Logynon ed tablets - Information, specialists, frequent questions.

Usage of Logynon ed tablets

This leaflet answers some common questions about Logynon ED. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

All medicines have risks and benefits. Your doctor has weighed the risks of you taking Logynon ED against the benefits they expect it will have for you.

If you have any concerns about taking this medicine, ask your doctor or pharmacist.

Keep this leaflet with the medicine. You may need to read it again.

This medicine is only available with a doctor’s prescription.

Logynon ED is an oral contraceptive, commonly

known as a “Birth Control Pill” or “The Pill” that has been prescribed to prevent you from getting pregnant.

You may also experience the following benefits:

  • more regular and shorter periods and a decrease in the amount of blood you lose each month
  • a decrease in anaemia (iron deficiency)
  • a decrease in period pain

Some medical conditions such as pelvic inflammatory disease, ovarian cysts, ectopic pregnancy and disorders of the uterus (womb), ovaries and breast are less common in women taking oral contraceptives.

When taken correctly, it prevents you from becoming pregnant in several ways:

  • inhibiting the egg release by stopping it maturing
  • changing the cervical mucus consistency making it difficult for the sperm to reach the egg
  • changing the lining of the uterus making it less suitable of implantation.

Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason.

Special precautions

When you must not take it

Do not take Logynon ED if you have an allergy to:

  • ethinyloestradiol and/or levonorgestrel, the active ingredients in Logynon ED
  • any of the ingredients listed at the end of this leaflet.

Some of the symptoms of an allergic reaction may include:

  • shortness of breath
  • wheezing or difficulty breathing
  • swelling of the face, lips, tongue or other parts of the body
  • rash, itching or hives on the skin.

Do not take Logynon ED if you have or have had a blood clot in:

  • the blood vessels of the legs (deep vein thrombosis)
  • the lungs (pulmonary embolism)
  • the heart (heart attack)
  • the brain (stroke)
  • other parts of the body.

Do not take Logynon ED if you are concerned about an increased risk of blood clots. Blood clots are rare. Very occasionally blood clots may cause serious permanent disabilities, or may even be fatal.

You are more at risk of having a blood clot when you take the Pill. But the risk when taking the Pill is less than the risk during pregnancy.

The use of oral contraceptives such as Logynon ED by cigarette smokers may increase the risk of cardiovascular disease. This risk increases with heavy smoking and advancing age and is quite marked in women over the age of 35 years. You should therefore stop smoking if you want to take an oral contraceptive such as Logynon ED.

Do not take Logynon ED if you have, or have had:

  • angina pectoris or chest pain
  • severe kidney insufficiency or an acute failure of your kidney
  • migraine, accompanied by visual symptoms, speech disability, or weakness or numbness in any part of your body
  • diabetes mellitus with blood vessel damage
  • pancreatitis (an inflammation of the pancreas) associated with high levels of fatty substances in your blood
  • jaundice (yellowing of the skin)
  • severe liver disease
  • cancer that may grow under the influence of sex hormones (e.g. of the breast or the genital organs)
  • benign or malignant liver tumour
  • unexplained vaginal bleeding.

If any of these conditions appear for the first time while taking Logynon ED, stop taking it at once and consult your doctor. In the meantime, use non-hormonal contraceptive measures such as condoms.

Do not give this medicine to a child.

Do not take this medicine if you are or think you may be pregnant. It may affect your developing baby if you take it during pregnancy.

Do not take this medicine after the expiry date printed on the pack and blister. The expiry date is printed on the carton and on each blister after “EXP” (e.g. 11 09 refers to November 2009). The expiry date refers to the last day of that month. If it has expired return it to your pharmacist for disposal.

Do not take this medicine if the packaging is torn or shows signs of tampering. If the packaging is damaged, return it to your pharmacist for disposal.

If you are not sure whether you should start taking this medicine, talk to your doctor.

Before you start to take it

Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Before being prescribed Logynon ED your doctor should perform a thorough medical and gynecological examination (including the breasts). Your doctor will also note your family history.

Tell your doctor if:

  • you smoke
  • you are overweight
  • you or anyone in your immediate family has had blood clots in the legs (thrombosis), a heart attack, a stroke, breast cancer or high cholesterol.

Tell your doctor if you have or have had any of the following medical conditions:

  • diabetes
  • high blood pressure
  • heart valve disorders or certain heart rhythm disorders
  • inflammation of your veins (superficial phlebitis)
  • varicose veins
  • migraine
  • epilepsy
  • gall bladder disease or liver disease
  • Crohn’s disease or ulcerative colitis (chronic inflammatory bowel disease)
  • systemic lupus erythematosus (SLE – a disease affecting the skin all over the body)
  • haemolytic uraemic syndrome (HUS – a disorder of blood coagulation causing failure of the kidneys)
  • sickle cell disease
  • a condition that occurred for the first time, or worsened during pregnancy or previous use of sex hormones (e.g. hearing loss, a metabolic disease called porphyria, a skin disease called herpes gestationis, a neurological disease called Sydenham’s chorea)
  • chloasma (yellowish-brown pigmentation patches on the skin, particularly of the face) - if so, avoid too much exposure to the sun or ultraviolet radiation
  • hereditary angio-oedema - you should see your doctor immediately if you experience symptoms of angio-oedema, such as swollen face, tongue and/or pharynx and/or difficulty swallowing, or hives together with difficulty in breathing.

If any of the above conditions appear for the first time, or recur or worsen while taking Logynon ED, you should contact your doctor.

If you have not told your doctor about any of the above, tell him/her before you start taking Logynon ED.

Taking other medicines

Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and Logynon ED may interfere with each other. These include:

  • medicines used to treat epilepsy such as phenytoin,primidone, barbiturates, carbamazepine, oxcarbazepine, topiramate, felbamate and lamotrigine
  • antibiotics (e.g. ampicillin and tetracyclines)
  • medicines used to treat tuberculosis (e.g. rifampicin)
  • herbal medicines containing St John’s Wort
  • medicines used to treat fungal infections such as griseofulvin
  • immunosuppressant medicines such as cyclosporin
  • medicines used to treat HIV such as ritonavir or nevirapine.

These medicines may be affected by Logynon ED or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.

Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.

Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.

If you do not understand the instructions printed on the pharmacist label, ask your doctor or pharmacist for help.

How to take it

Take one tablet daily at about the same time everyday. You must take Logynon ED every day even if you do not have sex very often. It will also help you remember when to take it. It does not matter if you take this medicine before or after food.

Swallow the tablets whole with a full glass of water.

Tablet taking should be continuous, starting with a tablet corresponding to that day of the week from the red section of the Logynon ED pack.

If you start tablet taking on Monday, Tuesday, Wednesday, Thursday or Friday your first tablet is a large white placebo one, while if you start on Saturday or Sunday your first tablet will be a light brown active one. Thereafter, one tablet is taken daily, following the arrows marked on the pack, until all tablets have been taken. Usually a period will start on 2-3 days after the last ochre active Logynon ED tablet.

Always start a new blister pack on the same day of the week as your previous pack. Do not leave a gap between packs i.e. start taking your next pack on the day after you have finished the current one, even if your period continues. This means that you will always start new packs on the same day of the week, and also that you have your withdrawal bleed on about the same day, each month.

When to take it

If you are starting Logynon ED after a natural cycle, and you have not used a hormonal contraceptive in the past month, start on the first day of your period, i.e. on the first day of your menstrual bleeding. Additional barrier contraceptive precautions (e.g. condom) must be used for the next 14 days.

Your doctor will advise you when to start if you:

  • are taking Logynon ED after having a baby
  • are breastfeeding – Logynon ED should not be used
  • have had a miscarriage or an abortion.

Changing from a combined oral contraceptive:
You can start taking Logynon ED the day after you take the last active tablet from your present pill pack. If your present pill pack contains inactive (placebo) tablets, you should throw away the placebo tablets and start Logynon ED on the day after taking the last active tablet from your present pack (if you are not sure which this is, ask your doctor or pharmacist). This means no tablet free break. If you follow these instructions, it is not necessary to use an additional contraceptive method. A withdrawal bleed may not occur until the end of the first pack of Logynon ED.

Ask your doctor or pharmacist if you are not sure which the active tablets were in your previous Pill pack. Your previous Pill pack may have different colour tablets to those of Logynon ED.

Changing from a progestogen-only pill (minipill):
You can stop taking the minipill any day and start taking Logynon ED the next day, at the same time. But make sure you also use an additional contraceptive method (a barrier method) for the first 14 days of tablet taking when having intercourse.

Changing from an injectable, implant or a progestogen releasing intrauterine system (IUS):
Start taking Logynon ED when your next injection is due or on the day that your implant or your IUS is removed. But make sure you also use an additional contraceptive method (a barrier method) for the first 14 days of tablet taking when having intercourse.

Additional contraceptive precautions

When additional contraceptive precautions are required you should either abstain from sex, or use a barrier method of contraception, a cap (or diaphragm) plus spermicide, or a condom. Rhythm methods are not advised as the pill disrupts the cyclical changes associated with the natural menstrual cycle e.g. changes in temperature and cervical mucus.

If you forget to take it

When Logynon ED is taken according to the direction for use, the occurrence of pregnancy highly unlikely. However, a reliability of oral contraceptives may be reduced under the following circumstances:

If you forget to take the white placebo tablets (row 4 of your blister pack), you are still protected against pregnancy because they do not contain any active ingredients. However, to make sure that you do not change your pill taking rhythm, which is important for the contraceptive reliability of your pill, you should proceed with your next tablet at the normal time and discard the forgotten inactive tablets to avoid any confusion.

If you forget the last tablet from row 4 of your current pack it is important that you still take the first tablet from the next pack at the correct time.

The following advice refers to missing active tablets:

If you are less than 12 hours late in taking any tablet, contraceptive protection is not reduced. You should take the tablet as soon as you remember and take further tablets at the usual time. For Logynon ED to be effective, active tablets need to be taken uninterrupted for 7 days.

If you are more than 12 hours late in taking any active tablet, contraceptive protection may be reduced. The more consecutive tablets you have missed the higher the risk that the contraceptive effect is decreased. You should take the missed tablet as soon as you remember (even if it means taking two tablets at the same time) and take the next tablets at the usual time. Use extra contraceptive precautions (barrier method) for the next 7 days.

There is an increased risk of becoming pregnant if you have missed active tablets at the beginning or end of the pack. If you have missed tablets at these times and have had sexual intercourse in the week before missing the tablet, there is a possibility of becoming pregnant. Tell your doctor immediately.

If you take too much (overdose)

There have been no reports of serious harmful effects from taking too many Logynon ED active tablets at one time. If you have taken several tablets at a time, you may have nausea, vomiting or vaginal bleeding. If you discover that a child has taken Logynon ED, ask your doctor for advice.

If in doubt telephone your doctor or the Poisons Information Centre on 13  11  26 for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Logynon ED. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.

Things you must do

Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine.

Have regular check ups with your doctor. When you are taking the Pill, your doctor will tell you to return for regular check ups, including getting a pap smear test. Your doctor will advise how often you need a pap smear test. A pap smear test can detect abnormal cells lining the cervix. Sometimes abnormal cells can progress to cancer.

If you are about to start on any new medicine, remind your doctor and pharmacist that you are taking Logynon ED.

If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine. The risk of having deep venous thrombosis is temporarily increased as a result of an operation or immobilisation (for example, when you have your leg or legs in plaster or splints). In women who take the Pill, the risk may be higher.

The excess risk of thrombosis is highest during the first year a woman takes a combined oral contraceptive. Your doctor may tell you to stop taking the Pill several weeks before surgery, or at the time of immobilisation, and when you can start taking the Pill again. If you notice possible signs of a thrombosis, stop taking the Pill and consult your doctor immediately.

Consult your doctor if you develop high blood pressure while taking Logynon ED – you may be told to stop taking it.

If you become pregnant while taking this medicine, tell your doctor immediately.

Stop taking Logynon ED and see your doctor immediately if you notice possible signs of thrombosis. These include:

  • an unusual cough
  • severe pain in the chest which may reach the left arm
  • breathlessness
  • any unusual, severe, or prolonged headache or migraine attack
  • partial or complete loss of vision, or double vision
  • slurring or speech disability
  • sudden changes to your hearing, sense of smell, or taste
  • dizziness or fainting
  • weakness or numbness in any part of your body
  • severe pain in your abdomen
  • severe pain or swelling in either of your legs.

If you have unexpected bleeding and it continues, becomes heavy, or occurs again, tell you doctor. When taking these tablets for the first few months, you can have irregular vaginal bleeding (spotting or breakthrough bleeding) between your periods. You may need to use sanitary protection, but continue to take your tablets as normal. Irregular vaginal bleeding usually stops once your body has adjusted to the Pill, usually after about 3 months.

If you vomit, or have severe diarrhoea after taking the active tablets, the active ingredients may not have been completely absorbed. If you vomit within 3 to 4 hours after taking your tablet, this is like missing a tablet. Therefore follow the advice for missed tablets. If you have severe diarrhoea, please contact your doctor. Vomiting or diarrhoea while taking placebo tablets (row 4) does not have an influence on the contraceptive reliability.

If you have missed a period, but you have taken all your tablets, it is very unlikely that you are pregnant. Provided that:

  • you have taken the coloured active tablets at the right time
  • you have not been taking medicine(s) that may interfere with Logynon ED
  • you have not vomited or had severe diarrhoea during this cycle.

If this is so, continue to take Logynon ED as usual. If you have any concerns consult your doctor or pharmacist.

If you miss your period twice in a row, you may be pregnant and you should seek advice from your doctor. Do not start the next pack of Logynon ED until your doctor has checked that you are not pregnant.

Logynon ED will not protect you from HIV-AIDS or any other Sexually Transmitted Diseases (STDs), such as chlamydia, genital herpes, genital warts, gonorrhoea, hepatitis B, human papilloma virus and syphilis.

To protect yourself from STDs, you will need to use additional barrier contraceptives (e.g. condoms).

If you are about to have any blood tests, tell your doctor that you are taking this medicine. It may interfere with the results of some tests.

Things you must not do

Do not take Logynon ED to treat any other conditions, unless your doctor tells you to.

Do not give your medicine to anyone else.

Do not stop taking your medicine or change the dosage without checking with your doctor.

You may become pregnant if you are not using any other contraceptive and you stop taking Logynon ED, or do not take a tablet every day.

Storage

Keep your tablets in the pack until it is time to take them. If you take the tablets out of the pack they may not keep well.

Keep the medicine in a cool dry place where the temperature stays below 30°C.

Do not store it or any other medicine in the bathroom, near a sink, or on a window-sill.

Do not leave it in the car. Heat and damp can destroy some medicines.

Keep it where children cannot reach it. A locked cupboard at least one-and-a half metres above the ground is a good place to store medicines.

Disposal

If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.

Return any unused medicine to your pharmacist.

Adverse and side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Logynon ED.

This medicine helps most people, but it may have unwanted side effects in a few people.

All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.

Do not be alarmed by the following lists of side effects. You may not experience any of them.

Ask your doctor or pharmacist to answer any questions you may have.

Serious reactions associated with the use of the Pill, as well as the related symptoms, are described in the following sections: The Pill and thrombosis/The Pill and cancer. Please read these sections for additional information and consult your doctor at once where appropriate.

The following list includes the more common side effects of your medicine. These are usually mild and lessen with time.

If you notice any of the following side effects and they worry you, tell your doctor or pharmacist:

  • nausea
  • stomach pain
  • changes in weight
  • headache, including migraines
  • mood changes, including depression
  • breast tenderness or pain.

The following list includes very serious but rare side effects. You may need urgent medical attention or hospitalisation.

If you experience any of the following, tell your doctor immediately, or go to the Emergency Department at your nearest hospital:

  • chest pain
  • breathlessness and/or difficulty breathing
  • painful swelling in your leg(s)
  • weakness, numbness or bad ‘pins and needles’ of an arm or leg
  • severe, sudden stomach pains
  • a bad fainting attack or you collapse
  • unusual headaches or migraines that are worse than usual
  • sudden problems with your speech or eyesight

The side effects listed above are possible signs of a thrombosis.

  • jaundice (yellowing skin or yellowing eyes)
  • you cough up blood

The Pill and thrombosis
Thrombosis is the formation of a blood clot that may block a blood vessel.

Thrombosis sometimes occurs in the deep veins of the legs (deep venous thrombosis (DVT)). If a blood clot breaks away from the veins where it has formed, it may reach and block the arteries of the lungs, causing pulmonary embolism (PE). Blood clots are a rare occurrence and can develop whether or not you are taking an oral contraceptive. They can also happen during pregnancy. The risk of having blood clots is higher in OC users than in non users, but not as high as during pregnancy.

Therefore, one should keep the possibility of an increased thromboembolic risk in mind, particularly where there is a history of thromboembolic diseases.

If you notice possible signs of a thrombosis, stop taking Logynon ED and consult your doctor immediately.

The Pill and cancer
Breast cancer has been diagnosed slightly more often in women who take the Pill than in women of the same age who do not take the Pill. This slight increase in the numbers of breast cancer diagnoses gradually disappears during the course of the 10 years after stopping use of the Pill. It is not known whether the difference is caused by the Pill. It may be that the women were examined more often, so that the breast cancer was noticed earlier.

In rare cases benign liver tumours and even more rarely, malignant liver tumours have been reported in users of the Pill. These tumours may lead to internal bleeding. Contact your doctor immediately if you have severe pain in your abdomen.

Cervical cancer has been reported to occur more often in women taking the Pill for a long time. This finding may not be caused by the Pill but may be related to sexual behaviour and other factors.

Tell your doctor or pharmacist if you notice anything that is making you feel unwell. Other side effects not listed above may also occur in some people.

Questions about Logynon ed tablets

Our experts have answered 5 questions about Logynon ed tablets

Dr Philip Thomas
Dr Philip Thomas
Gynaecologist
Brighton East
Not sure what question specifically asks, but if in doubt, stop everything, have a withdrawal bleed, recommence in the active pills and wait for two weeks of active pills before assuming cover.If…
1 answers

Dr. Stephen Elgey
Dr. Stephen Elgey
Gynaecologist
Sunnybank
You would normally start the packet on the first day of your cycle. You take the tablet in the red section that corresponds to the day of the week on the period day.
If in doubt turn the…
1 answers

Dr Philip Thomas
Dr Philip Thomas
Gynaecologist
Brighton East
This is probably due to endometrial atrophy but you should see a gynaecologist to be assessed, as this is a break from from usual pattern.
1 answers

What professionals prescribe Logynon ed tablets?


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