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Falmina
Falmina (generic name: levonorgestrel and ethinyl estradiol) is a combination oral contraceptive pill used to prevent pregnancy. It contains two hormones, progestin (levonorgestrel) and estrogen (ethinyl estradiol), which work together to prevent ovulation, thicken cervical mucus, and alter the uterine lining, making it more difficult for sperm to reach the egg or for a fertilized egg to implant.
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Frequently Asked Questions
How effective is Falmina at preventing pregnancy?
When taken correctly, Falmina is over 99% effective at preventing pregnancy. However, typical use (with occasional missed pills) may reduce its effectiveness to about 91%.
What should I do if I miss a pill?
If you miss one pill, take it as soon as you remember and take the next pill at the regular time. If you miss two or more pills, refer to the package insert and use backup contraception.
Can I use Falmina if I’m breastfeeding?
Combination birth control pills like Falmina are generally not recommended during breastfeeding, as they may reduce milk production. Progestin-only pills may be a better option.
Will Falmina help with acne?
Some combination birth control pills can help reduce acne, but this varies by individual. Consult your healthcare provider to determine the best option for acne management.
Can I take Falmina continuously to skip periods?
Yes, some women take birth control pills continuously to skip their periods. Consult your healthcare provider for guidance on how to use Falmina this way.
Comprehensive Drug Guide
How Does Falmina Work?
Falmina works by preventing ovulation (the release of an egg from the ovaries) and thickening cervical mucus to prevent sperm from reaching the egg. It also alters the uterine lining to reduce the likelihood of implantation.
Common Dosages
- 21 active pills containing 0.15 mg levonorgestrel and 0.03 mg ethinyl estradiol.
- 7 placebo pills.
Typical Dosing
- Take one active tablet daily at the same time each day for 21 days, followed by 7 placebo tablets to maintain your dosing schedule.
Typical Dosing
FDA Approved Indications
Prevention of pregnancy
Who Shouldn't Take Falmina?
- History of blood clots or deep vein thrombosis
- Breast cancer
- Liver disease
- Uncontrolled high blood pressure
- Migraine with aura
Advice From The Pharmacist
- Take Falmina at the same time every day to maintain its effectiveness.
- If you miss a dose, follow the instructions provided in the package insert. Missing multiple pills can increase the risk of pregnancy, so use a backup method of contraception.
- Falmina does not protect against sexually transmitted infections (STIs); use condoms for additional protection if needed.
Side Effects of Falmina
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Weight changes
Uncommon/Severe Side Effects
- Blood clots
- Stroke
- High blood pressure
Risks and Warnings of Falmina
- Blood Clots: Combination birth control pills like Falmina can increase the risk of blood clots, especially in women who smoke or are over the age of 35.
- Smoking Risk: Women over the age of 35 who smoke should not use Falmina due to an increased risk of serious cardiovascular events.
Interactions with Falmina
Common Drug Interactions
- Antibiotics: Some antibiotics, such as rifampin, may reduce the effectiveness of Falmina, requiring a backup contraceptive method.
- Anticonvulsants: Medications for seizures may interfere with the effectiveness of birth control pills.
Alternatives to Falmina
- Ortho Tri-Cyclen: A combination birth control pill containing norgestimate and ethinyl estradiol.
- NuvaRing: A vaginal ring that releases a combination of estrogen and progestin for contraception.
- Mirena: A hormonal IUD that provides long-term contraception.
