JENCYCLA Tablet Ref.[10854] Active ingredients: Norethisterone

Source: FDA, National Drug Code (US)  Revision Year: 2020 

3. Indications and Usage

Indications

Progestin-only oral contraceptives are indicated for the prevention of pregnancy.

Efficacy

If used perfectly, the first-year failure rate for progestin-only oral contraceptives is 0.5%. However, the typical failure rate is estimated to be closer to 5%, due to late or omitted pills. Table 1 lists the pregnancy rates for users of all major methods of contraception.

Table 1. Percentage of Women Experiencing an Unintended Pregnancy During the First Year of Typical Use and the First Year of Perfect Use of Contraception and the Percentage Continuing Use at the End of the First Year. United States:

 % of Women Experiencing anUnintended Pregnancy within the First Year of Use% of Women Continuing Use atOne Yea3
MethodTypical Use1 Perfect Use2  
Header$(1) (2) (3) (4)
Chance4 8585 
Spermicides5 26640
Periodic abstinence25 63
Calenda  9 
Ovulation Method 3 
Sympto-Thermal6  2 
Post-Ovulation 1 
Cap7    
Parous Women402642
Nulliparous Women20956
Sponge    
Parous Women402042
Nulliparous Women20956
Diaphragm720656
Withdrawal194 
Condom8    
Female (Reality) 21556
Male14361
Pill 5 71
Progestin Only 0.5 
Combined 0.1 
IUD   
Progesterone T2.01.581
Copper T380A0.80.678
LNg 200.10.181
Depo-Provera0.30.370
Norplant and Norplant-2 0.050.0588
Female Sterilization0.50.5100
Male Sterilization0.150.10100

Adapted from Hatcher et al, 1998, Ref. # 1.
Emergency Contraceptive Pills: Treatment initiated within 72 hours after unprotected intercourse reduces the risk of pregnancy by at least 75%.9
Lactational Amenorrhea Method: LAM is highly effective, temporary method of contraception.10
Source: Trussell J, Contraceptive efficacy. In Hatcher RA, Trussell J, Stewart F, Cates W, Stewart GK, Kowal D, Guest F, Contraceptive Technology: Seventeenth Revised Edition. New York NY: Irvington Publishers, 1998.
1 Among typical couples who initiate use of a method (not necessarily for the first time), the percentage who experience an accidental pregnancy during the first year if they do not stop use for any other reason.
2 Among couples who initiate use of a method (not necessarily for the first time) and who use it perfectly (both consistently and correctly), the percentage who experience an accidental pregnancy during the first year if they do not stop use for any other reason.
3 Among couples attempting to avoid pregnancy, the percentage who continue to use a method for one year.
4 The percents becoming pregnant in columns (2) and (3) are based on data from populations where contraception is not used and from women who cease using contraception in order to become pregnant. Among such populations, about 89% become pregnant within one year. This estimate was lowered slightly (to 85%) to represent the percent who would become pregnant within one year among women now relying on reversible methods of contraception if they abandoned contraception altogether.
5 Foams, creams, gels, vaginal suppositories, and vaginal film.
6 Cervical mucus (ovulation) method supplemented by calendar in the pre-ovulatory and basal body temperature in the post-ovulatory phases.
7 With spermicidal cream or jelly.
8 Without spermicides.
9 The treatment schedule is one dose within 72 hours after unprotected intercourse, and a second dose 12 hours after the first dose. The Food and Drug Administration has declared the following brands of oral contraceptives to be safe and effective for emergency contraception: Ovral (1 dose is 2 white pills), Alesse (1 dose is 5 pink pills), Nordette or Levlen (1 dose is 2 light-orange pills), Lo/Ovral (1 dose is 4 white pills), Triphasil or Tri-Levlen (1 dose is 4 yellow pills).
10 However, to maintain effective protection against pregnancy, another method of contraception must be used as soon as menstruation resumes, the frequency or duration of breastfeeds is reduced, bottle feeds are introduced, or the baby reaches six months of age.

Jencycla Tablets have not been studied for and are not indicated for use in emergency contraception.

10. Dosage and Administration

To achieve maximum contraceptive effectiveness, Jencycla must be taken exactly as directed. One tablet is taken every day, at the same time. Administration is continuous, with no interruption between pill packs. See DETAILED PATIENT LABELING for detailed instruction.

9. Overdosage

There have been no reports of serious ill effects from overdosage, including ingestion by children.

12. Storage and Handling

Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

Keep out of reach of children.

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