Lomedia 24 Fe

— THERAPEUTIC CATEGORIES —
  • Contraception

Lomedia 24 Fe Generic Name & Formulations

General Description

Norethindrone acetate 1mg, ethinyl estradiol 20mcg (24 white tabs); inert+ (4 tabs); +contains ferrous fumarate 75mg.

Pharmacological Class

Progestin + estrogen.

How Supplied

Blister cards—3

Manufacturer

Lomedia 24 Fe Indications

Indications

Oral contraception.

Lomedia 24 Fe Dosage and Administration

Adult

1 tab daily for 28 days; repeat.

Children

Premenarchal: not recommended.

Lomedia 24 Fe Contraindications

Contraindications

Thrombophlebitis or thromboembolic disease. History of DVT, cerebrovascular or coronary artery disease. Thrombogenic valvular disease. Severe hypertension. Diabetes with vascular disease. Headaches with focal neurologic symptoms. Major surgery with prolonged immobilization. Known or suspected breast carcinoma, endometrial or other estrogen-dependent neoplasia. Undiagnosed abnormal genital bleeding. Pregnancy-related cholestasis. Hepatic disease or tumors. Pregnancy (Cat. X).

Lomedia 24 Fe Boxed Warnings

Boxed Warning

Cigarette smoking increases risk of serious cardiovascular events.

Lomedia 24 Fe Warnings/Precautions

Warnings/Precautions

Increased risk of cardiovascular events esp. in cigarette smokers >35yrs of age; not recommended. Discontinue if thrombotic event, unexplained visual changes, jaundice, or headache/migraine occurs, and at least 4 weeks before through 2 weeks after surgery associated with increased risk of thromboembolism, and during and after prolonged immobilization. Cardio- or cerebrovascular diseases. Gallbladder disease. Obesity. Diabetes. Prediabetes. Hypertriglyceridemia. Depression. Conditions aggravated by fluid retention; monitor. Evaluate significant changes in headaches, irregular uterine bleeding, amenorrhea, retinal vein thrombosis. Monitor BP. Do regular complete physical exams. Nursing mothers: not recommended.

Lomedia 24 Fe Pharmacokinetics

See Literature

Lomedia 24 Fe Interactions

Interactions

May be antagonized by anti-infectives and anticonvulsants (eg, phenytoin, phenylbutazone, barbiturates, carbamazepine, felbamate, griseofulvin, oxcarbazepine, rifampin, topiramate), St. John’s wort; use backup contraception. May be potentiated by atorvastatin, acetaminophen, ascorbic acid, or CYP3A4 inhibitors (eg, itraconazole, ketoconazole). May be affected by HIV protease inhibitors. May antagonize acetaminophen, temazepam, salicylic acid, morphine, clofibric acid. May potentiate cyclosporine, prednisolone, theophylline. May affect laboratory tests (eg, coagulation factors, lipids, glucose tolerance, binding proteins, serum folate).

Lomedia 24 Fe Adverse Reactions

Adverse Reactions

Headache, vaginal candidiasis, upper respiratory tract infection, nausea, menstrual cramps, breast tenderness, sinusitis, bacterial vaginitis, abnormal cervical smear, acne, UTI, mood swings, weight gain, vomiting, metrorrhagia; serious cardiovascular events and stroke, vascular events, hypertension, irregular uterine bleeding, liver disease.

Lomedia 24 Fe Clinical Trials

See Literature

Lomedia 24 Fe Note

Not Applicable

Lomedia 24 Fe Patient Counseling

See Literature