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Loestrin Fe 1.5/30
Loestrin Fe 1.5/30 is a combination oral contraceptive that contains ethinyl estradiol (30 mcg) and norethindrone acetate (1.5 mg), along with iron (ferrous fumarate). It is primarily used for the prevention of pregnancy and can also help regulate menstrual cycles. This formulation provides effective contraception while offering additional iron supplementation.
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Frequently Asked Questions
How effective is Loestrin Fe 1.5/30 at preventing pregnancy?
When taken as directed, Loestrin Fe 1.5/30 is over 99% effective at preventing pregnancy.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember. If it’s close to your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Can I use Loestrin Fe 1.5/30 while breastfeeding?
Consult your healthcare provider about the use of hormonal contraceptives while breastfeeding, as some may not be recommended.
Will Loestrin Fe 1.5/30 affect my menstrual cycle?
Some women experience lighter periods or changes in their menstrual cycle while using Loestrin Fe 1.5/30.
Is it safe to smoke while taking Loestrin Fe 1.5/30?
Smoking increases the risk of serious cardiovascular side effects. It is advisable to quit smoking before starting any hormonal contraceptive.
Comprehensive Drug Guide
How Does Loestrin Fe 1.5/30 Work?
Loestrin Fe 1.5/30 works by preventing ovulation through the inhibition of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). It also thickens cervical mucus, making it difficult for sperm to enter the uterus, and alters the endometrial lining to reduce the likelihood of implantation.
Common Dosages
- Active Tablets: 30 mcg of ethinyl estradiol and 1.5 mg of norethindrone.
- Inactive Tablets: These include placebo tablets that complete the 28-day cycle.
Typical Dosing
- Take one active tablet daily for 21 days, followed by one inactive tablet daily for 7 days. This results in a total cycle of 28 days.
- It is important to take the tablets at the same time each day for maximum effectiveness.
Typical Dosing
FDA Approved Indications
- Prevention of Pregnancy: as an oral contraceptive.
- Management of Menstrual Disorders: to help regulate menstrual cycles and reduce heavy bleeding.
Who Shouldn't Take Loestrin Fe 1.5/30?
- Known hypersensitivity to ethinyl estradiol, norethindrone, or any component of the formulation.
- History of thromboembolic disorders (such as deep vein thrombosis or pulmonary embolism).
- Severe liver disease.
Advice From The Pharmacist
- Use a backup contraceptive method (e.g., condoms) during the first 7 days of starting Loestrin Fe 1.5/30 if it is your first time using hormonal contraception.
- Inform your healthcare provider of any other medications you are taking, as some can interact with Loestrin Fe 1.5/30.
- Monitor for any unusual side effects and report them to your healthcare provider.
Side Effects of Loestrin Fe 1.5/30
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Mood changes
- Spotting or breakthrough bleeding
Uncommon/Severe Side Effects
- Signs of a blood clot (swelling, pain in the legs, sudden shortness of breath).
- Severe headaches or vision changes.
- Signs of liver dysfunction (jaundice, severe abdominal pain).
Risks and Warnings of Loestrin Fe 1.5/30
- Cardiovascular Risk: Hormonal contraceptives can increase the risk of blood clots, especially in smokers and women over 35.
- Liver Health: Regular monitoring may be required for women with liver issues.
- Missed Doses: Be aware of what to do if you miss a dose, as this can affect contraceptive effectiveness.
Interactions with Loestrin Fe 1.5/30
Common Drug Interactions
- Antibiotics: Some antibiotics may reduce the effectiveness of Loestrin Fe 1.5/30.
- Antiepileptic Drugs: Certain medications for seizures can affect hormone levels.
- St. John’s Wort: This herbal supplement may decrease the effectiveness of hormonal contraceptives.
Alternatives to Loestrin Fe 1.5/30
- Other Oral Contraceptives: Different formulations may be recommended based on individual health needs and side effects.
- Long-Acting Reversible Contraceptives (LARCs): Such as IUDs or implants.
- Barrier Methods: Such as condoms or diaphragms for contraception.
