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Mircette
Mircette is a combination oral contraceptive pill (OCP) containing two hormones: desogestrel (a progestin) and ethinyl estradiol (an estrogen). It is used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus to prevent sperm from reaching an egg, and altering the uterine lining to prevent a fertilized egg from implanting. In addition to contraception, Mircette may be prescribed to regulate menstrual cycles, reduce menstrual pain, and treat acne in some cases.
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Frequently Asked Questions
How effective is Mircette at preventing pregnancy?
When taken correctly, Mircette is over 99% effective at preventing pregnancy. However, missing doses or taking the pill inconsistently can reduce its effectiveness.
Can I use Mircette to regulate my menstrual cycle?
Yes, Mircette can help regulate menstrual cycles, reduce the heaviness and duration of periods, and reduce menstrual pain.
What should I do if I miss a pill?
If you miss one active pill, take it as soon as you remember and continue with your regular schedule. If you miss more than one active pill, consult the package insert for specific instructions and consider using backup contraception.
Does Mircette protect against STIs?
No, Mircette does not protect against sexually transmitted infections (STIs). For STI protection, use condoms in addition to the pill.
Can I take Mircette if I am over 35 and smoke?
No, smoking while taking Mircette (or any combination oral contraceptive) increases the risk of serious cardiovascular events such as blood clots, stroke, and heart attack, especially in women over 35. You should avoid smoking while using this medication.
Comprehensive Drug Guide
How Does Mircette Work?
Mircette works by delivering a combination of ethinyl estradiol (an estrogen) and desogestrel (a progestin) to prevent ovulation. The hormones stop the ovaries from releasing an egg (ovulation), thicken the cervical mucus to make it harder for sperm to enter the uterus, and alter the uterine lining, making it less likely for a fertilized egg to implant. The combination of these mechanisms effectively prevents pregnancy.
Common Dosages
- Oral tablets: Each pack contains 21 active pills (20 mcg of ethinyl estradiol and 0.15 mg of desogestrel) and 7 inactive (placebo) pills.
Typical Dosing
- Take one active tablet daily for 21 consecutive days, followed by 7 days of inactive (placebo) pills.
- Start a new pack after completing the 28-day cycle, regardless of whether bleeding has stopped.
- To maximize effectiveness, take the pill at the same time every day.
Typical Dosing
FDA Approved Indications
- Contraception: Used to prevent pregnancy in women who choose oral contraceptives as their method of birth control.
- Menstrual regulation: Used to regulate menstrual cycles and reduce heavy or painful periods.
Who Shouldn't Take Mircette?
- History of blood clots or deep vein thrombosis (DVT)
- History of stroke or heart attack
- Severe high blood pressure
- Breast cancer or other hormone-sensitive cancers
- Liver disease
- Unexplained vaginal bleeding
- Smokers over the age of 35, as this increases the risk of serious cardiovascular side effects.
Advice From The Pharmacist
- Take Mircette at the same time every day to maintain consistent hormone levels and maximize contraceptive effectiveness.
- If you miss a pill, follow the instructions provided in the package insert. Generally, missing one active pill can be remedied by taking it as soon as you remember, but missing two or more may require backup contraception.
- It’s important to note that Mircette does not protect against sexually transmitted infections (STIs), so additional protection, like condoms, is recommended if STI prevention is a concern.
- Use a backup method of contraception (like condoms) if you miss more than one active pill or if you are starting the pill for the first time.
Side Effects of Mircette
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Weight changes
- Mood changes
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke or heart attack
- Severe headaches
- Vision changes
- Liver problems (jaundice, yellowing of the skin or eyes)
Risks and Warnings of Mircette
- Blood Clots: Women using combination oral contraceptives like Mircette have an increased risk of blood clots, especially if they smoke, are over 35, or have a history of clotting disorders.
- Stroke and Heart Attack: Women over 35 who smoke have a significantly increased risk of serious cardiovascular events such as stroke and heart attack. Smoking should be avoided while taking Mircette.
- Cancer Risk: Long-term use of oral contraceptives may slightly increase the risk of certain cancers, such as breast and cervical cancer, but may decrease the risk of ovarian and endometrial cancer.
- Liver Problems: Rare cases of liver damage have been reported. If you experience symptoms such as jaundice (yellowing of the skin or eyes), contact your doctor.
Interactions with Mircette
Common Drug Interactions
- Antibiotics (e.g., rifampin): Certain antibiotics may reduce the effectiveness of Mircette, increasing the risk of pregnancy. Use backup contraception while taking these medications.
- Anticonvulsants (e.g., phenytoin, carbamazepine): These medications may interfere with the effectiveness of oral contraceptives.
- St. John's Wort: This herbal supplement may reduce the effectiveness of birth control pills and should be avoided.
- HIV medications: Certain antiretroviral drugs may affect the efficacy of oral contraceptives. Consult your doctor if you are taking antiretrovirals.
Alternatives to Mircette
- Yaz (drospirenone/ethinyl estradiol): Another low-dose combination oral contraceptive with similar effectiveness.
- Ortho Tri-Cyclen (norgestimate/ethinyl estradiol): A triphasic oral contraceptive that changes hormone levels throughout the cycle.
- NuvaRing: A vaginal ring that releases hormones for birth control and is replaced monthly.
- Depo-Provera: A contraceptive injection given every three months.
- Intrauterine devices (IUDs): Long-term contraceptive options like the hormonal Mirena or non-hormonal Paragard.
