Branded Combined Oral Contraceptive

What is the Branded Combined Oral Contraceptive?

Branded Combined Oral Contraceptive is a combined oral contraceptive pill which is up to 99% effective at preventing pregnancy when taken daily.

Branded Combined Oral Contraceptive contain oestrogen and progestogen  which are two hormones naturally produced during the menstrual cycle. Each pack contains 28 numbered Branded Combined Oral Contraceptive. The first 24 white pills contain both oestrogen and progesterone, while the four yellow tablets (numbered 25 to 28) only contain inactive ingredients.

What is Branded Combined Oral Contraceptive used for?

Branded Combined Oral Contraceptive are designed to minimise your chances of getting pregnant. This kind of hormonal contraception prevents pregnancy by stopping ovulation, changing the cervical mucus, and making the uterus inhospitable.

Combined pills can be 99% effective at preventing pregnancy. However, they are not considered an effective emergency contraception method, as they need some time to get into your system and synchronise with your cycle.

How is Branded Combined Oral Contraceptive different from other pills?

Branded Combined Oral Contraceptive works in much the same way as other combined contraceptive pills, with one notable difference; Branded Combined Oral Contraceptive is the first oral monophasic pill to contain a form of oestrogen that is structurally identical to that which is produced naturally by a woman. One of the benefits of this is that it lowers the risk of side effects, while it can also help regulate your periods, ease cramping, and reduce bleeding.

How quickly does the Branded Combined Oral Contraceptive work?

If you’ve not previously been using a hormonal contraceptive, you should start taking Branded Combined Oral Contraceptive from the first day of your period. This will protect you against pregnancy straight away. However, if you start taking it any later, you should use a barrier contraception method (such as a condom) for at least 7 days to ensure you are protected.

How to use Branded Combined Oral Contraceptive

In most cases, if you aren’t currently using other hormonal contraception, or you haven’t used it in the past month, then you can begin using Branded Combined Oral Contraceptive; however, you should always follow advice from your GP, especially if you’re changing from another contraceptive treatment.

• When no hormonal contraceptive has been used in the past month: Start taking Branded Combined Oral Contraceptive on the first day of your cycle (i.e. the first day of your menstrual bleeding).

• When changing from another combined hormonal contraceptive (combined pill, vaginal ring, or transdermal patch): You can start taking Branded Combined Oral Contraceptive the day after you have taken the last tablet from your present pill blister (this means no tablet-free break). If you were using a vaginal ring or patch, it’s best to start using Branded Combined Oral Contraceptive on the day you remove the ring or patch.

• When changing from a progestogen-only pill (mini pill): You can stop taking the mini pill any day and start taking Branded Combined Oral Contraceptive the next day. However, if you are sexually active during this switch, using a barrier method of contraception for the first 7 days that you are taking Branded Combined Oral Contraceptive is advised.

• When changing from a progestogen-only injectable or implant: Start using Branded Combined Oral Contraceptive when your next injection is due or on the day that your implant is removed. If you are having intercourse, make sure you also use a barrier method of contraception for the first 7 days that you are taking Branded Combined Oral Contraceptive.

• After having a baby: You can start the Branded Combined Oral Contraceptive between 21 and 28 days after having a baby. If you start later than day 28, you should also use a barrier method of contraception during the first 7 days of using Branded Combined Oral Contraceptive. If you are breastfeeding, always seek professional advice before starting this contraception method.

The Branded Combined Oral Contraceptive blister pack will contain 28 tablets. 24 white tablets will have active substances (numbers 1-24) and 4 yellow tablets will have inactive substances (numbers 25-28).

Branded Combined Oral Contraceptive are taken daily:

1. It is important that you start this contraceptive with an active tablet on the first day of your cycle for immediate protection. Follow the sequence as mapped out on the packaging, making sure to use the stickers to help you recognise the days of the week for each tablet.
2. Take your tablets at the same time every day with water.
3. You may experience a period (withdrawal bleeding) during the four days that you use the four yellow inactive tablets. Even if your period has not finished, it is important that you start your next blister pack immediately after the last yellow inactive tablet.

Side Effects

Like all medicines, some patients may experience side effects when taking Branded Combined Oral Contraceptive - though side effects are typically less common with Branded Combined Oral Contraceptive compared to some other contraceptive pills.

There is an increased risk of blood clots for those taking Branded Combined Oral Contraceptive or other combined pills. If you develop a blood clot, it will usually be in the first year of taking the pill. You may be at higher risk of developing a clot if you are overweight, have a family history of blood clots, are over the age of 35, or have recently given birth.

Blood clot symptoms may include:

• Swelling of the leg along with tenderness
• Increased warmth in the affected leg
• Sharp chest pain which may increase with deep breathing
• Painless blurring of vision which can progress to loss of vision
• Retinal vein thrombosis (blood clot in the eye)
• Irregular heartbeat
• Upper body discomfort radiating to the back, jaw, throat, arm, or stomach

Other possible side effects of Branded Combined Oral Contraceptive include:

• Acne
• Mood changes
• Nausea
• Changes in weight
• Vaginal dryness

If you have any concerns about any of the information listed above, or you experience any side effects not listed here, you should consult your doctor or pharmacist.

Warnings

Do not use Branded Combined Oral Contraceptive if any of the following applies to you:

• You have (or have ever had) a blood clot in a blood vessel of your legs (deep vein thrombosis, DVT), your lungs (pulmonary embolism, PE) or other organs.
• You have (or have ever had) angina pectoris (a condition that causes severe chest pain and may be a first sign of a heart attack) or transient ischaemic attack (TIA – temporary stroke symptoms).
• You suffer from high blood pressure.
• You are allergic to estradiol or nomegestrol acetate, or any of the other ingredients of this medicine.
• You have ever had a heart attack or a stroke.
• You have (or have had) severe liver disease and your liver is not yet working normally.

Can you take Branded Combined Oral Contraceptive while breastfeeding?

Branded Combined Oral Contraceptive is not usually recommended for use during breastfeeding. Always ask your doctor or pharmacist for advice before taking any contraception or any other medication while breastfeeding.