II. Preparations (Norgestrel 300 mcg / Ethinyl Estradiol 30 mcg)

  1. Lo-Ovral
  2. Cryselle
  3. Low-Ogestrel

III. Components

  1. Norgestrel 300 mcg (see preparation above)
  2. Ethinyl Estradiol 30 ug

IV. Effects

  1. Relative Progestational Activity: 0.8 (moderate)
  2. Estrogenic Activity: 25 (moderate)
  3. Androgenic Activity: 0.46 (high)

V. Adverse Effects: Pill associated problems

  1. Indications to switch to Ortho Novum 777
    1. Acne Vulgaris (lower androgen)
  2. Indications to switch to Ortho Cyclen
    1. Increased Appetite (lower Progestin)
    2. Major Depression provoked (lower Progestin)
  3. Indications to switch to Loestrin 1.5/30
    1. Breast Tenderness or engorgement (lower Estrogen)
    2. Headaches (lower Estrogen)
    3. Moodiness (less Estrogen or more Progestin)
    4. Weight gain (less Estrogen or more Progestin)
    5. Libido decreased (more androgen)
  4. Indications to switch to Ortho Novum 1/35
    1. Break-through bleed days 1-9 (more Estrogen)
    2. Break-through bleed all of month (more Estrogen)
    3. Menses too light (more Estrogen, less Progestin)
  5. Indications to switch to Demulen 1/35
    1. Break-through bleed days 10-21 (more Progestin)
    2. Heavy Menses (more Progestin or less Estrogen)
    3. Dysmenorrhea or Menstrual Cramps (more Progestin)

VI. References

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Cost: Medications

cryselle (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
CRYSELLE-28 TABLET Generic $0.47 each
low-ogestrel (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
LOW-OGESTREL-28 TABLET Generic $0.47 each