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Nortrel 0.5/35 (28)
Nortrel 0.5/35 (28) is a combination oral contraceptive that contains norethindrone (a progestin) and ethinyl estradiol (an estrogen). This formulation is primarily used for the prevention of pregnancy and can also help regulate menstrual cycles and alleviate symptoms associated with premenstrual syndrome (PMS).
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Frequently Asked Questions
How quickly does Nortrel 0.5/35 work for contraception?
Nortrel 0.5/35 provides contraceptive protection after 7 days of consistent use; it’s best to use additional contraception during this period.
Can I take Nortrel 0.5/35 with food?
Yes, Nortrel 0.5/35 can be taken with or without food.
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 the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Are there any dietary restrictions while using Nortrel 0.5/35?
There are no specific dietary restrictions while using Nortrel 0.5/35.
Is Nortrel 0.5/35 safe during pregnancy or breastfeeding?
Nortrel 0.5/35 should not be used during pregnancy. Consult your healthcare provider if you are breastfeeding to discuss its use.
Comprehensive Drug Guide
How Does Nortrel 0.5/35 (28) Work?
Norethindrone and ethinyl estradiol work together to prevent ovulation, thicken cervical mucus to inhibit sperm passage, and alter the uterine lining to prevent implantation. This combination effectively prevents pregnancy while also managing menstrual symptoms.
Common Dosages
- Tablets: Each tablet contains 0.5 mg of norethindrone and 35 mcg of ethinyl estradiol, with a pack containing 28 tablets.
Typical Dosing
- The usual regimen involves taking one tablet daily for 28 days, following the specific order of active and inactive tablets as indicated in the package instructions.
Typical Dosing
FDA Approved Indications
- Contraception: for the prevention of pregnancy in females of reproductive age.
- Menstrual Regulation: for managing symptoms associated with premenstrual syndrome.
Who Shouldn't Take Nortrel 0.5/35 (28)?
- Known hypersensitivity to norethindrone, ethinyl estradiol, or any component of the formulation.
- History of thromboembolic disorders (e.g., blood clots).
- Severe liver disease or liver tumors.
- Undiagnosed abnormal genital bleeding.
Advice From The Pharmacist
- Take Nortrel 0.5/35 exactly as prescribed, at the same time each day, to maintain consistent hormone levels.
- If a dose is missed, follow the specific instructions provided with the medication for missed doses.
- Regular check-ups may be necessary to monitor for side effects and ensure the effectiveness of the contraceptive.
Side Effects of Nortrel 0.5/35 (28)
Common Side Effects
- Nausea
- Headache
- Breast tenderness
- Mood changes
- Spotting or breakthrough bleeding
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, itching, swelling)
- Symptoms of blood clots (pain, swelling in the legs, chest pain, shortness of breath).
Risks and Warnings of Nortrel 0.5/35 (28)
- Cardiovascular Risks: There is an increased risk of thromboembolic events; patients should be assessed for risk factors.
- Hormonal Effects: Monitor for mood changes and other hormonal side effects; discuss any concerns with your healthcare provider.
Interactions with Nortrel 0.5/35 (28)
Common Drug Interactions
- Antibiotics: Some antibiotics may reduce the effectiveness of Nortrel 0.5/35; consult your healthcare provider for specific guidance.
- Other Hormonal Contraceptives: Care should be taken when using multiple hormonal contraceptives concurrently.
Alternatives to Nortrel 0.5/35 (28)
- Other Oral Contraceptives: Such as those containing different combinations of estrogen and progestin.
- Non-Hormonal Methods: Barrier methods or intrauterine devices (IUDs) may be considered for contraception.
