Minastrin 24 Fe(Ethinyl Estradiol/Norethindrone Acetate)
Minastrin 24 Fe 0.02/1mgChewable Tablets
Minastrin 24 Fe Drug Information
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Minastrin 24 Fe Overview
This combination hormone medication is used to prevent pregnancy.norethindrone (a progestin) and ethinyl estradiol (an estrogen). There is a small amount of iron (ferrous fumarate) in each of the 4 inactive pills taken during the fourth week. The inactive pills do not contain any hormones. These pills are meant to keep you in the habit of taking 1 pill each day and do not have enough iron to treat iron deficiency. Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, decrease your risk of ovarian cysts, and also treat acne. Using Minastrin 24 Fe does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia).
Minastrin 24 Fe Warnings
Do not use Minastrin 24 Fe if you smoke cigarettes/use tobacco and are over 35 years old. Smoking raises your risk of stroke, heart attack, blood clots, and high blood pressure from hormonal birth control (such as the pill, patch, ring). The risk of these serious problems increases with age and with the number of cigarettes you smoke. Do not smoke or use tobacco. Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 years. Keep Minastrin 24 Fe out of reach of children. If overdose does occur, get medical help right away or call a poison control center.
How to Use Minastrin 24 Fe
Read the Patient Information Leaflet provided by your pharmacist before you start using Minastrin 24 Fe and each time you get a refill. The leaflet contains very important information on when to take your pills and what to do If you miss a dose of Minastrin 24 Fe. If you have any questions, ask your doctor or pharmacist. Take Minastrin 24 Fe by mouth with or without food as directed by your doctor, usually once daily. Pick a time of day that is easy for you to remember, and take your pill at the same time each day. If you are taking the chewable pill, chew and swallow one pill every day. Some brands may also be swallowed whole. Some brands should be taken with water while others should be taken without water. Carefully follow the manufacturer's directions for your brand. It is very important to continue taking Minastrin 24 Fe exactly as prescribed by your doctor. Follow the package instructions to find the first pill, start with the first pill in the pack, and take them in the correct order. Do not skip any doses. Pregnancy is more likely if you miss pills, start a new pack late, or take your pill at a different time of the day than usual. Taking Minastrin 24 Fe after your evening meal or at bedtime may help if you have any stomach upset or nausea with the medication. You may choose to take Minastrin 24 Fe at another time of day that is easier for you to remember. No matter what dosing schedule you use, it is very important that you take Minastrin 24 Fe at the same time each day, 24 hours apart. Ask your doctor or pharmacist if you have any questions. If you have vomiting or diarrhea within 4 hours after taking your pill, read the Patient Information Leaflet section titled What to Do if You Miss Tablets/Capsules. Follow the instructions as if you had missed your dose because vomiting/diarrhea can stop the pill from working. Your pill pack contains 24 pills with active medication. It also contains 4 reminder pills with iron. Take one active pill (with hormones) once daily for 24 days in a row. Take one inactive pill (with iron) once daily for 4 days in a row after you have taken the last active pill unless otherwise directed by your doctor. You should have your period during the fourth week of the pack, within 3 days after the last active pill. After you have taken the last iron pill in the pack, start a new pack the next day even if your period is continuing or if you do not have your period. If you do not get your period, consult your doctor. If you are taking certain medications (such as levodopa, levothyroxine, penicillamine, tetracyclines, quinolones such as ciprofloxacin) that can interact with iron, ask your doctor whether you should throw away the reminder pills (iron pills) each day rather than taking them. Iron can decrease the effect of these medications. If this is the first time you are using Minastrin 24 Fe and you are not switching from another form of hormonal birth control (such as patch, other birth control pills), take the first pill in the pack on the first Sunday following the beginning of your menstrual period or on the first day of your period. If your period begins on a Sunday, begin taking Minastrin 24 Fe on that day. For the first cycle of use only, use an additional form of non-hormonal birth control (such as condoms, spermicide) for the first 7 days to prevent pregnancy until the medication has enough time to work. If you start on the first day of your period, you do not need to use back-up birth control the first week. Ask your doctor or pharmacist about how to switch from other forms of hormonal birth control (such as patch, other birth control pills) to Minastrin 24 Fe. If any information is unclear, consult the Patient Information Leaflet or your doctor or pharmacist.
Minastrin 24 Fe Precautions
Before using Minastrin 24 Fe, tell your doctor or pharmacist if you are allergic to ethinyl estradiol, norethindrone, or ferrous fumarate; or to other estrogens, progestins, or iron products; or if you have any other allergies. Minastrin 24 Fe may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Minastrin 24 Fe, tell your doctor or pharmacist your medical history,blood clots (for example, in the legs, eyes, lungs), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure, abnormal breast exam, cancer (especially endometrial or breast cancer), high cholesterol or triglyceride (blood fat) levels, depression, diabetes, family or personal history of a certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart problems (such as heart valve disease, irregular heartbeat, previous heart attack), history of yellowing eyes/skin (jaundice) during pregnancy or while using hormonal birth control (such as pills, patch), kidney disease, liver disease (including tumors), stroke, swelling (edema), thyroid problems, unexplained vaginal bleeding. If you have diabetes, Minastrin 24 Fe may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Tell your doctor if you just had or will be having surgery or if you will be confined to a bed or chair for a long time (such as a long plane flight). These conditions increase your risk of getting blood clots, especially if you are using hormonal birth control. You may need to stop Minastrin 24 Fe for a time or take special precautions. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Minastrin 24 Fe may cause blotchy, dark areas on your face and skin (melasma). Sunlight may worsen this effect. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur. It may take longer for you to become pregnant after you stop taking birth control pills. Consult your doctor. Minastrin 24 Fe should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. If you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about reliable forms of birth control, and find out when it is safe to start using birth control that contains a form of estrogen, such as Minastrin 24 Fe. Minastrin 24 Fe may decrease breast milk production. A small amount passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Minastrin 24 Fe Misdose
Refer to the product package information for advice on missed doses. You may need to use back-up birth control (such as condoms, spermicide) to prevent pregnancy. Ask your doctor or pharmacist if you have any questions. If you often forget to take your pills as directed, contact your doctor to discuss switching to another form of birth control.
Minastrin 24 Fe Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.aromatase inhibitors (such as anastrozole, exemestane), ospemifene, tamoxifen, tizanidine, tranexamic acid, certain combination products used to treat chronic hepatitis C (ombitasvir/paritaprevir/ritonavir with or without dasabuvir). Some drugs may cause hormonal birth control to work less well by decreasing the amount of birth control hormones in your body. This effect can result in pregnancy. Examples include griseofulvin, modafinil, rifamycins (such as rifampin, rifabutin), ritonavir, St. John's wort, drugs used to treat seizures (such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate), HIV drugs (such as nelfinavir, nevirapine), among others. Tell your doctor when you start any new drug, and discuss if you should use additional reliable birth control. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well. Minastrin 24 Fe may interfere with certain laboratory tests (such as blood clotting factors, thyroid), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use Minastrin 24 Fe.
Minastrin 24 Fe Side Effects
What are Minastrin 24 Fe side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Minastrin 24 Fe may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Minastrin 24 Fe as a result of an interaction with other medications.
Side Effects of Minastrin 24 Fe
The side effects of Minastrin 24 Fe may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Minastrin 24 Fe. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Minastrin 24 Fe may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Minastrin 24 Fe, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Minastrin 24 Fe.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Minastrin 24 Fe, or any other medication, should contact their physician. General information about Minastrin 24 Fe and the side effects associated with Minastrin 24 Fe are described in the following:
Common Minastrin 24 Fe Side Effects
- body fluid retention
- acne vulgaris
- abdominal distension
- headache disorder
Less Frequent Minastrin 24 Fe Side Effects
- deep venous thrombosis
- vulvovaginal candidiasis
- libido changes
- skin photosensitivity
- weight gain
- weight loss
- acute abdominal pain
- abnormal glucose tolerance
- abdominal pain with cramps
- urinary tract infection
Rare or Very Rare Minastrin 24 Fe Side Effects
- benign hepatic cell adenoma
- neoplasm of liver
- neoplasm of breast
- optic neuritis
- acute myocardial infarction
- cerebrovascular accident
- thromboembolic disorder
- thrombotic disorder
- focal nodular hyperplasia of liver
- gallbladder disease
- obstructive hyperbilirubinemia
- general weakness
- retinal thrombosis
- pulmonary thromboembolism
- arterial thrombosis
- hemorrhagic stroke
- biliary calculus
- hemolytic uremic syndrome
- kidney disease with reduction in GFR
- hypersensitivity drug reaction
- liver cell carcinoma
- dysplasia of cervix
- acute occlusion of mesenteric vein
- hepatic vein thrombosis
- ovarian cyst
- mesenteric artery thrombosis
- skin rash
- cervical discharge
- irregular menstrual periods
- abnormal vaginal bleeding
- appetite changes
- change in corneal curvature
- pruritus of skin
- peripheral edema
- pelvic pain
- vaginal dryness
- symptoms of anxiety
- mood changes
- muscle spasm
- back pain
- premenstrual syndrome
- erythema multiforme
- erythema nodosum
- galactorrhea not associated with childbirth
- folate deficiency
Minastrin 24 Fe Storage
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Minastrin 24 Fe when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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