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Norinyl 1+35 (Generic Estrogen and Progestin (Oral Contraceptives))

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Norinyl 1+35 is an oral contraceptive, commonly known as a birth control pill, that contains a combination of two hormones: an estrogen (norethindrone) and a progestin (ethinyl estradiol). While Norinyl 1+35 is generally considered safe and effective for preventing pregnancy when used correctly, it is important to be aware of the potential risks associated with its use. Here are some of the risks:

  • Blood clots: Like other combined hormonal contraceptives, Norinyl 1+35 may increase the risk of blood clots, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism. This risk is higher in women who smoke, are overweight, have a history of blood clots, or have certain medical conditions.
  • Cardiovascular problems: Certain cardiovascular issues, such as heart attack or stroke, have been associated with the use of hormonal contraceptives. Women who have pre-existing cardiovascular conditions or risk factors should consult their healthcare provider before starting Norinyl 1+35.
  • High blood pressure: Norinyl 1+35 can sometimes cause an increase in blood pressure. Regular monitoring of blood pressure is recommended, and if it becomes significantly elevated, alternative contraceptive methods may be advised.
  • Hormonal side effects: Some common side effects of Norinyl 1+35 include breast tenderness, nausea, headaches, mood changes, and irregular bleeding or spotting. These side effects are usually temporary and improve over time.
  • Increased cancer risks: Long-term use of combined hormonal contraceptives may slightly increase the risk of certain types of cancer, such as breast and cervical cancer. However, the overall risk is relatively small, and the benefits of contraception generally outweigh the risks.

It’s important to note that individual risks may vary, and the decision to use Norinyl 1+35 should be made in consultation with a healthcare professional who can evaluate your specific medical history and provide personalized advice. They can help determine if Norinyl 1+35 is a suitable option for you or if an alternative contraceptive method would be more appropriate.

Why is this medication prescribed?

Norinyl 1+35 is prescribed as an oral contraceptive, commonly referred to as a birth control pill. Its primary purpose is to prevent pregnancy when taken correctly. The medication contains a combination of two hormones: an estrogen (norethindrone) and a progestin (ethinyl estradiol).

Norinyl 1+35 works by inhibiting ovulation (the release of an egg from the ovaries) and altering the cervical mucus and uterine lining, making it more difficult for sperm to reach the uterus and for a fertilized egg to implant itself.

In addition to its contraceptive benefits, Norinyl 1+35 may also provide some non-contraceptive benefits to women, including more regular and predictable menstrual cycles, reduced menstrual cramps, lighter and shorter periods, and a lower risk of certain conditions such as ovarian cysts, endometrial cancer, and pelvic inflammatory disease.

It’s important to note that Norinyl 1+35 does not protect against sexually transmitted infections (STIs). If STI protection is desired, additional barrier methods such as condoms should be used in combination with Norinyl 1+35.

The decision to prescribe Norinyl 1+35 or any other contraceptive method should be made in consultation with a healthcare professional, taking into consideration individual medical history, lifestyle, and preferences.

How should this medicine be used?

Norinyl 1+35 should be used according to the instructions provided by your healthcare professional or as indicated on the medication’s packaging. Here are some general guidelines for using Norinyl 1+35:

  • Start with a healthcare provider’s guidance: Before initiating Norinyl 1+35, it is recommended to consult with a healthcare professional who can assess your medical history, discuss potential risks and benefits, and provide personalized instructions.
  • Begin on the first day of your menstrual cycle: Ideally, you should start taking Norinyl 1+35 on the first day of your period. This ensures immediate contraceptive protection. However, your healthcare provider may suggest an alternative start date depending on your specific situation.
  • Take one pill daily: Norinyl 1+35 is typically taken orally once a day, at around the same time each day. Follow the prescribed dosage instructions provided by your healthcare professional.
  • Follow the pill pack sequence: Norinyl 1+35 pill packs are designed to help you keep track of your daily dosage. Each pack contains 28 pills, with 21 active hormone pills and 7 inactive (placebo) pills. Take one active pill each day for 21 consecutive days, followed by one inactive pill daily for the remaining 7 days. This pattern helps maintain a regular menstrual cycle.
  • Take the pills in order: Ensure that you take the pills in the correct order, following the arrows or the indicated sequence on the pill pack. This helps maintain the effectiveness of the contraception.
  • Be consistent: To maximize the effectiveness of Norinyl 1+35, it is important to take the pill every day, at the same time, without missing any doses. Set a reminder if necessary to help you remember.
  • Additional precautions: It’s important to note that Norinyl 1+35 may take a few days to become fully effective in preventing pregnancy. During the first cycle of pill use, it is advisable to use an additional form of contraception (such as condoms) for added protection.
  • Renewing your prescription: Ensure that you have a sufficient supply of Norinyl 1+35 pills and make arrangements to renew your prescription in a timely manner to avoid any interruptions in use.

Remember, the above instructions are general guidelines. Always follow the specific instructions provided by your healthcare professional or those indicated on the medication’s packaging. If you have any questions or concerns about using Norinyl 1+35, consult your healthcare provider for clarification and guidance.

Other uses for this medicine

It’s important to note that Norinyl 1+35 is primarily used as a contraceptive method and is not indicated for other medical conditions. However, it may provide benefits such as reduced menstrual cramps, more regular cycles, and lighter periods.

What special precautions should I follow?

Regarding special precautions for Norinyl 1+35, it’s important to consider the following:

  • Medical history: Inform your healthcare provider about your complete medical history, including any pre-existing conditions or past reactions to hormonal contraceptives. Certain medical conditions may increase the risks associated with Norinyl 1+35 use.
  • Medication interactions: Norinyl 1+35 can interact with certain medications, such as certain antibiotics, anticonvulsants, and antiretroviral drugs. Inform your healthcare provider about all the medications, including over-the-counter and herbal supplements, that you are taking to ensure there are no potential interactions.
  • Smoking: Smoking while taking Norinyl 1+35 increases the risk of serious cardiovascular side effects, such as blood clots, heart attack, or stroke. If you smoke, your healthcare provider may recommend an alternative contraceptive method.
  • Age: Norinyl 1+35 is generally not recommended for women over the age of 35, particularly those who smoke, due to an increased risk of cardiovascular events.
  • Pregnancy and breastfeeding: Norinyl 1+35 should not be used if you are pregnant or breastfeeding. It is intended for use in non-pregnant, non-lactating women.

These are general precautions, and individual circumstances may warrant additional considerations. Always consult with your healthcare provider for personalized advice, taking into account your specific medical history and needs.

What special dietary instructions should I follow?

There are no specific dietary instructions for Norinyl 1+35. However, maintaining a healthy and balanced diet is generally recommended for overall well-being.

What should I do if I forget a dose?

If you forget to take a dose of Norinyl 1+35, follow these guidelines:

  • 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.
  • Use additional non-hormonal contraception (such as condoms) for the next seven days to ensure continuous contraceptive protection.

What side effects can this medication cause?

Norinyl 1+35, like other hormonal contraceptives, can cause side effects. The specific side effects can vary among individuals, and some may experience no side effects at all. Here are some common side effects associated with Norinyl 1+35:

  • Nausea: Some women may experience mild nausea, especially when they first start taking Norinyl 1+35. Taking the pill with food or at bedtime may help alleviate this symptom.
  • Breast tenderness: Breast tenderness or enlargement may occur, but these symptoms usually subside after a few weeks of use.
  • Headaches: Some women may experience headaches or migraines. If these become severe or persistent, it’s important to consult your healthcare provider.
  • Changes in menstrual bleeding: Irregular bleeding, spotting, or changes in menstrual flow may occur during the first few months of using Norinyl 1+35. This typically resolves over time, but if the bleeding is heavy or persists, consult your healthcare provider.
  • Mood changes: Some women may experience changes in mood, such as mood swings or mild depression. If these changes are severe or significantly impact your daily life, consult your healthcare provider.
  • Weight changes: While weight changes are possible, they are generally minor. Some individuals may experience fluid retention, which can cause temporary weight gain.
  • Decreased libido: In some cases, Norinyl 1+35 may affect libido (sex drive), causing a decrease in sexual desire.
  • Other potential side effects: Less commonly, Norinyl 1+35 may cause skin changes (e.g., acne), changes in appetite, bloating, or gastrointestinal symptoms (e.g., stomach upset).

It’s important to note that serious side effects are rare but possible. These include allergic reactions, blood clots, high blood pressure, liver problems, and an increased risk of certain types of cancers. Contact your healthcare provider immediately if you experience any severe or concerning symptoms.

Remember, individual experiences with side effects can vary. If you have any concerns or questions about the side effects of Norinyl 1+35, it’s best to consult your healthcare provider for personalized advice and guidance.

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


  • Keep Norinyl 1+35 in its original packaging at room temperature (between 68-77°F or 20-25°C).
  • Store it away from direct sunlight, moisture, and heat.
  • Keep it out of reach of children and pets.
  • Do not use the medication if it has expired. Check the expiration date on the packaging.


  • Do not flush Norinyl 1+35 down the toilet or pour it into a drain unless specifically instructed to do so.
  • Check with your local waste management or recycling center to see if they have a medication take-back program.
  • If no specific disposal instructions are provided, you can mix the unused pills with an undesirable substance like coffee grounds or kitty litter in a sealed plastic bag before throwing it in the trash. This helps prevent accidental ingestion by humans or animals.

In case of emergency/overdose

  • If you suspect an overdose or accidental ingestion of Norinyl 1+35, call emergency services immediately (e.g., 911 in the United States) or your local poison control center.
  • Provide them with all relevant information, including the name of the medication, the strength (1+35), and the quantity taken.
  • Do not induce vomiting unless instructed to do so by medical professionals.

What other information should I know?

  • Norinyl 1+35 is used as a contraceptive to prevent pregnancy. It does not protect against sexually transmitted infections (STIs).
  • It is important to take Norinyl 1+35 exactly as prescribed by your healthcare provider. Follow the instructions on the packaging or the advice of your doctor.
  • Inform your healthcare provider about any other medications, supplements, or herbal products you are taking, as they may interact with Norinyl 1+35.
  • Report any unusual or severe side effects to your healthcare provider promptly.
  • Attend regular check-ups with your healthcare provider to monitor your response to the medication and ensure its continued effectiveness.

Remember, this information is not exhaustive, and it’s always advisable to consult your healthcare provider or pharmacist for specific instructions and guidance regarding Norinyl 1+35 or any other medication.

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