Indications 

Brevicon 21-day is an oral contraceptive pill that is taken for a 21-day cycle to prevent unexpected pregnancy. It contains hormones, specifically norethindrone and ethinyl estradiol, which work together to prevent pregnancy. 

The Norethindrone – ethinyl estradiol combination works by preventing ovulation (the release of an egg from an ovary) and by causing changes in the mucus of the cervix, which make it difficult for sperm to penetrate the egg and for an egg to implant in the wall of the uterus. 

Use and Dosage 

Brevicon 21-day comes in the form of tablet to take by mouth as directed by your doctor, usually once daily. Pick a time of day that is easy for you to remember and take your pill at the same time each day. Swallow the tablet whole with a glass of water. Chewing the tablet may affect the taste and texture, but it does not impact the effectiveness of the medication.  

During the 21-day cycle, you take one active pill (with hormones) every day. After completing the 21 days, you may have a 7-day break or take an inactive pill (without hormones) for 7 days before starting a new pack. Taking the tablet after your evening meal or at bedtime may help if you have stomach upset or nausea with the medication. You may choose to take the tablet at another time of day that is easier for you to remember. 

If you miss a dose of Brevicon 21-day, follow the instructions provided with the pack. You should take the missed tablet as soon as you remember and then take the next tablet at the usual time. If you miss two or more tablets, you may need to use an additional form of contraception (such as condoms) for a while. 

Side Effects 

Common Side Effects 

• Acne 
• Bloating, fluid retention 
• Breast pain, tenderness, or swelling 
• Brown, blotchy spots on exposed skin 
• Changes in appetite 
• Discomfort wearing contact lenses 
• Dizziness 
• Gain or loss of body or facial hair 
• Increased or decreased interest in sexual activity 
• Irritability 
• Nausea 
• Vaginal discharge 
• Vomiting 
• Weight gain or loss 

Serious Side Effects 

• Abdominal or stomach pain 
• Breakthrough bleeding or spotting between periods 
• Breast lumps 
• Changes in hearing 
• Changes in sleep 
• Changes in weight 
• Confusion 
• Dark urine 
• Decreased bleeding during periods 
• Decreased interest in activities 
• Diarrhea 
• Excessive eating 
• Fever 
• Frequent urination 
• Headaches or migraines 
• Increased blood pressure 
• Increased thirst 
• Infections 
• Joint pain 
• Loss of appetite 
• Low back or flank pain 
• Muscle aches 
• Nausea 
• Pain and numbness 
• Pain when urinating 
• Pale stools 
• Poor concentration 
• Poor wound healing 
• Prolonged bleeding at periods 
• Skin rash 
• Swelling of the feet, ankles, or lower leg 
• Thoughts of suicide 
• Unexplained weight loss 
• Urinating more often than usual 
• Vision changes 
• Vomiting 
• Weight loss 
• Yellowing of the skin or whites of the eyes 

Cautions 

• Brevicon 21-day is most effective in preventing pregnancy when taken consistently and at the same time every day. Missing doses or not following the prescribed instructions may decrease its effectiveness. 
• Brevicon can interact with certain medications, including some antibiotics, antiviral drugs, anticonvulsants, and herbal supplements. These interactions can affect the effectiveness of the contraceptive or increase the risk of side effects. 
• Brevicon 21-day may not be suitable for everyone. Discuss any pre-existing medical conditions you have with your healthcare provider, as certain conditions may increase the risk of complications or make Brevicon 21-day less suitable for you. Examples include a history of blood clots, certain types of cancers, liver disease, or uncontrolled high blood pressure. 
• Smoking while taking Brevicon 21-day can increase the risk of serious cardiovascular side effects, such as blood clots, heart attack, or stroke. Smoking while using hormonal contraceptives. 
• Some individuals may be allergic to the ingredients in Brevicon 21-day. If you have a known allergy to norethindrone, ethinyl estradiol, or any other components of the medication, avoid taking it and inform your healthcare provider. 
• Brevicon 21-day may increase the risk of blood clots, especially in individuals with a history of blood clotting disorders or a family history of such conditions.  
• The hormones in Brevicon 21-day may pass into breast milk and potentially affect the nursing infant. Discuss the use of Brevicon 21-day while breastfeeding with your healthcare provider to determine the most suitable contraceptive options. 
• Brevicon 21-day is not recommended for use in women who have not yet started menstruating or have reached menopause. The appropriate age range for the use of Brevicon 21-day may vary depending on individual circumstances and consult with a healthcare provider. 
• Brevicon 21-day should not be taken if you are pregnant or suspect you may be pregnant. Discontinue Brevicon 21-day and consult with your healthcare provider if you become pregnant while taking the medication.