Mirvala (Desogestrel / Ethinyl Estradiol)

Description

Mirvala (desogestrel and ethinyl estradiol) is a combination of estrogen and progestin in a birth control pill. Mirvala prevents pregnancy by inhibiting the release of an egg from an ovary and by causing changes in the cervical mucus that make it harder for sperm to penetrate and for the egg to implant. The medication may also be taken to regulate menstrual cycles.

Mirvala oral tablets contain 0.150 mg of desogestrel and 0.030 mg of ethinyl estradiol. The medication comes in 21-day and 28-day packs.

Directions

Take Mirvala as directed by your doctor. The information that comes with your prescription should be thoroughly read. Any questions or concerns can be answered by your doctor or pharmacist.

Mirvala 21-day packet:

One oral tablet should be taken once daily for 21 days, then no pills are taken for 7 days. After this, begin taking the following pack.

Mirvala 28-day packet:

One oral tablet should be taken daily for 21 days, then take one “reminder” pill daily for 7 days. After this, begin taking the following pack.

Ingredients

Desogestrel and ethinyl estradiol are the active ingredients contained in Mirvala.

Inactive ingredients in Mirvala 21 include the following: lactose monohydrate, corn starch, povidone K-30, alpha-tocopherol, anhydrous colloidal silica, stearic acid, Hypromellose 2910, triacetin, polysorbate, and titanium dioxide.

Inactive ingredients in the white tablets in Mirvala 28-day packs include the following: lactose monohydrate, corn starch, povidone K-30, alpha-tocopherol, anhydrous colloidal silica, stearic acid, Hypromellose 2910, triacetin, polysorbate, and titanium dioxide.

Inactive ingredients in the green, inert tablets in Mirvala 28-day packs include the following: lactose monohydrate, corn starch, povidone K-30, alpha-tocopherol, anhydrous colloidal silica, stearic acid, Hypromellose 2910, triacetin, polysorbate, titanium dioxide FD&C Blue 2 Aluminium Lake, and yellow iron oxide.

Contraindications

Avoid taking Mirvala if you have experienced any of the following:

• An allergy to desogestrel, ethinyl estradiol, or to any of the medication’s other ingredients
• Are pregnant or think that you are pregnant
• Liver disease

• Eye lesions caused by vascular eye disease, including partial or complete vision loss or problems with vision
• Had a heart attack
• Have, have had, or may have an estrogen-dependent tumor
• Have, have had, or may have breast cancer
• Currently have or have had signs of blood clotting problems (e.g., transient ischemic attack, chest pain)
• Currently have or have a history of liver tumors that are benign or malignant
• Currently have or have a history of cerebrovascular disorders like stroke
• Currently have or have a history of coronary artery disease or heart disease
• Currently have or have a history of migraine with focal aura
• Currently have or have a history of pancreatitis
• Currently have or have a history of cholestatic jaundice, jaundice of pregnancy, or jaundice that depends on steroids
• Currently have or have a history of blood clotting disorders or inflammation associated with a blood clot
• Severe or multiple risk factors for blood clotting problems
• Diabetes with blood vessel problems like heart disease, eye disease, kidney disease, or foot infections
• High cholesterol or triglyceride levels
• High blood pressure that is not controlled
• Undiagnosed abnormal vaginal bleeding
• Are taking hepatitis C medications that contain ombitasvir, paritaprevir, and ritonavir, or if you are taking glecaprevir and pibrentasvir together

Cautions

• Before taking the birth control pill Mirvala, talk to your doctor about:
• All prescription and nonprescription medications you take
• Your allergies
• Your past medical history or current health issues
• Your pregnancy status
• Your breastfeeding status
• Like any hormonal contraceptive, an increased risk of blood clots can be caused by Mirvala. If you have a history of blood clots, if you are at risk for blood clots, if you are planning to have any surgeries or procedures, or if you will be inactive for a long period of time, inform your doctor. If you experience chest pain or heaviness, calf pain, shortness of breath, changes in vision or speech, sudden severe headache, weakness or numbness in the arm or leg, or if you are coughing up blood, immediately seek medical attention.
• High blood pressure can occur with Mirvala use.
• An increased risk of breast cancer and cervical cancer can be caused by hormonal contraceptives.
• The risk of heart disease can be increased by Mirvala; the risk can also be increased by smoking cigarettes. Avoid taking Mirvala if you are older than 35 years old and smoke more than 15 cigarettes a day. It is recommended to avoid smoking while taking Mirvala.
• Worsened symptoms of depression may occur in women who take Mirvala and have a history of depression.
• Blood sugar may need to be checked more often while taking Mirvala if you have diabetes.
• Mirvala may cause fluid build up in the cornea. If this occurs, speak with your doctor.
• The risk of gallbladder disease that requires surgery may be increased by Mirvala. After 4-5 years of taking the hormonal contraceptive, the risk can double.
• Liver problems can occur with Mirvala use. If you develop yellowing of the skin or whites of the eyes, stomach pain, dark urine, pale stools, or itchy skin, immediately seek medical attention.
• After stopping Mirvala, wait until you have at least one normal spontaneous menstrual cycle before you become pregnant.
• The risk of serious conditions such as heart attack, blood clots, stroke, liver cancer, and gallbladder disease can be increased by Mirvala.
• Sexually transmitted infections are not prevented by Mirvala. To protect against these infections, latex condoms are recommended to be used.
• It is not known whether Mirvala is safe and effective in patients younger than 18 years of age.

Side Effects

Some, but not all, Mirvala side effects include abdominal cramping or bloating; acne; back pain; breast pain, tenderness, or swelling; diarrhea, dizziness, general feeling of discomfort; headache; heartburn; nausea; painful period cramps; tiredness or weakness; vomiting; and weight changes. If you develop bothersome or persistent side effects, immediately talk to your doctor.

With a valid prescription from your doctor, you can buy Mirvala online at a competitive price at Canada Drugs Direct.

Reference:

Mirvala. MedBroadcast.

About Dr. Savannah Muncy (Page Author)

Dr. Muncy (PharmD) studied science and education as an undergraduate before attending the Appalachian College of Pharmacy where she completed her PharmD in three years. She is currently using her pharmacy and healthcare expertise to write medical content for clients all around the world. She is focused on delivering the most current, accurate, and engaging information to healthcare professionals and patients. Read More....