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Femynor
Femynor is a combination oral contraceptive containing ethinyl estradiol (an estrogen) and norgestimate (a progestin) used for preventing pregnancy. In addition to contraception, Femynor is also used to treat acne and to regulate menstrual cycles in women. By preventing ovulation and altering the cervical mucus and uterine lining, Femynor makes it harder for sperm to reach the uterus and for a fertilized egg to attach to the uterus.
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Frequently Asked Questions
How long does it take for Femynor to become effective?
If you start taking Femynor on the first day of your period, it is effective immediately. If you start on any other day, use a backup method of contraception for the first 7 days.
Can Femynor help with acne?
Yes, Femynor is FDA-approved for the treatment of acne in women who also want contraception.
What should I do if I miss a dose of Femynor?
If you miss one pill, take it as soon as you remember. If you miss two or more pills, refer to the package insert or contact your healthcare provider for guidance and use a backup form of contraception.
Does Femynor cause weight gain?
Some women may experience weight gain while taking Femynor, although it is not a common side effect.
Can I take Femynor if I have high blood pressure?
Femynor may increase blood pressure in some women, so it should be used cautiously or avoided in women with uncontrolled hypertension. Your healthcare provider will evaluate your overall health before prescribing it.
Comprehensive Drug Guide
How Does Femynor Work?
Femynor works by providing synthetic hormones ethinyl estradiol and norgestimate, which prevent ovulation (the release of an egg from the ovary). It also thickens cervical mucus, making it difficult for sperm to reach the egg, and changes the uterine lining, preventing implantation of a fertilized egg.
Common Dosages
- One tablet daily, starting either on the first day of menstruation or the first Sunday after menstruation begins. It includes 21 active hormone tablets and 7 placebo tablets, which are taken during the last week of the cycle to allow for a menstrual period.
Typical Dosing
- For contraception: Take one tablet daily at the same time each day. Start a new pack immediately after finishing the last tablet of the current pack.
- Missed dose: If you miss a dose, take it as soon as you remember. If more than one dose is missed, consult the package insert or your healthcare provider for guidance on how to proceed and whether additional contraceptive methods are needed.
Typical Dosing
FDA Approved Indications
- Contraception: To prevent pregnancy.
- Acne treatment: In women who also desire birth control.
- Menstrual cycle regulation: To manage irregular periods and reduce menstrual cramps.
Who Shouldn't Take Femynor?
- Known hypersensitivity to ethinyl estradiol or norgestimate.
- History of blood clots, stroke, or heart attack.
- Uncontrolled high blood pressure.
- Breast cancer or other estrogen- or progesterone-sensitive cancers.
- Liver disease.
- Pregnancy.
Advice From The Pharmacist
- Take Femynor at the same time every day, even during the 7 days when you are taking placebo pills.
- If you miss a dose, follow the instructions provided with your medication. For a missed pill, take it as soon as you remember. If two or more pills are missed, use a backup form of contraception (e.g., condoms) for at least 7 days.
- Femynor does not protect against sexually transmitted infections (STIs). Use a condom for STI prevention.
- Some medications (e.g., antibiotics or anticonvulsants) may reduce the effectiveness of Femynor. Discuss all medications you are taking with your healthcare provider to avoid interactions.
Side Effects of Femynor
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Bloating
- Weight gain
- Mood changes
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke or heart attack
- Liver problems (yellowing of the skin or eyes)
- Severe allergic reactions (rash, swelling, difficulty breathing)
Risks and Warnings of Femynor
- Cardiovascular Risk: Combination hormonal contraceptives, including Femynor, increase the risk of blood clots, stroke, and heart attack, especially in women who smoke and are over the age of 35.
- Cancer Risk: Long-term use of hormonal contraceptives may increase the risk of certain cancers, such as breast cancer or cervical cancer.
- Liver Risk: Femynor can cause liver damage or benign liver tumors in rare cases. Regular monitoring of liver function is recommended in women with a history of liver disease.
Interactions with Femynor
Common Drug Interactions
- Antibiotics (e.g., rifampin): Can reduce the effectiveness of Femynor and increase the risk of pregnancy.
- Anticonvulsants (e.g., carbamazepine): Can decrease the effectiveness of hormonal contraceptives.
- St. John's Wort: May reduce the levels of ethinyl estradiol and norgestimate, reducing the contraceptive effect.
Alternatives to Femynor
- Yaz (drospirenone/ethinyl estradiol): A combination oral contraceptive with similar benefits for acne treatment.
- Ortho Tri-Cyclen (norgestimate/ethinyl estradiol): Another combination oral contraceptive used for birth control and acne treatment.
- Progestin-only pills (Mini-pills): An alternative for women who cannot take estrogen-containing birth control.
- IUDs (e.g., Mirena, Paragard): Long-term, non-oral contraceptive methods that can last several years.
