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Chateal EQ
Chateal EQ is a combined oral contraceptive containing ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). It is primarily used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and changing the uterine lining to prevent fertilization and implantation. Chateal EQ is a monophasic pill, meaning each active tablet delivers the same hormone dose throughout the cycle. In addition to pregnancy prevention, it may help regulate menstrual cycles, reduce menstrual cramps, and decrease the risk of ovarian cysts.
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Frequently Asked Questions
How effective is Chateal EQ at preventing pregnancy?
When taken correctly, Chateal EQ is over 99% effective at preventing pregnancy. Missing pills or taking them late can reduce its effectiveness.
Can I take Chateal EQ if I miss a period?
If you have taken all your pills on time and miss a period, it is unlikely you are pregnant. However, if you miss two periods in a row, take a pregnancy test and consult your healthcare provider.
Does Chateal EQ protect against sexually transmitted infections (STIs)?
No, Chateal EQ does not protect against STIs. Condoms should be used to prevent the transmission of infections.
Can Chateal EQ cause weight gain?
Some women may experience weight gain or water retention, but this varies from person to person.
Is Chateal EQ safe during breastfeeding?
Combined oral contraceptives like Chateal EQ are not recommended during breastfeeding, as they may reduce milk production. Progestin-only pills are a safer option for breastfeeding women.
What should I do if I miss a dose?
If you miss a pill, take it as soon as you remember. If you miss two or more pills, follow the instructions provided in the patient leaflet, and use backup contraception for the next 7 days.
Can Chateal EQ help with acne?
Yes, hormonal contraceptives like Chateal EQ may help reduce acne by balancing hormone levels that affect the skin.
Is it safe to take Chateal EQ for a long time?
Yes, Chateal EQ can be taken long-term for contraception as long as regular check-ups are maintained to monitor any potential side effects.
Comprehensive Drug Guide
How Does Chateal EQ Work?
- Inhibiting ovulation: Preventing the release of an egg from the ovaries.
- Thickening cervical mucus: Making it difficult for sperm to reach the egg.
- Altering the uterine lining: Preventing the attachment of a fertilized egg to the uterus.
Common Dosages
- One tablet daily: Each day at the same time, with or without food.
- The pack includes 21 active tablets and 7 inactive (placebo) tablets to be taken in sequence.
Typical Dosing
- Administration: Take one pill daily, starting with the active tablets and followed by the inactive ones. Consistency in timing is essential for effectiveness.
- Frequency: One tablet every day.
- Duration of Use: Chateal EQ can be used long-term for contraception as long as it is well-tolerated and safe under medical supervision.
Typical Dosing
FDA Approved Indications
- Contraception: To prevent pregnancy in women.
- Menstrual Regulation: Can help regulate periods and reduce menstrual cramps.
- Acne Treatment: In some cases, it may be prescribed to help with mild acne.
Who Shouldn't Take Chateal EQ?
- History of blood clots, including deep vein thrombosis or pulmonary embolism.
- Cerebrovascular or cardiovascular disease, such as a heart attack or stroke.
- Uncontrolled high blood pressure.
- Breast cancer or other estrogen-dependent cancers.
- Liver disease or tumors.
- Undiagnosed vaginal bleeding.
- Known or suspected pregnancy.
Advice From The Pharmacist
- Take the pill at the same time every day to maximize effectiveness.
- Be aware of possible spotting or breakthrough bleeding during the first few months, which typically resolves over time.
- Use backup contraception (e.g., condoms) if they miss a pill or take it late, especially during the first week of starting a new pack.
- Avoid smoking, especially if over 35, due to the increased risk of serious cardiovascular side effects such as blood clots.
- Inform their healthcare provider of any unusual symptoms, such as severe headaches, chest pain, or leg pain, which could indicate serious side effects.
Side Effects of Chateal EQ
Common Side Effects
- Nausea or vomiting
- Breast tenderness
- Headaches
- Mood swings
- Weight gain or bloating
- Spotting or breakthrough bleeding between periods
Uncommon/Severe Side Effects
- Blood clots: In the legs (deep vein thrombosis), lungs (pulmonary embolism), or brain (stroke).
- Liver problems: Jaundice or changes in liver function tests.
- High blood pressure: Especially in women with pre-existing hypertension.
- Vision changes: Due to ocular side effects related to hormonal changes.
Risks and Warnings of Chateal EQ
- Risk of Blood Clots: Women who smoke and are over the age of 35 have a higher risk of blood clots, stroke, and heart attack when using combined oral contraceptives.
- Breast Cancer: Long-term use of hormonal contraceptives may slightly increase the risk of breast cancer. Women with a family history of breast cancer should discuss this with their healthcare provider.
- Hypertension: Chateal EQ can cause or worsen high blood pressure.
- Weight Gain: Some women may experience weight gain or water retention, though this varies by individual.
Interactions with Chateal EQ
Common Drug Interactions
- Antibiotics: Such as rifampin, which can reduce the effectiveness of the contraceptive.
- Antiepileptic drugs (e.g., phenytoin, carbamazepine): May decrease the efficacy of Chateal EQ.
- St. John’s Wort: May reduce the effectiveness of hormonal contraceptives.
- HIV medications: Certain antiretrovirals can reduce the effectiveness of Chateal EQ.
Alternatives to Chateal EQ
- Other Combined Oral Contraceptives: Like Alesse, Yaz, and Ortho Tri-Cyclen.
- Progestin-Only Pills: For women who cannot take estrogen-containing contraceptives.
- IUDs (Intrauterine Devices): Both hormonal (Mirena) and non-hormonal (Paragard).
- Contraceptive Implants or Injections: For long-term protection without daily administration.
