Femodette, Femodette Pill, Femodette Birth Control

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Femodette

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Femodette

How does Femodette work?

Femodette is a combined oral contraceptive often referred to as 'The Pill'. It contains a combination of two synthetic derivatives of naturally occuring sex hormones, oestrogen and progesterone, found in the female body. Ethinylestradiol (previously spelt ethinyloestradiol in the UK) is a synthetic version of oestrogen and gestodene is a synthetic form of progesterone. During a woman's normal menstrual cycle, the levels of these sex hormones change. Oestrogen levels rise causing an egg to ripen (maturation) and be released from the ovaries (ovulation). This causes levels of progesterone in the body to increase, preventing the release of more eggs from the ovary and preparing the lining of the womb for a possible pregnancy. Combined oral contraceptives work by over-riding the normal menstrual cycle. Ethinylestradiol prevents the ripening and release of an egg from the ovary. Gestodene works by tricking the body processes into thinking that ovulation has already occurred. In addition, gestodene affects the natural mucus at the neck of the womb. It increases the thickness of this mucus making it more difficult for sperm to cross from the vagina into the womb. Gestodene also acts to change the quality of the womb lining (endometrium). This prevents the successful implantation of any fertilised eggs onto the wall of the womb. When the blood levels of these hormones decrease at the end of each 'cycle' in the packet, a menstrual period occurs. Different brands of combined oral contraceptives may contain a different type of progesterone and/or a different strength of ethinylestradiol - Low Strength (20 micrograms), Standard Strength (30 to 40 micrograms) or High Strength (50 micrograms). There may also be differences in the tablets taken during the monthly cycle. The most widely used preparations are known as 'Monophasic'. In these, all 21 tablets are the same and a seven day pill-free gap is left between packets, during which time a period occurs. Preparations known as 'Bi- or Tri-Phasic' have different coloured tablets which contain different strengths of oestrogen and progesterone. These Femodette tablets must be taken in the order specified on the pack for each cycle. 'ED' (Every Day) preparations contain 28 tablets (21 active tablets and 7 inactive tablets). This allows a woman to take a tablet every day of the 28 day cycle rather than having to remember the 7 day break at the end of each pack of 21 tablets. Again, these tablets must be taken in the order specified on the pack.

What is Femodette used for?

Contraception
Disorders of the menstrual cycle

Warnings with Femodette!

Missed pill:
if you forget to take a pill, take it as soon as you remember, and the next one at your normal time. If you are 12 hours or more late, another contraceptive method (e.g. condoms) should be used for the next seven days, whilst continuing with normal pill taking. Read the instructions on your pack carefully regarding missed pills.

Women using Femodette for the first time may experience menstrual irregularities such as spotting, breakthrough bleeding or missed periods. Consult your doctor if any breakthrough bleeding persists. If you don't have a withdrawal bleed for two consecutive months you should do a pregnancy test before starting the next month's contraceptive cycle.

Women using hormonal contraceptives should have regular medical check-ups.
It is important to be aware that women using combined hormonal contraceptives appear to have a small increase in the risk of developing a blood clot in a vein or artery (thrombosis), compared with women who do not use these contraceptives. This risk is greater in certain groups of women, particularly smokers. However, this risk must be weighed against the benefits of the contraceptive. Discuss this with your doctor.

You may need to stop using Femodette four weeks prior to any planned surgery and during periods of immobility. You should not usually start using it again until two weeks after you are mobile and moving around again. Discuss this with your doctor.
Women who suffer from a condition called chloasma, which causes yellowish-brown patches of colouring on the skin, particularly the face, should avoid prolonged exposure to sunlight or ultraviolet radiation, eg sunbeds or UV lamps, while using Femodette, as they can make this condition worse.

It is important to be aware that women using hormonal contraceptives appear to have a small increase in the risk of being diagnosed with breast cancer, compared with women who do not use these contraceptives. However, this risk must be weighed against the benefits of using the contraceptive, which can be discussed with your doctor.

Vomiting and severe diarrhoea may interfere with the absorption of this medicine from the gut and decrease its effectiveness as a contraceptive. If you vomit or have severe diarrhoea within three to four hours of taking a pill, you should take another as soon as possible. If you take the extra pill more than 12 hours later, an additional method of contraception (eg condoms) should be used for the next seven days.

Read the instructions in your pack carefully regarding this.

Stop using Femodette and inform your doctor immediately if any of the following occur while you are using Femodette:

migraine or severe headaches, disturbance in vision, stabbing pains and/or unusual swelling in one leg, pain on breathing or coughing, sudden breathlessness, sudden severe chest pain, significant rise in blood pressure, itching of the whole body, yellowing of the skin or eyes (jaundice), severe abdominal complaints, severe depression, worsening of epilepsy or if you become pregnant.

Use Femodette with caution in

Asthma
Contact lens wearers
Decreased kidney function
Decreased liver function
Diabetes
Disease involving the heart and blood vessels
Disorder causing deafness in adult life (otosclerosis)
Epilepsy
Excess of urea in the blood causing damaged red blood cells
Family history of blood clotting disorders
Family history of breast cancer
Fibroids of the uterus
Gall stones
High blood pressure
History of benign breast disease
History of depression
History of inflammation of a vein wall (phlebitis)
Inflammatory bowel disease such as ulcerative colitis or Crohn's disease
Irregular brown skin patches on the face and elsewhere often due to pregnancy or the use of oral contraceptives (chloasma)
Life long inherited blood diseases which can cause a variety of symptoms, including mental health problems (porphyrias)
Long-term inflammation of skin and some internal organs (systemic lupus erythematosus)
Migraine
Multiple sclerosis
Muscle twitching, especially of the face, caused by low blood calcium levels (tetany)
Nervous system disorder in young persons causing involuntary, irregular, jerky movement of the muscles of the face, neck, and limbs (Sydenham's chorea or chorea minor)
Obesity
Smokers, particularly those over 35 years of age
Varicose veins

Femodette should not to be used in

Abnormal vaginal bleeding of unknown cause
Anaemia caused by a hereditary blood disorder where abnormal haemoglobin is produced (sickle cell anaemia)
Blood clot in the blood vessels (thromboembolism) or a history of this
Blood clotting disorders
Current or previous breast cancer
Current or previous cancer of the lining of the womb
Deterioration of a disorder causing worsening deafness (otosclerosis) during a previous pregnancy
Disorders of lipid metabolism
Family history of blood clots in the veins (venous thromboembolism) with no known cause
Heart valve disease
History of herpes infection during pregnancy
History of jaundice or generalised itch during pregnancy
History of or current liver tumours
Inherited disorder of bile excretion that causes jaundice (Rotor syndrome)
Irregular heartbeat caused by very rapid contraction of the top two chambers of the heart (atrial fibrillation)
Metabolic disorder that runs in families and causes mild jaundice (Dubin-Johnson syndrome)
Pregnancy
Severe diabetes associated with circulatory problems
Severely decreased liver function
Those with risk factors for blood clot formation in the veins (venous thromboembolism)

Femodette should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using Femodette and inform your doctor or pharmacist immediately.

Pregnancy and Breastfeeding

Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using Femodette.

Femodette should not be used in pregnancy. Seek medical advice from your doctor.

There may be small amounts of Femodette present in breast milk and it may also reduce the amount of milk produced. Seek medical advice from your doctor.

Side effects with Femodette

Medicines and their possible side effects can affect individual people in different ways.

The following are some of the side effects that are known to be associated with this medicine.

Because a side effect is stated here, it does not mean that all people using Femodette will experience that or any side effect.

Headache
Disturbances of the gut such as diarrhoea, constipation, nausea, vomiting or abdominal pain
Breast tenderness/swelling
Spotting of blood between menstrual periods in women
Fluctuation in sex drive
Weight changes
Depressed mood
Irregular brown patches on the skin of the face and elsewhere (chloasma)
Change in menstrual bleeding
Discomfort when wearing contact lenses
Stopping of periods or infrequent periods after discontinuing the pill
The side effects listed above may not include all of the side effects reported by the drug's manufacturer. For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

Femodette