Emcon 1 Tablet (Box)

✔️ Uses of Emcon 1 Tablet

• Used as a contraceptive to prevent pregnancy
• Treats acne

✔️ How does Emcon 1Tablet work?

Emcon 1Tablet is a birth control pill. It decreases the likelihood of conception by inhibiting ovulation (the release of a mature egg from the ovary). It can also diminish the thickness of the uterine lining, making it unsuitable for the baby to implant and develop.

Furthermore, it can change the thickness of the cervical mucus, making it harder for sperm to enter the uterus and fertilize the egg. As a result, they make it difficult to have a successful pregnancy.

It can also inhibit the body's synthesis of male sex hormones (testosterone). This aids in the reduction of excess oil production in the skin, which lowers hormonal acne.

✔️ Side Effects of Emcon 1 Tablet

• Infection
• Itching
• Inflammation of the cervix
• Discharge from the cervix
• Body weight fluctuations Changes in mood (mood swings)
• Depression
• Changes in sex motivation
• Headache, fatigue
• Feeling anxious
• Vomiting, nausea, and stomach discomfort
• Spotting or bleeding that is unusual\
• Breast discomfort or tenderness
• discharge of breast milk
• Heavy or infrequent periods\
• Body portion swelling (edema)
• Blood cholesterol levels fluctuate
• Appetite changes
• Blood pressure elevation
• Bloating (flatulence)
• Rashes on the skin, as well as dark spots on the skin
• Hirsutism (excessive hair growth on the body)
• Hair loss
• Serum folate levels are decreasing.
• Contact lenses are not permitted to be worn.
• Cholestatic jaundice is a kind of cholestasis.

✔️ Quick Suggestions:

• Your doctor has prescribed Emcon 1 Tablet to help you prevent pregnancy.
• It also results in lighter, less painful, and more regular menstrual bleeding.
• Take your pill at the same time every day to help you remember to take it.
• You may experience menstrual irregularities such as spotting or bleeding between menstrual periods or missed periods. Consult your doctor if this persists.
• Do not use Emcon 1 Tablet if you are obese, over 35, smoke, are on prolonged bed rest, or have a history of blood clots.
• Stop taking this medicine and inform your doctor immediately if you notice unexplained swelling and pain in your limbs, shortness of breath, chest pain, or changes in vision. These could be symptoms of a blood clot in a vein.

✔️ Indication of Emcon 1 Tablet

Emergency contraception is a rescue method that is aimed to prevent fertilization in case of unprotected intercourse.

• This contraception must be used as soon as possible, preferably within 12 hours and no later than 72 hours (3 days) after unprotected sexual intercourse, particularly;
• if you have had sexual intercourse whereas either yourself or your partner did not use a contraceptive method;
• if you have forgotten to take consecutive 3 contraceptive pills;
• if your partner's condom has broken, slipped, or been improperly removed, or if he has forgotten to use it;
• if you fear that your intrauterine device has been expelled;
• if your vaginal diaphragm or your contraceptive cap has moved or if you have removed it too early;
• if you are afraid that the method of coitus interruptus has failed or if you have had sexual intercourse during the period when you are supposed to be fertile while using the rhythm method; in the event of rape.

✔️ Pharmacology

Oral contraceptives containing levonorgestrel suppress gonadotropins, inhibiting ovulation. Specifically, levonorgestrel binds to progesterone and androgen receptors and slows the release of gonadotropin-releasing hormone (GnRH) from the hypothalamus. This process results in the suppression of the normal physiological luteinizing hormone (LH) surge that precedes ovulation. It inhibits the rupture of follicles and viable egg release from the ovaries. Levonorgestrel has been proven to be more effective when administered before ovulation.

✔️ Dosage & Administration of Emcon 1 Tablet

For the 1.5 mg tablet of Levonorgestrel:

• Take one tablet as soon as possible, preferably within 12 hours, after unprotected intercourse, and no later than 72 hours (3 days) after the intercourse.
• This tablet can be taken at any time during the menstrual cycle.

For the 0.75 mg tablet of Levonorgestrel:

• Take the first tablet within 72 hours of intercourse, and the second tablet 12 hours after taking the first tablet.
• Levonorgestrel should be taken within 48 hours of unprotected intercourse and not after 72 hours, as its effectiveness decreases after 48 hours.
• This tablet can also be taken at any time during the menstrual cycle.

After using emergency contraception, it is advisable to use additional local contraceptive methods such as condoms, spermicides, or cervical caps until the next menstrual period begins. The use of Levonorgestrel does not prevent the continuation of regular hormonal contraception. If you were using oral contraceptive pills and also took Levonorgestrel, continue taking your usual pills until the end of the treatment. If no menstrual period occurs in the following pill-free period after using Levonorgestrel, a pregnancy test should be performed to confirm if pregnancy has occurred.

It is important to consult with a healthcare professional for personalized advice and guidance on the use of Levonorgestrel and contraception methods.

✔️ Interaction

Emcon 1 Tablet can interact with other medications, potentially affecting their effectiveness or causing adverse effects. It is important to inform your doctor about any ongoing treatments, over-the-counter medications, and herbal preparations you are using.

Some specific interactions to be aware of include:

• Medications used to treat seizures (such as phenytoin, and carbamazepine) and anti-HIV medications (like ritonavir) may affect the effectiveness of Emcon 1 Tablet.
• Certain anti-infective medications, like penicillin, can also interact with Emcon 1 Tablet.
• The herbal supplement St. John's Wort, commonly used to treat psychiatric conditions, may alter the effects of Emcon 1 Tablet.
• Concomitant use of Emcon 1 Tablet with certain antiviral medicines may affect liver enzymes. In such cases, it is recommended to discontinue Emcon 1 Tablet and restart it two weeks after completing the antiviral treatment.
• Caution should be exercised when using Emcon 1 Tablet with other medications such as anti-tuberculosis drugs (like rifampicin), anti-epileptic drugs (like carbamazepine), and immunosuppressants (like ciclosporin).

✔️ Contraindications

Do not take Emcon 1 Tablet if you have any of the following conditions:

• Allergy to levonorgestrel, ethinylestradiol, or any other ingredients in the medicine.
• History of blood clot formation or a bleeding disorder.
• Pre-existing health conditions such as heart problems (including stroke, heart attack, or chest pain), diabetes, high blood pressure, or high cholesterol.
• History of migraine attacks.
• Pancreas or liver problems.
• History of unexplained vaginal bleeding or absence of periods for more than 3 months (amenorrhea).
• History of or current breast cancer or cancer of the genital organs.
• Undergoing treatment for Hepatitis C with a medication containing Ombitasvir/Paritaprevir/Ritonavir plus Dasabuvir.

✔️ Pregnancy & Lactation

Emcon 1 tablets should not be used if you are already pregnant, as they are not intended to terminate an existing pregnancy. If pregnancy occurs despite the use of this contraceptive method, epidemiological studies have not shown any adverse effects of the progestogen on fetal malformation.

Regarding breastfeeding, it is possible to continue breastfeeding while taking Emcon 1 Tablet. However, since levonorgestrel is excreted in breast milk, it is recommended to breastfeed immediately before taking each Levonorgestrel tablet and to skip breastfeeding for a period of time following each Levonorgestrel administration. This is done to minimize the amount of levonorgestrel passed on to the infant through breast milk.

✔️ Precautions & Warnings

• Sex-steroid-dependent cancer: This medication may not be suitable for individuals with certain types of hormone-dependent cancers.
• Past ectopic pregnancy: Individuals who have had an ectopic pregnancy in the past may require careful evaluation and consideration before using this medication.
• Malabsorption syndromes: Conditions that affect the absorption of nutrients may impact the effectiveness of Emcon 1 Tablet. Close monitoring may be necessary.
• Functional ovarian cysts: Prior to starting this medication, it is important to rule out the presence of any ovarian cysts to avoid potential complications.
• Active liver disease: Active liver disease may affect the metabolism and clearance of the medication. Caution is advised, and alternative contraceptive methods may be recommended.
• Recurrent cholestatic jaundice or history of jaundice in pregnancy: Individuals with a history of jaundice, particularly related to cholestasis, may have an increased risk of developing liver-related complications with the use of hormonal contraceptives.
• Cardiovascular or renal impairment: Pre-existing cardiovascular or renal conditions may require careful monitoring and assessment of the risks and benefits of using hormonal contraceptives.
• Diabetes mellitus: Individuals with diabetes may need close monitoring of their blood sugar levels as hormonal contraceptives can affect glucose metabolism.
• Asthma: Asthma patients may experience worsening symptoms with hormonal contraceptives. Regular monitoring and appropriate management are important.
• Epilepsy: Seizure disorders may require special consideration when using hormonal contraceptives, as they can potentially interact with anti-epileptic medications and affect seizure control.
• Migraine: Women with a history of migraines may be at an increased risk of experiencing migraine attacks while using hormonal contraceptives. Close monitoring is advised.
• Conditions aggravated by fluid retention: Conditions that are exacerbated by fluid retention, such as certain cardiovascular or renal conditions, may require caution when using hormonal contraceptives.
• Depression and thromboembolism: High doses of hormonal contraceptives may be associated with an increased risk of depression and thromboembolic events. Careful consideration of the risks and benefits is necessary.
• Lactation: While breastfeeding is possible while using Emcon 1 Tablet, the presence of levonorgestrel in breast milk should be taken into account. It is recommended to follow specific guidelines regarding breastfeeding and medication administration.
• is not recommended for use in children and in adolescent girls aged below 18 years. It is also not intended for use in female children who have not attained puberty. Therefore, consult your doctor before taking it.
• is not indicated for use in elderly women. Therefore, consult your doctor before taking it.

✔️ Storage Conditions

• Store Emcon 1 Tablet below 25°C in a clean and dry place.
• Keep the medicine away from children and pets.
• Discard this medicine when it is expired or no longer needed.