Recommended Topic Related To:

Lo Loestrin FE

"Nov. 26, 2012 -- Pediatricians should routinely talk to their teen patients about emergency birth control and write them prescriptions for “morning-after pills” so they can get them quickly if necessary, according to a new policy statement from t"...

Lo Loestrin FE

Indications
Dosage
How Supplied

INDICATIONS

Lo Loestrin Fe is indicated for use by women to prevent pregnancy [see Clinical Studies].

The efficacy of Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) in women with a body mass index (BMI) of > 35 kg/m2 has not been evaluated.

DOSAGE AND ADMINISTRATION

How to Take Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets)

To achieve maximum contraceptive effectiveness, Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) must be taken exactly as directed. Take one tablet by mouth at the same time every day. Tablets must be taken in the order directed on the blister pack. Tablets should not be skipped or taken at intervals exceeding 24 hours. For patient instructions for missed pills, see FDA-Approved Patient Labeling. Lo Loestrin Fe tablets may be administered without regard to meals [see CLINICAL PHARMACOLOGY].

How to Start Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets)

Instruct the patient to begin taking Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) on Day 1 of her menstrual cycle (that is, the first day of her menstrual bleeding) [see FDA-Approved Patient Labeling]. One blue tablet should be taken daily for 24 consecutive days, followed by one white tablet daily for 2 consecutive days, followed by one brown tablet daily for 2 consecutive days. Instruct the patient to use a non-hormonal contraceptive as back-up during the first 7 days if she starts taking Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) other than on the first day of her menstrual cycle.

For postpartum women who do not breastfeed or after a second trimester abortion, Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) may be started no earlier than 4 weeks postpartum. Recommend use of a non-hormonal back-up method for the first 7 days. When COCs are used during the postpartum period, the increased risk of thromboembolic disease associated with the postpartum period must be considered [see WARNINGS AND PRECAUTIONS]. The possibility of ovulation and conception before starting COCs should also be considered.

Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) may be initiated immediately after a first-trimester abortion or miscarriage; if the patient starts Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) immediately, additional contraceptive measures are not needed.

Switching from another Hormonal Method of Contraception

If the patient is switching from a combination hormonal method such as:

    • Another pill
    • Vaginal ring
    • Patch
  • Instruct her to take the first blue tablet on the day she would have taken her next COC pill. She should not continue taking the tablets from her previous birth control pack, and should not skip any days between packs. If she does not have a withdrawal bleed, rule out pregnancy before starting Lo Loestrin Fe.
  • If she previously used a vaginal ring or transdermal patch, she should start using Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) on the day she would have resumed the previous product.

If the patient is switching from a progestin-only method such as a:

    • Progestin-only pill
    • Implant
    • Intrauterine system
    • Injection
  • Instruct her to take the first blue tablet on the day she would have taken her next progestin-only pill, or had her next injection or on the day of removal of her implant.
  • If switching from an IUD, depending on the timing of removal, back-up contraception may be needed.

Advice in Case of Gastrointestinal Disturbances

If the patient vomits or has diarrhea (within 3 to 4 hours after she takes a blue or white pill), she should follow the instructions in the "What to Do if You Miss Pills" section [see FDA-Approved Patient Labeling].

HOW SUPPLIED

Dosage Forms And Strengths

Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) (norethindrone acetate and ethinyl estradiol tablets, ethinyl estradiol tablets and ferrous fumarate tablets) are available in blister packs.

Each blister pack (28 tablets) contains in the following order:

  • 24 blue, round (active) tablets imprinted with "WC" on one side and "421" on the other and each containing 1 mg norethindrone acetate and 10 meg ethinyl estradiol.
  • 2 white, hexagonal (active) tablets imprinted with "WC" on one side and "422" on the other and each containing 10 meg ethinyl estradiol.
  • 2 brown, round (non-hormonal placebo) tablets imprinted with "WC" on one side and "624" on the other and each containing 75 mg ferrous fumarate. The ferrous fumarate tablets do not serve any therapeutic purpose.

How Supplied

Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol, ethinyl estradiol tablets) (norethindrone acetate and ethinyl estradiol tablets, ethinyl estradiol tablets and ferrous fumarate tablets) is available in cartons of five blister cards (dispensers) (NDC 0430-0420-14).

Each blister card (28 tablets) contains in the following order:

  • 24 blue, round tablets (active) imprinted with "WC" on one side and "421" on the other and each containing 1 mg norethindrone and 10 meg ethinyl estradiol
  • 2 white, hexagonal tablets (active) imprinted with "WC" on one side and "422" on the other and each containing 10 meg ethinyl estradiol
  • 2 brown, round tablets (non-hormonal placebo) imprinted with "WC" on one side and "624" on the other and each containing 75 mg ferrous fumarate.

Storage Conditions

Store at 25° C (77° F); excursions permitted to 15 - 30° C (59 - 86° F) [see USP Controlled Room Temperature].

Keep this drug and all drugs out of the reach of children.

Manufactured by: Warner Chilcott Company, LLC Fajardo, PR 00738. Marketed by: Warner Chilcott (US), LLC Rockaway, NJ 07866. Revised 10/2010.

Last reviewed on RxList: 11/30/2010
This monograph has been modified to include the generic and brand name in many instances.

Indications
Dosage
How Supplied
A A A

Loestrin 24 Fe - User Reviews

Loestrin 24 Fe User Reviews

Now you can gain knowledge and insight about a drug treatment with Patient Discussions.

Here is a collection of user reviews for the medication Loestrin 24 Fe sorted by most helpful. Patient Discussions FAQs

Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


Women's Health

Find out what women really need.