Desogestrel/Ethinyl Estradiol is a combined oral contraceptive pill (‘the Pill’). You take it to prevent pregnancy.
This low-dose contraceptive contains two types of female sex hormones, oestrogen in the form of ethinyl estradiol and progestogen in the form of desogestrel. These hormones prevent an egg being released from your ovaries so you can’t get pregnant. Desogestrel/Ethinyl Estradiol also makes the fluid (mucus) in your cervix thicker which makes it more difficult for sperm to enter the womb.
The benefits of taking the Pill include:
-it is one of the most reliable reversible methods of contraception if used correctly
-it doesn’t interrupt sex
-it usually makes your periods regular, lighter and less painful
-it may help with pre-menstrual symptoms.
Desogestrel/Ethinyl Estradiol will not protect you against sexually transmitted infections, such as Chlamydia or HIV. Only condoms can help to do this.
Like all medicines, Desogestrel/Ethinyl Estradiol can cause side effects, although not everybody gets them. If you get any side effect, particularly if severe and persistent, or have any change to your health that you think may be due to Desogestrel/Ethinyl Estradiol, please talk to your doctor.
An increased risk of blood clots in your veins (venous thromboembolism VTE) or blood clots in your arteries (arterial thromboembolism ATE) is present for all women taking combined hormonal contraceptives.
Possible side effects
-Putting on weight;
-Breast problems, such as painful or tender breasts;
-Depression or mood changes;
-Stomach problems, such as nausea; abdominal pain;
-Migraine (see a doctor as soon as possible if this is your first migraine or it’s worse than usual, or if the headache is severe, unusual or long lasting);
-Fluid retention (swollen hands, ankles or feet – a sign of fluid retention);
-Decreased sexual desire;
-Skin problems, such as rash or hives;
You should not use Desogestrel/Ethinyl Estradiol if you have any of the conditions listed below. If you do have any of the conditions listed below, you must tell your doctor. Your doctor will discuss with you what other form of birth control would be more appropriate.
-if you have (or have ever had) a blood clot in a blood vessel of your legs (deep vein thrombosis, DVT), your lungs (pulmonary embolus, PE) or other organs;
-if you know you have a disorder affecting your blood clotting – for instance, protein C deficiency, protein S deficiency, antithrombin-III deficiency, Factor V Leiden or antiphospholipid antibodies;
-if you need an operation or if you are off your feet for a long time
-if you have ever had a heart attack or stroke;
-if you have (or have ever had) angina pectoris (a condition that causes severe chest pain and may be a first sign of a heart attack) or transient ischaemic attack
-if you have any of the following diseases that may increase your risk of a clot in the arteries:
-severe diabetes with blood vessel damage,
-very high blood pressure,
-a very high level of fat in the blood (cholesterol or triglycerides),
-a condition known as hyperhomocysteinaemia;
-if you have (or have ever had) a type of migraine called ‘migraine with aura’;
-if you have or have recently had a severe liver disease;
-if you have ever had a liver tumour;
-if you have or have had a pancreatitis (an inflammation of the pancreas) associated with high levels of fatty substances in your blood;
-known or suspected pregnancy;
-if you have cancer affected by sex hormones – such as some cancers of the breast, womb lining or ovary;
-if you have vaginal bleeding that has not been explained by your doctor;
-if you are allergic to any of the ingredients in Desogestrel/Ethinyl Estradiol .
-if you have hepatitis C and are taking medicinal products containing ombitasvir/ paritaprevir/ ritonavir and dasabuvir
To prevent pregnancy, always take this medicine exactly as described in this leaflet or as your doctor, family planning nurse or pharmacist has told you. Check with your doctor, family planning nurse or pharmacist if you are not sure.
-Take your pill at the same time every day.
-Start by taking a pill marked with the correct day of the week.
-Follow the direction of the arrows on the strip. Take one pill each day, until you have finished all the pills
-Swallow each pill whole, with water if necessary. Do not chew the pill.
As long as you take Desogestrel/Ethinyl Estradiol correctly, you will always start each new strip on the same day of the week.
If you have missed any of the pills in a strip, and you do not have your menses at the end of the pack, you may be pregnant. Contact your doctor or family planning clinic, or do a pregnancy test yourself.
If you start a new strip of pills late, you may not be protected from pregnancy. If you had sex in the last seven days, ask your doctor, family planning nurse or pharmacist for advice. You may need to consider emergency contraception.
You should also use extra contraception, such as a condom, for seven days.
If you lose a pill,
Either take the last pill of the strip in place of the lost pill. Then take all the other pills on their proper days. Your cycle will be one day shorter than normal, but your contraceptive protection won’t be affected. After your seven pill-free days you will have a new starting day, one day earlier than before.
Or if you do not want to change the starting day of your cycle, take a pill from a spare strip. Then take all the other pills from your current strip as usual.
You can then keep the opened spare strip in case you lose any more pills.
Taking more than one pill should not cause harm. It is unlikely that taking more than one pill will do you any harm, but you may feel sick, vomit or have some vaginal bleeding. Talk to your doctor if you have any of these symptoms.
Do not use Desogestrel/Ethinyl Estradiol after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.
Store Desogestrel/Ethinyl Estradiol below 25°C but not in the fridge.
Store it in the original package, in order to protect from light and moisture.
Tell your doctor, pharmacist or family planning nurse if you are using, have recently used or might use any other medicines or herbal products, even those not prescribed.
Also tell any other doctor or dentist who prescribes another medicine (or your pharmacist) that you use Desogestrel/Ethinyl Estradiol . This is because Desogestrel/Ethinyl Estradiol can also affect how well other medicines work, causing either an increase in effect (e.g., ciclosporin) or a decrease in effect (e.g., lamotrigine). Remind your doctor if you are taking these in case your treatment needs to be adjusted.
Also check the leaflets that come with all your medicines to see if they can be taken with hormonal contraceptives.
This list is not complete. Other drugs may interact with Desogestrel/Ethinyl Estradiol (Marvelon, Mercilon, Gedarel), including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
If you have any questions about buying discount online Desogestrel/Ethinyl Estradiol (Marvelon, Mercilon, Gedarel) or any other prescription products you can contact our team of professional Patient Service Representatives or one of our pharmacists by calling 1-833-313-3173.
Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.