takes a long time for sperm to come into contact with Ova, they perish.

This pill is Suitable for:

Women aged 15 to 69 years old (except smoker and who use tobacco regularly).

Women who are looking for a temporary contraceptive option that is successful.

Women who have anemia as a result of excessive blood loss during menstruation.

Women who have a menstrual cycle that is irregular.

Mother who is breastfeeding (if child age is more than 6 months).

Pharmacology

For women, this pill is an effective, temporary, and short-term birth control method. Levonorgestrel and Ethinyl Estradiol are two hormones found in this pill. Each strip contains 28 tablets, 21 of which are hormone tablets and 7 of which are iron tablets. Combination oral contraceptives work by inhibiting ovulation, which reduces the risk of becoming pregnant. Cervical mucus alterations that hinder sperm penetration and endometrial modifications that reduce the likelihood of implantation are two other proposed mechanisms.

Dosage & Administration

One should start taking this tablet from the first day of menstruation. It can be starts any day in first 5 days of menstruation. One tablet should be taken same time of each day with food, but best time is after dinner or before sleeping at night. Start your dose with one white tablet each day for 3 (three) weeks. After that, take one brown color tablet each day for 7(seven) days. If menstruation starts while taking brown color tablet, don’t stop the medicine. If not pregnant is confirmed then dose can be start from any day of menstruation, but after menstruation must have to use condom during sexual intercourse for next 7 (seven) days. When 7(seven) brown tablet finished, either menstruation starts or not, start the dose from beginning with white Tablet.

If forget to take tablet for a day, one should take the tablet as soon as patient noticed it, and take another tablet as the dose of present day. If forget to take the tablet for consecutive two days, then this contraceptive will not work. However, to maintain the date of menstruation cycle one should take two tablets at a time as soon as patient noticed it.

Interaction

Drugs or herbal supplements that activate particular enzymes, such as CYP3A4, may reduce the efficiency of COCs or raise the risk of breakthrough bleeding. When using COCs with enzyme inducers, advise patients to utilize a backup or alternate means of contraception.

While using the medicine, it is recommended that you avoid caffeine, dairy foods, and foods that contain phytic acid.

Contraindications

If you have a known hypersensitivity to any of the ingredients in this product, you should avoid it.

Side Effects

Headache, nausea, depression, vaginal infections, irregular vaginal bleeding, soreness, and discomfort are all common. Liver tumors, jaundice, high blood pressure, and gallbladder problems are all uncommon.

Pregnancy & Lactation

This pill should not be taken during pregnancy. If you become pregnant, stop using this pill. Human milk and breast-fed newborns contain combined hormonal contraceptives (CHCs) and/or metabolites. Breastfeeding females may experience a reduction in milk output if they take CHCs that include this tablet.

Precautions & Warnings

Thrombotic disorder and other vascular problems: If a thrombotic disorder occurs, this medication is stopped. Stop at least 4 weeks prior to major surgery and for at least 2 weeks afterward. In women who are not breastfeeding, start no sooner than 4 weeks following delivery.

If you develop jaundice, stop using this medication.

High blood pressure: If this tablet is used in women with well-controlled hypertension, keep track of their blood pressure and stop taking it if it gets too high.

Effects on carbohydrate and lipid metabolism: Women who are prediabetic or diabetic should be monitored while taking this tablet. For women with uncontrolled dyslipidemia, consider an alternative contraceptive technique.

Headache: If you notice a substantial change in your headaches, stop using this drug.
Amenorrhea with bleeding irregularities: Examine any abnormal bleeding or amenorrhea.

Storage Conditions

Store at or below 30°C, away from light and moisture. All drugs should be kept out of the reach of youngsters.