Norgestrel Dosage

Medically reviewed by Drugs.com. Last updated on Jul 23, 2024.

Applies to the following strengths: 0.075 mg

Usual Adult Dose for:

Contraception

Additional dosage information:

Renal Dose Adjustments
Liver Dose Adjustments
Precautions
Dialysis
Other Comments

Usual Adult Dose for Contraception

Maintenance dose: 0.075 mg orally once daily

Comments:

The dose must be taken at the same time each day and can be started any day of the month.
This drug takes two days to start working, therefore a condom (or other barrier method) should be used for the first two days after starting on the first pack of this drug.
Take exactly as directed. Never skip a dose.

Use: Prevention of pregnancy

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Precautions

CONTRAINDICATIONS:

Do not use if you are allergic to this product or any of its ingredients.
Current or past history of breast cancer.
Suspected or confirmed pregnancy.
Concomitant use with another birth control pill, vaginal ring, patch, implant, injection or IUD.
Not to be used by male patients.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:

This drug must be taken at the same time each day.
Once the patient finishes a 28-tablet pack, they are to start the next pack without a break.

Monitoring:

Yellowing of skin or eyes, especially with fever, tiredness, loss of appetite or dark-colored urine
Vaginal bleeding with sex
Menstrual periods that last more than 8 days or are unusually heavy
Worsening migraines or migraines with vision changes
Missed periods, tender breasts, nausea, fatigue, and/or needing to urinate more urgently or frequently

Patient advice:

Advise patient to start taking this drug the day after they switch from another oral contraceptive, vaginal ring, or patch.
The patient must use a condom or barrier method during sex for the first 2 days after starting to take this drug.
If the patient is less than 3 hours late, they are to take the tablet immediately and resume their regular scheduled hour the next day.
If the patient is more than 3 hours late, they are to take the tablet as soon as they remember and resume their regular scheduled hour the next day. This may result in 2 tablets in a 24-hour window.
Advise the patient to use a condom or another barrier form of contraception every time they have sex during the 48 hours after restarting this drug.
A pregnancy test should be taken or talk to the medical provider if patient's period is late after missing any doses within the last month.
If the patient has taken an emergency contraceptive within the last 5 days, advise the patient to start taking this drug after 5 days have passed. The patient must also use a condom or barrier during sex until the next period.
If the patient develops lower abdominal pain mostly on one side, advise to seek medical help immediately.
If the patient's period is late after missing any tablets in the last month, has not had a period for 2 months, or if pregnancy is suspected, advise the patient to take a pregnancy test or talk with their healthcare provider.
Advise the patient to continue to take this drug if migraines worsen or new migraines with auras develop and talk to their healthcare provider.
Advise patient to seek medical help immediately if they develop symptoms of yellowing of the whites of the eyes or skin.
If the patient repeatedly has vaginal bleeding that is brought on by sex, advise the patient to continue taking this drug and talk to their healthcare provider.
If the patient's periods are unusually heavy or last more than 8 days, advise the patient to continue taking this drug and talk to their healthcare provider.