Femipil Pill-28pcs Box

This medication is prescribed for the following purposes:

1. Inhibiting Ovulation
2. Creating a barrier for sperm entry into the uterus due to thickened uterine mucus.
3. Preventing the formation of the uterine internal membranes necessary for the fertilized egg.
4. Regulating the typical motility of the fallopian tubes, controlling sperm movement, and reducing their chances of encountering the ova.

This medication can be used by:

• Women aged 15 to 69 (excluding smokers and regular tobacco users).
• Women seeking an effective temporary contraceptive method.
• Women who experience significant blood loss during menstruation, leading to anemia.
• Women with irregular menstrual cycles.
• Breastfeeding mothers (if the child is older than six months).

Composition

Each White (Hormone) Tablet contains Ethinylestradiol USP 0.03 mg & Levonorgestrel USP 0.15 mg. Each Brown color (Iron) tablet contains Ferrous Fumarate BP 75 mg.

Pharmacology

This pill serves as an effective, temporary, and short-term birth control method for women. It contains two hormones, Levonorgestrel and Ethinyl Estradiol. Each strip comprises 28 tablets: 21 are hormone tablets, and 7 are iron tablets. Combination oral contraceptives work by preventing ovulation, reducing the risk of pregnancy. Additionally, they bring about changes in cervical mucus to hinder sperm penetration and endometrial modifications that reduce the likelihood of implantation.

Dosage & Administration

Begin taking this tablet on the first day of menstruation or within the first five days of your menstrual cycle. Consume one tablet at the same time every day with food, preferably after dinner or before bedtime. Commence with one white tablet daily for three weeks, then switch to one brown tablet daily for the following seven days. If your menstruation begins while taking the brown tablets, continue the medication. If pregnancy is ruled out, it can be initiated on any day of menstruation. However, during the next seven days, ensure the use of a condom during sexual intercourse. Once the seven brown tablets are consumed, regardless of the onset of menstruation, recommence the dosage starting with a white tablet.

In the event of missing a tablet for one day, take it as soon as you notice it and continue with the regular dose for the day. Missing two consecutive days renders the contraceptive ineffective; however, to maintain the menstrual cycle's schedule, take two tablets immediately when you realize the lapse.

Interaction

Drugs or herbal supplements that induce specific enzymes, such as CYP3A4, may reduce the effectiveness of COCs (Combined Oral Contraceptives) or increase the risk of breakthrough bleeding. When using COCs with enzyme-inducing medications, advise patients to employ additional contraceptive methods.

While on this medication, it is advisable to avoid caffeine, dairy products, and foods containing phytic acid.

Contraindications

This product should be avoided if you are known to be hypersensitive to any of its ingredients.

Side Effects

Common side effects may include headache, nausea, depression, vaginal infections, irregular vaginal bleeding, soreness, and discomfort. Uncommon side effects are liver tumors, jaundice, high blood pressure, and gallbladder issues.

Pregnancy & Lactation

Do not take this pill during pregnancy. If pregnancy occurs, discontinue its use. Combined hormonal contraceptives (CHCs) and/or their metabolites may be present in human milk and could be passed to breastfed infants. Breastfeeding women may experience reduced milk production when taking CHCs that contain this tablet.

Precautions & Warnings

• Thrombotic diseases and other vascular conditions: Discontinue this medicine if thrombotic diseases are experienced. Stop it at least four weeks before significant surgery and resume two weeks later. After childbirth, initiate fat metabolism at least four weeks later in non-breastfeeding women. Monitor women with pre-diabetes and diabetes taking this medicine. Consider an alternative contraception method for women with uncontrolled dyslipidemia.
• Headache: Assess significant changes in headaches and discontinue the medication if necessary.
• Irregular bleeding and amenorrhea: Evaluate instances of irregular bleeding or amenorrhea.

Storage Conditions

Store below 30°C, protected from light and moisture. Keep all medicines out of the reach of children.