Generic Ovral (Ethinyl estradiol / Norgestrel)

Common Use
Ovral contains ethinyl estradiol and norgestrel, which are female hormones used to prevent ovulation as a contraception method. This drug alters the condition of cervical mucus and the uterine lining, making it more difficult for sperm to reach the uterus and for a fertilized egg to attach to the uterine wall.

Dosage and Directions
Take Ovral exactly as prescribed by your healthcare provider. Begin taking the first pill on the first day of your menstrual period or the first Sunday following the start of your period. If you are starting Ovral for the first time, additional birth control methods may be required temporarily. The typical birth control pack includes 28 pills, seven of which are ‘reminder’ pills taken during your cycle when menstruation usually begins. Breakthrough bleeding may occur, but if it becomes prolonged or heavy, consult your doctor. Take one pill daily at the same time. When a pack is finished, begin a new one immediately. If you are scheduled for surgery or certain medical tests, you may need to temporarily stop taking Ovral under medical guidance.

Precautions
Use of Ovral may require additional contraception (e.g., condoms or spermicide) when first starting. Hormonal contraceptives can increase the risk of blood clots, stroke, or heart attack—particularly in women over 35 or those who smoke. Inform your doctor of any history of heart problems, high blood pressure, stroke, high cholesterol, depression, seizures, epilepsy, diabetes, gallbladder disease, varicose veins, tuberculosis, uterine fibroids, or breast conditions such as lumps, nodules, or fibrocystic disease.

Contraindications
Ovral should not be used by pregnant women or those who have recently given birth. It is also contraindicated for individuals with a history of blood clots, stroke, circulation problems, liver disease or liver cancer, hormone-related cancers, abnormal vaginal bleeding, migraine headaches, severe high blood pressure, jaundice caused by prior birth control use, or heart valve disorders.

Side Effects
Allergic reactions such as hives, facial swelling, rash, and breathing difficulties can occur. Other possible serious side effects include sudden numbness or weakness, vision problems, severe headache, confusion, trouble speaking or balancing, changes in migraine patterns, chest pain, nausea, sweating, swelling of extremities, depression, loss of appetite, stomach pain, dark urine, or jaundice. Notify your doctor if you experience any unusual or severe symptoms.

Drug Interaction
Ovral may interact with many medications. Inform your doctor of all prescription, over-the-counter, herbal, and nutritional supplements you are using. Particular drugs to mention include theophylline, acetaminophen (Tylenol), vitamin C, prednisolone, St. John’s wort, seizure medications, cyclosporine, barbiturates, HIV/AIDS medications, and antibiotics.

Missed Dose
Missing an active pill increases the risk of pregnancy. If one active pill is missed, take two pills as soon as you remember, then return to the normal schedule. If two active pills are missed in the first or second week, take two pills per day for two days, then continue the regular schedule. Use a backup birth control method for seven days. If two active pills are missed during the third week, or if three pills are missed at any point in the first three weeks, discard the current pack and start a new one as if beginning from day one. Missing reminder pills does not increase pregnancy risk; discard the missed reminder pills and continue your schedule. If you miss your period for two months in a row, consult your doctor as you may be pregnant.

Overdose
Overdose symptoms may include nausea, vomiting, and vaginal bleeding. Seek medical attention immediately if an overdose is suspected.

Storage
Store Ovral at room temperature between 68–77°F (20–25°C). Keep it away from moisture, heat, and direct light. Do not store in the bathroom or in places accessible to children.

Disclaimer
This information is intended for general educational purposes and does not include all directions, interactions, or precautions. It should not be used for self-diagnosis or self-treatment. Always consult your healthcare provider for personalized medical advice. We are not responsible for any consequences arising from the use of this information or from attempts at self-treatment.