BiNovum Tablets

BiNovum Tablets (63 tablets)

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Description for BiNovum Tablets

Phasic 21-day contraceptive pills, like BiNovum, contain a combination of the hormones oestrogens and progestogens. They help to make it harder for the sperm to penetrate the womb and to reduce the chance of a fertilised egg implanting in the womb. If taken correctly they are over 99% successful at preventing pregnancy.

Product Information

  • Age: 18 years +

    Maximum per order: 2

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

BiNovum is an oral contraceptive. It is a biphasic combined pill. When used correctly, it will provide near 100% protection against pregnancy. Its two active ingredients, norethisterone and ethinylestradiol, prevent ovulation from occurring during the menstrual cycle. BiNovum is ‘biphasic’ in that it alters the amount of norethisterone in one dose, depending on the point in the cycle. This more closely mimics the natural hormonal cycle, which reduces some of the side effects associated with many other oral contraceptives.

Along with preventing pregnancy, BiNovum can also provide relief from painful periods, endometriosis and premenstrual syndrome (PMS).

BiNovum can be purchased online from The Independent Pharmacy, following a simple medical questionnaire. One of our doctors will review your order on the same working day – if they deem that BiNovum is suitable for you, your order will be with you as soon as the next working day.

Pregnancy occurs when an egg released from the ovaries is fertilised by sperm. In a normal menstrual cycle, the ovaries release one egg each month – this is the process of ovulation. This process is controlled by the female sex hormones progesterone and oestrogen. BiNovum contains two synthetic hormones, norethisterone and ethinylestradiol, which imitate these two natural hormones. They control the levels of each hormone in such a way that prevents an egg from being released. The Pill also makes it more difficult for sperm to reach the uterus, by thickening the fluid that is in the cervix.

During a regular menstrual cycle, the endometrium (the wall of the uterus) builds up in preparation for a fertilised egg. BiNovum reduces the extent of this buildup, making it less likely that a fertilised egg will develop into an embryo. As a further result, periods become lighter. The biphasic course of norethisterone in BiNovum reduces side effects by more closely imitating the natural hormonal cycle.

There are 21 BiNovum pills in a pack. Once you have finished a pack, you will stop taking the pill for seven days. During this time you will have a normal bleed. Once seven days have passed, begin your next cycle of treatment.

Pharmacist Tip: BiNovum should be taken regularly at roughly the same time every day with a 7-day pill-free break after each pack. If you miss one pill anywhere in your pack, take it as soon as you remember even if it means taking two pills in a day. You should continue taking your pills as normal and you will not need additional contraception. If you miss more than one pill you will lose your contraceptive cover and extra contraception will be required for at least 7 days.

If possible, begin taking BiNovum on the first day of your period. Take white tablets for the first seven days – these contain 0.5mg norethisterone and 35mcg ethinylestradiol. For each of the next 14 days, take a peach tablet – these contain 1mg norethisterone and 35mcg ethinylestradiol.

There are 21 BiNovum pills in a pack. Once you have finished a pack, you will stop taking the pill for seven days. During this time you will have a normal bleed. Once seven days have passed, begin your next cycle of treatment.

Some packs of BiNovum will contain 28 pills. The last seven doses do not contain hormones. The advantage of these packs is that you remain in the routine of taking one pill each day.

If you forget to take a dose, take it as soon as you remember, even if it is nearly time for your next pill. If you have missed one day, you should still be protected from pregnancy. If you miss multiple days, you are advised to use additional contraception for the following seven days.

Not everyone will experience side effects when they take BiNovum, however if you do they may include:

Very common (10%) – headache, nausea, breakthrough bleeding, PMS, painful periods

Common (1%) – anxiety, dizziness, stomach pain, depression, heavy periods, tender breasts, vaginal discharge, muscle spasms, pelvic pain, back pain, itchiness

If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.

Reading the following warnings carefully will help to ensure you are selecting an appropriate product.

BiNovum is unsuitable for you if you have:

  • Breast cancer
  • An irregular heartbeat
  • Heart failure
  • Circulation problems
  • A history of heart attack or stroke
  • High blood pressure
  • Migraines which impair your vision
  • Diabetes with related problems
  • A history of severe liver disease
  • Systemic Lupus Erythematosus
  • An allergy to any of the ingredients of BiNovum

Do not use BiNovum if you are breastfeeding a baby who is less than six weeks old.

You may be advised not to take BiNovum if you suffer from any of the following conditions:

  • Any heart or circulation problems
  • Diabetes
  • Migraines
  • Porphyria
  • Gall bladder problems
  • Chloasma (brown patches on the body or face)


Do not use BiNovum if you have breast cancer, or if you have had it before. Long-term use of hormonal contraceptives may slightly increase your chance of developing breast cancer. Once you have stopped using the Pill for at least 10 years, your risk levels will come back down. Women who are elderly and/or overweight are more vulnerable to breast cancer. Take care using BiNovum if a close relative has suffered from breast cancer before. Check your breasts and nipples regularly for any changes or lumps. If you notice anything abnormal, visit your doctor as soon as you can.

You may be more susceptible to blood clots while taking BiNovum, especially during the first year of use. Talk to your GP before having any operation while taking the Pill. You may need to stop using BiNovum in advance of the operation to avoid the increased risk of a blood clot. You are also at a heightened risk of developing a blood clot if you:

  • Smoke
  • Are obese
  • Have a family history of blood clots
  • Do not exercise regularly
  • Have had a miscarriage in the past
  • Have recently given birth

BiNovum may increase your chance of developing cervical cancer. For this reason, you should have regular smear tests while taking the Pill.

If you require any blood test, inform your doctor of which medicines you are taking – BiNovum may alter the results of some blood tests.

The following medicines may impact the effectiveness of BiNovum:

  • Epilepsy medicines (e.g. topiramate, phenytoin, carbamazepine)
  • HIV medicines
  • Tuberculosis medicines (e.g. rifabutin, rifampicin)
  • Hepatitis C medicines (e.g. telaprevir, boceprevir)
  • Barbiturates
  • Bosentan
  • Modafinil
  • Griseofulvin
  • Aprepitant or fosaprepitant
  • St John’s Wort
  • Colesevelam
  • Etoricoxib

BiNovum may impact the effectiveness of the following medicines:

  • Ciclosporin
  • Prednisolone
  • Selegiline
  • Theophylline
  • Lamotrigine
  • Tizanidine

Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.

The active ingredients contained in BiNovum are:

White pills – 500mcg norethisterone, 35mcg ethinylestradiol

Peach-coloured pills – 1mg norethisterone, 35mcg ethinylestradiol

BiNovum also contains the following inactive ingredients to make up the complete product:

Anhydrous lactose, magnesium stearate, pregelatinised starch, yellow no.6 (E110)

Need to know more about Contraceptive Pill?

Visit our advice area or chat online to our support team

Frequently Asked Questions

  • How does Binovum work?

    Throughout each month, a woman’s level of sex hormones changes throughout the body. During ovulation, these hormones cause an egg to be released from the ovaries. The womb begins to change for the potential pregnancy, thickening the womb lining. If the egg isn’t fertilized, hormone levels will go back down, and the lining of the womb will be shed. This is known as a period.

    Binovum uses synthetic hormones to trick the body into thinking that ovulation has already occurred. This prevents the body from releasing eggs each month. The ingredients in Binovum also work to thicken the womb’s mucus lining, making it even harder for sperm to enter, reducing the chance of fertilisation.

  • How should I take Binovum?

    You should only take Binovum after consulting with your doctor and receiving a prescription. Follow the instructions on the accompanying leaflet, or as explained by your doctor.

    One pill should be taken at the same time each day for 21 days. You will then have a pill break for 7 days, before starting the cycle again.

    The packet will outline the order in which to take the tablets, clearly explaining where to begin and when to take all other tablets. After the first 21 days you will have a 7 day break. During this time, fluctuations in hormone levels will cause some withdrawal bleeding, similar to a normal period. After the 7 day break the next 21 day cycle can begin again.


  • When should I start taking BiNovum?

    If possible, begin taking BiNovum on the first day of your period. If you begin taking the Pill in the first five days of your cycle, you will be immediately protected from pregnancy. If you begin later in your cycle, you will need to abstain from sex or use alternative contraception for the first seven days of taking BiNovum.

    If you have a menstrual cycle of less than 24 days, you may need to use alternative contraception for your first seven days regardless of when you start.

    If you have just given birth, begin taking BiNovum on day 21 following the birth. If you begin taking the Pill later than this, you will not be immediately protected against another pregnancy.

    Begin taking BiNovum immediately following an abortion or miscarriage. If more than seven days have passed, you will need to use additional contraception for your first seven days of using the Pill.

  • How effective is Binovum?

    If Binovum is used correctly, as outlined by the instruction leaflet or your doctor, then it will be 99% effective at preventing pregnancy.

  • What benefits does Binovum provide?

    Binovum is a contraceptive pill which helps in protecting against unwanted pregnancies. Binovum also works to decrease the pain associated with menstrual bleeding, making them light and more regular. For this reason Binovum is prescribed to women who have issues with irregular or painful periods.

  • Can I use other medications with Binovum?

    Other medications can be taken with the contraceptive pill; however you should always consult your doctor first. You should always let your doctor know if you are taking any other medications before being prescribed Binovum.

  • If I take Binovum will I be protected against STIs?

    This kind of contraception will not protect you from any sexually transmitted diseases or infections. If you wish to be protected against the risk of STIs you should use some kind of barrier protection such as condoms. If you have additional concerns then always speak with your doctor.

  • Is it safe to buy BiNovum online?

    Yes – as long as you are buying from a website that is a legally operating and regulated pharmacy, it is perfectly safe to buy BiNovum online.

    The Independent Pharmacy is an NHS Online Pharmacy based in Bristol and has all the necessary regulation to be able to safely provide convenient access to genuine prescription treatments through our Online Pharmacy and Online Doctor.

    All of our contraceptives are supplied by the same UK-based wholesalers used by the large high-street chains.

  • How do I buy BiNovum online?

    It’s simple!

    Just select ‘Start Consultation’ next to the product above, or on the links below.

    You will need to fill in a simple health questionnaire so that our GPs and Pharmacists can ensure it is safe for us to supply your BiNovum to you. It only takes a few minutes, and your treatment can be delivered to your door as soon as the next working day.

  • What are the advantages of buying BiNovum online?

    There are many advantages to buying the Pill online, some include:

    • It's quick and easy- there is no need to spend time at the doctor or pharmacy.
    • Fast delivery- We offer same day dispatch before 4pm and fast delivery to your address of choice with Royal Mail.
    • Great prices- we are able to offer very competitive prices and we guarantee to beat any other Online Doctor service.
    • Wealth of information - we provide all the information you could need on BiNovum and other contraceptives, in easy to digest formats, at a time that suits you.
  • What does the price include?

    The price includes the medication you have selected, the private consultation with our Doctor and, if the purchase is over £40, it also includes free standard delivery. Under £40, standard delivery is £2.95 and all items are sent using a Royal Mail Tracked Service.

  • Is BiNovum available for next-day delivery?

    Yes – we understand that sometimes you will want your treatment as soon as possible. If ordered before 4pm Monday to Friday, BiNovum is available for next-day delivery.

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