II. Preparations (Norethindrone / Ethinyl Estradiol)

  1. Ortho Novum 1/35, Norinyl 1/35, Nortrel 1/35, Necon, Dasetta or Alyacen
  2. Norimin (UK)

III. Components

  1. Norethindrone 1.0 mg (see preparations above)
  2. Ethinyl Estradiol 35 ug

IV. Effect

  1. Relative Progestational Activity: 1.0 (moderate)
  2. Estrogenic Activity: 38 (high)
  3. Androgenic Activity: 0.34 (moderate)

V. Pill associated problems

  1. Indications to switch to Ortho Cyclen
    1. Acne Vulgaris (lower androgen)
    2. Increased Appetite (lower Progestin)
    3. Major Depression provoked (lower Progestin)
  2. Indications to switch to Lo/Ovral
    1. Breast Tenderness or engorgement (lower Estrogen)
    2. Headaches (lower Estrogen)
    3. Libido decreased (more androgen)
    4. Moodiness (less Estrogen or more Progestin)
    5. Weight gain (less Estrogen or more Progestin)
  3. Indications to switch to Ortho Novum 7/7/7
    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)
  4. 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

Pirmella (on 6/18/2017 at Walmart.com)
Pirmella 1/35 #28 tablets for $9.00 $0.32 each
necon (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
NECON 0.5-35-28 TABLET Generic $0.66 each
NECON 1-35-28 TABLET Generic $0.41 each
NECON 1-50-28 TABLET Generic $0.72 each
NECON 7-7-7-28 TABLET Generic $0.60 each
dasetta (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
DASETTA 1-35-28 TABLET Generic $0.41 each
DASETTA 7/7/7-28 TABLET Generic $0.60 each
alyacen (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
ALYACEN 1-35-28 TABLET Generic $0.41 each
ALYACEN 7-7-7-28 TABLET Generic $0.60 each

Ontology: Norinyl (C0068995)

Concepts Pharmacologic Substance (T121) , Steroid (T110)
MSH C014715
English norinyl, Norinyl, 17-alpha-Ethynyl-19-nortestosterone and ethynylestradiol 3-methyl ether