Clinical Overview
Ethinylestradiol and Levonorgestrel Tablets IP is a second-generation low-dose Combined Oral Contraceptive (COC) pill on the WHO Model List of Essential Medicines. It synergistically suppresses the mid-cycle LH surge to inhibit ovulation, renders cervical mucus hostile to sperm migration, and alters the endometrium. Second-generation levonorgestrel combinations demonstrate the lowest epidemiological relative risk of venous thromboembolism among combined oral contraceptives. Indicated for prevention of pregnancy, cycle regulation, and treatment of dysmenorrhea.
Active Pharmaceutical Ingredients
Verified Clinical References
Usage Guidelines
Take orally 1 tablet daily at the same time every day for 21 consecutive days, followed by a 7-day pill-free interval (or taking inert reminder tablets). Start on Day 1 of menstrual bleeding. If vomiting occurs within 3-4 hours of taking a pill, take another tablet.
General Administration Advice: Adhere strictly to the prescribed dosage, frequency, and treatment course. For oral medications, swallow with sufficient water. Never stop antibiotics, psychiatric medications, or antihypertensives abruptly without clinical direction.
Possible Side Effects
Common: Nausea, vomiting, breakthrough bleeding/spotting in early cycles, breast enlargement/tenderness, mild headache, and weight change. Rare/Severe: Venous thromboembolism (DVT, pulmonary embolism), thrombotic stroke, hypertension, cholestatic jaundice, and depression.
*Note: Individual physiological responses vary. While many patients experience few or no side effects, notify your treating physician if adverse reactions persist or if hypersensitivity (angioedema, skin rash, dyspnea) occurs.
Precautions & Warnings
Contraindicated in women >=35 years who smoke, history of thromboembolic disease, coronary artery disease, uncontrolled hypertension, diabetes with vascular complications, migraines with focal neurological aura, breast or genital malignancies, and severe hepatic impairment.
Schedule H (Prescription Required)
This medication is scheduled under statutory drug regulatory frameworks (CDSCO / Drugs & Cosmetics Rules). Dispensing requires a valid medical prescription from a registered medical practitioner. Self-medication or unsupervised dosage adjustment carries significant clinical risks.
Medical Disclaimer: Statutory Gynecological, Obstetric & Endocrinological Disclaimer: The information provided is for educational and price-transparency purposes only and does not constitute medical advice or reproductive healthcare guidance. Hormonal medications, uterotonics, corticosteroids, fertility therapies, and emergency contraceptives have profound systemic actions and must be administered strictly under the supervision of a registered gynecologist, obstetrician, or endocrinologist.