Indications
Marvelon 28 is a type of oral contraceptive pill used for the prevention of pregnancy. It is only effective at preventing pregnancy when taken correctly and consistently and it does not protect against sexually transmitted infections (STIs).
Marvelon contains a combination of two hormones: desogestrel and ethinyl estradiol. It works by preventing ovulation (the release of an egg from an ovary) and causing changes in the mucus of the cervix that make it difficult for sperm to penetrate and for an egg to implant.
Use and Dosage
Marvelon 28 Day is taken for 28 days in a row, with one pill taken at around the same time each day. The first 21 pills contain both hormones, while the last seven pills contain no active ingredients and are called "reminder" pills. These reminder pills serve as a placebo and allow for the menstrual period to occur. Take the pills in the correct order, starting with the active pills and ending with the reminder pills. After finishing the last active pill, you should start the next pack of pills on the following day, even if you have not yet started menstruating.
Take Marvelon exactly as prescribed by your doctor. If you miss pills at any time the risk of becoming pregnant increases. If you miss one pill, take it as soon as you remember, and take the next pill at the usual time. This means that you might take 2 pills in one day.
Side Effects
Common Side Effects of Marvelon 28 Day (Desogestrel/Ethinyl Estradiol):
- Abdominal cramping or bloating
- Acne (usually less common after 3 months of treatment, and may improve if acne already exists)
- Back pain
- Breast pain, tenderness, or swelling
- Diarrhea
- Dizziness
- General feeling of being unwell
- Headaches
- Heartburn
- Nausea
- Painful menstrual cramps
- Unusual tiredness or weakness
- Vomiting
- Weight gain or loss
Serious Side Effects of Marvelon 28 Day (Desogestrel/Ethinyl Estradiol):
- Breakthrough bleeding or spotting between periods
- Breast lumps (for women with a history of breast disease)
- Changes in sleep
- Changes in weight
- Complete stop of menstrual bleeding for several months in a row, or stop of menstrual bleeding that only occurs sometimes
- Decreased bleeding during periods
- Decreased interest in activities
- Depression
- Excessive eating
- Frequent urination
- Fruity breath odor)
- Headaches may lessen but for others
- Increased blood pressure
- Increased thirst
- Infections
- Poor concentration
- Poor wound healing
- Prolonged bleeding during periods
- Sudden lack of energy, fever, cough, sore throat
- Swelling, pain, or tenderness in the upper abdominal area
- They may increase in frequency or severity
- Thoughts of suicide
- Unexplained weight loss
- Unusual swelling of the extremities
- Vaginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge
Forms and Strength
Marvelon 28 Day (Desogestrel/Ethinyl Estradiol) is available in the following forms and strength:
Desogestrel/Ethinyl Estradiol: Tablet
- 0.15/0.03mg
Cautions
- Marvelon 28 should not be taken by women who are pregnant or breastfeeding.
- Smoking while using Marvelon 28 increases the risk of developing serious cardiovascular side effects, such as blood clots, stroke, and heart attack.
- Marvelon 28 may increase the risk of developing certain types of cancer, such as breast cancer and cervical cancer.
- Marvelon 28 may increase the risk of developing gallbladder disease.
- Women with a history of certain medical conditions, such as liver disease, high blood pressure, or blood clotting disorders, may not be able to use Marvelon 28 or may need to be monitored closely while using it.
- Marvelon 28 may interact with certain medications, such as antibiotics, antifungal medications, and medications used to treat HIV (Human Immunodeficiency Virus) or hepatitis C.
- Marvelon 28 may cause side effects, such as headache, nausea, breast tenderness, and changes in menstrual bleeding patterns.
- Marvelon 28 may increase the risk of developing blood clots, which can be life-threatening. This risk is higher in women who smoke, are overweight, or have a family history of blood clotting disorders.
- Women using Marvelon 28 may experience changes in menstrual bleeding patterns, such as spotting, breakthrough bleeding, or missed periods. This is usually not a cause for concern, but if these changes persist or become severe, you should consult with your doctor or healthcare provider.
- Marvelon 28 may interact with grapefruit and grapefruit juice, which can increase the level of the hormones in the body and make side effects more likely to occur.
- Women who are taking Marvelon 28 should be monitored for potential side effects, such as depression, anxiety, or changes in mood. If these symptoms occur, you should consult with your doctor or healthcare provider.
- Marvelon 28 may increase the risk of developing liver tumors, especially in women with a history of liver disease or who use the pill for an extended period.
- Women who have a history of migraines with aura or other types of headaches should consult with their doctor before using Marvelon 28, as hormonal contraception may increase the risk of developing migraines or stroke.
Frequently Asked Questions (FAQ)
How effective is Marvelon 28 at preventing pregnancy?
When taken correctly and consistently, Marvelon 28 is over 99% effective at preventing pregnancy.
How do I start using Marvelon 28?
You should start taking Marvelon 28 on the first day of your menstrual period. If you start the pill on any other day, you will need to use a backup form of contraception, such as condoms, for the first seven days.
Can I use Marvelon 28 to skip my periods?
Yes, Marvelon 28 can be used to skip or delay menstrual periods. Consult with your doctor or healthcare provider for guidance on how to do it.
Will Marvelon 28 protect me against sexually transmitted infections (STIs)?
No, Marvelon 28 does not protect against STIs. You should use a barrier method of contraception, such as condoms, to prevent STIs.
How long can I use Marvelon 28?
You may use Marvelon 28 for as long as it is appropriate for your individual needs.
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