Marvelon is a combined oral contraceptive to prevent pregnancy. Each of 21 tablets contains a small amount of two different female hormones, which are desogestrel (0.15 mg) and ethinylestradiol (0.03 mg). Because of the small amount of hormones, Marvelon is considered as low-dose contraceptive. When taken correctly (without missing tablets), the chance of becoming pregnant is very low.
Indications: oral contraceptive
Side effects: like all medicine also Marvelon can have side effects, although not everybody gets them. These can be depressed mood and mood changes, headache,nausea, abdominal pain, breast pain, breast tenderness, increase in body weight. Less common side effects are fluid retention, decreased sexual drive, migraine, vomiting, diarrhoea, rash, hives, breast anlargement. Rare side affects are hypersensitivity reactions, blood clot in a vein, blood clot in an artery, increased sexual drive, contact lens intolerance, erythema nodosum, eyrthema multiforme, breast secretion, vaginal secretion, decrease in body weight. If you notice any side effects not mentioned in this leaflet, please inform your doctor.
Contraindications: you should not use Marvelon if you have any of the following conditions:
- if you have or have had in the past a blood clot (thrombosis) in a blood vessels of the leg, lung or other organs
- if you have or have had in the past a heart attack or stroke
- if you have or have ever had a condition that may be a first sign of heart attack or stroke
- if you have a disturbance of blood clotting (for example, protein C defficiency)
- if you have major surgery and your ability to move around is limited for a long period of time
- if you have a type of migraine called “migraine with aura”
- if you have diabetes mellitus with blood vessel damage
- if you have a serious risk factor, or several risk factors for developing thrombosis, this may also be a reason why you cannot use Marvelon
- if you have or have had a pancreatitis associated with high levels of fatty substaces in your blood
- if you have jaundice (yellowing of the shin) or have (had) severe liver disease and your liver is not yet working normally
- if you have or have had a cancer that may grow under the influence of sex hormones (e.g. of the breast or the genital organs)
- if you have or have had a liver tumour
- if you have any unexplained vaginal bleeding
- if you are pregnant or think you might be pregnant
- if you are breastfeeding
- if you are allergic to any of the ingredients of Marvelon
If anything on the above list applies to you, tell your doctor before starting to use Marvelon. Your doctor may advise you to use a different type of pill or an antirely different method of birth control.
Important information: you may need to be kept under close observation if:
- you smoke
- you have diabetes
- you are overweight
- you have a high blood pressure
- you have a heart valve disorder or a certain heart rythm disorder
- you have an inflamation of your veins
- you have varicose veins
- you or someone in your close family has had a thrombosis, a heart attack or a stroke
- you suffer from migraine
- you suffer from epilepsy
- you or someone in your close family have or have had high cholesterol or triglycerides
- anyone in your close family has had a breast cancer
- you have a liver or gallbladder disease
- you have Crohn’s disease or ulcerative colitis
- you have systematic lupus eruthematosus
- you have haemolytic uraemic syndrome
- you have sickle cell disease
- you have an operation, or if your ability to move around is limited for a long period of time
- if you have recently given birth you are at an increased risk of blood clots. You should ask your doctor how soon after delivery you can start using Marvelon.
- you have condition that occurred for the first time or got worse during pregnancy or previous use of sex hormones
- you have had any chloasma; if so, avoid too much exposure to the sun or ultaviolet light
If any of above conditions appear for the first time, come back or get worse while using the Marvelon, you should contact your doctor.
Use and dosage: take Marvelon every day for 21 days. Marvelon comes in strips of 21 pills, each marked with a day of the week. Take your pill at the same time every day. Start by taking a pill marked with the correct day of the week. Follow the direction of the arrows on the strip. Take one pill each day, until you have finished all 21 pills. Swallow each pill whole, with water if necessary. Do not chew the pill. After you have taken all 21 pills in the strip, you have seven days when you take no pills. Start taking your next strip of Marvelon after the seven pill-free days – even if you are still bleeding. Always start the new strip on time. So if you take the last pill of one pack on a Friday, you will take the first pill of your next pack on the Saturday of the following week. As long as you take Marvelon correctly, you will always start each new strip on the same day of the week.
Missed dose: if you miss a dose of Marvelon tablets, take it as soon as you remember, unless it is time to take the next dose, then skip the missed dose. Do not take a double dose. If you forget to take a tablet for more than 12 to 24 hours, irregular bleeding may occur.
Package Contents: 1 calendar pack of 21 tablets with female hormones (Desogestrel, Ethinylestradiol) each – total 21 tablets in one box.
Active ingredient: desogestrel 0.15 mg, ethinylestradiol 0.03 mg (21 tablets)
Manufacturer: N.V. Organon, Oss, The Netherlands
Storage: keep Marvelon in its calender blister until used. Store at room temperature below 30°C, keep away from direct sunlight and do not refrigerate.