Nordette

Nordette

ethinylestradiol + levonorgestrel

Manufacturer:

Pfizer

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Levonorgestrel 150 mcg, ethinylestradiol 30 mcg
Indications/Uses
Dosage/Direction for Use
Beginning on day 1 of cycle, 1 tab at about same time daily for 21 consecutive days, followed by 7-day tab-free interval.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Current or history of DVT, thromboembolism, pancreatitis associated w/ severe hypertriglyceridemia. Cerebrovascular or CAD; thrombogenic valvulopathies & rhythm disorders; hereditary or acquired thrombophilias; headache w/ focal neurological symptoms; diabetes w/ vascular involvement; uncontrolled HTN; known or suspected breast carcinoma or other estrogen-dependent neoplasia; undiagnosed vag bleeding. Concomitant use w/ certain HCV antivirals eg, ombitasvir, paritaprevir, ritonavir. dasabuvir. Hepatic adenomas or carcinomas, active liver disease. Known or suspected pregnancy.
Special Precautions
Not for protection against HIV infection or other STDs. Venous & arterial thrombosis & thromboembolism; ocular lesions; increased BP; cervical & breast cancer; hepatitis C; migraine/headache; angioedema; impaired glucose tolerance or DM; pancreatitis; genital bleeding; depression; diarrhea &/or vomiting; smoking. Perform breast, liver, extremities & pelvic organ exam, pap smear prior to therapy. Hepatic neoplasia/liver disease. Not to be used during pregnancy. Not recommended during lactation. Not for premenarche & postmenopausal women.
Adverse Reactions
Headache including migraines; breakthrough bleeding/spotting. Vaginitis including candidiasis; mood changes including depression, changes in libido; nervousness, dizziness; nausea, vomiting, abdominal pain; acne; breast pain, tenderness, enlargement & secretion, dysmenorrhea, change in menstrual flow, cervical ectropion & secretion, amenorrhea; fluid retention/edema; increased/decreased wt.
Drug Interactions
Increased risk of ALT elevations w/ ombitasvir/paritaprevir/ritonavir & dasabuvir, w/or w/o ribavirin. Decreased ethinylestradiol serum conc w/ drugs reducing GI transit time & absorption, rifampicin, rifabutin, barbiturates, primidone, phenylbutazone, phenytoin, dexamethasone, griseofulvin, topiramate, some PIs, modafinil, St. John's wort, ritonavir. Increased ethinylestradiol serum conc w/ atorvastatin, ascorbic acid, paracetamol, indinavir, fluconazole, troleandomycin. Increased risk of intrahepatic cholestasis w/ troleandomycin. Increased plasma & tissue conc w/ cyclosporine, theophylline, corticosteroids. Decreased plasma & tissue conc w/ lamotrigine. Increased risk of galactorrhea w/ flunarizine. Reports of pregnancy w/ certain antibiotics eg, ampicillin, other penicillin & tetracyclines. Interference w/ LFTs, thyroid, adrenal & renal function, other lab & diagnostic tests. False +ve results in neutrophil alkaline phosphatase activity evaluation.
MIMS Class
Oral Contraceptives
ATC Classification
G03AA07 - levonorgestrel and ethinylestradiol ; Belongs to the class of progestogens and estrogens in fixed combinations. Used as systemic contraceptives.
Presentation/Packing
Form
Nordette sugar-coated tab
Packing/Price
21's
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