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What is Norgeston?
Norgeston is a progestogen-only pill, sometimes referred to as the 'mini pill'. These tablets are taken by women to prevent pregnancy.
Norgeston tablets contain a progestogen called levonorgestrel, which is a type of female sex hormone. When used correctly, it is one of the most reliable forms of reversible contraception, providing 99% effectiveness against pregnancy.
How does Norgeston work?
Norgeston works in three different ways to stop you getting pregnant:
- It thickens the mucus in your cervix, making it harder for sperm to get inside the womb.
- It stops your womb lining from thickening enough for an egg to grow within it.
- It prevents some women's ovaries from releasing an egg each month.
Norgeston will start to work immediately if you start taking it on the first day of your period. If you begin taking it any later than five days after the first day of your period, you will need to use an additional form of contraception for the first seven days.
It is important to remember that a contraceptive pill like Norgeston will only work to prevent pregnancy. It does not protect you against sexually transmitted infections (STIs), such as syphilis or gonorrhoea. You will still need to use a condom for protection against STIs.
How to take Norgeston?
Start taking Norgeston on the first day of your period. This will give you immediate protection against pregnancy.
Norgeston can be taken with or without food, but it should be taken at the same time each day.
Swallow the tablets whole with a glass of water.
Take one tablet every day and do not leave a gap between packs.
Who can take Norgeston?
Norgeston should not be taken by anyone who has not yet had their first menstrual bleed. It should also not be taken by women who have already been through the menopause.
Do not take this medication without speaking to your doctor if:
- You are have ever had an allergic reaction to any other medicine
- You are currently pregnant or think you might be pregnant
- You have severe diabetes with changes to the blood vessels
- You have any unexplained vaginal bleeding
- You have ever suffered with liver tumours
- You have ever had any circulation problems, including a blood clot in the legs, lungs, heart (heart attack) or brain (stroke)
- You have ever had a severe liver disease and your doctor has told you that your liver function test results have not returned to normal
- You have a form of cancer that is affected by sex hormones, such as currently having or having a history of breast cancer
- You have any illnesses not listed here
If you develop any of these issues while taking Norgeston, speak to your doctor as soon as possible. An alternative form of contraception may be recommended.
Always read the patient information leaflet for comprehensive details on precautions.
Can you buy Norgeston over the counter?
You can only buy Norgeston tablets when you have been given a prescription by a doctor. It is not available to buy over the counter.
Can you buy Norgeston online in the UK?
Norgeston tablets are only available on prescription.
You can order Norgeston tablets from Medicine Direct by completing a simple and confidential online consultation with one of our registered doctors or pharmacists.
It is important to ensure that you are buying medicine online from a UK fully regulated pharmacy such as Medicine Direct. To learn more about our company, team, medical professionals, and the licenses we hold, visit our about us page.
Other progestogen-only pills include:
A combined oral contraceptive may be more suitable for you. These are pills which contain a combination of oestrogen and progestogen. The following are examples of combined contraceptive pills:
If you wish to try a contraceptive that does not involve taking any tablets, speak to your doctor about trying one of the following:
- Contraceptive injection
- Contraceptive patch
- Contraceptive implant
- Intrauterine device (IUD)
For more information on different types of contraception that may be suitable for you, we recommend visiting the Contraception Choices website.
Possible side effects
Like all medication, Norgeston can cause side effects, although these will not occur in everyone who takes this progestogen-only pill.
Less serious side effects of Norgeston can include:
- Bleeding and spotting between periods
- No period at all
- Nausea and/or vomiting
- Weight gain or weight loss
- Feeling depressed, decreased libido
Please note, this list is not exhaustive. Please refer to the Side Effects tab for information on more serious reactions you may suffer.
Norgeston indications and dose
How do I take Norgeston?
Our pharmacists and prescribers follow NICE guidelines when prescribing Norgeston Pill.
To effectively protect you from getting pregnant, you must always take this progestogen-only pill exactly as instructed by your doctor or pharmacist. Read the patient information leaflet thoroughly before you start taking it and speak to your doctor or pharmacist if you are unsure of anything.
When to start taking Norgeston
Ideally, you should start taking Norgeston on the first day of your period. If you start to take this contraceptive pill during the first five days of your menstrual cycle, you will have contraceptive protection immediately.
What to do if you miss a pill
If you are less than three hours late in taking your pill, just take it as soon as you remember. You should still be protected against pregnancy as long as you take it within three hours.
If you are later than three hours in taking a pill, or you have forgotten to take more than one pill, you may not be completely protected against pregnancy. If this happens, continue taking your pills at your usual time every day, but use an extra method of contraception, such as a condom, for the next 7 days.
Taking an extra pill is unlikely to do you any harm, although you may have some vaginal bleeding or feel or be sick. If you become worried or notice any adverse reactions, speak to your doctor.
Vomiting or diarrhoea
If you vomit within two hours of taking this medicine, your body may not have absorbed the adequate amount of hormones from the pill to prevent pregnancy. Take another pill as soon as possible if this happens.
If you cannot take another pill within three hours of being sick, use an extra method of contraception for the next seven days.
If your sickness or diarrhoea persists, you should also use a condom for the duration of your illness, and for seven days after you get better.
Store Norgeston out of the sight and reach of children.
Do not keep using this medicine after the expiry date, which can be found on the packaging. The expiry date refers to the last day of the stated month.
Norgeston Side Effects
A list of milder side effects you may experience can be found on the main product page.
Taking the pill may slightly raise your risk of developing a blood clot. Symptoms of blood clots can include:
- Dizziness or fainting
- Coughing for no reason
- Stabbing pain when you breathe
- Chest tightness or chest pain
- A sudden numbness or weakness on one side of the body
- Developing migraines for the first time
- Visual disturbances, such as blurred vision
- Changes to the senses, such as hearing, taste, smell or touch
- Swelling or pain in the leg
You are also at a slightly higher risk of breast cancer while taking the contraceptive pill. Signs of breast cancer include:
- Visible lumps or lumps you can feel
- Dimpling of the skin
- Changes to the nipple
If you have any of the following side effects, they may be a sign of a severe liver problem:
- Yellowing of the skin or eyes
- Inflammation of the liver
- Itching all over your body
- Severe abdominal pain
Seek medical attention immediately if you experience any of the reactions listed above. You may need to stop taking Norgeston.
Severe allergic reaction
In rare cases, it is possible to have a severe allergic reaction to Norgeston tablets. You should either go to A&E or call 999 straight away if you experience any of the below symptoms:
- You are wheezing
- You develop a skin rash that may include red, itchy, swollen, blistered or peeling skin
- You are finding it hard to breathe or speak
- You have tightness in your chest or throat
- You have swelling in your face, mouth, throat, lips or tongue
You may be suffering a severe allergic reaction and require immediate treatment in hospital.
Please ensure you read the patient information leaflet before you start taking Norgeston for full details on side effects. If you have any questions or concerns, please do not hesitate to speak to your doctor or pharmacist.
What interactions should I be aware of?
Before you start taking Norgeston, you should inform your doctor or pharmacist of any other medicines you are already using. This includes both prescription and non-prescription medications, herbal remedies, vitamins and supplements.
The following medicines may stop Norgeston from working effectively, and may also cause unexpected bleeding:
- The herbal remedy St. John's wort
- Grapefruit juice
- Certain antibiotics
- Certain sedatives (barbiturates)
- Certain medicines to treat epilepsy
- Certain medicines to treat serious cases of vomiting
- Medicines to treat high blood pressure in the lungs' blood vessels
- The anti-fungal medication griseofulvin
- Certain medicines to treat high blood pressure and certain heart diseases
- Certain medicines used to treat HIV and hepatitis C infections
Norgeston may not be a suitable pill for you to take if you also need to take one of the medicines listed above or listed here.
Driving and operating machines
Norgeston should not have any impact on your ability to drive or operate machinery. However, if you experience any visual disturbances or dizziness, you should not drive, cycle or operate machinery until you feel better again.
If these side effects persist, speak to your doctor about them.
These pills contain lactose and sucrose. If your doctor has told you that you are intolerant to some sugars, you should not take this medicine without speaking to them first.
Norgeston may interfere with the results of certain blood tests. If you need to have any blood tests done, inform your doctor that you are taking Norgeston.
Please remember, Norgeston does not protect you against catching sexually transmitted infections (STIs). For protection against STIs, you will still need to use a condom. If you are worried that you may have caught a sexually transmitted infection, you should speak to your doctor or local sexual health clinic as soon as possible.
This pill is not recommended for children who have not yet had their first menstrual bleed, or by post-menopausal women.
Do not use this pill if you have severe liver disease.
Always read the patient information leaflet for comprehensive details on warnings and drug interactions associated with this medication. Speak to your doctor or pharmacist before you start taking it if you have any questions or concerns about how suitable you are to use Norgeston.
You will be required to have a regular check-up with your doctor while using this pill. You should also attend cervical smear tests on a regular basis.
Tell your doctor if you need to have an operation. You may be required to stop taking this medication between 4 and 6 weeks prior to the surgery to reduce the risk of a blood clot.
Risk of breast cancer
You may be at a slightly higher risk of breast cancer while taking the pill.
You should regularly check your breasts and nipples each month for any changes or abnormalities. If you feel anything odd, such as lumps or dimpling, or have any pain, you should make an appointment to see a doctor as soon as possible.
Risk of blood clots
You may also also at a slightly higher risk of blood clots while using Norgeston.
Your risk of developing blood clots is increased if:
- You are getting old
- You are obese
- You are a smoker
- You have varicose veins
- You suffer from migraines
- You or anyone in your close family has a history of blood clots
- You have diabetes
- You are off your feet for extended periods as a result of illness, injury or surgery
- You have any diseases of the heart or blood vessels
If any of these above conditions apply to you, tell your doctor. An alternative form of contraception may be more suitable for you to take.
If you get any signs of blood clots while you take Norgeston, seek medical attention immediately. Please see the Side Effects tab for a list of symptoms associated with blood clots.
Pregnancy and breastfeeding
Norgeston must not be taken if you are currently pregnant. If you think you have become pregnant while using this mini pill, take a pregnancy test to make sure before you stop taking the tablets.
Progestogen-only pills like Norgeston have not been show to affect breast milk, although you should still inform your doctor or pharmacist if you are currently breastfeeding before you start taking it.
For more information on Oral contracptives during pregnancy and breastfeeding.
The main active ingredient within this medicine is: Levonorgestrel
For a full list of the inactive ingredients, please read the Summary of Product Characteristics
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.