Noret 28 .

Presentation: Each pack of Noret 28 contains 28 tablets:

• 21 white tablets: Each white (hormone) tablet contains 0.03 mg of ethinylestradiol (an estrogen) and 0.15 mg of levonorgestrel (a progestogen).
• 7 brown tablets: Each brown (iron) tablet contains 75 mg of ferrous fumarate (an iron supplement). These do not contain hormones.

Indications: Noret 28 is indicated for the prevention of pregnancy. It works by:

• Inhibiting ovulation (the release of an egg from the ovary).
• Thickening the cervical mucus, making it difficult for sperm to enter the uterus.
• Thinning the lining of the uterus (endometrium), making it less likely for a fertilized egg to implant. The inclusion of the 7 iron tablets is to provide iron supplementation and to help maintain the pill-taking routine during the hormone-free interval.

Dosage and Administration:

• Take one tablet daily at the same time each day, with or without food.
• Start with the white (hormone) tablets for the first 21 days, following the order on the blister pack.
• After finishing the white tablets, take one brown (iron) tablet daily for the next 7 days.
• Start the next pack immediately after finishing the brown tablets, without any break.
• It is recommended to start taking Noret 28 on the first day of your menstrual period. If you start on a different day, use a non-hormonal backup method of contraception (such as condoms or spermicide) for the first 7 days.

Side Effects: Common side effects may include:

• Nausea
• Headache
• Mood changes, including depression
• Breast tenderness
• Weight changes
• Irregular vaginal bleeding or spotting, especially during the first few months
• Vaginal infections

Less common but potentially serious side effects can occur. It is important to consult your doctor if you experience any severe or persistent side effects, such as:

• Severe headache
• Chest pain or shortness of breath
• Severe abdominal pain
• Vision changes
• Yellowing of the skin or eyes (jaundice)
• Signs of a blood clot (e.g., pain, swelling, or warmth in the leg)

Precautions: Noret 28 is contraindicated in certain conditions, including:

• Pregnancy or suspected pregnancy
• A history of blood clots (e.g., deep vein thrombosis, pulmonary embolism)
• Heart attack or stroke
• Uncontrolled high blood pressure
• Certain types of migraine headaches
• Liver disease or liver tumors
• Known or suspected hormone-sensitive cancers (e.g., breast cancer, endometrial cancer)
• Undiagnosed abnormal vaginal bleeding
• Smoking if you are over 35 years old

Inform your doctor about your complete medical history and any medications you are taking before starting Noret 28. It may interact with certain medications, reducing its effectiveness or increasing the risk of side effects.

Storage: Store below 30°C, protected from light and moisture. Keep out of reach of children.

Important Note: This information is for general knowledge and informational purposes only, and does not substitute professional medical advice. Always consult your doctor or pharmacist for specific instructions and guidance regarding your medication. They can assess your individual medical condition and provide the most appropriate advice. As you are in Bangladesh, always refer to local medical guidelines and consult a healthcare professional registered in Bangladesh for any health concerns or before taking any medication.