of Combined and Progestin-Only Oral Contraceptives
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1 C O L O R P H O T O S of Combined and Progestin-Only Oral Contraceptives The thirteen color pages of pills are organized as follows: Color photos of pills from lowest to highest estrogen dose...a21-a33 Progestin-only pills with no estrogen: Micronor and NOR-QD Lowest estrogen pills with 20 micrograms of the estrogen, ethinyl estradiol: Alesse, Levlite, LoEstrin 1/20, and Mircette All of the 25-, 30- and 35-microgram pills (all ethinyl estradiol) All of the phasic pills Highest estrogen pills, with 50 micrograms of estrogen (ethinyl estradiol OR mestranol). Mestranol is converted in the body to ethinyl estradiol; 50 mcg of mestranol is equivalent to 35 mcg of ethinyl estradiol * Pills which are pharmacologically exactly the same are grouped within boxes. The color and packaging of pills dispensed in clinics may differ from pills in pharmacies. POSTERS showing all pills can be ordered by calling , on form at end of book, or on website: A21
2 PROGESTIN - ONLY PILLS MICRONOR TABLETS 28-DAY REGIMEN (0.35 mg norethindrone) (active pills lime green) NOR-QD TABLETS (0.35 mg norethindrone) (active pills yellow) CAMILA (norethindrone tablets, USP 0.35 mg) (active pills light pink) ERRIN (norethindrone tablets, USP 0.35 mg) (active pills yellow) JOLIVETTE (0.35 mg norethindrone) NORA-BE (0.35 mg norethindrone) THE ONLY 10 microgram PILL COMBINED PILLS - 20 microgram PILLS LO LOESTRIN (1 mg norethindrone acetate/10 mcg ethinyl estradiol/75 mg ferrous fumarate [7d]) Teva Women s Health LoSEASONIQUE (levonorgestrel/ethinyl estradiol/0.10mg/ 20 mcg and ethinyl estridol 0.01 mg) Teva Women s Health A22
3 COMBINED PILLS - 20 microgram PILLS LYBREL TM (90 mcg levonorgestrel/20 mcg ethinyl estradiol) (active pills pink) Wyeth YAZ 28 TABLETS (3.0 mg drospirenone/20 mcg ethinyl estradiol) (active pills pink) Bayer BEYAZ 28 TABLETS Beyaz = Yaz + 451mcg folic acid Bayer GIANVI 28 TABLETS (3.0 mg drospirenone/20 mcg ethinyl estradiol) ALESSE - 28 TABLETS (0.1 mg levonorgestrel/20 mcg ethinyl estradiol) (active pills pink) Wyeth SRONYX (0.1 mg levonorgestrel/ 20mcg ethinyl estradiol) AVIANE (levonogestrel/ethinyl estradiol tablets, USP 0.10 mg/20 mcg) (active pills orange) LEVLITE - 28 TABLETS (0.1 mg levonorgestrel/20 mcg ethinyl estradiol) (active pills pink) Bayer LUTERA TM (0.1 mg levonorgestrel/20 mcg ethinyl estradiol) LESSINA (levonorgestrel/ethinyl estradiol tablets, USP 0.1 mg/20 mcg) (active pills pink) A23
4 LOESTRIN FE 1/20 (1 mg norethindrone acetate/ 20 mcg ethinyl estradiol/ 75 mg ferrous fumarate [7d]) JUNEL TM (norethindrone acetate and ethinyl estradiol tablets, USP 1 mg/20 mcg) (active pills light yellow) JUNEL TM Fe (norethindrone acetate and ethinyl estradiol tablets, USP and ferrous fumarate tablets 1 mg/20 mcg) (active pills light yellow) MICROGESTIN & MICROGESTIN FE (1mg norethindrone acetate/ 20 mcg ethinyl estradiol FE also contains /75 mg ferrous fumarate KARIVA (desogestrel/estradiol tablets 0.15 mg/ 20 mcg and ethinyl estradiol tablets 0.01 mg) (active pills white and light blue) MERCILON (0.15 mg desogestrel/20 mcg ethinyl estradiol/10mcg ethinyl estradiol) Schering-Plough MIRCETTE - 28 TABLETS (0.15 mg desogestrel/ 20 mcg ethinyl estradiol X 21 (white)/placebo X 2 (green)/ 10 mcg ethinyl estradiol X 5 (yellow) Teva Women s Health A24 COMBINED PILLS - ESTRODIAL VALERATE NATAZIA Natazia consists of 28 film-coated, unscored tablets in the following order: 2 dark yellow tablets each containing 3mg estradiol valerate 5 medium red tablets each containing 2mg estradiol valerate and 2mg dienogest 17 light yellow tablets each containing 2mg estradiol valerate and 3mg dienogest 2 dark red tablets each containing 1 mg estradiol valerate 2 white tablets (inert) Bayer
5 COMBINED PILLS - 30 microgram PILLS SEASONALE (0.15 mg levonorgestrel/ 84 active pink pills followed by 7 placebo pills Teva Women s Health SEASONIQUE (0.15 mg levonorgestrel/ 84 active pink pills followed by 7 pills with 10 mcg ethinyl estradiol Teva Women s Health JOLESSA TM (0.15 mg levonorgestrel/ 91 day regimen Teva Women s Health QUASENSE TM (0.15 mg levonorgestrel/ Laboratories NORDETTE -28 TABLETS (0.15 mg levonorgestrel/ (active pills light orange) Teva Women s Health LEVORA TABLETS (0.15 mg levonorgestrel/ PORTIA (levonorgestrel and ethinyl estradiol tablets, USP 0.15 mg/30 mcg) (active pills pink) LEVLEN 28 TABLETS (0.15 mg levonorgestrel/ (active pills light orange) Bayer LO/OVRAL -28 TABLETS (0.3 mg norgestrel/ Wyeth LOW-OGESTREL - 28 (0.3 mg norgestrel/ CRYSELLE (0.3 mg norgestrel/ A25
6 SAFYRAL TM 28 TABLETS Safyral = Yasmin + 451mcg of folic acid Bayer YASMIN 28 TABLETS (3.0 mg drospirenone/ (active pills yellow) Bayer OCELLA TM 28 TABLETS (3.0 mg drospirenone/ (active pills yellow) DESOGEN 28 TABLETS (0.15 mg desogestrel/ Schering-Plough SOLIA TM (0.15 mg desogestrel/ Schering-Plough ORTHO-CEPT TABLETS 28-DAY REGIMEN (0.15 mg desogestrel/ (active pills orange) APRI (desogestrel/ ethinyl estradiol 0.15 mg/ 0.03 mg tablets) (active pills rose) Teva Pharmaceuticals USA LOESTRIN /30 (1.5 mg norethindrone acetate/ (active pills green) MICROGESTIN 1.5/30 with or without Fe (1.5 mg norethindrone acetate/ A26 JUNEL TM (norethindrone acetate and ethinyl estradiol tablets, USP 1.5 mg./30 mcg.) (active pills pink) JUNEL TM Fe (norethindrone acetate and ethinyl estradiol tablets, USP and ferrous fumarate tablets 1.5 mg/30 mcg) (active pills pink)
7 COMBINED PILLS - 35 microgram PILLS ORTHO-CYCLEN 28 TABLETS (0.25 mg norgestimate/ (active pills blue) SPRINTEC (norgestimate and ethinyl estradiol tablets, mg/35 mcg) (active pills blue) PREVIFEM TM (norgestimate and ethinyl estradiol tablets, mg/35 mcg) MONONESESSA (norgestimate and ethinyl estradiol tablets, mg/35 mcg) ZENCHENT (0.4 mg norethindrone/ FEMCON FE TM (0.4 mg norethindrone/ Warner-Chilcott OVCON DAY (0.4 mg norethindrone/ (active pills peach) Warner-Chilcott Now there is a chewable Ovcon-35 pill! BALZIVA TM 1/35 21 OR 28 TABLETS (0.4 mg norethindrone/ ZEOSA TM (0.4 mg norethindrone/ (chewable) DEMULEN 1/35-28 (1 mg ethynodiol diacetate/ Pharmacia - A Division of Pfizer KELNOR TM (ethynodiol diacetate 1 mg. and ethinyl estradiol 35 mcg, USP) (active pills light yellow) ZOVIA 1/35E 28 (1 mg ethynodiol diacetate/ (active pills light pink) A27
8 NORETHIN 1/35E 28 (1 mg norethindrone/ Shire NORINYL DAY TABLETS (1 mg norethindrone/ (active pills yellow-green) ORTHO-NOVUM 1/35 28 TABLETS (1 mg norethindrone/ (active pills peach) NECON 1/35-28 (1 mg norethindrone/ (active pills dark yellow) NORTREL (norethindrone and ethinyl estradiol tablets, USP 1/35 mcg) (active pills yellow) NORTREL (norethindrone and ethinyl estradiol tablets, USP 1.0 mg/35 mcg 28-day regimen) (active pills yellow) BREVICON 28-DAY TABLETS (0.5 mg norethindrone/ (active pills blue) NECON 0.5/35 (0.5 mg norethindrone/ A28 MODICON TABLETS 28-DAY REGIMEN (0.5 mg norethindrone/ NORTREL (norethindrone and ethinyl estradiol tablets, USP 0.5/35 mcg) (active pills light yellow)
9 COMBINED PILLS - PHASIC PILLS ORTHO TRI-CYCLEN LO - 28 TABLETS (norgestimate/ethinyl estradiol) 0.18 mg/25 mcg (7d) (white), mg/25 mcg (7d) (light blue), 0.25 mg/25 mcg (7d) (dark blue) remaining 7 placebo pills are green CYCLESSA (desogestrel/ethinyl estradiol - triphasic regimen) 0.1 mg/25 mcg (7d) (light yellow) mg/25 mcg (7d) (orange) mg/25 mcg (7d) (red) Schering-Plough VELIVET TM (desogestrel/ethinyl estradiol tablets - triphasic regimen) (active pills beige, orange and pink) CESIA TM (desogestrel/ethinyl estradiol tablets - triphasic regimen) Prasco ORTHO-NOVUM 10/11-28 TABLETS (norethindrone/ethinyl estradiol) 0.5 mg/35 mcg (10d) (white), 1 mg/35 mcg (11d) (peach) ARANELLE TM (norenthindrone/ethinyl estradiol) 0.5mg/0.035mg (blue), 1 mg/35 mcg LEENA (norenthindrone/ethinyl estradiol) 0.5mg/35 mcg (light blue), 1 mg/35 mcg (yellow-green) NECON 10/11-28 TABLETS (norethindrone/ethinyl estradiol) 0.5 mg/35 mcg (10d) (white), 1 mg/35 mcg (11d) (peach) TRI-NORINYL (norenthindrone/ethinyl estradiol) 0.5mg/35 mcg (blue), 1 mg/35 mcg (yellow-green) A29
10 ESTROSTEP FE - 28 TABLETS (norethindrone acetate/ethinyl estradiol) 1 mg/20 mcg (5d) (white triangular), 1 mg/30 mcg (7d) (white square), 1 mg/35 mcg (9d), 75 mg ferrous fumarate (7d) (white round) Pfizer JENEST 28 TABLETS (norethindrone/ethinyl estradiol) 0.5 mg/35 mcg (7d) (white), 1 mg/35 mcg (14d) (peach) Schering-Plough TRI-LEGEST FE (norethindrone acetate/ethinyl estradiol) 1 mg/20 mcg (5d), 1 mg/30 mcg (7d) 1 mg/35 mcg (9d), 75 mg ferrous fumarate (7d) TRIPHASIL - 28 TABLETS (levonorgestrel/ethinyl estradiol triphasic regimen) mg/30 mcg (6d) (brown), mg/40 mcg (5d) (white), mg/30 mcg (10d) (light yellow) Wyeth TRI-LEVLEN 28 TABLETS (levonorgestrel/ethinyl estradiol triphasic regimen) mg/30 mcg (6d) (brown), mg/40 mcg (5d) (white), mg/30 mcg (10d) (light yellow) Bayer TRIVORA (levonorgestrel/ethinyl estradiol triphasic regimen) mg/30 mcg (6d), mg/ 40 mcg (5d), mg/30 mcg (10d) (pink) ENPRESSE (levonorgestrel and ethinyl estradiol tablets, USP - triphasic regimen) (active pills pink, white and orange) A30
11 ORTHO TRI-CYCLEN - 28 TABLETS (norgestimate/ethinyl estradiol) 0.18 mg/35 mcg (7d) (white), mg/35 mcg (7d) (light blue), 0.25 mg/35 mcg (7d) (blue) TRI-SPRINTEC (norgestimate and ethinyl estradiol tablets - triphasic regimen) (active pills gray, light blue and blue) TRINESSA (norgestimate/ethinyl estradiol) 0.18 mg/35 mcg (7d) (white), mg/35 mcg (7d) (light blue), 0.25 mg/35 mcg (7d) (dark blue) remaining 7 placebo pills are green TRI-PREVIFEM TM - 28 TABLETS (norgestimate and ethinyl estradiol tablets - triphasic regimen) ORTHO-NOVUM 7/7/7-28 TABLETS (norethindrone/ethinyl estradiol) 0.5 mg/35 mcg (7d) (white), 0.75 mg/35 mcg (7d) (light peach), 1 mg/35 mcg (7d) (peach) NORTREL 7/7/7 (norethindrone and ethinyl estradiol tablets, USP - triphasic regimen) (active pills light yellow, blue and peach) NECON 7/7/7 0.5 mg/35 mcg (7d) (yellow), 0.75 mg/35 mcg (7d) (blue), 1 mg/35 mcg (7d) (peach) A31
12 COMBINED PILLS - 50 microgram PILLS OVRAL - 21 TABLETS (0.5 mg norgestrel/50 mcg ethinyl estradiol) Wyeth OGESTREL (0.5 mg norgestrel/50 mcg ethinyl estradiol) ORTHO-NOVUM 1/50-28 TABLETS (1 mg norethindrone/50 mcg mestranol) (active pills yellow) NECON 1/50-28 TABLETS (1 mg norethindrone/50 mcg mestranol) NORINYL 1/50 (1 mg norethindrone/50 mcg mestranol) A32
13 COMBINED PILLS - 50 microgram PILLS (continued) OVCON DAY (1 mg norethindrone/50 mcg ethinyl estradiol) (active pills yellow) Warner-Chilcott DEMULEN 1/50-28 (1 mg ethynodiol diacetate/50 mcg ethinyl estradiol) Pharmacia - A Division of Pfizer ZOVIA 1/50 (1 mg ethynodiol diacetate/50 mcg ethinyl estradiol) A33
14 PILLS AS EMERGENCY CONTRACEPTIVES: 2 Different Approaches: Progestin-Only Pills OR Combined Pills PROGESTIN-ONLY PILLS Plan B pill 12 hours apart OR 2 Plan B Pills (white) ASAP after unprotected sex Plan B available without a prescription in pharmacies to women and men > 18 years old. Plan B is NOT carried in all pharmacies. Check in advance. Ask your pharmacy to carry Plan B. COMBINED ORAL CONTRACEPTIVES Barr Laboratories PLAN B Antinausea meds not necessary pills 12 hours apart Ogestrel (white pills) Ovral (white pills) pills 12 hours apart Cryselle (white pills) Enpresse (orange pills) Jolessa (pink pills) Low-Ogestrel (white pills) Lo-Ovral (white pills) Levora (white pills) Levlen (light orange pills) Nordette (light orange pills) Portia (pink pills) Quasense (white pills) Seasonale (pink pills) Seasonique (light blue pills) Triphasil (yellow pills) Tri-Levlen (yellow pills) Trivora (pink pills) pills 12 hours apart Alesse (pink pills) Levlite (pink pills) Aviane (orange pills) Lessina (pink pills) Lutera (white pills) A34 (Ogestrel and Ovral are NOT carried in all pharmacies. Check in advance.) Have your patient take antinausea medication an hour before the first dose if using any of the combined oral contraceptives as emergency contraception. This is not necessary if using Plan B.
15 NOTES
16 NOTES
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