Product Name: Microgynon Fe 

Composition:

• Active (21 days): Ethinylestradiol 30 µg, Levonorgestrel 150 µg
• Inactive (7 days): Ferrous Fumarate 75 mg (iron supplement)

Uses/Indication:

• Used for contraception, preventing pregnancy by suppressing ovulation, thickening cervical mucus, and altering the uterine lining
• Also used for regulating menstrual cycles and managing menstrual-related symptoms  

Direction of Use:

• Take one tablet daily at approximately the same time each day for 28 consecutive days (no pill-free break)
• 21 active hormone tablets followed by 7 iron-containing inactive tablets
• Start on Day 1 of menstrual cycle for immediate protection; if starting between Days 2–5, use additional contraceptive methods for 7 days
• If switching from other hormonal contraceptives or postpartum, follow specific medical guidance and possibly use backup measures for 7 days  

Side Effects:

•  nausea, headache, breast tenderness, mood changes, weight fluctuations, spotting or breakthrough bleeding during early cycles
• vomiting, diarrhea, migraines, loss of libido, fluid retention, itchy rash
• blood clots, breast cancer risk, jaundice, lens intolerance, irregular discharge  

Warning/Interactions, Caution:

• Contraindications: Pregnancy, history of venous or arterial thrombosis, hormone-sensitive cancers, severe liver disease, migraine with aura, unexplained vaginal bleeding  
• Interactions: Liver enzyme inducers (e.g., phenytoin, carbamazepine, rifampicin) may reduce contraceptive efficacy; also caution with antibiotics, antiretrovirals, St. John’s wort, grapefruit juice  
• Other precautions: Smoking, obesity, age >35, immobilisation—higher clot risk; those with mental health history should monitor mood changes  

Use in Special Populations:

• Pregnancy/Lactation: Not to be used during pregnancy. Paracetamol-level exposure in breast milk is considered minimal, but use only if advised by a clinician  
• Liver/Renal Impairment: Use with caution under medical supervision, particularly with existing liver dysfunction  

Storage:

• Store in original packaging, in a cool, dry place away from direct sunlight
• Keep out of reach of children
• Discard any used pack or broken seal responsibly