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Generic name: ethinyl estradiol and norgestrel [ETH-in-il-ess-tra-DYE-ol-and-nor-JESS-trel]
Brand names: Cryselle 28, Elinest, Low-Ogestrel, Ogestrel-28
Drug class: contraceptives

What is Low-ogestrel?

Use of low-ogestrel as contraception is recommended for women who are of reproductive age.This medication guide does not list all possible uses of low-ogestrel.

Side effects of Low-ogestrel

Seek immediate medical care if you have difficulty breathing, hives or swelling in the lips, face, or throat.

Birth control pills can cause serious side effects. Call your doctor immediately if:

  • Signs of a Stroke: sudden numbness, weakness, severe headache, slurred or shaky speech, or problems with vision and balance.
  • Signs of a blood clot in the lungs: chest pain, sudden cough or shortness of breath, dizziness, and coughing blood.
  • Signs of a deep blood clot—pan, swelling, or warmth in a leg;
  • Heart attack symptoms: chest pain or pressure, spreading pain to your jaw and shoulders, nausea, or sweating.
  • Liver problems: swelling around the midsection of your body; upper right stomach pain; lack of appetite; dark coloured urine; clay coloured stools; jaundice (yellowing skin or eyes);
  • Increased blood pressure: severe headache, blurred or distorted vision, or a pounding sensation in the neck, ears, or head;
  • Depression: mood changes, low self-esteem, lack of interest in activities you used to enjoy, sleep disturbances, thoughts of harming yourself
  • A breast lump or swelling of the hands, feet, ankles, or legs
  • Changes in the pattern of migraine headaches or their severity

Low-ogestrel can cause a variety of side effects, including:

  • Changes in weight, appetite, stomach pain, or nausea or vomiting
  • Headache, nervousness, depression, fatigue;
  • Vaginal bleeding or spotting;
  • Acne is a darkening of the facial skin.
  • The condition of varicose veins is deteriorating.
  • Breast tenderness or menstrual pain;
  • If you have vaginal itching or discharge, this is a sign of cervical problems.

There may be other side effects. For medical advice on side effects, call your doctor. To report adverse effects, you can contact the FDA at 1-800-FDA-1088.

Similar/related drugs

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


Avoid taking birth control pills while pregnant or after having a baby.Birth control pills should not be used if: you suffer from heart disease, coronary artery diseases, circulation problems or undiagnosed bleeding in the vaginal area, liver or kidney problems, migraine headaches or severe migraines; you are planning major surgery; you smoke; you're over 35 years old and you've had a previous heart attack or stroke; a blood clot or jaundice due to pregnancy or birth control pills; or if cancer has been diagnosed on your breast, uterus, or cerevi

Before you take this drug

Birth-control pills may increase your risk for blood clots or stroke.Smoking increases your risk of blood clots and heart attacks. Birth control pills are not recommended if you smoke or are older than 35.

If you are pregnant, or if:

  • Untreated or uncontrolled hypertension
  • Heart disease
  • An increased risk of blood clots as a result of a heart condition or hereditary blood disorder
  • Circulatory problems (especially when caused by diabetes);
  • A history of cancers of the breast, uterus, cervix, or vagina
  • Unusual vaginal bleeding not checked by a physician;
  • Severe migraine headaches, especially if older than 35.
  • Jaundice caused by pregnancy or birth-control pills
  • If you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir, with or without dasabuvir;
  • Liver cancer or liver disease.

Inform your doctor if you experience any of these symptoms:

  • Depression;
  • A condition known as hereditary oedema.
  • Jaundice (yellowing skin or eyes)
  • Liver or kidney disease

Do not use it if you are pregnant. Stop taking birth control pills immediately if you are pregnant or if your period has been missed for two consecutive periods. Wait at least four weeks after giving birth to take birth control pills.Ask your doctor if you can breastfeed safely while taking birth control pills.

How to take low-ogestrel?

Read all the instructions and directions that come with your medication. Birth control pills should be taken exactly as prescribed.Your first pill will be taken on the day your period starts or the first Sunday following the start of your cycle. When you start taking birth control pills, you may need to use a backup birth control method, such as 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 new package the next day when the pills are finished. If you don't take one pill every day, you may become pregnant. Refill your prescription before you run out.Several birth control packages contain seven "reminder pills" to help you maintain your regular cycle. Usually, your period will begin when you start taking these reminder pills.You could have been bleeding through the skin. If it persists or is heavy, tell your doctor.If you have severe nausea or diarrhoea, use backup birth control.You should tell any doctor or surgeon that treats you that you use birth control pills.You will need to see your doctor regularly if you are taking birth control pills.Store away from heat and moisture at room temperature.

What happens if I miss the dose?

You should read all instructions and guides included with your medications.You are more likely to become pregnant if you miss a pill.Take two pills the next day if you forget to take one. Take one pill a day for the remainder of the pack.If you missed two active pills consecutively in Week 1 or Week 2, take two pills a day for two consecutive days. Take one pill a day for the remainder of the package. After missing a pill, use a backup birth control method for at least seven days.If you missed two active pills consecutively in Week 3, you can throw the remaining pack out and start another pack on the same day if you started Day 1. If you started on Sunday, continue taking one pill each day until Sunday. On Sunday, discard the remainder of the package and begin a new one.If you missed 3 active pills consecutively in Weeks 1, 2, and 3, you can throw the rest out and start over with a new package on the same date if you started Day 1. If you started on Sunday, continue taking one pill each day until Sunday. On Sunday, discard the remainder of the package and begin a new one.You may not get a period if you miss more than two pills.If you miss two consecutive periods, call your doctor. You might be pregnant.If you forget to take a pill reminder, just throw it out and continue taking one pill reminder per day until your pack is empty.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. There are several symptoms of overdose, including nausea, vomiting and vaginal bleeding.

What should be avoided?

Do not smoke while taking birth control pills, especially if you're older than 35.Birth control pills do not stop the spread of your disease. Share razors and toothbrushes. Do not engage in unprotected sexual activity. Ask your doctor about how to prevent HIV from being transmitted during sex.

Interaction with other drug

It is sometimes not safe to take certain medications at the same time. Some drugs may affect the blood levels of drugs that you are taking, causing side effects or making them less effective.

Tell your doctor about your other medications, including:

  • John's Wort;
  • Colesevelam;
  • Cholesterol-lowering medicine such as atorvastatin or rosuvastatin;
  • HIV or AIDS medicines such as ritonavir (nelfinavir), indinavir (nevirapine), etravirine, and others

This list is incomplete. Low-Ogestrel may be affected by other drugs, such as vitamins and herbs. This list does not include all drug interactions.




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