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Junel Fe 1.5/30 (birth control)

Generic name: [ETH-in-il-ess-tra-DYE-ole-and-nor-ETH-in-drone]ethinyl estradiol and norethindrone (birth control)

Brand names: Alyacen 1/35, Alyacen 7/7/7, Aranelle, Aurovela 1.5/30, Aurovela 1/20,

Drug classes: contraceptives, sex hormone combinations

What is Junel Fe 1.5/30?

Junel Fe 1,5/30 contains a combination of female hormones that prevents ovulation. This medication may also affect your cervical mucus and uterine lining. This makes it more difficult for fertilised eggs to adhere to the uterus.

As contraception, Junel Fe 1,5/30 can be used to avoid pregnancy. Women who have reached the age of 15 and started menstruating can also use Junel Fe 1.5/30 to treat mild acne. There are several brands available for ethinyl estradiol and norethindrone. This leaflet does not list all available brands. This medication guide does not list all possible uses for Junel Fe 1,5/30.

Side effects of Junel Fe 1.5/30 (birth control)

Seek immediate medical attention if you experience any of these symptoms: difficulty breathing, hives or swelling of your lips, face, tongue, or throat.

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

  • Signs of a Stroke: sudden numbness, weakness, or severe headache; slurred or shaky speech.
  • Blood clots in the lungs can cause chest pain, shortness of breathe and sudden cough. Coughing blood.
  • Signs of a deep blood clot—pain or swelling in a leg
  • Heart attack symptoms include chest pain, pain or pressure in the shoulder or jaw, 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 can cause severe headaches, blurred or distorted vision, and a pounding sensation in the neck, ears, or head.
  • Depression results in mood changes, low self-esteem, a lack of interest, sleep disturbances, and thoughts of harming yourself.
  • A breast lump or swelling of the hands, feet, or ankles;
  • A change in migraine headaches' pattern or intensity

Side effects that may occur from Junel Fe 1,5/30 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.

Similar/related drugs

Norethindrone, Levonorgestrel, Medroxyprogesterone, Depo-Provera, Provera, and Nexplanon

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, heart problems, circulatory issues (especially in diabetes), liver diseases or liver cancers, migraine headaches that last for days, you're planning major surgery, you smoke, you're over 35 and you had a previous heart attack or stroke, a blood clot or jaundice due to pregnancy, birth control pills or cancers of the breasts, uterus/cervix, or vagina.

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

Before you take this drug

Birth control pills may increase the risk of stroke or heart attack. You're even more at risk if you have diabetes, high cholesterol or high blood pressure. The risk of stroke and blood clots is greatest during the first year you take birth control pills. When you begin taking birth control after a 4 week break, your risk is high.

If you're older than 35, smoking can raise your chances of developing 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 if you've just had your baby.

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
  • History of breast, cervix or uterus cancer, or cancers of vaginal origin or ovarian;
  • Unusual vaginal bleeding not checked by your doctor
  • Liver disease, or cancer of the liver;
  • Severe migraine headaches, especially in older people over 35.
  • Jaundice caused by 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, be aware of possible risks.

If you've ever:

  • If you have heart disease, blood clots, or high blood pressure,
  • If you have high triglycerides or cholesterol or are overweight,
  • Depression;
  • A seizure or migraine headache;
  • Thyroid hyperactivity and gallbladder diseases.
  • Liver or kidney disease
  • Uneven menstrual cycles or fibrocystic breast disease. Lumps, nodules or abnormal mammograms.

A physician can assist in determining if breastfeeding is possible while taking this medication.

How to take Junel Fe 1.5/30 (birth control)?

Read and follow all instructions or guides included with your medication. Follow the directions on your prescription label. When you start taking this drug, it is possible that you will need to use a backup birth control method, like condoms that contain spermicide. You should follow your doctor's advice.

One pill per day is recommended, but no more than one every 24 hours. Once your old pills run out, start taking a new pack immediately; failing to do so could increase your chance of pregnancy.

Some birth control packages contain "reminder pills" to help you maintain your normal cycle. Your period often starts once you begin taking 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 Fe 1.5/30. 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 two pills a day for two consecutive days if you missed two active pills back-to-back in the first or second week. Take 1 pill per dose for the remainder 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, especially if your age is over 35.

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. Junel Fe 1,5/30 may be affected by other drugs, such as vitamins and herbs. This list does not include all possible drug interactions.

DRUG STATUS

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Prescription only

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