Logynon ED tablets are a type of hormonal contraception commonly known as 'the pill' or combined oral contraceptive pill. Each 28 day pack of Logynon ED contains 21 small active tablets and 7 larger inactive tablets. The active tablets contain the active ingredients ethinylestradiol and levonorgestrel. These are synthetic versions of the naturally occurring female sex hormones, oestrogen and progesterone. Ethinylestradiol is a synthetic version of oestrogen and levonorgestrel is a synthetic form of progesterone. The seven larger white tablets are inactive, ie don't contain any active ingredients.
Combined oral contraceptives like Logynon ED work by over-riding the normal menstrual cycle. In a woman's normal menstrual cycle, levels of the sex hormones change throughout each month. The hormones cause an egg to be released from the ovaries (ovulation) and prepare the lining of the womb for a possible pregnancy. At the end of each cycle, if the egg has not been fertilised the levels of the hormones fall, causing the womb lining to be shed as a monthly period.
The daily dose of hormones taken in the pill work mainly by tricking your body into thinking that ovulation has already happened. This prevents an egg from ripening and being released from the ovaries each month.
The hormones also increase the thickness of the natural mucus at the neck of the womb, which makes it more difficult for sperm to cross from the vagina into the womb and reach an egg. They also change the quality of the womb lining (endometrium), making it less likely that a fertilised egg can implant there.
Taking the contraceptive pill usually results in lighter, less painful and more regular menstrual bleeding. This means it is sometimes also prescribed for women who have problems with particularly heavy, painful or irregular periods.
Logynon ED is a triphasic everyday pill. The tablets come in strips of 28 tablets, with 21 small active tablets in three rows and 7 larger white inactive tablets in the last row. There are three types of active tablets, each with a slightly different dose of hormones in it. The six light brown tablets contain 30 micrograms ethinylestradiol and 50 micrograms levonorgestrel, the five white tablets contain 40 micrograms ethinylestradiol and 75 micrograms levonorgestrel, and the ten ochre tablets contain 30 micrograms ethinylestradiol and 125 micrograms levonorgestrel.
For the first 21 days of each 28-day packet, the tablet you take is an active tablet. For the last seven days of each 28-day pack, the tablet you take is inactive (doesn't contain any hormones). During your seven days days of taking the inactive tablets, the levels of the hormones in your blood drop, which results in a withdrawal bleed that is similar to your normal period. You start the next pack straight away without a break between packs, even if you are still bleeding.
The tablets come with self-adhesive strips, each starting with a different day of the week. These are to show you on which day to take each tablet. Peel off a strip that starts with your starting day, eg, if you start the tablets on a Wednesday, use a strip that starts with 'Wed'. Stick the strip along the top of the strip of tablets, so that the first day is above the pill marked 'start'. You can now see on which day you have to take each tablet. Logynon ED tablets must be taken in this order.
The purpose of the last seven inactive tablets is that you get used to taking a pill at the same time every day and just take each packet back to back. This is unlike many other pills, where you have three weeks of taking pills, followed by a week off from pill taking. Logynon ED might be helpful for you if you find it difficult to remember to start taking your pill again after a pill-free week.
You will still be protected against pregnancy while you are taking the inactive tablets, provided you took all the pills correctly, you start the next packet on time and nothing else happened that could make the pill less effective (eg sickness, diarrhoea, or taking certain other medicines - see below).
Ideally, you should start taking this pill on day one of your menstrual cycle (the first day of your period). This will protect you from pregnancy immediately and you won't need to use any additional methods of contraception. If necessary, you can also start taking it up to day five of your cycle without needing to use additional contraception when you start. However, if you have a short menstrual cycle (with your period coming every 23 days or less), starting as late as the fifth day of your cycle may not provide you with immediate contraceptive protection. You should talk to your doctor or nurse about this and whether you need to use an additional contraceptive method for the first seven days.
You can also start taking this pill at any other time in your cycle if your doctor is reasonably sure that you are not pregnant. However, if you start taking this pill at any other time in your cycle, you won't be protected from pregnancy straight away and you will need to use additional contraception, eg condoms (or not have sex) for the first seven days of pill taking.
If you have given birth and are not breastfeeding, you can start taking this pill on day 21 after the birth. You will be protected against pregnancy immediately and do not need to use extra contraception. If you start taking it later than 21 days after giving birth, you will need to use extra contraception for the first seven days.
If you are starting this pill immediately after a miscarriage or abortion at under 24 weeks, you will protected against pregnancy immediately. If you start taking it more than seven days after the miscarriage or abortion, you should use extra contraception for the first seven days of pill taking.
You should try and take your pill at the same time every day to help you remember to take it.
If you forget to take ONE active pill, or start your new pack one day late, you should take the pill you missed as soon as possible, then continue taking the rest of the pack as normal. You will still be protected against pregnancy and you don't need to use extra contraception.
If you forget to take TWO or more active pills, or start your new pack two or more days late, you won't be protected against pregnancy. You should take the last pill you missed as soon as possible, forget the other missed ones and then continue to take your pills, one every day, as normal. You should either not have sex, or use an extra barrier method of contraception, eg condoms, for the next seven days.
If you had unprotected sex in the seven days before you missed pills, you may need emergency contraception (the morning after pill). Ask for medical advice.
If there are fewer than seven active pills left in your pack after your last missed pill, you should finish taking the rest of the active pills, one every day as normal. You should then discard the seven inactive pills and start a new pack straight away.
If there are seven or more active pills left in your pack after your last missed pill, you should finish the pack as normal (including the inactive pills) before starting the next pack.
If you are confused about any of this, you can get individual advice for your circumstances from your doctor, pharmacist, local family planning clinic, or by calling the fpa helpline on 0845 122 8690.
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.
Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.
Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. See also the warnings above. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.
The side effects listed above may not include all of the side effects reported by the medicine's manufacturer.For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.
It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start taking this contraceptive. Similarly, check with your doctor or pharmacist before taking any new medicines while using this one, to ensure that the combination is safe.
The following medicines speed up the breakdown of the hormones in this contraceptive by the liver, which makes it less effective at preventing pregnancy:
If you regularly take any of these medicines they are likely to make this contraceptive ineffective at preventing pregnancy. It is important that you talk to your doctor about this. Your doctor will probably recommend that you use a different form of contraception altogether.
If you are prescribed a short course (up to two months) of any of the above medicines they will also make this contraceptive less effective. Your doctor will probably recommend that you temporarily use a different form of contraception to prevent pregnancy. It is important to discuss your options with your doctor.
If you are prescribed rifampicin or rifabutin, an alternative method of contraception will always be recommended, because these two antibiotics make the pill so ineffective.
In the past, if you were prescribed an antibiotic other than rifampicin or rifabutin (eg amoxicillin, erythromycin, doxycycline) while taking the pill, the advice used to be that you use an extra method of contraception (eg condoms) while you were taking the antibiotic and for seven days after finishing the course. However, this advice has now changed. You no longer need to use an extra method of contraception with the pill while you take a course of antibiotics. This change in advice comes because to date there is no evidence to prove that antibiotics (other than rifampicin or rifabutin) affect the pill. This is the latest guidance from the Faculty of Sexual & Reproductive Healthcare. However, if you experience vomiting or diarrhoea as a result of taking an antibiotic you should follow the instructions for vomiting and diarrhoea described in the warning section above.
The emergency contraceptive ulipristal (Ellaone) has the potential to make the pill less effective. If you take Ellaone as an emergency contraceptive while you are taking Logynon ED, you should use an additional method of contraception such as condoms for 14 days after you take it.
The weight loss medicine orlistat (bought without a prescription as Alli and prescribed as Xenical) can cause severe diarrhoea. If you take either of these medicines while taking Logynon ED and get diarrhoea that lasts for more than 24 hours, you should follow the instructions for missed pills described above.
The pill may antagonise the blood sugar lowering effect of medicines for diabetes. If you have diabetes you should monitor your blood sugar and seek advice from your doctor or pharmacist if your blood sugar control seems to be altered after starting this contraceptive.
The pill may antagonise the effect of medicines used to lower high blood pressure. Your blood pressure will usually be checked periodically while you are taking the pill, but this is particularly important if you are also taking medicines for high blood pressure.
The pill may also antagonise the fluid-losing effect of diuretic medicines.
If you have an underactive thyroid gland (hypothyroidism) you may need an increased dose of your thyroid hormones while taking the pill. Your thyroid hormone levels should be regularly checked.
The pill may decrease the amount of the antiepileptic medicine lamotrigine in the blood. As this could increase the risk of seizures coming back or getting worse, the pill may not be recommended for women who take lamotrigine on its own for epilepsy.
The pill may increase the blood levels of the following medicines and this could possibly increase the risk of their side effects:
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