Norgeston Tablets

Norgeston warnings

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

Norgeston is unsuitable for you if you have:

• An allergy to any of this medicine’s ingredients
• Severe liver disease
• A history of breast cancer
• Unexplained vaginal bleeding
• A blood clotting disorder
• A history of heart attack or stroke
• Severe diabetes

You may be advised not to take Norgeston if you have ever suffered from any of the following conditions:

• Diabetes
• Jaundice
• Ovarian cysts
• Pruritus
• Chloasma
• An ectopic pregnancy

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

Norgeston and cancer

Do not use Norgeston 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 Norgeston 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.

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

Norgeston and blood clots

You may be more susceptible to blood clots while taking Norgeston, 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 Norgeston to avoid the increased risk of a blood clot in advance of the operation. 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

Norgeston and other medicines

The following medicines may impact the effectiveness of Norgeston:

• Epilepsy medicines
• Antivirals for HIV
• Certain antibiotics
• St John’s Wort
• Aprepitant
• Bosentan
• Griseofulvin
• Barbiturates

Norgeston may impact the effectiveness of the following medicines:

• Anticoagulants (e.g. coumarins, phenindione)
• Ciclosporin
• Lamotrigine

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

Norgeston directions

Before starting Norgeston you must ensure that you have read and understood how to take this medication, which is detailed in the Patient Information Leaflet.

Norgeston is for oral use only, to prevent pregnancy. Our medical team at The Independent Pharmacy can prescribe Norgeston online for women over the age of 18 years who have had it previously prescribed by their GP.

• Take 1 Norgeston tablet every day at the same time with a glass of water until the packet is empty. Each pack contains 35 pills.
• When you finish a pack, start a new pack, in the same way, on the following day. Do not have a break.

How do you start taking Norgeston?

If you are not currently using or have not used any hormonal contraception in the past month:

• Wait for your period to start and take your first Norgeston tablet on day 1 of your period.
• You will not need to use any barrier contraceptives such as condoms to prevent pregnancy.
• If you start taking Norgeston anytime after day 1 of your period you will need to use a barrier method of contraception for 7 days.

If you are switching from a combined pill, vaginal ring or transdermal patch:

• Take your first Norgeston tablet, on the first day after your tablet, ring or patch-free break of your previous contraceptive and use barrier contraception such as condoms for 7 days.

OR

• Do not have a tablet, ring or patch-free break and start taking Norgeston the day after you take your last tablet from your present pack, or on the day of removal of your vaginal ring or patch. You will not need to use additional barrier contraception.

If you are changing from any other progestogen-only-pill:

• You can switch on any day and you will not need to use additional barrier contraception.

If you are changing from an injection or implant or hormonal IUS such as the coil:

• Take your first Norgeston tablet the day your next injection is due or on the day that your implant or your IUS is removed. You will not need to use additional barrier contraception.

If you are using Norgeston after having a baby:

• Start taking Norgeston immediately after delivery.
• If you start taking Norgeston later than this time you will need to use a barrier contraceptive such as a condom, during the first 7 days.

What if I miss a Norgeston pill?

If you are over 3 hours late taking Norgeston or you vomit or have diarrhoea with 2 hours, this counts as a “missed pill”:

• Take the “missed pill” as soon as you remember or as soon as you feel well enough and then continue to take your pills at the usual time the next day. You may need to take 2 on the same day.
• You should use a barrier method of contraception such as a condom for 7 days to protect you from pregnancy.
• If you are more than 3 hours late taking your pill and have had sex, you can use emergency contraception to protect you from pregnancy.

If you are less than 3 hours late taking your Norgeston tablet:

• Take the late pill as soon as you remember and take the next tablet at the usual time.
• You will still be protected from pregnancy.

Norgeston ingredients

The active ingredients contained in Norgeston are: 30 micrograms of levonorgestrel

Norgeston also contains the following inactive ingredients: Lactose, maize starch, povidone, polyethylene glycol 6000, calcium carbonate, talc, magnesium stearate, sucrose, montan glycol wax.

Norgeston side effects

Before taking Norgeston tablets, you should take time to familiarise yourself with all the side effects detailed in the Patient Information Leaflet.

Like other medications, Norgeston may cause some people to experience side effects. These normally improve after the first few months of taking a progesterone-only pill.

If you experience severe side effects or an allergic reaction while taking Norgeston you should get immediate medical advice from a doctor or your nearest emergency department.

If you are concerned about any side effects or you find they do not improve after the first few months or after you stop taking Norgeston you should speak to a doctor, pharmacist or nurse for advice.

The most common side effects associated with Norgeston include:

• Irregular periods, spotting or no periods
• Changes to your mood
• Less sexual desire
• Headaches
• Feeling sick
• Acne and spots
• Breast pain and tenderness
• Weight gain