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Dermelle
Dermelle (ethinyl estradiol and norethindrone acetate) is a combination oral contraceptive used to prevent pregnancy. It contains two hormones: ethinyl estradiol, an estrogen, and norethindrone acetate, a progestin. Dermelle works by inhibiting ovulation, thickening cervical mucus to prevent sperm from reaching the egg, and altering the uterine lining to prevent implantation.
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Frequently Asked Questions
How effective is Dermelle at preventing pregnancy?
When taken correctly, Dermelle is over 99% effective at preventing pregnancy. Missing doses or taking the pills inconsistently can reduce its effectiveness.
Can I skip my period using Dermelle?
Yes, some women choose to skip the inactive pills and start a new pack of active pills to avoid having a period. Consult your healthcare provider before doing this to ensure it’s safe for you.
What should I do if I miss a pill?
If you miss one active pill, take it as soon as you remember. If you miss two or more active pills, follow the instructions in the package insert and use a backup method of contraception for the next 7 days.
Can Dermelle cause weight gain?
Some women may experience mild weight gain due to fluid retention, but significant weight gain is uncommon with combination birth control pills like Dermelle.
Is Dermelle safe for long-term use?
Yes, Dermelle is safe for long-term use, but regular check-ups with your healthcare provider are recommended to monitor for any potential side effects.
Comprehensive Drug Guide
How Does Dermelle Work?
- Inhibiting ovulation (preventing the release of an egg from the ovaries).
- Thickening cervical mucus, making it difficult for sperm to enter the uterus.
- Altering the uterine lining, reducing the likelihood of implantation.
Common Dosages
- Oral tablets: A 28-day pack (21 active hormone pills and 7 inactive placebo pills).
Typical Dosing
- Take one tablet daily at the same time every day for 28 days: 21 active hormone pills followed by 7 inactive pills, during which you will have a withdrawal bleed (your period).
Typical Dosing
FDA Approved Indications
- Pregnancy in women who choose oral contraceptives as their method of birth control.
Who Shouldn't Take Dermelle?
- Known hypersensitivity to ethinyl estradiol, norethindrone acetate, or any component of the formulation.
- Blood clots, heart attack, or stroke.
- Breast cancer or other hormone-sensitive cancers.
- Liver disease or tumors.
Advice From The Pharmacist
- Take Dermelle at the same time each day to maintain its effectiveness. It may be taken with or without food.
- If you miss a pill, take it as soon as you remember. If you miss two or more pills, use a backup method of contraception (such as condoms) for the next 7 days.
- Consult your healthcare provider if you experience any severe side effects such as leg pain, chest pain, or vision problems, which could indicate a blood clot.
Side Effects of Dermelle
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Mood swings
- Spotting between periods
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke
- Liver problems (jaundice)
- High blood pressure
Risks and Warnings of Dermelle
- Blood Clots: Combination birth control pills like Dermelle can increase the risk of blood clots, particularly in women who smoke or are over 35 years old.
- Cancer Risk: Long-term use of hormonal contraceptives may increase the risk of breast and cervical cancer. Regular screenings are advised.
- Smoking: Smoking while using Dermelle significantly increases the risk of cardiovascular events, such as heart attack or stroke.
Interactions with Dermelle
Common Drug Interactions
- Antibiotics (e.g., rifampin) and anticonvulsants (e.g., carbamazepine) can reduce the effectiveness of Dermelle, increasing the risk of pregnancy.
- St. John’s Wort: This herbal supplement can decrease the effectiveness of birth control pills and should be avoided while using Dermelle.
- Anticoagulants: Hormonal contraceptives may reduce the effectiveness of blood thinners like warfarin.
Alternatives to Dermelle
- Ortho-Novum: Another combination oral contraceptive with similar hormone levels.
- Yaz: A combination contraceptive containing drospirenone and ethinyl estradiol, often prescribed for contraception and acne management.
- NuvaRing: A contraceptive vaginal ring that releases hormones similar to Dermelle.
