WARNING

Like all medications, Nordette comes with potential risks and side effects. It’s important to be aware of these risks before taking the medication. Here are some of the risks associated with Nordette:

• Increased risk of blood clots: Combined oral contraceptives, including Nordette, have been associated with an increased risk of blood clots in the veins (venous thromboembolism). This risk is higher in women who have additional risk factors, such as smoking, obesity, or a family history of blood clots.
• Cardiovascular risks: Nordette may slightly increase the risk of cardiovascular events, such as heart attacks and strokes. Women who smoke, have high blood pressure, or have a history of cardiovascular disease may have a higher risk.
• Increased risk of certain cancers: Long-term use of combined oral contraceptives has been associated with a slightly increased risk of breast and cervical cancer. However, the risk returns to normal after discontinuation.
• Hormonal side effects: Common side effects of Nordette include breast tenderness, nausea, headache, and changes in menstrual bleeding patterns. These side effects are generally mild and temporary.
• Other potential side effects: Nordette may also cause mood changes, weight fluctuations, bloating, and decreased libido. It’s important to discuss any concerns or side effects with your healthcare provider.

It’s worth noting that while the risks associated with Nordette are generally low, they should be weighed against the benefits of using the contraceptive. It’s essential to have a thorough discussion with your healthcare provider about your medical history, individual risk factors, and the most suitable contraceptive option for you. They can provide personalized advice and help you make an informed decision.

Why is this medication prescribed?

Nordette is a brand name for a combination oral contraceptive pill (also known as birth control pill) that contains two hormones: levonorgestrel (a progestin) and ethinyl estradiol (an estrogen). It is primarily prescribed as a form of contraception to prevent pregnancy. However, there are also other medical reasons why a healthcare provider may prescribe Nordette, including:

• Birth control: Nordette is primarily used as a contraceptive method to prevent pregnancy. It works by suppressing ovulation (the release of an egg from the ovary), thickening cervical mucus to make it difficult for sperm to reach the egg, and altering the lining of the uterus to prevent implantation.
• Hormonal regulation: Some women may be prescribed Nordette to help regulate their menstrual cycle. It can be used to manage irregular or heavy periods by providing a more predictable and lighter menstrual flow.
• Hormone replacement therapy (HRT): In certain cases, Nordette may be prescribed as hormone replacement therapy for women who experience hormone imbalances or have conditions such as polycystic ovary syndrome (PCOS) or endometriosis. HRT with combination oral contraceptives can help regulate hormone levels and manage associated symptoms.
• Acne treatment: Nordette, along with other combination oral contraceptives, is sometimes prescribed to help treat acne. The hormonal components of the pill can help regulate oil production in the skin and reduce the occurrence of acne breakouts.

How should this medicine be used?

Nordette should be used exactly as prescribed by your healthcare provider. It typically comes in a pack containing 21 active pills, each labeled with a specific day of the week, followed by 7 reminder pills, which are usually placebo or inactive pills. The active pills contain the hormones that prevent pregnancy, while the reminder pills help you maintain a daily pill-taking routine but do not contain any active ingredients.

Here are some general guidelines for using Nordette:

• Start taking Nordette: Begin taking Nordette on the first day of your menstrual cycle (the first day of your period). You can also start on the Sunday after your period starts, but it’s essential to follow your healthcare provider’s instructions regarding the specific start date.
• Take one pill daily: Take one active pill at the same time every day, preferably with water. It is crucial to maintain a consistent daily schedule to maximize the effectiveness of the medication.
• Follow the pill sequence: The pills are usually labeled with the days of the week. Take the pill corresponding to the appropriate day. Once you finish the pack, start a new pack immediately without any break, even if your period has not ended.
• Take the reminder pills: After you have taken all the active pills, you will find 7 reminder pills in the pack. These are optional and do not contain hormones. Take one reminder pill daily to help you maintain your pill-taking routine.
• Start a new pack: Once you have finished all the active and reminder pills, start a new pack of Nordette right away. It is essential to start the new pack on time to maintain continuous contraceptive protection.
• Missed pills: If you miss a pill, refer to the package insert or consult your healthcare provider for specific instructions. In general, if you miss one active pill, take it as soon as you remember and take the next pill at the regular time. If you miss two or more active pills in a row, use a backup method of contraception (e.g., condoms) and consult your healthcare provider.

Always follow the instructions provided with the medication, and if you have any questions or concerns, it is best to consult your healthcare provider or pharmacist for guidance. They can provide you with personalized instructions based on your specific situation.

Other uses for this medicine

While Nordette is primarily prescribed as a contraceptive, it can also be used for other medical purposes, including:

• Regulation of menstrual cycles: Nordette may be used to regulate irregular or heavy menstrual cycles.
• Treatment of hormonal imbalances: Nordette can help manage hormonal imbalances in conditions such as polycystic ovary syndrome (PCOS) or endometriosis.
• Acne treatment: Nordette, like other combination oral contraceptives, may be prescribed to help treat acne by regulating hormone levels.

What special precautions should I follow?

When using Nordette or any other oral contraceptive, it is important to be aware of special precautions and considerations. These may include:

• Contraindications: Nordette is contraindicated in certain conditions such as pregnancy, history of blood clots, liver disease, certain types of cancers, and uncontrolled high blood pressure. It is essential to disclose your complete medical history to your healthcare provider before starting Nordette.
• Side effects and risks: Like all medications, Nordette can have potential side effects. Common side effects include nausea, breast tenderness, headache, and breakthrough bleeding. There may also be an increased risk of blood clots, especially in women who smoke, are over 35 years old, or have a history of blood clotting disorders.
• Interactions with other medications: Certain medications can interact with Nordette and affect its effectiveness or increase the risk of side effects. It is important to inform your healthcare provider about all medications, including over-the-counter drugs and herbal supplements, that you are taking.
• Follow-up and monitoring: Regular check-ups with your healthcare provider are important while using Nordette. They can monitor your response to the medication, assess any potential side effects, and address any concerns or questions you may have.
• Use as directed: It is crucial to take Nordette exactly as prescribed by your healthcare provider. Missing pills or not following the recommended schedule can decrease its effectiveness in preventing pregnancy.

Remember that the information provided here is general, and it is important to consult your healthcare provider for personalized advice based on your specific medical history and needs. They will provide you with detailed instructions, precautions, and potential risks associated with using Nordette.

What special dietary instructions should I follow?

There are no specific dietary restrictions for Nordette. However, it is generally advisable to maintain a healthy and balanced diet while taking any medication. Eating a nutritious diet can contribute to overall well-being and help support the effectiveness of the contraceptive method.

What should I do if I forget a dose?

• If you miss one active pill (24 hours or less late): Take the missed pill as soon as you remember, even if it means taking two pills in one day. Continue taking the remaining pills at the usual time. No additional contraceptive protection is needed.
• If you miss two or more active pills (48 hours or more late): Take the most recently missed pill as soon as you remember and discard any earlier missed pills. Continue taking the remaining pills at the usual time. Additional contraceptive measures (e.g., condoms) are recommended for the next seven days.
• If you miss any of the inactive reminder pills: Simply discard the missed pill and continue taking the remaining pills as scheduled. The contraceptive protection is not reduced.

What side effects can this medication cause?

Nordette, like other combination oral contraceptives, can cause certain side effects. Not everyone will experience these side effects, and their severity and frequency can vary from person to person. Some of the potential side effects of Nordette include:

• Nausea: Nausea is a common side effect, especially when starting Nordette. Taking the pill with food or before bed can help alleviate this symptom.
• Breast tenderness: Some women may experience breast tenderness or discomfort while taking Nordette. This side effect usually resolves on its own and is not a cause for concern.
• Headaches: Headaches, including migraines, can occur as a side effect of Nordette. If you experience severe or persistent headaches, it is advisable to consult your healthcare provider.
• Breakthrough bleeding: Some women may experience irregular bleeding or spotting between periods, especially during the first few months of using Nordette. This side effect typically improves with continued use.
• Changes in menstrual cycle: Nordette can cause changes in the menstrual cycle, such as lighter or heavier periods, changes in the duration of bleeding, or missed periods. These changes are generally not a cause for concern, but if you have any significant concerns or persistent irregularities, it is advisable to consult your healthcare provider.
• Mood changes: Some women may experience mood swings or changes in mood while taking Nordette. These effects are generally mild, but if you experience significant mood changes, it is important to discuss them with your healthcare provider.
• Decreased libido: A decrease in sex drive or changes in sexual desire can occur as a side effect of Nordette in some individuals.
• Weight changes: While weight changes are occasionally reported, the evidence linking oral contraceptives to significant weight gain is limited. It is important to maintain a healthy lifestyle and diet for overall well-being.
• Other potential side effects: Less common side effects of Nordette may include bloating, changes in appetite, dizziness, fatigue, skin changes, or vaginal yeast infections.

It is important to remember that the majority of women tolerate Nordette well, and the benefits of effective contraception generally outweigh the potential risks or side effects. If you experience severe or persistent side effects or have any concerns, it is recommended to consult your healthcare provider for evaluation and guidance.

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

• Storage: Store Nordette at room temperature, away from moisture and direct sunlight. Follow the specific storage instructions provided by the manufacturer or as directed by your healthcare provider.
• Keep out of reach of children and pets: Store Nordette in a secure location to prevent accidental ingestion by children or pets.
• Do not use expired medication: Check the expiration date on the packaging and do not use Nordette if it has expired. Expired medication may not be as effective and could potentially be unsafe.
• Disposal: When disposing of unused or expired Nordette, it is recommended to follow the local regulations or guidelines for proper medication disposal. In many cases, you can return unused medications to a pharmacy or use a drug take-back program.

In case of emergency/overdose

In case of an emergency or suspected overdose of Nordette, it is important to take the following steps:

• Contact emergency services: If someone has overdosed or is experiencing severe symptoms, call emergency services immediately.
• Seek medical attention: If you suspect an overdose or experience severe adverse effects, contact your healthcare provider or go to the nearest emergency room for evaluation and treatment.
• Provide necessary information: When seeking medical help, provide the healthcare professionals with details about the medication taken, including the name (Nordette) and the dosage.

What other information should I know?

• Effectiveness: Nordette is highly effective at preventing pregnancy when taken correctly and consistently. However, no contraceptive method is 100% guaranteed. It is important to follow the instructions provided by your healthcare provider and use additional contraception, such as condoms, if needed.
• Regular check-ups: Regularly visit your healthcare provider for check-ups and follow-up appointments while using Nordette. They can assess your overall health, monitor your response to the medication, and address any concerns or questions you may have.
• Interaction with other medications: Nordette may interact with certain medications, such as antibiotics, anticonvulsants, or medications that affect liver enzymes. Inform your healthcare provider about all medications, including prescription, over-the-counter drugs, and herbal supplements, that you are taking.
• Protection against sexually transmitted infections (STIs): Nordette does not protect against STIs. If you are at risk of contracting STIs, it is important to use additional barrier methods, such as condoms, to reduce the risk of transmission.
• Regular self-examination: It is recommended to perform regular breast self-examinations and report any unusual changes or lumps to your healthcare provider.

Always follow the specific instructions provided by your healthcare provider, read the medication packaging and information leaflet carefully, and consult your healthcare provider or pharmacist if you have any questions or concerns.