What Is Ovral L Tablet?
Ovral L is an oral contraceptive pill. By design, it is composed of a combination of an estrogen and a progestin, both in low doses, sufficient enough to prevent pregnancy through various mechanisms, while maintaining a low side effect profile. Collateral advantages in menstrual dysfunction make it versatile in many women’s health disorders. We also have in stock Diane 35 Birth Control Pill which is another combination tablet used for the same indications.
Ovral L Pill – Ingredients, Availability And Presentation
Each Ovral L tablet, also known as an active pill, contains the synthetic estrogen 'Ethinyl Estradiol' 0.030mg along with the synthetic progestin 'Levonorgestrel' 0.150mg.
Ovral L is manufactured and marketed by 'Wyeth', a division of Pfizer Pharmaceuticals Ltd. It is presented to the consumer in a blister pack of 21 tablets.
Ovral L is also available in blister packs of 28 tablets, wherein the 21 active hormone containing tablets remain the same and 7 dummy or placebo tablets are added. These inactive pills contain non-medicinal ingredients. The active tables are color coded white while the inert pills are pink in color.
Manufacturer of Ovral L Contraceptive Pill
Wyeth a division of Pfizer
Website: pfizer.com
Clinical Pharmacology – How does Ovral L Contraceptive Pill work?
In normal women, there exists a feedback loop of hormones acting at various levels of the human body. LH and FSH are two hormones made in the brain that act on the ovary and uterus (womb). FSH progressively thickens and prepares the lining of the womb for receiving a pregnant egg or zygote while LH promotes bursting of the ovary in mid cycle to release the egg for fertilization.
When synthetic estrogen - progestin combinations are exogenously administered as with taking an oral contraceptive pill like Ovral L, these flood the blood stream and block the release of gonadotrophic hormones FSH and LH, which in turn prevents ovulation.
Further, the lining of the womb is made unnaturally ripe and soggy by this combination of hormones in the pill disallowing the proper implantation of a pregnant egg if any.
The naturally existing mucus plug at the mouth of the womb or 'cervix' usually becomes thin during mid-cycle under the influences of LH. In a woman who is on a pill such as Ovral L, this mucus thickens and inhibits sperm movement into the womb facilitating reduced numbers of fatigued sperm that are unlikely candidates for normal reproduction.
When such a combination of hormones is administered for a period of time like say 21 days and then stopped abruptly, it causes an artificial ripening of the womb lining (endometrium) in the presence of the hormones, and a shedding of the same in their absence. Such an artificially created bleed at the end on the pill course is referred to as a "withdrawal bleed"
Ovral L birth control pill is reported to have a high efficacy in preventing pregnancy on account of the above actions at various sites in the human body. It has a very low failure rate at 1 to 2 pregnancies per 100 women per year.
Ovral L Contraceptive Pill – Dosage And Administration
In women who are starting the pack for the first time, it is advisable to start on the first day of menses. While those who are already on a previous pack should start precisely 7 days after the last active tablet was taken or immediately after the last placebo pill, regardless of the withdrawal bleed. Active pills are taken first. Each active pill is consumed daily without a break at roughly the same time of the day, usually at bedtime. Pink placebo pills in the pack, if any, are started only on completion of the active white pills. A pack of Ovral L contraceptive pill may be started at any time after a first trimester miscarriage or abortion and after 21 to 28 days after a second trimester termination or miscarriage.
Ovral L Missed Pill Instructions – What to do in case of missed pills
Missing pills are detrimental to the efficacy of contraception with Ovral L contraceptive pill.
When one or more pills are missed hormonal levels in the blood stream fall below the desired threshold for ensuring effective protection against pregnancy and this is turns results in failure of the pill. Fortunately remedial measures may be possible in certain scenarios as listed below but may also warrant secondary or additional contraceptive methods.
When one pill is missed: Remember to take the missed pill as soon as possible ideally within 12 hours even if this means taking two pills at the same time the next day.
Missed two or more pills: In this situation she should take two pills, for two consecutive days, after the last defaulting day. The rest of the pack is then continued as usual. But an additional barrier contraceptive like a condom or a diaphragm is necessary for 7 days. This remedy is not applicable when two pills are missed in the third week or when three or more pills are missed. In these cases it is recommended to discard the current pack and start with a fresh new pack.
Missed pills require special attention toward the end of the cycle for the occurrence of withdrawal bleeding. Medical consultation is mandatory in the absence of the withdrawal bleed so as to rule out the presence of an unwanted pregnancy which could result from contraceptive failure.
Ovral L Tablets Indications – The clinical uses of Ovral L
Contraception: The mainstay of Ovral L contraceptive pill is its use in effectively preventing a pregnancy. Continuous usage with 21 active pill days and 7 pill free or placebo days ensures timely withdrawal bleeds and almost perfect pregnancy prevention.
Menstrual cycle control: Regular use month after month results in complete suppression of ovulation with lighter withdrawal bleeds. Dysmenorrhoea or pain during periods which is not an uncommon phenomenon also diminishes. Such cycle regulation is desirous in women who suffer from irregular or dysfunctional uterine bleeding out of various causes whether related or unrelated to the genital tract.
Benign Gynecological conditions: Fibroids in the uterus, Pelvic inflammation, Endometriosis, Pelvic pain, Benign Ovarian cysts, Fibro-cystic breast disease and Iron deficiency anemia are benefited.
Advantages Of Ovral L Birth Control Pill - Other helpful applications
Ovral L Birth Control Pill provides benefits in other areas of women's health such as:-
Hyper-androgenic States:
Sex Hormone Binding Globulin (SHBG) is a protein substance in the blood stream that has a particular binding affinity to the male hormone testosterone and its derivatives and flanker hormones. The more androgen is bound to SHBG the less amount of it is free in the blood stream to produce undesirable virilizing male type effects in women such as oily skin, excessive facial and truncal hair, acne and other effects like increased insulin resistance and blood sugar levels. Ovral L increases SHBG levels over time, in turn, reducing free androgen levels and thereby making good hyper androgenic states. Therefore Ovral L can form part of the core therapy in Acne control, Polycystic Ovarian Disorder and Hirsutism.
Pre-Menstrual Syndrome:
This refers to a collection of symptoms that plague the 3-4 day window around menstruation. Ranging from bloating, breast pain, groin aches, weak limbs, generalized fatigue, headache, mood swings and rarely visual disturbances - PMS is repetitive and accumulative with time cycle after cycle. Oral contraceptives play a decisive and efficacious role in the uplift of PMS.
Cancer Prevention:
Ovarian cancer and Endometrial cancer (womb cancer) are avidly prevented when the pill is used for at least 3-4 years and prophylactic benefits last for up to 10 years after getting off it.
Disavantageous Effects of Ovral L Birth Control Pills
These are minor unwanted reactions that occur with the use of Ovral L birth control pill.
Amenorrhoea is the absence of the withdrawal bleed which can occur with prolonged usage as a result of blood levels being maintained continuously above the threshold for withdrawal even in pill free periods. It is not permanent and is totally reversible on pill discontinuation.
Breakthrough bleeding is a kind of reddish spotting or very light bleed that occurs while on the active pills, especially during the initial cycles. It disappears with constant use and may rarely need medical consultation for disturbing heavier bleeds.
Minor side effects include nausea, vomiting, diarrhea, bloating, weight changes, headaches, vision disturbances, mood swings, altered sex drive or libido, rash, urticaria, allergy, breast congestion and vaginal yeast infections.
Ovral L Contraceptive Pill Side Effects
The possible side effects of Ovral L Contraceptive pill are given below:
Blood Clotting in arteries and veins throughout the body which can lead to Myocardial Infarctions or heart attacks and brain strokes.
Increased predisposition to Breast Cancer, Cervical (Mouth of the Uterus or Womb) Cancer, Liver Cancer (hepatocellular carcinoma). Benign Liver tumors (hepatic adenoma), Gall stones, Gall bladder inflammation, Stasis of bile, Jaundice, Pancreatic inflammation.
Predisposition to bad cholesterol formation and deposition in blood vessels.
Ovral L Contraceptive Pill – Contraindications
Women with one or more of risk factors listed below are not eligible for contraception or therapy with Ovral L pontraceptive pill.
- Hypersensitivity: Allergy to its active ingredients Ethinyl Estradiol and Levonorgestrel or any inactive ingredient present in the medication.
- Vascular Issues: Known events of blood clotting or related events or such disorders recent or past including thrombophlebitis & deep vein thrombosis (venous especially legs), cerebrovascular disorders (brain clots), Coronary heart disease, Uncontrolled High blood pressure, Diabetes with vascular involvement and Hereditary thrombophilias or genetic/inherited blood clotting affiliation disorders.
- Gynecological: Undiagnosed Vaginal bleeding, suspected pregnancy, Breast feeding.
- Tumor Related: Suspected Breast cancer, high risk for Cervical cancer.
- Gastrointestinal: Jaundice, Pancreatitis with high blood lipids or cholesterol, deranged Liver function tests, chronic liver disease.
- Others: Vascular disorders of the eye, Migraine with aura/premonitory symptoms, undiagnosed headache, Epileptic Seizures.
Ovral L Contraceptive Pill – Warnings
Blood vascular clotting tendencies are higher with smoking and as age advances. Therefore women who are smokers and above 35 years of age are at a significant risk for severe and serious cardiac and/or vascular adverse events while using Ovral L.
Barrier contraception must be used in conjunction with Ovral L in order to prevent HIV and other sexually transmitted infections.
Ovral L Interactions
Examples of medications that reduce the contraceptive efficacy of Ovral L tablets and hence entertain a risk of pregnancy include St. John's wort, Ritonavir, Rifampicin, Rifabutin, Barbiturates, Primidone, Phenylbutazone, Phenytoin, Dexamethasone, Griseofulvin, Modafinil, Topiramate, Certain Antibiotics Like Ampicillin and Tetracycline.
On the other hand, drugs that increase the concentrations of Ovral L in the blood and thereby predispose to higher side effect profiles include Atorvastatin, vitamin C, Acetaminophen, Indinavir and Fluconazole among others.
Buy Ovral L Birth Control Pills Online for Just $0.27
You can buy Ovral L birth control pills online from allcontraceptives.com. Ovral L birth control pills are supplied in a blister pack of 21 tablets. Ovral L tablets are manufactured and marketed by 'Wyeth', a division of Pfizer Pharmaceuticals Ltd. They are available for just $0.27 a pill when you place an order for 252 tablets.
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