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Low-Ogestrel

Low-Ogestrel is a combination oral contraceptive that contains ethinyl estradiol and norgestrel. It is primarily used for the prevention of pregnancy and can also help regulate menstrual cycles. This formulation is designed to provide effective contraception while minimizing the dosage of hormones to reduce potential side effects.

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Frequently Asked Questions

What should I do if I miss a dose?
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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 Low-Ogestrel while breastfeeding?
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Consult your healthcare provider about the use of hormonal contraceptives while breastfeeding, as some may not be recommended.

Will Low-Ogestrel affect my menstrual cycle?
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Some women experience lighter periods or changes in their menstrual cycle while using Low-Ogestrel.

Is it safe to smoke while taking Low-Ogestrel?
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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 Low-Ogestrel Work?

Low-Ogestrel works by preventing ovulation through the inhibition of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). It also thickens cervical mucus to impede sperm movement and alters the endometrial lining to reduce the likelihood of implantation.

Common Dosages

  • Active Tablets: typically containing 0.1 mg of norgestrel and 0.02 mg of ethinyl estradiol.
  • Inactive Tablets: These include placebo tablets that complete the 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 Low-Ogestrel?

  • Known hypersensitivity to ethinyl estradiol, norgestrel, or any component of the formulation.
  • History of thromboembolic disorders (such as deep vein thrombosis or pulmonary embolism).
  • Severe liver disease.
  • Certain cancers, such as breast cancer.


Advice From The Pharmacist

  • Use a backup contraceptive method (e.g., condoms) during the first 7 days of starting Low-Ogestrel 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 Low-Ogestrel.
  • Monitor for any unusual side effects and report them to your healthcare provider.


Side Effects of Low-Ogestrel

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 Low-Ogestrel

  • 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 Low-Ogestrel

Common Drug Interactions

  • Antibiotics: Some antibiotics may reduce the effectiveness of Low-Ogestrel.
  • 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 Low-Ogestrel

  • 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.