Junel 1/20 (birth control)

What is the Junel 1/20 date?

Junel 1/20 contains a mixture of female hormones that prevents ovulation. Medication may also alter your cervical mucus or uterine lining, leading to changes. This makes it more difficult for fertilised eggs to adhere to the uterus.

Contraception is the use of June 1–20 to avoid pregnancy. Women who have reached the age of 15 and started menstruating can also use Junel 1/20 to treat mild acne. There are several brands available for norethindrone and estradiol. This leaflet does not list all available brands. This medication guide does not list all possible uses of Junel 1/20.

Side effects of Junel 1/20 (birth control)

If you experience any of the following symptoms of an allergy reaction, seek medical help immediately: difficulty breathing, hives or swelling in lips, faces, throats or tongue.

The side effects of this medicine can be serious. If you experience:

• Signs of a Stroke: sudden numbness, weakness, or severe headache; slurred or distorted speech.
• Blood Clot in Lung Symptoms: Chest pain, sudden cough and shortness of breath; dizziness are some indicators. Coughing blood.
• Signs of a deep blood clot—pain or swelling in one leg
• Heart attack symptoms: chest discomfort, shoulder or jaw pressure or pain, nausea and sweating.
• Liver problems: swelling around the midsection of your body; upper right stomach pain; lack of appetite; dark coloured urine; clay-coloured stool; jaundice (yellowing skin or eyes);
• Increased blood pressure—severe head pain, blurry vision, or a pounding sensation in the neck, ears,
• Depression, feelings of low self-worth, loss of interest in things you once enjoyed, new sleep problems, thoughts of hurting yourself;
• A breast lump or swelling of the hands, feet, or ankles;
• A change in migraine headache patterns or intensity

Side effects that may occur from June 1–20 include:

• Nausea, vomiting;
• Breast tenderness or bleeding.
• Headache or contact lens 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.

Warnings

Avoid using birth control pills when you're pregnant or have just had a child. Birth control pills should be avoided if: you are suffering from uncontrolled hypertension, coronary artery diseases, circulatory problems, undiagnosed bleeding in the vaginal area, liver disease and liver cancer, severe headaches or migraines; You take certain hepatitis C medications, you plan to have major surgery, you smoke, you're over 35 years old, you suffer from jaundice due to pregnancy, birth control pills, or if cancer has been diagnosed on your breast, uterus, or cervical

Smoking or using birth control pills, particularly if you're older than 35 years, can increase the risk of heart attacks, blood clots, or stroke.

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 obesity, you're at an even greater risk. The risk of stroke and blood clots is greatest 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. If you're older than 35, smoking can raise your chances of blood clots or strokes caused by birth-control pills.

Avoid using it if pregnant. Tell your doctor immediately if you are pregnant or miss two menstrual cycles in a row. Wait at least four weeks after giving birth to take birth control pills.

If you are pregnant, or if:

• Untreated or uncontrolled hypertension or heart disease
• 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.
• A history of jaundice due to pregnancy or birth-control pills
• If you are older than 35 and smoke,
• If you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir with or without dasabuvir.

If you've ever:

• If you have heart disease, blood clots, high blood pressure, or are at risk of having them, then this is the product for you.
• If you have high cholesterol, triglycerides, or are overweight,
• Depression;
• A seizure or migraine headache;
• Thyroid hyperactivity and gallbladder diseases.
• Liver or kidney disease
• Uneven menstrual cycle, or fibrocystic breast disease Lumps, nodules, or abnormal mammograms

A doctor can tell you if breastfeeding is possible while taking this medication.

How to take Junel 1/20 (birth control)?

Read all the instructions or guides that come with your medication and follow all the directions. Follow the directions on your prescription label. When you start taking this drug, it is possible that you will need a backup birth control method, like condoms with 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.

Some birth control packages contain "reminder pills" to help you maintain your normal cycle. Usually, your period begins when you use these pills. If you have severe nausea or diarrhoea, use backup birth control. It is possible that you are bleeding through the skin. If it persists or becomes very heavy, tell your doctor.

You may have to temporarily stop taking this medication if you are going to be undergoing major surgery or confined for long periods of time. You should let any doctor who treats you know you're taking Junel 1/20. You will have to see your doctor frequently if you are taking birth-control pills. Keep away from heat and moisture at room temperature.

What happens if I miss the dose?

Read all the instructions or guides that come with your medication. You are more likely to become pregnant if you miss a pill. Take two active pills the next day if you forget. Take 1 pill a day until the remainder of the package. Take 2 pills a day if you missed 2 active pills consecutively in weeks 1 or 2. Take one pill every 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 to take a pill each 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 can start over if you missed three pills consecutively in the first, second, or third week. 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 may miss your period if you do not take two active pills or more. Call your doctor if you have missed a period in two consecutive months. You might be pregnant. You can throw away the missed pill and continue taking one reminder per day until you run out of pills.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. An overdose can cause vomiting or 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

Inform your doctor of all other medications you are taking, including:

• Rifampin;
• Troglitazone;
• Atorvastatin;
• Glecaprevir/pibrentasvir;
• Anticonvulsants such as carbamazepine, phenytoin, and phenobarbital

The list below is not exhaustive. This list is not complete. Other medications, such as vitamins and herbs, may also affect June 1–20. This list does not include all possible drug interactions.