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Junel 1/20
Junel 1/20 is a combination oral contraceptive that contains norethindrone (1 mg) and ethinyl estradiol (20 mcg). It is primarily used for the prevention of pregnancy and may also help regulate menstrual cycles, alleviate menstrual cramps, and address hormonal imbalances in women who choose to use an oral contraceptive.
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Frequently Asked Questions
How long does it take for Junel 1/20 to be effective?
Junel 1/20 is generally effective after 7 days of consistent use; it is recommended to use a backup method during this initial period.
Can I take Junel 1/20 with other medications?
Always consult your healthcare provider before combining Junel 1/20 with other medications, especially antibiotics or medications that affect liver enzymes.
What should I do if I miss a dose of Junel 1/20?
If you miss a dose, take it as soon as you remember. If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Is it safe to use Junel 1/20 during pregnancy?
Junel 1/20 is contraindicated during pregnancy. If pregnancy occurs while taking the medication, contact a healthcare provider immediately.
Can Junel 1/20 cause weight gain?
Weight gain can occur with hormonal contraceptives, but individual responses vary. Any significant changes in weight should be discussed with a healthcare provider.
Comprehensive Drug Guide
How Does Junel 1/20 Work?
- Preventing ovulation (the release of an egg from the ovaries)
- Thickening the cervical mucus to impede sperm movement
- Altering the uterine lining to prevent implantation of a fertilized egg
Common Dosages
- Tablets: Each tablet contains 1 mg norethindrone and 20 mcg ethinyl estradiol.
Typical Dosing
- The usual dosage is one tablet taken orally once daily, preferably at the same time each day. It is typically taken for 21 consecutive days, followed by a 7-day pill-free interval.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy in women of reproductive age.
- May also be used to manage conditions related to hormonal imbalances, such as dysmenorrhea or acne.
Who Shouldn't Take Junel 1/20?
- Known hypersensitivity to norethindrone, ethinyl estradiol, or any components of the formulation
- History of thromboembolic disorders (e.g., deep vein thrombosis, pulmonary embolism)
- Severe liver disease
- Certain types of cancers (e.g., breast cancer)
Advice From The Pharmacist
- maximum effectiveness.
- Discuss potential side effects, including nausea, breast tenderness, and mood changes.
- Inform women of childbearing age about the importance of using backup contraception during the first 7 days of use if not starting on the first day of their menstrual cycle.
Side Effects of Junel 1/20
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Mood changes
- Weight gain
Uncommon/Severe Side Effects
- Severe allergic reactions (anaphylaxis)
- Blood clots
- Liver tumors
Risks and Warnings of Junel 1/20
- Thromboembolic Risks: The use of combined hormonal contraceptives may increase the risk of blood clots, particularly in women with certain risk factors.
- Monitoring: Regular follow-up appointments are important for monitoring blood pressure and overall health.
Interactions with Junel 1/20
Common Drug Interactions
- Other Hormonal Medications: Caution is advised when using Junel 1/20 with other hormonal therapies that may alter its effectiveness.
- Antibiotics and Anticonvulsants: Some medications may reduce the effectiveness of oral contraceptives; consult a healthcare provider for alternatives.
Alternatives to Junel 1/20
- Other Oral Contraceptives: Different formulations may be considered based on individual health needs and preferences.
- Non-Hormonal Methods: Such as copper IUDs or barrier methods for those who prefer to avoid hormonal therapy.
