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Ethinyl Estradiol and Ethynodiol Diacetate

Generic name: ethinyl estradiol and ethynodiol diacetate [ETH-in-ill-ESS-tra-DYE-ol-and-ETH-in-o-DYE-ol-dye-AS-e-tate]

Brand names: Kelnor, Kelnor 1/50, Zovia 1/35, Zovia 1/50, Demulen 1/35, Demulen 1/50, Zovia 1/35E.
Dosage form: oral tablet (35 micrograms to one mg; 50 micrograms to one mg).
Drug class: contraceptives

What is Ethinyl Estradiol and Ethynodiol Diacetate?

Ethinyl Estradiol (EE) is a combination birth control pill containing female hormones to inhibit ovulation. The combination of ethinyl estradiol with ethynodiol is also known to cause changes to your cervical mucus, uterine lining, and hormones.Preventing pregnancy is done with ethynodiol or ethyl estradiol.This medication guide does not list all possible uses of ethynodiol or ethyl estradiol.

Side effects of Ethinyl Estradiol and Ethynodiol Diacetate

If you experience any of the following symptoms of an allergy reaction , seek immediate medical attention: difficulty breathing, hives, swelling in your lips, face, throat, or tongue.

Some birth control pills can cause severe side effects. Call your doctor immediately if:

  • Signs of a Stroke: sudden numbness (especially on one side), severe headache; slurred or shaky speech.
  • Signs of blood clots: sudden vision loss, chest pain that stabs, shortness of breath, blood in the cough, or pain or heat in both legs.
  • Heart attack symptoms: chest pain, pressure or pain in your shoulder or jaw, nausea, and sweating.
  • If you have liver disease, look for symptoms such as fatigue, nausea, upper abdominal pain, fever, and dark urine.
  • Increased blood pressure—severe head pain, blurred or distorted vision, and a pounding sensation in the neck, ears, or shoulders;
  • You may experience swelling of your ankles or feet, hands, or even both.
  • Changes in migraine headache patterns or severity;
  • A breast lump,
  • Symptoms of depression include sleep problems, fatigue, feeling weak, and changes in mood.

Some of the common side effects associated with ethinyl esteradiol or ethynodiol may be:

  • You may experience nausea or vomiting, especially when taking the medicine for the first time.
  • Breast tenderness
  • Bleeding
  • Acne is a darkening or discoloration of the facial skin.
  • Weight gain or weight loss
  • Contact lenses are causing problems.

There may be other side effects. For medical advice on side effects, call your doctor.Report side effects by calling the FDA at 1-800-FDA-1088.

Similar/related drugs

Premarin, Norethindrone, Levonorgestrel, Medroxyprogesterone, Depo-Provera, Megestrol, and Provera

Warnings

Avoid using birth control pills while pregnant or after having a recent baby.Birth control pills should be avoided if: you are suffering from uncontrolled hypertension, heart problems, circulatory issues (especially in diabetes), liver diseases or cancers of the liver, migraine headaches that last for days, if your surgery is going to take place soon, if you are smoking and you're over 35 years old, if a previous heart attack or stroke has occurred, if there was a blood clot or jaundice due to pregnancy, birth control pills, or if cancers have been detected on the breasts.Pill birth control can raise your chances of a stroke or heart attack.If you are over 35 and a smoker, and want to quit., it is not recommended that you take birth control pills.

Before you take this drug

Birth control pills may increase the risk of stroke or heart attack. If you suffer from high blood pressure, diabetes, high cholesterol, or are overweight, you're at even greater risk. The risk of a stroke or blood clot increases during the first year you take birth control pills. You are at high risk when you start taking birth control pills again after a break of 4 weeks.The older you get, the greater your chance of having a stroke or heart attack. This risk is increased by the amount you smoke. If you are older than 35 and smoke, it is not recommended that you take combination birth-control pills.Avoid using it if pregnant. Tell your doctor immediately if you are pregnant or have missed more than two periods. Wait at least four weeks after giving birth if you've just had your baby.

If you are pregnant, or if:

  • Untreated high blood pressure or hypertension
  • Heart disease (coronary arterial disease, heart valve disorders that are uncontrolled, a history of stroke or heart attack),
  • An increased risk for blood clots as a result of a blood disorder or heart disease;
  • Circulatory problems, especially if they are caused by diabetes
  • A history of cancers of the breast, uterus, or cervix, or of vaginal or ovarian origin;
  • Unusual vaginal bleeding not checked by your doctor
  • Liver disease, or cancer of the liver;
  • Severe migraine headaches, especially in older people over 35.
  • Birth-control pills or pregnancy have a higher risk of jaundice-related jaundice.
  • If you are older than 35 and smoke,
  • if you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir (Technivie).

Tell your doctor about any of the following to ensure that birth control pills will be safe for you:

  • If you have heart disease, blood pressure problems, or are susceptible to blood clots, then this is the right product for you.
  • varicose veins;
  • If you have high triglycerides or cholesterol or are overweight,
  • depression;
  • Migraine headaches
  • Gallbladder Disease
  • Kidney disease
  • Menstrual irregularities
  • Tuberculosis

Birth control pills contain hormones that can be passed into the breast milk, which may cause harm to a baby who is nursing. The medication can also reduce breast milk production. Use caution if breastfeeding a child.

How to take Ethinyl Estradiol and Ethynodiol Diacetate?

Do not take this medicine in larger or smaller amounts or for longer than recommended on the label. Take this medication only as prescribed. Do not exceed the recommended dosage or take it for longer.Your first pill will be taken on your first period day or the first Sunday following your period. When you start taking this drug, it may be necessary to use a backup birth control method, like a condom or spermicide. You should follow your doctor's advice.One pill per day is recommended, but no more than one every 24 hours. Start a fresh pack of pills the next day when the old ones run out. If you don't take one daily pill, it is possible to become pregnant. Refill your prescription before the pills run out.Some birth control packages contain "reminder pills" to help you maintain your normal cycle. Usually, your period begins when you use these pills.

In the first three months, you may experience bleeding. If the bleeding persists or becomes very heavy, tell your doctor.If you have severe nausea or diarrhea, use backup birth control.You may have to temporarily stop taking this medication if you are going through major surgery or if you will need long-term rest. You should let any doctor who treats you know that you use birth control pills.You will have to see your doctor frequently if you are taking birth-control pills.Keep this medicine at room temperature, away from heat and moisture.

Details on dosage

Adult dose for contraception:

The products come in 28-day or 21-day dosages. In 28-day dosages, the last seven tablets are hormone-inert.
Take 1 tablet at the same moment every day.
Start on Day 1 of your menstrual cycle.
The drug is not effective for contraception until the 7th consecutive day after administration. A non-hormonal alternative should be used during the first seven days.
Comments:
This drug must be taken at the time and in the exact order indicated on the packaging each day.
Consider the possibility that ovulation or conception could occur prior to initiating
The drug can be used to help women prevent pregnancy.

The usual pediatric dose for contraception is:

The products come in 28-day or 21-day dosages. In 28-day dosages, the last seven tablets are hormone-inert.
Postpubertal adolescents:
Take 1 tablet at the same moment every day.
Start on Day 1 of your menstrual cycle.
The drug is not effective for contraception until the 7th consecutive day after administration. A non-hormonal alternative should be used during the first seven days.
Comments:
This drug must be taken at the time and in the exact order indicated on the packaging each day.
Consider the possibility that ovulation or conception could occur prior to initiating
The drug can be used to help women prevent pregnancy.

What happens if I miss the dose?

Please read the instructions that come with your medication.If you have difficulty with understanding the instructions, seek help from either your pharmacist or physician. You are more likely to become pregnant if you miss a pill.Take two active pills the next day if you forget. Take one pill a day until the remainder of the package is used.Take two pills a day for the next two consecutive days if you missed two active pills back to back in Week 1. Take one pill a day until the end of your pack. After missing a pill, use a backup birth control method for at least seven days.You can start fresh the next day if your Day 1 starter pack is empty. You can continue taking the pill until Sunday if you started on Sunday. Throw out the remaining pills on Sunday and begin a brand new package that same day.

You can start over if you missed three pills consecutively in the first, second, or third week. You can continue to take a tablet every day up until Sunday if you started on Sunday. Throw out the remaining pills on Sunday and begin a brand new package that same day.You may miss your period if you don't take two pills or more. Call your doctor if you have missed two periods in a month. You might be pregnant.You can throw away the missed pill and continue taking one pill a day until you finish your pack.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. Overdose symptoms include nausea, vomiting, and vaginal bleeding.

What should be avoided?

Don't smoke when taking birth-control pills, particularly if you are more than 35 years old.The birth control pill will not shield you against sexually transmissible diseases, including HIV and AIDS. The only way to prevent these diseases is by using a condom.

Interaction with other drug

Herbal remedies and prescription medicines may also interact with birth-control pills. Birth control pills can be less effective if you take certain drugs. This may lead to pregnancy. Inform your doctor of all the medications you are taking and those that you stop or start using.