Instruct her to take the first blue tablet on the day she would have taken her next COC pill. If the patient is switching from a combination hormonal method such as: Lo Loestrin Fe may be initiated immediately after a first-trimester abortion or miscarriage if the patient starts Lo Loestrin Fe immediately, additional contraceptive measures are not needed.Ģ.3 Switching from another Hormonal Method of Contraception The possibility of ovulation and conception before starting COCs should also be considered. When COCs are used during the postpartum period, the increased risk of thromboembolic disease associated with the postpartum period must be considered. Recommend use of a non-hormonal back-up method for the first 7 days. Instruct the patient to use a non-hormonal contraceptive as back-up during the first 7 days if she starts taking Lo Loestrin Fe other than on the first day of her menstrual cycle.įor postpartum women who do not breastfeed or after a second trimester abortion, Lo Loestrin Fe may be started no earlier than 4 weeks postpartum. One blue tablet should be taken daily for 24 consecutive days, followed by one white tablet daily for 2 consecutive days, followed by one brown tablet daily for 2 consecutive days. Instruct the patient to begin taking Lo Loestrin Fe on Day 1 of her menstrual cycle (that is, the first day of her menstrual bleeding). Lo Loestrin Fe tablets may be administered without regard to meals. For patient instructions for missed pills, see FDA-Approved Patient Labeling. Tablets should not be skipped or taken at intervals exceeding 24 hours. Tablets must be taken in the order directed on the blister pack. Take one tablet by mouth at the same time every day. To achieve maximum contraceptive effectiveness, Lo Loestrin Fe must be taken exactly as directed. The empirical formula of ethinyl estradiol is C 20H 24O 2 and the structural formula is: Ferrous fumarate tablets are not USP for dissolution and assay. The ferrous fumarate tablets do not serve any therapeutic purpose. 1 Aluminum Lake, sodium starch glycolate, magnesium stearate, povidone, vitamin E and lactose monohydrate.Įach white tablet also contains the inactive ingredients mannitol, microcrystalline cellulose, sodium starch glycolate, magnesium stearate, povidone, vitamin E and lactose monohydrate.Įach brown tablet contains ferrous fumarate, mannitol, povidone, microcrystalline cellulose, sodium starch glycolate, magnesium stearate, sucralose and spearmint flavor. 2 brown, round tablets each containing 75 mg ferrous fumarateĮach blue tablet also contains the inactive ingredients mannitol, microcrystalline cellulose, FD&C Blue No.2 white, hexagonal tablets each containing 10 mcg ethinyl estradiol.
24 blue, round tablets each containing 1 mg norethindrone acetate and 10 mcg ethinyl estradiol.Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol tablets, ethinyl estradiol tablets and ferrous fumarate tablets) provides an oral contraceptive regimen consisting of 24 blue active tablets and 2 white active tablets that contain the active ingredients specified for each tablet below, followed by 2 non-hormonal placebo tablets:
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