Select a medication above to begin.
Black Box Warnings .
Smoking and Cardiovascular Events
cigarette smoking incr. risk of serious cardiovascular events from combined hormonal contraceptive use; incr. risk w/ age (particularly for pts >35 yo) and w/ number of cigarettes smoked; contraindicated in smokers >35 yo
Adult Dosing .
Dosage forms: quadriphasic pack
Special Note
- [quadriphasic pack components]
- Info: 91-day extended-cycle pack contains levonorgestrel/ethinyl estradiol 0.15 mg/20 mcg tab x42, then 0.15 mg/25 mcg tab x21, then 0.15 mg/30 mcg tab x21, then 0 mg/10 mcg tab x7
- [additional info]
- Info: see Oral Contraceptive Pill (OCP) Hormonal Activity and Therapeutic Equivalence table
contraception
- [1 tab PO qd]
- Start: 1st Sunday after onset of menses; Info: D/C >4wk before, restart >2wk after surgery w/ VTE risk; restart >4wk postpartum or >6wk postpartum if breastfeeding
dysmenorrhea (off-label)
- [1 tab PO qd]
- Start: 1st Sunday after onset of menses; Info: D/C >4wk before, restart >2wk after surgery w/ VTE risk; restart >4wk postpartum or >6wk postpartum if breastfeeding
emergency contraception (off-label)
- [light pink tabs]
- Dose: 5 tabs PO q12h x2 doses; Start: ASAP after unprotected intercourse; maximum efficacy w/in 72h, moderate efficacy w/in 120h; Info: use light pink tabs (levonorgestrel/ethinyl estradiol 0.15 mg/20 mcg); repeat dose if vomiting occurs w/in 3h
- [pink or purple tabs]
- Dose: 4 tabs PO q12h x2 doses; Start: ASAP after unprotected intercourse; maximum efficacy w/in 72h, moderate efficacy w/in 120h; Info: use pink tabs (levonorgestrel/ethinyl estradiol 0.15 mg/25 mcg) or purple tabs (levonorgestrel/ethinyl estradiol 0.15 mg/30 mcg); repeat dose if vomiting occurs w/in 3h
endometriosis (off-label)
- [1 tab PO qd]
- Start: 1st Sunday after onset of menses; Info: D/C >4wk before, restart >2wk after surgery w/ VTE risk; restart >4wk postpartum or >6wk postpartum if breastfeeding
renal dosing
- [see below]
- renal dz: not defined, caution advised
- HD/PD: avoid use
hepatic dosing
- [see below]
- active hepatic dz: contraindicated
Peds Dosing .
- Dosage forms: quadriphasic pack
Special Note
- [quadriphasic pack components]
- Info: 91-day extended-cycle pack contains levonorgestrel/ethinyl estradiol 0.15 mg/20 mcg tab x42, then 0.15 mg/25 mcg tab x21, then 0.15 mg/30 mcg tab x21, then 0 mg/10 mcg tab x7
- [additional info]
- Info: see Oral Contraceptive Pill (OCP) Hormonal Activity and Therapeutic Equivalence table
contraception
- [postmenarchal pts]
- Dose: 1 tab PO qd; Start: 1st Sunday after onset of menses; Info: D/C >4wk before, restart >2wk after surgery w/ VTE risk; restart >4wk postpartum or >6wk postpartum if breastfeeding
dysmenorrhea (off-label)
- [postmenarchal pts]
- Dose: 1 tab PO qd; Start: 1st Sunday after onset of menses; Info: D/C >4wk before, restart >2wk after surgery w/ VTE risk; restart >4wk postpartum or >6wk postpartum if breastfeeding
emergency contraception (off-label)
- [light pink tabs]
- Dose: 5 tabs PO q12h x2 doses; Start: ASAP after unprotected intercourse; maximum efficacy w/in 72h, moderate efficacy w/in 120h; Info: use light pink tabs (levonorgestrel/ethinyl estradiol 0.15 mg/20 mcg); repeat dose if vomiting occurs w/in 3h
- [pink or purple tabs]
- Dose: 4 tabs PO q12h x2 doses; Start: ASAP after unprotected intercourse; maximum efficacy w/in 72h, moderate efficacy w/in 120h; Info: use pink tabs (levonorgestrel/ethinyl estradiol 0.15 mg/25 mcg) or purple tabs (levonorgestrel/ethinyl estradiol 0.15 mg/30 mcg); repeat dose if vomiting occurs w/in 3h
endometriosis (off-label)
- [postmenarchal pts]
- Dose: 1 tab PO qd; Start: 1st Sunday after onset of menses; Info: D/C >4wk before, restart >2wk after surgery w/ VTE risk; restart >4wk postpartum or >6wk postpartum if breastfeeding
renal dosing
- [see below]
- renal dz: not defined, caution advised
- HD/PD: avoid use
hepatic dosing
- [see below]
- active hepatic dz: contraindicated