WARNING

While Junel Fe is generally safe and effective when used as prescribed, it is important to be aware of the potential risks and side effects associated with its use. Here is a brief overview:

• Blood clotting: Like other hormonal contraceptives, Junel Fe may increase the risk of blood clots, including deep vein thrombosis (DVT) and pulmonary embolism (PE). The risk is higher in women who smoke, have a history of blood clots, or have certain medical conditions. Seek immediate medical attention if you experience symptoms such as leg pain, chest pain, shortness of breath, or severe headaches.
• Cardiovascular risks: Junel Fe may increase the risk of cardiovascular events such as heart attack or stroke, particularly in women who smoke or have underlying cardiovascular conditions. Talk to your healthcare provider about your medical history and any potential risks.
• Hypertension: The use of Junel Fe may lead to an increase in blood pressure. Regular monitoring of blood pressure is recommended, and if significant increases occur, alternative contraceptive methods may be considered.
• Breast and cervical cancer: Some studies have suggested a slightly increased risk of breast and cervical cancer with the use of hormonal contraceptives. However, the overall risk is considered small and may be influenced by other factors. Regular screenings and examinations are still essential.
• Other side effects: Common side effects of Junel Fe can include nausea, breast tenderness, headache, mood changes, irregular bleeding or spotting, and weight changes. These side effects are generally mild and tend to improve with time.

It is important to discuss your medical history, current medications, and any concerns with your healthcare provider before starting Junel Fe or any other hormonal contraceptive. They can provide personalized information about the potential risks and benefits based on your individual circumstances. Regular check-ups and open communication with your healthcare provider are essential to monitor and manage any potential risks associated with Junel Fe.

Why is this medication prescribed?

Junel Fe is a prescription medication that combines two types of hormones, ethinyl estradiol and norethindrone, which are synthetic versions of the naturally occurring female sex hormones estrogen and progesterone. It is primarily prescribed for the prevention of pregnancy, but it may also be used for other medical conditions.

Here are the main reasons why Junel Fe may be prescribed:

• Contraception: Junel Fe is primarily prescribed as a hormonal contraceptive to prevent pregnancy. It works by inhibiting ovulation (the release of an egg from the ovary) and altering the cervical mucus to make it more difficult for sperm to reach the egg.
• Menstrual cycle regulation: Junel Fe can be prescribed to regulate irregular menstrual cycles. By providing a consistent level of hormones throughout the menstrual cycle, it can help regulate the timing and flow of menstrual periods.
• Hormone replacement therapy (HRT): In some cases, Junel Fe may be prescribed as hormone replacement therapy for women who have reached menopause. It can help alleviate symptoms such as hot flashes, vaginal dryness, and mood swings by supplementing the declining levels of estrogen and progesterone.
• Treatment of acne: Junel Fe may also be prescribed as a treatment for moderate acne in women who desire contraception. The hormonal components can help regulate the hormonal fluctuations that contribute to acne development.

How should this medicine be used?

Junel Fe should be used exactly as prescribed by your healthcare provider. It typically comes in the form of oral tablets, and the instructions may vary slightly depending on the specific dosage and formulation prescribed to you. However, here are some general guidelines for using Junel Fe:

• Timing: Take one tablet of Junel Fe daily, preferably at the same time each day. It is important to maintain a consistent schedule to ensure its effectiveness.
• Start date: The first tablet is usually taken on the first day of your menstrual period or as directed by your healthcare provider. This is known as the “Day 1 Start.” Alternatively, your healthcare provider may instruct you to start taking the tablets on a Sunday, which is called the “Sunday Start.” Follow the specific instructions given to you.
• Follow the pack: Junel Fe usually comes in a 28-day pack. The pack may contain a combination of active tablets containing hormones and inactive tablets or placebo tablets. Take the tablets in the order indicated on the pack, starting with the active tablets and then the inactive ones. This helps you maintain the correct hormone levels and provides a reminder to take the medication daily.
• Swallowing: Take the tablets with water. You can take them with or without food, but it is generally recommended to take them with a meal to minimize stomach upset.
• Missed doses: If you miss a dose, follow the instructions provided by your healthcare provider or the package insert. Generally, if you miss one active tablet, take it as soon as you remember and continue with the remaining tablets as scheduled. If you miss two or more consecutive active tablets, consult your healthcare provider for further guidance.
• Additional protection: While Junel Fe is effective in preventing pregnancy when used correctly, it does not protect against sexually transmitted infections (STIs). If STI protection is needed, use additional barrier methods such as condoms.

Always consult your healthcare provider for specific instructions on how to use Junel Fe based on your individual circumstances and the prescription provided to you. They will give you personalized guidance and address any concerns or questions you may have.

Other uses for this medicine

1. Treatment of Acne: Junel Fe may be prescribed as a treatment for moderate acne in women who also desire contraception. The hormonal components in Junel Fe can help regulate hormonal fluctuations that contribute to acne development.
2. Menstrual Cycle Regulation: Junel Fe can be used to regulate irregular menstrual cycles. By providing a consistent level of hormones throughout the menstrual cycle, it can help regulate the timing and flow of menstrual periods.

These uses may be prescribed at the discretion of healthcare providers based on individual patient needs.

What special precautions should I follow?

Regarding special precautions for using Junel Fe, here are some key considerations:

• Medical history: Inform your healthcare provider about your complete medical history, including any previous or current medical conditions, such as blood clotting disorders, cardiovascular problems, liver disease, or breast cancer.
• Medications and interactions: Discuss all the medications you are currently taking, including prescription, over-the-counter drugs, and supplements. Some medications may interact with Junel Fe and reduce its effectiveness or increase the risk of side effects.
• Smoking: Smoking increases the risk of serious cardiovascular side effects when using hormonal contraceptives, including Junel Fe. It is generally advised not to use Junel Fe if you are a smoker, particularly if you are over 35 years old.
• Blood clotting: Junel Fe may increase the risk of blood clots. Inform your healthcare provider if you have a history of blood clots or if you are undergoing surgery or immobilization, as these factors may further increase the risk.
• Allergic reactions: If you have known allergies to any of the ingredients in Junel Fe, you should avoid using it. Consult your healthcare provider for suitable alternatives.
• Pregnancy and breastfeeding: Junel Fe is contraindicated during pregnancy. If you suspect pregnancy while using Junel Fe, discontinue use and consult your healthcare provider. It is also not recommended to use Junel Fe while breastfeeding, as the hormones in the medication may affect milk production and composition.

These are general precautions, and individual circumstances may vary. It is crucial to consult your healthcare provider for specific guidance and to address any concerns you may have before starting or continuing Junel Fe.

What special dietary instructions should I follow?

Junel Fe is an oral contraceptive medication that contains a combination of ethinyl estradiol and norethindrone. While there are no specific dietary restrictions associated with taking Junel Fe, it is generally recommended to follow a healthy and balanced diet. Eating a nutritious diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats is beneficial for overall health and well-being.

What should I do if I forget a dose?

If you forget to take a dose of Junel Fe, follow the instructions below:

• If you miss one active pill (containing hormones): Take the missed pill as soon as you remember, even if it means taking two pills on the same day. Then continue taking the remaining pills at the usual time. You may need to use backup contraception (e.g., condoms) for the next seven days.
• If you miss two or more active pills in a row: Take the most recent missed pill as soon as you remember and take the next pill at the usual time. Skip the other missed pills and continue taking one pill per day until the pack is finished. Use backup contraception for the next seven days. If you had unprotected sex during the time you missed pills, consult your healthcare provider or pharmacist for further guidance.
• If you miss any of the reminder pills (non-hormonal pills): Simply discard the missed pill(s) and continue taking the remaining reminder pills at the usual time. There is no need for backup contraception in this case.

What side effects can this medication cause?

Junel Fe is a combination hormonal contraceptive that contains ethinyl estradiol and norethindrone. Like any medication, Junel Fe can potentially cause side effects. The most common side effects associated with Junel Fe are:

• Nausea: Some individuals may experience feelings of nausea, especially when starting the medication. Taking Junel Fe with food can help alleviate this symptom.
• Headaches: Headaches, including migraines, can occur as a side effect. If you experience severe or persistent headaches, it is advisable to consult your healthcare provider.
• Breast tenderness: Some individuals may experience breast tenderness or swelling while taking Junel Fe.
• Changes in menstrual bleeding: Junel Fe can cause changes in menstrual bleeding patterns. This may include lighter or heavier bleeding, irregular bleeding, or spotting between periods. It is important to note that these changes are typically temporary and tend to improve with continued use.
• Mood changes: Hormonal contraceptives like Junel Fe can occasionally affect mood and may cause symptoms such as mood swings, irritability, or depressive feelings.
• Weight changes: Some individuals may experience slight weight fluctuations while taking Junel Fe. It is important to note that individual responses to hormonal contraceptives can vary.
• Vaginal discharge or discomfort: Junel Fe may cause changes in vaginal discharge or discomfort in some individuals.
• Decreased libido: While not experienced by everyone, a decrease in sexual desire can occur as a side effect of Junel Fe.

It is important to remember that not all individuals will experience these side effects, and some may experience none at all. If you have concerns about the potential side effects of Junel Fe or are experiencing any adverse effects, it is recommended to consult your healthcare provider. They can provide personalized guidance and discuss alternative options if needed.

What should I know about storage and disposal of this medication?

Storage:

• Junel Fe should be stored at room temperature, typically between 68°F and 77°F (20°C and 25°C).
• Keep the medication away from excessive heat, moisture, and direct light.
• It is essential to store Junel Fe out of reach of children and pets to prevent accidental ingestion.

Disposal:

• Do not flush Junel Fe tablets down the toilet or throw them in the trash.
• Properly dispose of expired or unused medication by utilizing drug take-back programs or medication disposal options provided by your local pharmacy or healthcare facility.
• If no specific disposal instructions are available, you can mix the tablets with an undesirable substance like used coffee grounds or kitty litter in a sealed bag and dispose of it in the regular household trash.

In case of emergency/overdose

In case of emergency/overdose:

• If you suspect an overdose or experience severe symptoms after taking Junel Fe, call emergency medical services immediately (e.g., 911 in the United States).
• Symptoms of an overdose may include nausea, vomiting, unusual vaginal bleeding, and excessive tiredness.

What other information should I know?

• Junel Fe is primarily used to prevent pregnancy but may also help regulate menstrual periods and reduce the risk of certain health conditions such as ovarian cysts.
• It is crucial to take Junel Fe as directed by your healthcare provider. Typically, you take one tablet daily at the same time each day.
• Smoking while using Junel Fe increases the risk of serious cardiovascular side effects, such as blood clots, heart attack, and stroke. It is advisable to avoid smoking or using tobacco products.
• Inform your healthcare provider about any other medications, supplements, or herbal products you are taking, as they may interact with Junel Fe.
• Certain conditions and medications may decrease the effectiveness of Junel Fe. Consult your healthcare provider if you experience any changes in your health or if you need to take other medications.
• Junel Fe does not protect against sexually transmitted infections (STIs). If STI protection is necessary, additional measures such as condoms should be used.
• It is important to attend regular check-ups with your healthcare provider while using Junel Fe to monitor your health and discuss any concerns or side effects.

Remember, the information provided here is a general overview, and it’s always recommended to consult your healthcare provider or pharmacist for specific instructions and advice regarding the storage, disposal, usage, and emergency situations related to Junel Fe.