- 99% effective in preventing pregnancy
- Combined hormonal contraceptive pill
- 21 Day course followed by a 7 day break
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What is Femodette?
Femodette is a combined hormonal contraceptive pill which is taken orally by women to prevent pregnancy. When taken correctly, Femodette is 99% effective in preventing pregnancy in women who use it.
It contains two different female sex hormones, oestrogen and progestogen. These sex hormones work to prevent pregnancy in three different ways:
- Preventing your ovaries from releasing an egg
- Thickening the mucus in your cervix, making it much more difficult for sperm to enter the womb
- Stopping your womb lining from thickening enough for an egg to grow in it.
Can I buy Femodette online?
Femodette is a prescription-only medication. You can buy Femodette online from Medicine Direct following a confidential online consultation with one of our registered doctors. They will ask you some questions about your medical history and prescribe Femodette if they believe it is the safest form of oral contraceptive for you to use.
After being given a prescription, Femodette is available to order from our UK registered pharmacy. We offer fast despatch via either DPD or Royal Mail, and if you place your order by 2pm, next day delivery is also available.
Benefits of Femodette
Femodette is a combined hormonal contraceptive pill that you take for 21 days, followed by a 7 day break.
There are various benefits of using Femodette tablets. Firstly, when used correctly, it is one of the most reliable reversible methods of contraception. Femodette does not interrupt sex, meaning you can continue to have sexual intercourse as normal.
When taken correctly, this combined contraceptive pill is 99% effective in preventing pregnancy in women.
Taking this medication usually means that your periods are lighter, regular and less painful. Femodette may even help with pre-menstrual symptoms in some cases.
However, it is important to remember that taking the pill will not protect you against sexually transmitted infections (STIs), such as syphilis and chlamydia. You will still need to use a condom to ensure you are protected against STIs.
For Femodette to be effective, it must be taken as instructed by your doctor.
What are the precautions/interactions to be aware of with Femodette?
This medication may not be suitable for everyone to take.
Before you start using Femodette, your doctor will ask about you and your family's medical history, to ascertain if this is the most appropriate medication for you to use. They will also check your blood pressure and rule out the possibility that you may already be pregnant. Other checks may also be necessary.
Before you start taking the pill, you must inform your doctor if you have any medical conditions.
Do not use Femodette tablets if any of the below apply to you:
- You have ever had a heart attack or stroke
- You have any conditions which affect your blood clotting
- You need to have an operation or are off your feet for long periods
- You have or have ever had a migraine with aura
- You have or have ever had breast cancer
- You are allergic to any of the ingredients contained in Femodette (please refer to the Ingredients tab for full information)
- You have or have ever had a blood clot in a blood vessel in your legs, lungs or other organs
- You have ever had liver tumours
- You have or have ever had angina pectoris (which causes chest pain and may be a sign of a heart attack) or transient ischaemic attack (temporary stroke symptoms)
- You have ever had a severe liver disease and your doctor has told you that your liver function test results have not yet returned to normal
- You have hepatitis C and are using any medical treatment that contains ombitasvir, paritaprevir, ritonavir or dasabuvir (this may increase the liver function in blood test results)
You may be at a greater risk of blood clots in the arteries if you have any of the following illnesses:
- You have high blood pressure
- You have severe diabetes with blood vessel damage
- You have very high levels of fat in your blood (cholesterol or triglycerides)
- You have a condition called hyperhomocysteinaemia
If you have any of the following medical conditions, taking the pill can make them worse. It may mean that Femodette is not suitable for you. Be sure to inform your doctor before taking Femodette if you have any of these health problems:
- You have varicose veins
- You have diabetes
- You have inflammation of the pancreas
- You have either Crohn’s disease or ulcerative colitis (bowel inflammation)
- You have systemic lupus erythematosus (a condition that affects your body's immune system)
- You have the inherited disease sickle cell anaemia
- You have excessively high levels of fat in your blood (hypertriglyceridaemia), or a family history of this problem
- You need to have an operation or are off your feet for extended periods of time
- You are overweight (obese)
- You have porphyria (an inherited disease)
- You have migraines
- You have any illness that was made worse during pregnancy or when previously taking the pill
- You or anyone in your close family have ever had any heart or circulation problems, such as high blood pressure
- The veins under your skin are inflamed (superficial thrombophlebitis)
- You have haemolytic uraemic syndrome (a blood clotting disorder causing kidney failure)
Order online safely
Never order any form of medical treatment online unless it is from a UK registered pharmacy that is regulated by the General Pharmaceutical Council (GPhC), like Medicine Direct.
All of our doctors and pharmacists are registered with the General Pharmaceutical Council (GPhC), the General Medical Council and the Medicines and Healthcare products Regulatory Agency (MHRA). This means that they are legally qualified to prescribe medicine for the conditions we offer treatment for, just like your local GP. Each member of our medical team also has experience in working in either an NHS hospital or other professional clinical setting.
We offer a fast delivery service, despatching your medicine via either DPD or Royal Mail, depending on your preference. Next day delivery is also available as an option if you place your order with our online pharmacy by 2pm.
Femodette Dosage and Directions
How do I take Femodette?
Always take Femodette tablets exactly as instructed by your doctor to effectively prevent pregnancy. Read the patient information leaflet for full details on how to take them and speak to your doctor if you are still unsure.
This medicine can be taken with or without food.
Femodette tablets come in strips of 21 pills, each of which is marked with a different day of the week.
Take Femodette every day for 21 days. Take the pill at the same time every day.
Take one pill every day until you have taken all 21.
Whichever day of the week you start to take this medication, take a pill marked by the correct day. Follow the directions of the arrows on the strips.
Swallow the pill whole; if required, you can take it with a drink of water. Do not crush or chew the pill.
After you have taken the 21 pills, do not take another pill for seven days.
If you finish the final pill in the pack on a Friday, you should not start your next pack of pills until Saturday the following week.
After a few days of taking the final pill in the strip, you should get a withdrawal bleed similar to a period. This may continue when you start your next 21 pills. As long as you have taken Femodette correctly and take your next 21 pills on time, you are still protected against pregnancy during the seven days you are not taking a pill, so you do not need to use any other forms of contraception.
Start taking the next strip straight after the 7 pill-free days. You should do this even if you are still bleeding.
If you are taking Femodette correctly, you will always start each new strip on the same day of the week.
Using Femodette for the first time
It is best to start taking this medication on the first day of your next period. This will give you contraceptive protection after the very first pill. If you have any questions about using a contraceptive pill for the first time, you should ask your doctor or family planning nurse for more information.
When changing to Femodette from another version of contraceptive pill
If you are currently using a 21 day pill, start taking Femodette the day after you finish the previous strip. You will be protected against pregnancy after taking your very first pill.
When you switch, you will not have a bleed until after you have finished your first strip of Femodette pills.
If you are taking a 28-day pill, begin taking Femodette the day after you have taken your final active pill. You will still be protected against pregnancy with the first pill you take. You will not have a bleed until after your first strip of Femodette is complete.
If you are taking a progestogen-only pill (also known as the 'mini pill'), start using Femodette on the first day of bleeding, even if you have already taken a progestogen-only pill that day. This will give you contraceptive protection straight away.
Starting your dose after an abortion or miscarriage
If you are starting to take the pill after having a miscarriage or an abortion during the first three months of a pregnancy, your doctor may instruct to you begin taking Femodette immediately. If this is the case, you will be protected against pregnancy after taking your first pill.
If you have had an abortion or miscarriage later than the third month of a pregnancy, please speak to your doctor for guidance. An extra form of contraception, such as condoms, may be required to protect you from pregnancy for a period of time.
If you have just had a baby
Provided you are fully mobile, your doctor may advise you to start a course of Femodette 21 days after giving birth.
You will not need to wait for a period to come, but you should use an added form of contraception, such as a condom, until you start your course of Femodette. Keep using an additional form of contraception for the first seven days you start to take the pill.
What should I do if I miss my dose?
If you are less than 12 hours late, take the missed pill as soon as you remember. Keep taking the pill at the usual time; this could mean that you need to take two pills in the same day. If this happens, your contraception should not be reduced.
If you are more than 12 hours late, or you have missed more than one pill, your level of contraceptive protection may be reduced. You should take the most recently missed pill as soon as you remember, even if you need to take two at once. Do not take any other previously missed pills; leave them in the pack.
Take one pill every day at your usual time for the next seven days. If you come to the end of a strip during this time, start the next strip without taking the break of seven days. It is unlikely you will have a bleed until after you have finished your second strip of pills; this is no cause for concern. However, if you do not have a bleed after finishing the second set of strips, you should take a pregnancy test before starting a new strip to make sure you have not become pregnant.
If you miss a pill, you should use an extra method of protection, such as a condom, for the next seven days.
If you have forgotten to take one or more pills from the first week of the strip, and had sex during that time, you may become pregnant. If this is the case, you should speak to your doctor as soon as possible. They may suggest you use emergency contraception.
If you miss any of the pills in one strip and do not have a withdrawal bleed in the first seven-day break, this may be a sign you are pregnant. If this happens, either contact your doctor or do a pregnancy test.
Starting a new strip late or having longer than a seven-day break, your contraception may not be as effective. If you have had sex in the last seven days of this happening, speak to your doctor and use extra contraception, such as a condom for the next week.
I have missed a pill, what should I do?
I have lost a pill, what should I do?
I am sick and have diarrhoea, what should I do?
I missed a period, could I be pregnant?
I have taken more than one pill, should it cause harm?
Femodette side effects
Like combined hormonal contraceptives, Femodette comes with certain side effects. However, these will not affect every woman who takes it.
Common side effects of this contraceptive pill affect between 100 and 1,000 in every 10,000 women who take it:
- Mood swings
- Stomach aches
- Feeling sick
- Sore or painful breasts
- Weight gain
Less common undesired effects can occur in between 10 and 100 in every 10,000 women who take it:
- A skin rash (this may itch)
- Decreased libido (less interest in sex)
- Breast enlargement
- Fluid retention
- Nausea and/or vomiting
Rare side effects may occur in between 1 and 10 in every 1,000 users:
- Weight loss
- Increased libido (increased interest in sex)
- Breast or vaginal discharge
- Poor tolerance of contact lenses
Speak to your doctor if any of these reactions bother you or do not go away.
Serious Side Effects
A list of Femodette's more common side effects can be found on the main product page.
Rare side effects occur in between 1 and 10 women out of every 10,000 who take Femodette and can include:
- Dangerous blood clots in an artery or a vein, such as in a leg, foot or lung
- Heart attack
- A transient ischaemic attack (mini or temporary stroke-like symptoms)
- Blood clots in the liver, stomach/intestine, kidneys or eye
Read the patient information leaflet, which will come with your medication, for details on the symptoms of a blood clot.
Aside from the increased risk of blood clots, taking combined oral contraceptives such as Femodette may slightly increase a woman's risk of developing breast cancer or cervical cancer.
Signs of breast cancer may include:
- Dimpling of the skin
- Unusual lumps that you can feel or see
- Changes to your nipple
Your risk of breast cancer is higher if you have a close relative who has had breast cancer, such as a mother, grandmother or sister.
Signs of cervical cancer may include:
- Pelvic pain
- Pain during sex
- Unusual vaginal bleeding
- Vaginal discharge that contains blood or smells
Signs of a severe liver problem may include:
- Inflammation of the liver
- Itching all over your body
- Severe pain in the upper abdomen
- Yellowing of the skin or eyes (jaundice)
You should contact your doctor straight away if you have any of the symptoms listed above. It may be necessary for you to stop taking Femodette.
Some women have reported:
- Chloasma (yellow brown patches on the skin). You may be able to reduce this by avoiding excessive sunlight and UV lamps.
- Bleeding or spotting between periods. This is not uncommon during the first few months, but it usually stops once your body has got used to the medicine.
- Conditions that may get worse during pregnancy or previous use of the contraceptive pill: jaundice, gall stones, persistent itching, Crohn's disease, cervical cancer, porphyria, blister-like rash, ulcerative colitis, certain rare conditions like systemic lupus erythematosus, chorea, otosclerosis (an inherited form of deafness), kidney or liver problems, swelling of body parts or a personal or family history of sickle cell disease.
Bleeding between periods should not last for long. Speak to your doctor if you get any breakthrough bleeding or spotting that:
- Keeps happening even after you stop taking Femodette
- Starts after you have been taking this pill for a while
- Continues for longer than the first few months
Severe allergic reaction
In rare cases, it is possible to suffer a severe allergic reaction to Femodette. You must either call 999 or go to A&E straight away if you notice any of the following:
- You are finding it hard to breathe, speak or swallow
- You have a skin rash that may have red, itchy, swollen, blistered or peeking skin
- You have swelling in your hands, face, mouth, tongue, lips or throat
- You are wheezing
- You have tightness in your chest or throat
You may be having a severe allergic reaction and require immediate treatment in a hospital.
Always read the patient information leaflet for comprehensive details about side effects and how to cope with them. If you are worried about getting side effects, we advise you to talk to your doctor about your concerns, before you start to take this combined contraceptive. Inform your doctor or nurse if you have any existing medical conditions that may be exacerbated by using Femodette.
You will require regular check-ups with your doctor or family planning nurse while using the contraceptive pill. You should also attend cervical smear tests regularly and check your breasts and nipples regularly for any changes, such as dimpling of the skin or unusual lumps.
Inform your doctor that you are taking Femodette if you need to have a blood test done. This pill can affect the results of certain blood tests. Similarly, inform your doctor if you need to have an operation and are taking this pill. You may need to stop taking it a minimum of four weeks before you have the operation. Doing so will reduce the risk of blood clots. Ask your doctor for information on when you can next take the pill after having surgery.
Interaction with other medicinal products and other forms of interaction
Make sure you tell your doctor if you are currently taking (or have recently taken) any other medicines, including prescription and non-prescription medication, herbal remedies, vitamins and supplements. Some medicines can interact with Femodette tablets and hinder its effectiveness.
Certain medicines can affect the blood levels of Femodette and stop it from being as effective. These include:
- Certain sedatives known as barbiturates
- The herbal remedy St. John's wort
- Certain antibiotics
- Certain medicines to treat epilepsy
- Certain medicines to treat HIV and hepatitis C virus infections (these are known as protease inhibitors and non-nucleoside reverse transcriptase inhibitors)
- The antifungal medicine griseofulvin
Femodette may not be suitable for you if you need to use any of the medicines listed above. Alternatively, you may be able to use Femodette but require additional contraception for a while. Your doctor will be able to advise you on your specific needs.
Driving and operating machinery
Femodette should not have any impact on your ability to drive or operate machinery. However, if you do notice any adverse reactions that impair your vision or judgement, you should not drive, cycle or operate any machines until you feel better again. If these symptoms persist, speak to your doctor about them.
Femodette contains lactose and sucrose. Speak to your doctor before you take this medication if you have been told that you are intolerant to some sugars.
It is very important to bear in mind that taking a combined oral contraceptive pill such as Femodette will not protect you or your sexual partner from catching and spreading sexually transmitted infections (STIs). For defence against STIs, you will still have to use a condom.
Femodette can cause mood swings and depressive moods. Some women have reported these side effects while taking this pill. Depression can be a serious condition and sometimes lead to thoughts of suicide. If you start to feel depressed, you should speak to your doctor. Seek medical attention immediately if you start to have suicidal thoughts.
Femodette can also have an effect on the results of certain blood tests. For this reason, you should inform your doctor that you are taking Femodette before you have a blood test.
Always read the patient information leaflet for full details on warnings and interactions. If you have any questions or concerns at all, we strongly advise you to discuss these with your doctor before you start to take Femodette.
Pregnancy and breastfeeding
You must not use Femodette if you are pregnant. Talk to your doctor before taking Femodette if you think you might be pregnant.
If you think you have become pregnant while already taking this oral contraceptive, do a pregnancy test to make sure before you stop taking it.
Your doctor or family planning nurse may advise you to not take this combined contraceptive pill if you are breastfeeding. An alternative form of contraceptive may be more suitable for you.
Each box of Femodette has 21 tablets. The active ingredients contained are 75 micrograms of the progestogen gestodene and 20 micrograms of the oestrogen ethinylestradiol.
They also contain the following inactive ingredients: lactose, maize starch, povidone, magnesium stearate (E572), sucrose, macrogol 6000, calcium carbonate (E170), talc, montan glycol wax.
Do not use this medication if you are allergic to any of the ingredients listed here. Ask your doctor if you are not sure.
How it works - get your medicine in 3 simple steps
- 1 Choose your treatment Select the treatment or medication you need and answer a few questions online regarding your condition.
- 2 Online consultation Our Independent Prescribers will review your questions and assess your suitability for the medication.
- 3 Receive your delivery Your medication is dispensed and delivered directly to you from our UK based Pharmacy.