Indications & Uses
Norgestrel + Ethinyl Estradiol + Ferrous Fumarate tablet is used to prevent pregnancy in women who choose it as their method of contraception. Oral contraceptives are highly effective. How well these methods work depends on how reliably they are used, except for sterilization, the IUD and implants. Using a method correctly and consistently can lower the failure rate.
Pharmacology
Norgestrel + Ethinyl Estradiol + Ferrous Fumarate is a combination oral contraceptive (COC), and it works by suppressing gonadotropins. The main effect is that it stops ovulation. It also changes the cervical mucus, which makes it harder for sperm to enter the uterus, and it changes the endometrium, which makes implantation less likely.
Dosage Reference
Reference Information Only
Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.
Adults:
Norgestrel & Ethinyl Estradiol and ferrous fumarate works best as a contraceptive when you take it exactly as directed, with no more than 24 hours between tablets. The possibility of ovulation and conception before you start the medicine should be considered.
The dose is one white tablet daily for 21 consecutive days, then one brown tablet daily for 7 consecutive days, following the prescribed schedule. It is recommended that you take the tablets at the same time each day.
Side Effects
Norgestrel + Ethinyl Estradiol + Ferrous Fumarate can cause edema, weakness, amenorrhea, breakthrough bleeding, a change in menstrual flow, spotting, anorexia, DVT, thrombophlebitis, depression, dizziness, headache, nervousness, somnolence, breast tenderness, galactorrhea, abdominal pain, nausea, vomiting, a change in weight and cholestatic jaundice.
Cautions & Contraindications
Warnings & Precautions
Use Norgestrel + Ethinyl Estradiol + Ferrous Fumarate with care in sex-steroid dependent cancer, past ectopic pregnancy, malabsorption syndromes and functional ovarian cysts. The same goes for active liver disease, recurrent cholestatic jaundice, a history of jaundice in pregnancy, and a history of CV or renal impairment. Care is also needed in DM, asthma, epilepsy, migraine, depression, lactation, conditions made worse by fluid retention, and hypercalcaemia. CV and gall bladder diseases, lipid effects and familial defects of lipoprotein metabolism need care too. So do patients at risk of venous thromboembolism or breast cancer, and those with preexisting uterine leiomyomata and benign hepatic adenoma. Other points to watch are a family history of arterial disease in a 1st degree relative, systolic 140 mmHg and diastolic 90 mmHg, age over 35 yr, BMI 30 to 39 kg/m2, and migraine without focal aura that is controlled with 5HT1. GI upset (vomiting and diarrhoea), missed pills and interaction with other drugs may call for additional contraceptive precautions. The pill should be taken at the same time each day. Lactation: small amounts of steroids are excreted in breast milk, and estrogens may reduce the quality or quantity of milk. It may be prudent to use other forms of birth control until full weaning.
Contraindications
Norgestrel + Ethinyl Estradiol + Ferrous Fumarate is contraindicated in pregnancy, undiagnosed vaginal bleeding, and severe arterial disease (or a family history of atherogenic lipid profile); liver adenoma; porphyria; after evacuation of hydatidiform mole; history of breast cancer; hepatic impairment; thrombophloebitis or thromboembolic disorders. It is also contraindicated in breast carcinoma, except in selected patients being treated for metastatic disease, and in oestrogen-dependent tumour. Smoking more than 40 cigarettes daily rules it out, and so does age above 50 years, diabetes with complications, and BMI above 39 kg/m2. Migraine with typical focal aura, lasting more than 72 hr despite treatment, or migraine treated with ergot derivatives, is also a contraindication. The same applies to BP above 160 mmHg systolic and 100 mmHg diastolic; transient ischaemic attacks without headaches; SLE; gallstones; history of haemolytic uraemic syndrome, pruritis during pregnancy; cholestatic jaundice; and chorea or deterioration of otosclerosis pemphigoid. Breast feeding during the 1st 6 months after delivery is the last contraindication.
Pregnancy & Breastfeeding
Large epidemiological studies have found no increased risk of birth defects in babies born to women who used oral contraceptives before becoming pregnant. Studies also don't suggest a teratogenic effect when the pills are taken by mistake in early pregnancy, particularly for heart anomalies and limb-reduction defects.
Don't use oral contraceptives to bring on withdrawal bleeding as a test for pregnancy. They should also not be used during pregnancy to treat threatened or habitual abortion.
If a patient has missed two consecutive periods, pregnancy should be ruled out before she continues with the oral contraceptive. If she hasn't followed the prescribed schedule, pregnancy should be considered as early as the first missed period. Once pregnancy is confirmed, stop the oral contraceptive.
⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
Drug Interactions
Common questions about Femicon 0.3 mg+0.03 mg+75 mg
What is Femicon 0.3 mg+0.03 mg+75 mg Tablet?
Femicon 0.3 mg+0.03 mg+75 mg Tablet is a medicine that contains Norgestrel + Ethinyl Estradiol + Ferrous Fumarate. It is made by SMC Enterprise Limited. It belongs to the Oral Contraceptive preparations group of medicines.
What is Femicon used for?
Norgestrel + Ethinyl Estradiol + Ferrous Fumarate tablet is used to prevent pregnancy in women who choose it as their method of contraception. Oral contraceptives are highly effective.
What are the side effects of Femicon?
Norgestrel + Ethinyl Estradiol + Ferrous Fumarate can cause edema, weakness, amenorrhea, breakthrough bleeding, a change in menstrual flow, spotting, anorexia, DVT, thrombophlebitis, depression, dizziness, headache, nervousness, somnolence, breast tenderness, galactorrhea, abdominal pain, nausea, vomiting, a change in weight and cholestatic jaundice.
Can I take Femicon during pregnancy or while breastfeeding?
Large epidemiological studies have found no increased risk of birth defects in babies born to women who used oral contraceptives before becoming pregnant. Studies also don't suggest a teratogenic effect when the pills are taken by mistake in early pregnancy, particularly for heart anomalies and limb-reduction defects. Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
Can I take other medicines with Femicon?
Some medicines can interact with Norgestrel + Ethinyl Estradiol + Ferrous Fumarate, for example: Carbamazepine, Phenytoin, Theophylline, Rifampicin, Ursodeoxycholic Acid, Oxcarbazepine. Tell your doctor or pharmacist about every medicine you take.
Do I need a prescription for Femicon?
Femicon is a prescription (Rx) medicine. Take it as your doctor advises.