Kaitlib Fe is a hormonal medication based on ethinyl estradiol and norethisterone, which is used for birth control in women.
Indications for use
Kaitlib Fe is used as a hormonal contraceptive. The drug can also treat moderate acne in adolescent females.
Mechanism of action
The drug prevents ovulation and causes changes in the patient’s cervical mucus, making it difficult for sperm to enter the uterus and difficult for a fertilized egg to attach to the uterus.
Dosage and mode of application
Each pack of Kaitlib Fe contains 24 active pills with hormones and 4 inert pills with ferrous fumarate.
The contraceptive must be taken exactly as directed. Chew and swallow 1 tablet without water, at about the same time every day. Take tablets in the order indicated on the blister, for 28 days in a row. Do not skip tablets.
Take the first tablet on Day 1 of your menstrual period (the first day of menstrual bleeding). Use an additional method of birth control during the first 7 days if you start taking tablets on the first Sunday following the onset of your period.
- After delivery of after a 2-trimester abortion: If you are not breastfeeding, the contraceptive Kmay be started after 4 weeks. Use an additional method of birth control for the first 7 days;
- If you are switching from another birth control pill, take the first pill on the day you would have started a new pack of your COC. Additional method of birth control is not needed;
- If you are switching from a vaginal ring or a transdermal patch, start using the tablets on the day you would have restarted the ring or patch. Additional method of birth control is required for the first 7 days;
- If you are switching from a progestin-only method (progestin-only birth control pill, implant, intrauterine system, or injection), take the first pill on the day you would have taken your next progestin-only pill or on the day of removal of your implant or IUD or on the day you would have had your next injection. Additional method of birth control is required for the first 7 days.
An overdose of ethinyl estradiol and norethisterone can cause nausea, vaginal bleeding, vomiting.
Kaitlib Fe may cause the following adverse effects:
- sudden numbness or weakness (especially on one side of the body),
- problems with vision or balance;
- tired feeling;
- mood changes;
- sudden vision loss;
- chest pain;
- breast tenderness;
- breakthrough bleeding;
- feeling short of breath;
- pain in one or both legs;
- chest pain or pressure;
- pain spreading in the jaw or shoulder;
- loss of appetite;
- upper stomach pain;
- dark urine;
- clay-colored stools;
- sudden severe headache;
- slurred speech;
- increased blood pressure;
- swelling in your hands, ankles, or feet;
- a breast lump;
- sleep problems;
- severe headache;
- blurred vision;
- problems with contact lenses.
Do not take Kaitlib Fe if you have:
- liver cancer;
- severe migraines or headaches;
- uncontrolled hypertension;
- heart disease;
- coronary artery disease;
- blood circulation disorders (especially with diabetes);
- vaginal bleeding of unclear origin;
- liver disease;
- if you are taking hepatitis C medications;
- if you are planning a major surgery;
- if you are smoking and are over 35 years of age;
- a history of heart attack, a stroke, blood clots, jaundice caused by pregnancy or sex hormones, breast cancer, uterus/cervix cancer, vagina cancer;
- if you are pregnant or if you have recently had a baby.
Warning: Taking oral combination contraceptives can increase the risk of blood clots, stroke, or heart attack. Smoking increases the risk of blood clots, stroke, or heart attack.
Do not use Kaitlib Fe if you are currently being treated with:
The drug may also interact with:
- rifampin, rifabutin, rifapentine, and griseofulvin;
- penicillins or tetracyclines;
- ascorbic acid;
- barbiturates (phenobarbital);
- grapefruit juice;
- thyroid hormones;
- diazepam or temazepam;
- mineral oil;
- drugs for HIV infection or AIDS;
- soy isoflavones supplements;
- St. John’s wort;
- tamoxifen or raloxifene.
Pregnancy and breastfeeding
Use of Kaitlib Fe is contraindicated during pregnancy and breastfeeding period. Stop taking the tablets if pregnancy occurs. The ingredients of the drug may penetrate into breast milk. This drug may slow breast milk production.
What if I miss a pill?
Try not miss tablets. Missing an active pill increases the risk of getting pregnant.
- If you missed 1 active tablet, take 2 pills on the day you remember. Then take 1 pill each day until the pack is empty;
- If you missed 2 active pills in a row in Week 1 or 2, take 2 pills a day for 2 days in a row. Then take 1 pill each day until the pack is empty. Use an additional method of contraception for 7 days following the missed tablets;
- If you missed 2 active pills in a row in Week 3, discard the remaining tablets and start a new pack immediately if you are a Day 1 starter. If you are a Sunday starter, take 1 pill each day until Sunday, then discard the remaining tablets and start a new pack immediately;
- If you missed 3 active pills in a row in Week 1, 2, or 3, discard the remaining tablets and start a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, take 1 pill each day until Sunday, then discard the rest of the tablets and start a new pack that same day;
- If you missed any of the 4 inactive pills in Week 4, discard them and keep taking 1 pill each day until the pack is finished.
Warning: If you missed 2 or more active pills, your period may not occur during this month. If you missed 2 periods in a row, consult your doctor because you might be pregnant.
Use an additional barrier birth control method if you have severe vomiting or diarrhea.
Tell your doctor if you have ever had:
- heart problems, hypertension;
- gallbladder disease;
- irregular menstrual cycles;
- severe migraine;
- underactive thyroid;
- liver or kidney disease;
- fibrocystic breast disease, lumps, nodules;
- high cholesterol or triglycerides;
- an abnormal mammogram;
The drug does not protect patients from sexually transmitted diseases.
Stop taking the tablets if pregnancy develops. In this case, you need to consult a doctor as soon as possible. You also need a doctor’s consultation if you miss 2 periods in a row.
If you have recently had a baby, wait for 4 weeks prior to using birth control pills.
Smoking women have an increased risk of cardiovascular adverse reactions. Do not use this medicine if you are smoking and are over 35.
Keep out of the reach of children.
Store at room temperature between 59 and 86 degrees F. Discard the drug after the expiration date.