Nora-Be is a progestin-only mini pill containing norethisterone, also known as norethindrone, which is used to prevent pregnancy.
Indications for use
- Treatment of premenstrual syndrome, dysmenorrhea, menorrhagia, irregular menstruation.
Mechanism of action
Norethindrone is a progestin, which works by stopping the uterine mucosa from growing and causing the uterus to produce certain hormones. That’s why the drug is used to prevent pregnancy.
Dosage and mode of application
Each Nora-Be pack contains 28 mini-pills (each containing norethisterone 0.35mg). Start taking pills on the 1st day of your period (the 1st day of menstruation). Take 1 tablet daily for 28 days in a row. The interval between taking Nora-Be pills should not exceed 24 hours. You need to take tablets at the same time of a day. When the pack is empty, start a new one without interruption. If you have intermediate spotting, do not stop taking the pills. Continue taking them but consult a gynecologist to exclude pregnancy, any diseases or consider the possibility of another contraception.
The contraceptive can be used not earlier than 6-8 weeks after birth, so as not to disturb the natural hormonal restructuring of the woman’s body.
The drug can change the order and nature of menstrual periods.
Nora-Be can cause side effects. Consult your doctor if you have any of the following symptoms:
- irregular vaginal bleeding or spotting;
- changes in the menstrual period;
- enlarged or tender breasts;
- stomach upset;
- weight changes;
- difficulty falling asleep or sleeping;
- facial hair growth.
Some side effects can be severe. The following symptoms are rare, but if you experience any of these, visit a doctor immediately:
- loss of sight;
- blurred vision;
- double vision;
- bulging eyes;
- pain, heat or heaviness in the back of the lower leg;
- labored breathing;
- coughing up blood;
- sudden abrupt or crushing chest pain;
- chest heaviness;
- slow or difficult speech;
- dizziness or fainting;
- weakness or numbness in the arm or leg;
- swelling of the arms, arms, legs, ankles, or lower limbs;
- yellowing of the skin or eyes;
- mood swings;
- brown spots on the face;
- missed periods;
- sudden severe abdominal pain;
- shortness of breath or swallowing.
Nora-Be may cause other side effects. Consult your doctor if you have any unusual adverse reactions while taking this medication.
Do not use Nora-Be mini pill if you have any of the following conditions (current or in the anamnesis):
- hypersensitivity to norethisterone;
- the period of puberty;
- obesity, lipid metabolism disorders;
- cholestatic jaundice of pregnancy, skin itching;
- bleeding unexplained genesis (genital, urinary tract);
- acute thrombophlebitis, thromboembolism, propensity to thrombosis;
- impaired renal and hepatic function, hyperbilirubinemia;
- acute liver diseases (benign, malignant neoplasms);
- malignant tumors of the genital organs;
- breast cancer.
The drug should be used with caution:
- thrombophlebitis, thromboembolism in the anamnesis.
- diseases of the liver, hyperlipidemia in the anamnesis.
- convulsions, migraine, epilepsy and other abnormalities of the central nervous system function in the anamnesis.
- diabetes mellitus, renal insufficiency, bronchial asthma in the anamnesis.
- chronic heart failure, arterial hypertension in the anamnesis.
When combined with rifampicin, hydantoins, barbiturates, Nora-Be effectiveness can decrease.
Inform your doctor about all prescription and over-the-counter medications, vitamins, supplements and herbal products you are currently taking. Your doctor may need to change the dose of your medicine or carefully monitor your condition to avoid side effects.
Breastfeeding and pregnancy
Nora-Be is absolutely contraindicated in pregnancy and breastfeeding, as it has a harmful effect on the baby.
What if I miss a pill?
- If you are late with a dose of Nora-Be for more than 3 hours, you should take a pill, but use additional contraceptives for 48 consecutive hours;
- If you forgot to take a pill, take one missed tablet (yesterday’s) immediately. Take the next pill at the usual time. This means you have to take two tablets per day;
- If you missed more than two tablets in a row, you need to take 2 mini-pills per day for 2 days.
Remember that missing a pill increases the probability of becoming pregnant, so you need to use additional methods of contraception (spermicide, condom, etc.) in the current menstrual period.
- Before taking birth control pills containing norethisterone, it is necessary to undergo an oncological, gynecological examination and examination of the mammary glands to exclude the presence of tumors (malignant, benign);
- Nora-Be contraceptive does not affect the ability to drive vehicles and operate mechanisms that are associated with an increased risk of injury;
- Tell your doctor if you smoke cigarettes since smoking can increase the risk of serious side effects of norethisterone;
- Before taking the medication, tell your doctor and pharmacist if you are allergic to norethindrone, birth control pills, or any other medications;
- The drug does not protect against sexually transmitted diseases;
- Tell your doctor if you have recently had surgery or were unable to move for any reason and if you have or have ever had breast cancer, unexplained vaginal bleeding, an unsuccessful miscarriage, blood clots in the legs, lungs, brain, or eye, stroke, ischemic heart disease, chest pain, heart attack, thrombophilia, convulsions, migraine headaches, depression, asthma, high cholesterol, diabetes, problems with heart, kidney or liver.