Junel Fe 1/20 is a low-dose oral contraceptive commonly prescribed to prevent pregnancy. It contains norethindrone acetate and ethinyl estradiol, a combination of progestogen and estrogen, available in two dosage strengths: 1 mg/20 mcg and 1.5 mg/30 mcg. The medication follows a 28-day regimen, including 21 hormonal tablets and 7 non-hormonal ferrous fumarate tablets that help combat iron loss from bleeding. These iron pills are especially beneficial for individuals who are iron deficient. While primarily used for contraception, birth control medications like Junel Fe 1/20 have also been found to assist with improving acne, managing symptoms associated with PMS (Premenstrual syndrome) and/or PMDD (Premenstrual dysphoric disorder), or to help with cycle control (delayed period). In some cases, birth control may also be used to help manage symptoms of endometriosis and/or PCOS (Polycystic ovary syndrome).
This article aims to provide a comprehensive overview of Junel Fe 1/20, focusing on its potential effects on weight, as reflected in user reviews and medical information. It is important to note that individual experiences with medications can vary, and consulting with a healthcare professional is crucial before starting any new treatment.
Understanding Junel Fe 1/20
Junel Fe 1/20 is designed for daily oral administration following a 28-day cycle. For maximum effectiveness, take your birth control as prescribed. Each pack is labeled with days to ensure proper sequencing and consistent timing, ideally at the same time each day. A patient package insert accompanies each prescription and refill, providing essential information about the medication.
Dosage and Administration
The medication should be taken exactly as directed on the prescription label. To reduce nausea, it can be taken with food. If a dose is missed, the patient information sheet should be consulted for guidance. Missing more than one pill may reduce the medication's effectiveness, requiring the use of a back-up contraceptive method.
Storage
Junel Fe 1/20 should be stored at room temperature between 15 and 30 degrees C (59 and 86 degrees F), away from children and pets. Expired or unused medication should be discarded properly.
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Potential Side Effects
Like all medications, Junel Fe 1/20 can cause side effects. It's important to distinguish between those requiring immediate medical attention and those that are generally less serious.
Side Effects Requiring Immediate Medical Attention
- Allergic reactions: skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Blood clot: pain, swelling, or warmth in the leg, shortness of breath, chest pain
- Gallbladder problems: severe stomach pain, nausea, vomiting, fever
- Increase in blood pressure
- Liver injury: right upper belly pain, loss of appetite, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
- New or worsening migraines or headaches
- Stroke: sudden numbness or weakness of the face, arm or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision
- Unusual vaginal discharge, itching, or odor
- Worsening mood, feelings of depression
Side Effects That Usually Do Not Require Medical Attention
- Breast pain or tenderness
- Dark patches of skin on the face or other sun-exposed areas
- Irregular menstrual cycles or spotting
- Nausea
- Weight gain
It is essential to report any persistent or bothersome side effects to a healthcare team.
Drug Interactions
Junel Fe 1/20 can interact with various medications, potentially reducing its effectiveness or increasing the risk of side effects. Some notable interactions include:
- Dasabuvir; ombitasvir; paritaprevir; ritonavir
- Acetaminophen
- Aprepitant
- Ascorbic acid (vitamin C)
- Atorvastatin
- Barbiturate medications, such as phenobarbital
- Bosentan
- Carbamazepine
- Caffeine
- Certain antibiotics, such as rifampin, rifabutin, rifapentine, griseofulvin, penicillins, or tetracyclines
- Certain antivirals for HIV, such as ritonavir
- Clofibrate
- Cyclosporine
- Dantrolene
- Doxercalciferol
- Felbamate
- Grapefruit juice
- Hydrocortisone
- Medications for anxiety or sleeping problems, such as diazepam or temazepam
- Medications for diabetes, including pioglitazone
- Mineral oil
- Modafinil
- Mycophenolate
- Nefazodone
- Oxcarbazepine
- Phenytoin
- Prednisolone
- Rosuvastatin
- Selegiline
- Soy isoflavones supplements
- St. John's wort
- Tamoxifen or raloxifene
- Theophylline
- Thyroid hormones
- Topiramate
- Warfarin
It is crucial to provide a complete list of all medications, herbs, non-prescription drugs, and dietary supplements to a healthcare provider.
Precautions
Before taking Junel Fe 1/20, individuals should inform their healthcare team about any existing conditions, including:
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- Abnormal vaginal bleeding
- Blood vessel disease or blood clots
- Cancer, such as breast, cervical, endometrial, ovarian, liver, or uterine cancer
- Diabetes
- Gallbladder disease
- Having surgery
- Heart disease or recent heart attack
- High blood pressure
- High cholesterol or triglycerides
- History of irregular heartbeat or heart valve problems
- Kidney disease
- Liver disease
- Lupus
- Migraine headaches
- Protein C or S deficiency
- Recently had a baby, miscarriage, or abortion
- Stroke
- Tobacco use
- An unusual or allergic reaction to estrogens, progestins, other medications, foods, dyes, or preservatives
- Pregnancy or trying to get pregnant
- Breastfeeding
Regular check-ups with a healthcare team are essential while taking Junel Fe 1/20. These include breast and pelvic exams and Pap smears. An additional method of contraception may be needed during the first cycle of use.
User Reviews and Weight Loss
User reviews on WebMD and other platforms provide valuable insights into real-world experiences with Junel Fe 1/20. However, it is important to approach these reviews with caution, as they represent individual opinions and may not be representative of everyone's experience. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions.
Positive Reviews
Some users have reported positive experiences with Junel Fe 1/20, particularly regarding cycle control and overall satisfaction. Some users even reported loosing weight. One user shared that they were initially hesitant to start the medication due to negative reviews but had a positive experience.
Negative Reviews
Conversely, some users have reported negative side effects, such as mood changes, weight gain, and other adverse reactions. One user initially experienced weight loss but later encountered other issues.
Weight Gain and Fluid Retention
Weight gain is a commonly reported side effect of hormonal birth control. Any weight gain you experience when starting this medication is likely due to fluid retention, and should decrease after your body adjusts. Junel Fe 1/20 can cause fluid retention, leading to swelling in the fingers, hands, or ankles. This may also contribute to an increase in blood pressure.
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The Role of Healthcare Professionals
Given the potential for varied experiences and side effects, consulting with a healthcare professional is paramount. A medical provider or Nurx healthcare professional can help determine if you are at risk of an allergic reaction. They can assess individual risk factors, review medical history, and provide personalized guidance on whether Junel Fe 1/20 is an appropriate choice. Your Nurx medical provider will partner with you to find the best care for your symptoms and medical concerns. They can also address any concerns about weight changes or other side effects.