Mircette: Reliable Oral Contraception with Low Hormone Dosing
| Product dosage: 15mcg | |||
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Synonyms | |||
Mircette is a combination oral contraceptive pill prescribed for the prevention of pregnancy. It contains a progestin (desogestrel) and an estrogen (ethinyl estradiol) and is known for its low hormone formulation, which may reduce the risk of certain side effects while maintaining high efficacy. This product card provides a comprehensive overview of Mircette for healthcare professionals and informed patients, detailing its features, benefits, and essential safety information.
Features
- Contains 0.15 mg desogestrel and 0.02 mg ethinyl estradiol per active tablet
- 28-day regimen: 21 active tablets followed by 2 inert tablets and 5 tablets containing 0.01 mg ethinyl estradiol
- Monophasic formulation, providing consistent hormone levels throughout the cycle
- Small, easy-to-swallow tablets with clear day markings on blister pack
- Prescription-only medication, requiring healthcare provider consultation
Benefits
- Highly effective at preventing pregnancy when taken correctly, with a Pearl Index of less than 1
- May result in lighter, less painful menstrual periods and reduced menstrual cramps
- Can offer non-contraceptive benefits such as improvement in acne for some users
- Low estrogen dose may decrease the risk of estrogen-related side effects like nausea and breast tenderness
- Provides a regular, predictable menstrual cycle, aiding in personal planning
- The unique ethinyl estradiol-containing placebo tablets may help minimize hormone withdrawal symptoms
Common use
Mircette is primarily used for contraception. It may also be prescribed off-label for the management of menstrual-related disorders, such as dysmenorrhea or menorrhagia, and for acne in women seeking oral contraception. It is suitable for women of reproductive age who have no contraindications to combined hormonal contraceptives.
Dosage and direction
Take one tablet daily at approximately the same time each day, for 28 consecutive days, following the order indicated on the blister pack. Begin with the first active tablet (day 1) on the first day of menstruation or the Sunday after menstruation begins, as directed by a healthcare provider. After finishing all 28 tablets, begin a new pack the following day without interruption. Use a non-hormonal backup method of contraception (e.g., condoms) for the first 7 days of the first cycle or if a tablet is missed.
Precautions
- Not intended for use during pregnancy; discontinue if pregnancy is confirmed.
- Smoking increases the risk of serious cardiovascular side effects, especially in women over 35 years old.
- May influence lipid metabolism, glucose tolerance, and blood pressure; monitor periodically.
- Use with caution in patients with conditions that might be affected by fluid retention.
- Reduced efficacy may occur with gastrointestinal disorders such as vomiting or diarrhea.
- Hormonal contraceptives may affect certain laboratory tests; inform the laboratory of use.
Contraindications
- Thrombophlebitis or thromboembolic disorders, past or present
- Cerebrovascular or coronary artery disease
- Known or suspected carcinoma of the breast or estrogen-dependent neoplasia
- Undiagnosed abnormal genital bleeding
- Cholestatic jaundice of pregnancy or jaundice with prior hormonal contraceptive use
- Hepatic adenomas or carcinomas, or active liver disease
- Known or suspected pregnancy
- Hypersensitivity to any component of Mircette
Possible side effect
Common side effects may include:
- Nausea
- Headache
- Breast tenderness
- Irregular bleeding or spotting
- Weight changes
- Mood changes
Serious side effects requiring immediate medical attention:
- Sudden severe headache, dizziness, or faintness
- Visual changes or loss
- Severe leg or chest pain
- Shortness of breath
- Jaundice
- Severe abdominal pain
Drug interaction
Mircette may interact with:
- Antibiotics (e.g., rifampin)
- Anticonvulsants (e.g., carbamazepine, phenytoin)
- Antifungals (e.g., griseofulvin)
- HIV protease inhibitors
- Herbal supplements such as St. John’s wort
- Certain antidepressants and sedatives
These interactions may reduce contraceptive efficacy or increase side effects. Always inform healthcare providers of all medications and supplements being taken.
Missed dose
If one active tablet is missed (less than 24 hours late), take it as soon as remembered and the next tablet at the regular time. If more than 24 hours late, follow these guidelines:
- Missed 1 tablet: Take missed tablet ASAP, even if two on same day; no backup needed.
- Missed 2 tablets in weeks 1 or 2: Take 2 tablets per day for 2 days, then resume regular schedule; use backup for 7 days.
- Missed 2 tablets in week 3 or 3+ tablets anytime: Discard pack, start new pack same day; use backup for 7 days. For specific guidance, always refer to the package insert or consult a healthcare provider.
Overdose
Serious ill effects from overdose are not expected. Symptoms may include nausea, vomiting, and withdrawal bleeding. There is no specific antidote; treatment should be symptomatic and supportive. Contact a poison control center or healthcare provider for advice.
Storage
Store at room temperature (20°–25°C or 68°–77°F), in a dry place, away from direct light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.
Disclaimer
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read here.
Reviews
Mircette is generally well-regarded for its low hormone dose and efficacy. Many users report satisfaction with reduced menstrual symptoms and minimal side effects. However, individual experiences vary, and some may encounter issues such as breakthrough bleeding, especially during the initial cycles. Healthcare providers often recommend Mircette for women seeking a low-estrogen option with the added benefit of potentially lighter periods. Always discuss personal health history and concerns with a prescribing clinician to determine if Mircette is appropriate.