Safely Buy Marvelon 21 day ( Desogestrel/Ethinyl Estradiol ) from Canada Prescriptions Plus.

Indications

Marvelon 21-day (desogestrel/ethinyl estradiol) is an oral contraceptive, commonly known as a “birth control pill” or the combined oral contraceptive pill. It contains desogestrel and ethinyl estradiol as active ingredients.

Use and Dosage

Read the Patient Information Leaflet provided by your pharmacist before you start using this product and each time you get a refill. The leaflet contains very important information on when to take your pills and what to do if you miss a dose. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually once daily. Pick a time of day that is easy for you to remember and take your pill at the same time each day.

If you are taking the chewable tablet, you may either swallow it whole or chew it thoroughly and swallow. Carefully follow the manufacturer’s directions for your brand.

It is very important to continue taking this medication exactly as prescribed by your doctor. With certain brands of birth control pills, the amount of estrogen and progestin in each active tablet will vary at different times in the cycle. You must follow the package instructions to find the first tablet, start with the first tablet in the pack, and take them in the correct order. Do not skip any doses. Pregnancy is more likely if you miss pills, start a new pack late, or take your pill at a different time of the day than usual.

Vomiting or diarrhea can prevent your birth control pills from working well. If you have vomiting or diarrhea, you may need to use a backup birth control method (such as condoms, or spermicide). Follow the directions in the Patient Information Leaflet and check with your doctor or pharmacist for more details.

Taking this medication after your evening meal or at bedtime may help if you have stomach upset or nausea with the medication. You may choose to take this medication at another time of day that is easier for you to remember. No matter what dosing schedule you use, you must take this medication at the same time each day, 24 hours apart. Ask your doctor or pharmacist if you have any questions.

Your pill pack contains 21 pills with active medication. It may also contain 7 reminder pills with no medication. Take one active pill (with hormones) once daily for 21 days in a row. If you are using a product with 28 tablets, take an inactive pill once daily for 7 days in a row after you have taken the last active pill unless otherwise directed by your doctor. If you are using a product with 21 tablets, do not take any tablets for 7 days unless otherwise directed by your doctor. You should have your period during the fourth week of the cycle. After you have taken the last inactive tablet in the pack or gone 7 days without taking an active tablet, start a new pack the next day whether or not you have your period. If you do not get your period, consult your doctor.

If this is the first time you are using this medication and you are not switching from another form of hormonal birth control (such as a patch, or other birth control pills), take the first tablet in the pack on the first. If your period begins on a Sunday, begin taking this medication on that day. For the first cycle of use only, use an additional form of non-hormonal birth control (such as condoms, or spermicide) for the first 7 days to prevent pregnancy until the medication has enough time to work. If you start on the first day of your period, you do not need to use backup birth control the first week.

Ask your doctor or pharmacist about how to switch from other forms of hormonal birth control (such as patches, and other birth control pills) to this product. If any information is unclear, consult the Patient Information Leaflet or your doctor or pharmacist.

Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Serious side effects include:

• Signs of a stroke–sudden numbness or weakness, severe headache, slurred speech, problems with vision or balance
• Signs of a blood clot in the lung–chest pain, sudden cough or shortness of breath, dizziness, coughing up blood
• Signs of a blood clot deep in the body–pain, swelling, or warmth in one leg
• Heart attack symptoms–chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating
• Liver problems–swelling around your midsection, right-sided upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
• Increased blood pressure–severe headache, blurred vision, pounding in your neck or ears
• Depression–mood changes, feelings of low self-worth, loss of interest in things you once enjoyed, new sleep problems, thoughts about hurting yourself
• Swelling in your hands, ankles, or feet, or a breast lump
• Changes in the pattern or severity of migraine headaches

Common side effects of ethinyl estradiol and desogestrel may include:

• Weight gain, nausea, vomiting, breast tenderness, or breakthrough bleeding
• Acne, darkening of facial skin
• Problems with contact lenses

This is not a complete list of side effects and others may occur.

Cautions

• 21-day pack: Take one tablet daily for 21 days, then do not take any pills for 7 days, and then begin the next pack.
• 28-day pack: Take one tablet daily for 21 days, then take one “reminder” pill daily for 7 days, and then begin the next pack.
• Talk with your doctor about the best time to start your pills. The first day of your menstrual period (bleeding) is known as “Day 1.” Your doctor may have you start your pills on the first Sunday after your period starts or on Day 1 of your period. The pills should be taken at the same time every day.
• It may be advisable to use a second method of birth control (e.g., latex condoms and spermicidal foam or gel) for the first 7 days of the first cycle of pill use.
• Many women have spotting or light bleeding or may feel sick to their stomach during the first 3 months of taking the pill. If you do feel sick, do not stop taking the pill. The problem will usually go away.
• If you have vomiting or diarrhea, or if you take some medications such as antibiotics, your pills may not work as well. If you start a new medication while you are taking birth control pills, check with your doctor or pharmacist to make sure that it will not reduce the effectiveness of the pills. Use a backup method of birth control, such as latex condoms and spermicidal foam or gel, until you can check with your doctor or clinic.
• Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
• Take this medication exactly as prescribed by your doctor. If you miss pills at any time the risk of becoming pregnant increases. If you miss one pill, take it as soon as you remember, and take the next pill at the usual time. This means that you might take 2 pills in one day.
• If you miss 2 pills in a row during the first 2 weeks of your cycle, take 2 pills the day you remember and 2 pills the next day, then take one pill a day until you finish the pack. Use a second method of birth control if you have sex in the 7 days after you miss the pills.
• If you start your pills on Sunday, and you miss 2 pills in a row during the third week of your cycle or 3 or more pills in a row anytime in your cycle, keep taking one pill a day until Sunday. On Sunday, safely discard the rest of the pack and start a new pack that day. You may not have a menstrual period this month.
• If you start your pills on Day 1, and you miss 2 pills in a row during the third week of your cycle, or 3 or more pills at any time during your cycle, safely dispose of the rest of the pill pack and start a new pack that same day. Use another method of birth control if you have sex in the 7 days after you miss the pills. You may not have a period this month. If you miss 2 periods in a row, call your doctor or clinic.
• Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Forms and Strengths

Marvelon 21-day is available in the following forms and strengths:

• Marvelon 21-day Tablet:
  • 0.15/0.03 mg
• Desogestrel/Ethinyl Estradiol
  • 0.15/0.03 mg

FAQ

What happens if I miss a dose?

Follow the directions on your prescription label and read all medication guides or instruction sheets.

Missing a pill increases your risk of becoming pregnant.

What happens if I overdose?

Seek emergency medical attention. Overdose symptoms may include nausea, vomiting, and vaginal bleeding.

What should I avoid while taking birth control pills?

Do not smoke while taking birth control pills, especially if you are older than 35 years of age.

Resources:

1. https://www.medbroadcast.com/drug/getdrug/marvelon
2. https://www.drugs.com/mtm/ethinyl-estradiol-and-desogestrel.html#side-effects
3. https://www.webmd.com/drugs/2/drug-19994/desogestrel-ethinyl-estradiol-oral/details