WARNING

Nortrel is a combination hormonal contraceptive pill that contains ethinyl estradiol and norethindrone. While Nortrel is generally considered safe and effective for preventing pregnancy when used as directed, it is important to be aware of potential risks and side effects associated with its use. Here are some of the risks of taking Nortrel:

• Blood clots: Like other hormonal contraceptives, Nortrel may increase the risk of developing blood clots, particularly in women who smoke, are overweight, or have a history of blood clots. Blood clots can be serious and potentially life-threatening if they travel to vital organs such as the lungs or brain.
• Cardiovascular issues: Nortrel has been associated with an increased risk of certain cardiovascular problems, including heart attacks, strokes, and high blood pressure. These risks may be higher in women who have existing cardiovascular conditions or other risk factors.
• Cancer risks: Some studies have suggested a possible link between the use of hormonal contraceptives and an increased risk of certain types of cancer, such as breast and cervical cancer. However, the overall increase in risk is generally small and may vary depending on individual factors.
• Liver problems: Nortrel can cause liver-related complications in rare cases, including liver tumors or jaundice. It is important to seek medical attention if you experience symptoms such as abdominal pain, yellowing of the skin or eyes, or dark urine, as these could indicate liver issues.
• Other side effects: Nortrel can also cause a range of other side effects, which may include nausea, breast tenderness, irregular bleeding or spotting, mood changes, headaches, and weight changes.

It’s essential to remember that the risks associated with Nortrel can vary from person to person. Before starting or continuing Nortrel, it is crucial to have a discussion with your healthcare provider, who can evaluate your individual health profile and help you make an informed decision about the most suitable contraceptive method for you.

Why is this medication prescribed?

Nortrel is prescribed as a hormonal contraceptive, primarily for the prevention of pregnancy. It is a combination pill that contains two hormones: ethinyl estradiol, which is a synthetic form of estrogen, and norethindrone, which is a progestin. These hormones work together to prevent ovulation, thicken cervical mucus to inhibit sperm movement, and alter the lining of the uterus to make it less receptive to implantation.

Nortrel is an effective method of birth control when used correctly and consistently. It is often prescribed to women who are seeking a reliable and reversible form of contraception. It can also be used to help regulate menstrual cycles, reduce menstrual cramps, and treat certain hormonal imbalances.

It is important to note that Nortrel does not protect against sexually transmitted infections (STIs). To prevent STIs, additional methods such as condoms should be used in conjunction with hormonal contraceptives.

How should this medicine be used?

Nortrel should be used exactly as prescribed by your healthcare provider. It typically comes in the form of oral tablets that are taken once daily, preferably at the same time each day, for a 28-day cycle. Here are some general guidelines for using Nortrel:

• Start Nortrel on the appropriate day: Your healthcare provider will instruct you on when to start taking Nortrel. It is typically recommended to start on the first day of your menstrual period or on the first Sunday after your period begins. Follow your healthcare provider’s instructions carefully.
• Take one tablet daily: Take one Nortrel tablet orally at the same time every day. It’s important to take the tablets in the correct order and not to skip any doses. The tablets are usually marked with the days of the week or have specific instructions on the packaging to help you keep track.
• Take all active tablets: Nortrel packs usually contain 21 active tablets that contain hormones. Take one active tablet every day for 21 days. After finishing all the active tablets, there will be 7 placebo or “reminder” tablets that do not contain hormones. These are meant to help you maintain the habit of taking the pill regularly but do not provide contraceptive protection.
• Start a new pack immediately: Once you finish the 28-day cycle, start a new pack of Nortrel the next day. It’s important to maintain a consistent schedule and not take any breaks between packs, even if your menstrual bleeding has not stopped.
• Follow missed dose instructions: If you accidentally miss taking a Nortrel tablet, follow the instructions provided with the medication. Depending on how many tablets you’ve missed and at which point in the cycle, you may need to take additional measures such as using backup contraception or contacting your healthcare provider for guidance.
• Read the medication leaflet: Familiarize yourself with the package insert or patient information leaflet that comes with your Nortrel prescription. It contains important information about potential side effects, drug interactions, and what to do in case of emergencies or missed doses.

It’s crucial to consult with your healthcare provider for personalized instructions and guidance on using Nortrel correctly. They can provide you with specific directions based on your individual needs and medical history.

Other uses for this medicine

In addition to its use as a contraceptive, Nortrel may also be prescribed for other medical conditions, such as regulating menstrual cycles, reducing menstrual cramps, and treating symptoms of premenstrual dysphoric disorder (PMDD). However, it’s important to note that the medication should only be used for the purposes prescribed by a healthcare professional.

What special precautions should I follow?

It’s important to note that Nortrel should only be used for the purposes approved by a healthcare professional and as directed. Special precautions to consider when taking Nortrel include:

• Medical history: Inform your healthcare provider about any pre-existing medical conditions you have, such as high blood pressure, diabetes, liver disease, blood clotting disorders, or a history of certain types of cancer.
• Contraindications: Nortrel should not be used if you have a known or suspected pregnancy, a history of blood clots or stroke, certain types of cancer (e.g., breast or uterine cancer), or uncontrolled high blood pressure.
• Interactions with other medications: Nortrel may interact with certain medications, including some antibiotics, anticonvulsants, antifungal drugs, HIV medications, and St. John’s wort. These interactions can reduce the effectiveness of Nortrel or increase the risk of side effects.
• Side effects and risks: Like any medication, Nortrel can have side effects. Common side effects include nausea, breast tenderness, irregular bleeding, mood changes, and weight gain. It also carries a risk of more serious side effects such as blood clots, stroke, heart attack, liver problems, and gallbladder disease, although these risks are generally low.

It’s important to discuss your individual medical history and any concerns with your healthcare provider before starting or continuing Nortrel. They can provide personalized guidance and help determine if Nortrel is the right contraceptive or treatment option for you.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Nortrel. However, it’s generally recommended to maintain a healthy and balanced diet while taking any medication.

What should I do if I forget a dose?

If you forget to take a dose of Nortrel, follow the instructions provided by your healthcare provider or the information in the package insert. Generally, if you miss one active pill, you should take it as soon as you remember, even if it means taking two pills in one day. If you miss two active pills in a row, you may need to take two pills for two consecutive days and then continue with your regular schedule. It’s crucial to read the instructions provided with your medication or consult your healthcare provider for the appropriate course of action when a dose is missed.

What side effects can this medication cause?

Nortrel, like other combination oral contraceptive pills, can cause side effects in some individuals. Common side effects of Nortrel may include:

• Nausea: Some women may experience feelings of nausea or even vomiting, especially during the first few months of starting Nortrel. Taking the pill with food or before bedtime can help reduce these symptoms.
• Breast tenderness: Breast tenderness or enlargement may occur, although these symptoms typically resolve on their own.
• Headaches: Some women may experience headaches or migraines while taking Nortrel. If these headaches become severe or persistent, it is advisable to consult a healthcare professional.
• Irregular bleeding: During the initial months of using Nortrel, women may experience breakthrough bleeding or spotting between periods. This usually resolves as the body adjusts to the medication.
• Changes in menstrual flow: Nortrel can cause changes in menstrual flow, such as lighter or heavier periods. Some women may also experience missed periods or no withdrawal bleeding during the inactive pill days.
• Mood changes: Mood swings, irritability, or changes in libido (sex drive) may occur in some individuals using Nortrel.
• Weight changes: Some women may experience weight gain or fluid retention while taking Nortrel. However, it is important to note that weight changes can also occur due to various factors unrelated to the medication.

While less common, Nortrel can also have more serious side effects. These may include:

• Blood clots: There is a small increased risk of developing blood clots, including deep vein thrombosis (DVT) or pulmonary embolism (PE), particularly in women who smoke, have a history of blood clots, or have certain medical conditions.
• High blood pressure: Nortrel can sometimes cause an increase in blood pressure. Regular monitoring of blood pressure is recommended while using this medication.
• Liver problems: In rare cases, Nortrel can cause liver problems. Symptoms may include jaundice (yellowing of the skin or eyes), severe abdominal pain, or liver tumors.
• Allergic reactions: Although rare, some individuals may experience allergic reactions to Nortrel, characterized by rash, itching, swelling, or difficulty breathing.

It’s important to remember that the occurrence and severity of side effects can vary between individuals. If you experience any concerning or persistent side effects while taking Nortrel, it is recommended to consult your healthcare provider for further evaluation and guidance.

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

• Storage: Nortrel should be stored at room temperature, away from moisture, heat, and direct sunlight. Keep it in its original packaging and out of the reach of children or pets.
• Expiration: Pay attention to the expiration date printed on the packaging. Do not use Nortrel if it has expired. Properly dispose of expired medication.
• Disposal: It is important to dispose of unused or expired medication safely to prevent accidental ingestion or environmental contamination. Check with your local pharmacy or healthcare provider for guidelines on how to properly dispose of Nortrel. They may have specific instructions or disposal programs in place.

In case of emergency/overdose

• If you suspect an overdose: Contact emergency medical services (such as calling 911 in the United States) or a poison control center immediately. Provide them with as much information as possible, including the name of the medication (Nortrel) and the amount ingested.
• Symptoms of overdose: Symptoms of an overdose may include nausea, vomiting, vaginal bleeding, or other severe side effects. It is essential to seek immediate medical attention if you suspect an overdose.

What other information should I know?

• Effectiveness: Nortrel is most effective when taken consistently and as directed. It is important to take the pills at the same time each day to maximize contraceptive efficacy.
• Medication interactions: Nortrel may interact with certain medications, including prescription drugs, over-the-counter medications, and herbal supplements. Inform your healthcare provider about all the medications you are taking to ensure there are no potential interactions.
• Regular check-ups: It is generally recommended to have regular check-ups with your healthcare provider while taking Nortrel. They can monitor your health, discuss any concerns or side effects, and ensure that the medication is suitable for you.
• Contraceptive backup: Nortrel is a hormonal contraceptive, but it does not protect against sexually transmitted infections (STIs). If STI protection is needed, it is advisable to use barrier methods such as condoms in addition to Nortrel.

Remember to always consult your healthcare provider or pharmacist for personalized advice and guidance regarding Nortrel. They can provide you with the most accurate and up-to-date information based on your individual circumstances.