Monofeme (Ethinylestradiol And Levonorgestrel)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
ethinylestradiol and levonorgestrel
Drug Class
combined oral contraceptive
Used For
preventing pregnancy
How Taken
oral tablet taken daily

What Is Monofeme Used For?

Monofeme is a combined oral contraceptive that helps prevent pregnancy.

Primary Uses

Monofeme is primarily used to prevent pregnancy by inhibiting ovulation, altering cervical mucus, and modifying the uterine lining.

How It Works

Monofeme works by preventing the release of an egg from the ovary, making it difficult for sperm to reach the egg, and creating an unsuitable environment for implantation.

Good to know: Monofeme is not addictive.

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How to Take Monofeme

It is important to take Monofeme as directed to ensure its effectiveness.

Dosage Instructions

Take one tablet daily at the same time each day. Follow the instructions provided by your doctor or pharmacist.

What If You Miss a Dose?

If you miss a dose, take it as soon as you remember if it's within 12 hours. If more than 12 hours have passed, take the missed tablet immediately and use additional non-hormonal contraception for the next seven days.

Important: Never double dose to make up for a missed tablet.

Available Tablet Strengths

5mg
5mg Tablet Blue, Round • A-007
10mg
10mg Tablet Pink, Rectangular • A-008
15mg
15mg Tablet Yellow, Round • A-009
20mg
20mg Tablet White, Round • A-010
30mg
30mg Tablet Pink, Round • A-011

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • Changes in bleeding patterns
  • Painful periods
  • Breast tenderness
  • Changes in sex drive
  • Nausea or vomiting
  • Abdominal pain
  • Cramps or bloating
  • Mood changes
  • Headaches
  • Weight changes
  • Swelling of hands, ankles, or feet
  • Acne
  • Hair loss
  • Increased body hair

Seek immediate medical attention if you experience:

  • Blood clots
  • Worsening or new onset of migraines/headaches
  • Jaundice (yellowing of skin or eyes)
  • Significant rise in blood pressure
  • Worsening of existing conditions

Impulse Control Issues

There is a potential risk for impulse control issues, including gambling or spending problems.

Important Warnings

There are several important considerations before taking Monofeme.

Who Should Not Take Monofeme

Do not take Monofeme if you are allergic to its ingredients, have a history of thromboembolism, liver disease, or are pregnant.

Medical Conditions to Discuss

Discuss any history of heart disease, high blood pressure, diabetes, migraines, or other serious conditions with your doctor.

Pregnancy and Breastfeeding

Consult your doctor if you are pregnant, plan to become pregnant, or are breastfeeding before starting Monofeme.

Elderly Patients With Dementia: Special caution is advised for elderly patients, particularly those with dementia.

Drug Interactions

Certain medications can interact with Monofeme, affecting its effectiveness.

Grapefruit interaction: Grapefruit may affect how Monofeme works.

  • Atorvastatin
  • Indinavir
  • Itraconazole
  • Fluconazole
  • Paracetamol
  • Ascorbic acid (Vitamin C)
  • Cyclosporin
  • Theophyllines
  • Corticosteroids
  • Lamotrigine
  • Rifampicin
  • Antibiotics (ampicillin, penicillins, tetracyclines)
  • Barbiturates
  • Phenytoin
  • Primidone
  • Carbamazepine
  • Topiramate
  • Ritonavir
  • Modafinil
  • Dexamethasone
  • St John's wort

Alcohol & Driving

Be cautious with alcohol consumption and driving while taking Monofeme.

Alcohol

Discuss alcohol consumption with your doctor as it may affect the medication.

Driving and Operating Machinery

Ensure you understand how Monofeme affects you before driving or operating machinery.

Storage

Store Monofeme in a cool, dry place below 25°C, and keep it in its blister pack until use.

Overdose Information

If you suspect an overdose, seek medical attention immediately. Symptoms may include nausea, dizziness, and menstrual bleeding.

Frequently Asked Questions

Monofeme starts to work effectively after taking it daily for 7 days.

It does not matter if you take Monofeme before or after food.

No, Monofeme is not addictive.

If you stop taking Monofeme, you may become pregnant if you do not use another form of contraception.

Discuss alcohol consumption with your doctor as it may affect the medication.

Weight changes can occur, but individual responses may vary.

Elderly patients should consult their doctor for safety considerations.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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