Is Micronele a Combined Oral Contraceptive?
No, "Micronele" does not appear to be a recognized combined oral contraceptive product name in the available medical literature or FDA-approved drug labels. You may be referring to a different contraceptive product, or there may be confusion about the product name.
Understanding Combined Oral Contraceptives
Combined oral contraceptives (COCs) contain both an estrogen component (typically ethinyl estradiol) and a progestin component delivered in pill form 1. These are distinct from:
- Transdermal contraceptive patches (such as Ortho Evra), which deliver hormones through the skin and contain norelgestromin and ethinyl estradiol 1, 2
- Vaginal rings, which are inserted vaginally and remain in place for 3 weeks 1
- Progestin-only pills (mini-pills), which contain only progestin without estrogen 1
Common Combined Oral Contraceptive Formulations
If you are seeking information about combined oral contraceptives, typical formulations include:
- Low-dose COCs containing ≤35 μg ethinyl estradiol with various progestins 1
- Extended-cycle formulations such as levonorgestrel 100 μg/ethinyl estradiol 20 μg 3
- Newer formulations containing 17β-estradiol with nomegestrol acetate 4
Recommendation for Clarification
Please verify the exact product name you are inquiring about. If you are asking about:
- A combined oral contraceptive pill, these are highly effective with typical use failure rates of approximately 5% and perfect use failure rates of 0.1% 5
- A contraceptive patch, this is also a combined hormonal method but delivered transdermally, not orally 1, 6
Key Contraindications to Screen For (If Prescribing Any Combined Hormonal Method)
Before prescribing any combined hormonal contraceptive, screen for absolute contraindications 6, 5:
- History of venous thromboembolism or pulmonary embolism 6, 5
- History of stroke or myocardial infarction 6, 5
- Smoking in women ≥35 years of age 6
- Uncontrolled hypertension (systolic ≥160 or diastolic ≥100 mmHg) 6
- Current or history of breast cancer 6, 5
- Active liver disease or hepatic tumors 6, 5
- Pregnancy 6, 5
- Undiagnosed abnormal vaginal bleeding 6, 5