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Viorele
Viorele is a combination oral contraceptive that contains desogestrel and ethinyl estradiol. It is used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and altering the uterine lining. Viorele is also prescribed to manage other conditions such as acne and menstrual cycle regulation. It is typically taken daily to ensure effective contraception and to regulate hormone levels.
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Frequently Asked Questions
How effective is Viorele at preventing pregnancy?
When taken as directed, Viorele is over 99% effective at preventing pregnancy. However, its effectiveness can decrease if pills are missed or not taken consistently.
What should I do if I miss a dose of Viorele?
If you miss one pill, take it as soon as you remember, even if that means taking two pills in one day. If you miss two or more pills, follow the instructions in the package insert and use backup contraception for the next seven days.
Can Viorele help with acne?
Yes, Viorele is approved for the treatment of moderate acne in women who are at least 15 years old and want contraception. It may take several months to see improvement in acne symptoms.
Does Viorele cause weight gain?
While some women may experience slight weight gain due to fluid retention or hormonal changes, significant weight gain is not common with Viorele.
Can I stop taking Viorele if I want to become pregnant?
Yes, you can stop taking Viorele at any time if you wish to become pregnant. Your fertility should return quickly after discontinuing the medication.
Comprehensive Drug Guide
How Does Viorele Work?
Viorele works by preventing the release of an egg (ovulation) during the menstrual cycle. It also thickens the cervical mucus to prevent sperm from reaching the egg and alters the uterine lining to prevent attachment of a fertilized egg. These combined effects make it highly effective in preventing pregnancy when taken as directed.
Common Dosages
- 28-day blister packs, with 21 active pills containing desogestrel 0.15 mg and ethinyl estradiol 0.02 mg, and 7 placebo pills.
Typical Dosing
- Take one pill daily, starting with the first active pill on the first day of your menstrual cycle or on the Sunday after your period begins. Continue taking one pill daily at the same time each day, following the pack’s sequence.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy
- Treatment of moderate acne in women aged 15 years or older who desire contraception
- Menstrual cycle regulation and reduction of symptoms associated with menstruation, such as cramps
Who Shouldn't Take Viorele?
- A history of blood clots, stroke, or heart attack
- Breast cancer or uterine cancer
- Uncontrolled high blood pressure
- Liver disease or liver tumors
- Known or suspected pregnancy
Advice From The Pharmacist
- Take Viorele at the same time each day to maintain its effectiveness. Missing doses can increase the risk of pregnancy.
- If you miss a dose, follow the instructions in the package insert for missed pills.
- Use an additional form of contraception (e.g., condoms) if you miss two or more pills in a cycle.
- Viorele does not protect against sexually transmitted infections (STIs), so consider using condoms to reduce the risk of STIs.
Side Effects of Viorele
Common Side Effects
- Nausea or vomiting
- Breast tenderness
- Headache
- Bloating
- Mood changes
Uncommon/Severe Side Effects
- Blood clots (e.g., deep vein thrombosis)
- Stroke or heart attack
- High blood pressure
- Liver problems
Risks and Warnings of Viorele
- Cardiovascular Risks: Smoking while using Viorele, especially in women over 35, increases the risk of blood clots, stroke, and heart attack.
- Blood Clots: Viorele may increase the risk of blood clots, particularly in women with risk factors such as obesity, smoking, or a personal/family history of blood clots.
- Cancer Risk: Prolonged use of combination oral contraceptives may increase the risk of breast cancer and cervical cancer. Regular checkups and breast exams are recommended.
Interactions with Viorele
Common Drug Interactions
- Antibiotics: Some antibiotics, such as rifampin, may reduce the effectiveness of Viorele. Use additional contraception while on antibiotics.
- Anticonvulsants: Certain anticonvulsant medications may decrease the effectiveness of Viorele, increasing the risk of pregnancy.
- Herbal Supplements: St. John’s wort may reduce the effectiveness of hormonal contraceptives.
Alternatives to Viorele
- Apri (desogestrel/ethinyl estradiol): A similar combination oral contraceptive with the same active ingredients.
- Yaz (drospirenone/ethinyl estradiol): Another combination contraceptive with different progestin.
- Ortho Tri-Cyclen (norgestimate/ethinyl estradiol): A combination pill that also helps treat acne.
- Nexplanon: A long-acting contraceptive implant for women seeking non-pill options.
