Women can prevent
pregnancy with Ovral L pill, which is a contraceptive medication, composed of
progestin and estrogen (in low doses). It is also utilized to treat menstrual
dysfunction. The remedy consists of 'Ethinyl Estradiol', an estrogen in 0.030mg
strength and Levonorgestrel, a synthetic progestin in 0.150mg power. The
product is marketed and manufactured by of Pfizer Pharmaceuticals Ltd (Wyeth
division), presented in medicinal pack of 21 tablets or 28 tablets. The latter
pack has 21 pills of active hormone, while the remaining 7 are placebo tablets
(non-hormonal components). The hormonal pills are white in color, while the
inactive come in pink shade.
What is the Pharmacology/Working of Birth Control Tablets?
The woman’s brain produces two hormones namely, LH (bursts
ovary in mid cycle in releasing eggs for fertilization) and FSH (thickens womb
lining to receive zygote). Synthetic estrogen and progestin from contraceptive
medicine affect blood stream. The mechanism blocks production of gonadotrophic
hormones (LH and FSH), which deters ovulation. Uterine lining is ripened to
prevent egg implantation, if any. The cervical mucus is thinned in mid cycle by
LH. But, females taking Ovral L pills face thickening of cervical mucus that
disables sperm moving into womb.
This, the tablet reduces chances of active sperms
fertilizing eggs. When the medication course is continued for 21 days and then
stopped, endometrium womb lining becomes soggy, shedding itself so that
bleeding occurs, termed as ‘withdrawal bleeding’. The birth control measure has
a high efficacy rate in preventing pregnancy on the above mentioned activity in
female’s body. It may fail in only 1 or 2 of 100 women, annually.
Dosage Instructions- Regular Intake, Missed Dose Effects
Females beginning with birth control pills newly are
recommended to start the course on their first day of menstrual cycle. Those
who are continuing the previous dose should commence the course again in 7 days
from the last active tablet consumed, or after the intake of last inert tablet,
despite of any withdrawal bleeding. The active medicines are taken at the same
time of the day, everyday with water, usually during early morning or at
bedtime.
Missing Ovral dose can reduce its efficacy. In such
scenario, the hormone level desired to prevent pregnancy falls in blood stream,
resulting in failed action of the medicine. If a tablet is missed, take it
soon, ideally in 12 hours, even though it means consuming two tablets at the
same duration in a day or the next. If two or more tablets are missed, the
female must consume two tablets for consecutive two days after the day the dose
was missed. She should continue the rest of the dose as usual.
What is Ovral L Side Effects?
The side effects of contraceptive medicine are diarrhea,
nausea, headache, mood swings, appetite loss, fatigue, psychological
irritation. The more severe complications that affects rarely are increased
risk to cancer of breast/cervix/liver, gall stones, jaundice, inflammation in
gall bladder and pancreas and rise in bad cholesterol for blood vessels. Such
consequences impact if overdose is taken or dosage restrictions are not
maintained. Women should not use Ovral L with alcohol or interacting medicines
to prevent side effects.

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