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Estarylla

Estarylla is a combination oral contraceptive pill containing norgestimate (a progestin) and ethinyl estradiol (an estrogen). It is used to prevent pregnancy by suppressing ovulation, thickening cervical mucus, and altering the uterine lining. Estarylla also helps regulate menstrual cycles and reduce symptoms such as heavy periods and cramping.



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Frequently Asked Questions

What should I do if I miss a pill?
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If you miss one pill, take it as soon as you remember. If you miss two or more pills, follow the package instructions and use a backup method of contraception for 7 days.

Can I start Estarylla at any time during my cycle?
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Yes, but if you start Estarylla on a day other than the first day of your period, use backup contraception (e.g., condoms) for the first 7 days.

Does Estarylla cause weight gain?
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Some women may experience weight gain while taking Estarylla, though this is generally mild.

Can Estarylla help regulate my periods?
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Yes, Estarylla can help regulate your menstrual cycles and reduce symptoms like heavy periods and cramping.

Is Estarylla safe for long-term use?
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Yes, Estarylla is safe for long-term use in most women, but regular check-ups with your healthcare provider are recommended to monitor for any side effects.

Comprehensive Drug Guide

How Does Estarylla Work?

Estarylla prevents pregnancy by inhibiting the release of an egg (ovulation), thickening cervical mucus to block sperm, and altering the uterine lining to make it less favorable for implantation. These combined actions make it highly effective as a contraceptive when taken as directed.



Common Dosages

  • Tablets containing 0.25 mg norgestimate and 0.035 mg ethinyl estradiol

Typical Dosing

  • Take one tablet daily at the same time each day, following the 28-day cycle (21 active pills followed by 7 inactive pills). This maintains consistent hormone levels and provides pregnancy prevention.



Typical Dosing

FDA Approved Indications

  • Contraception (prevention of pregnancy)


Who Shouldn't Take Estarylla?

  • Known hypersensitivity to norgestimate, ethinyl estradiol, or any other ingredients in Estarylla.
  • History of blood clots, stroke, or heart attack.
  • Liver disease or uncontrolled hypertension.
  • Smoking in women over 35 years old.


Advice From The Pharmacist

  • Take Estarylla at the same time each day to maintain its effectiveness. Missing pills increases the risk of pregnancy.
  • If you miss a pill, follow the instructions in the package insert and use backup contraception if necessary.
  • Estarylla does not protect against sexually transmitted infections (STIs).


Side Effects of Estarylla

Common Side Effects

  • Nausea
  • Headache
  • Breast tenderness
  • Weight gain


Uncommon/Severe Side Effects

  • Blood clots
  • Stroke
  • High blood pressure


Risks and Warnings of Estarylla

  • Blood Clot Risk: Combination oral contraceptives like Estarylla can increase the risk of blood clots, especially in women who smoke or are over 35.
  • Hypertension: Estarylla may elevate blood pressure, so regular monitoring is advised.


Interactions with Estarylla

Common Drug Interactions

  • Antibiotics: Certain antibiotics, such as rifampin, can reduce the effectiveness of Estarylla.
  • Anticonvulsants: Medications like phenytoin or carbamazepine may decrease the efficacy of Estarylla.


Alternatives to Estarylla

  • Ortho Tri-Cyclen (norgestimate/ethinyl estradiol)
  • Yaz (drospirenone/ethinyl estradiol)
  • NuvaRing (etonogestrel/ethinyl estradiol)