Lenest 30 ED

NOTICE: This Consumer Medicine Information (CMI) is intended for persons living in Australia.

Consumer Medicine Information (CMI) summary

The full CMI on the next page has more details. If you are worried about using this medicine, speak to your doctor or pharmacist.

1. Why am I using LENEST 30 ED?

LENEST 30 ED contains the active ingredient ethinylestradiol and levonorgestrel. LENEST 30 ED is used to prevent pregnancy.
For more information, see Section 1. Why am I using LENEST 30 ED? in the full CMI.

2. What should I know before I use LENEST 30 ED?

Do not use if you have ever had an allergic reaction to LENEST 30 ED any of the ingredients listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding.
For more information, see Section 2. What should I know before I use LENEST 30 ED? in the full CMI.

3. What if I am taking other medicines?

Some medicines may interfere with LENEST 30 ED and affect how it works.
A list of these medicines is in Section 3. What if I am taking other medicines? in the full CMI.

4. How do I use LENEST 30 ED?

Take one tablet daily at about the same time every day
You must take LENEST 30 ED every day regardless of how often you have sex
Swallow the tablet whole with water. It does not matter if you take it before or after food
More instructions can be found in Section 4. How do I use LENEST 30 ED? in the full CMI.

5. What should I know while using LENEST 30 ED?

Things you should do
Remind any doctor, dentist or pharmacist you visit that you are using LENEST 30 ED.
If you are about to have any blood tests, tell your doctor that you are taking this medicine. It may interfere with the results of some tests.
Have regular check-ups with your doctor. When you are taking the Pill, your doctor will tell you to return for regular check-ups, including getting a Cervical Screening Test.
Things you should not do
Do not take LENEST 30 ED to treat any other conditions unless your doctor tells you to.
Do not give your medicine to anyone else.
Do not stop taking your medicine or change the dosage without checking with your doctor. You may become pregnant if you are not using any other contraceptive and you stop taking LENEST 30 ED, or do not take a tablet every day.
Looking after your medicine
Keep your tablets in the blister pack until it is time to take them.
Keep your tablets in a cool dry place where the temperature stays below 25°C.
For more information, see Section 5. What should I know while using LENEST 30 ED? in the full CMI.

6. Are there any side effects?

Tell your doctor if you notice any common side effects such as acne, nausea, stomach pain, changes in weight, headache, including migraines, mood changes, including depression, breast tenderness or pain, hair loss or hair growth. Some serious side effects are blood clots, jaundice (yellowing skin or yellowing eyes), you cough up blood, unexplained vaginal bleeding and breast lumps.
For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI.
Active ingredient(s): ethinylestradiol and levonorgestrel

Full Consumer Medicine Information (CMI)

This leaflet provides important information about using LENEST 30 ED. You should also speak to your doctor or pharmacist if you would like further information or if you have any concerns or questions about using LENEST 30 ED.
Where to find information in this leaflet:

1. Why am I using LENEST 30 ED?

LENEST 30 ED contains the active ingredient ethinylestradiol and levonorgestrel. LENEST 30 ED is a combined oral contraceptive, commonly known as a 'birth control pill' or 'the Pill'.
LENEST 30 ED is used to prevent pregnancy.
You may also experience the following benefits:
more regular, shorter and lighter periods
a decrease in anaemia (iron deficiency)
a decrease in period pain.
Some conditions such as pelvic inflammatory disease, ovarian cysts, ectopic pregnancy (where the foetus is carried outside of your womb), lumpy breasts, acne and cancer of the uterus (womb) and ovaries may be less common in women taking the Pill.
When taken correctly, LENEST 30 ED prevents you from becoming pregnant in several ways, including:
inhibiting ovulation (egg release)
changing the cervical mucus consistency, making it more difficult for the sperm to reach the egg
changing the lining of the uterus, making it less suitable for implantation.
When the Pill is taken by women under close observation in clinical trials, it is more than 99% effective in preventing pregnancy. However, in real life the Pill is around 92% effective. This is because pills might be missed, may have been taken with medicines that interfere with their effectiveness, or may not be absorbed due to vomiting or diarrhoea.
Like all oral contraceptives, LENEST 30 ED is intended to prevent pregnancy. It does not protect against HIV infection (AIDS) and other sexually transmitted infections.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.

2. What should I know before I use LENEST 30 ED?

Warnings

Do not use LENEST 30 ED if:

you are allergic to ethinylestradiol and/or levonorgestrel, or any of the ingredients listed at the end of this leaflet.
always check the ingredients to make sure you can use this medicine.
you have or have had a blood clot in the blood vessels of the legs (deep vein thrombosis - DVT), the lungs (pulmonary embolism - PE), the heart (heart attack), the brain (stroke) or other parts of the body.
you are concerned about an increased risk of blood clots. Blood clots are rare. Very occasionally blood clots may cause serious permanent disability and may even be fatal.
You are more at risk of having a blood clot when you take the Pill. However, the risk of having a blood clot when taking the Pill is less than the risk of having a blood clot during pregnancy.
you are concerned about an increased risk of blood clots because of age or smoking. The risk of having a heart attack or stroke increases as you get older. It also increases if you smoke. You should stop smoking when taking the Pill, especially if you are older than 35 years of age.
you are taking any antiviral medicines which contain glecaprevir, pibrentasvir, sofosbuvir, velpatasvir, voxilaprevir, ombitasvir, paritaprevir and/or dasabuvir. These antiviral medicines are used to treat chronic (long-term) hepatitis C (an infectious disease that affects the liver, caused by the hepatitis C virus (HCV)).
you have, or have had any blood clotting disorders such as Protein C deficiency, Protein S deficiency, Leiden Factor V mutation, Antithrombin III deficiency or other inherited blood clotting conditions.
you have, or have had a confirmed blood test showing increased levels of homocysteine or antiphospholipid antibodies (APLAs) e.g. anticardiolipin antibodies and lupus anticoagulant. These may increase your risk for blood clots or pregnancy losses (miscarriage)
major surgery after which you have not been able to move around for a period of time
angina (chest pain)
a mini-stroke (also known as TIA or transient ischaemic attack)
migraine, accompanied by visual symptoms, speech disability, or weakness or numbness in any part of your body
high risk of blood clots due to conditions such as diabetes mellitus with blood vessel damage, severe high blood pressure or severe high or low level of fats in your blood
pancreatitis (an inflammation of the pancreas) associated with high levels of fatty substances in your blood
severe liver disease and your liver function has not returned to normal
cancer that may grow under the influence of sex hormones (e.g. of the breast or the genital organs)
a benign or malignant liver tumour
unexplained vaginal bleeding
If any of these conditions appear for the first time while using the Pill, stop taking it at once and tell your doctor. In the meantime, use non-hormonal (barrier) methods of contraception (such as condoms or a diaphragm).

Check with your doctor if you:

have any other medical conditions
take any medicines for any other condition
you smoke
you or anyone in your immediate family has had blood clots in the legs (DVT), or lungs (PE), a heart attack, a stroke, breast cancer or high cholesterol.
Tell your doctor if you have, or have had any of the following medical conditions:
diabetes
high blood pressure
heart valve disorders or certain heart rhythm disorders
migraine
cancer
hyperhomocysteinaemia, a condition characterised by high levels of the amino acid homocysteine in the blood
high or low level of fats in your blood.
Ask your doctor to check if you:
are overweight
have any hereditary or acquired conditions that may make it more likely for you to get blood clots
have high cholesterol or triglycerides
have liver disease
have gall bladder disease
have jaundice (yellowing of the skin) and/or pruritus (itching of the skin) related to cholestasis (condition in which the flow of bile from the liver stops or slows)
have Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease)
have systemic lupus erythematosus (SLE - a disease affecting the skin all over the body)
have haemolytic uraemic syndrome (HUS - a disorder of blood coagulation causing failure of the kidneys)
have sickle cell disease
have a condition that occurred for the first time, or worsened during pregnancy or previous use of sex hormones (e.g. hearing loss, a metabolic disease called porphyria, a skin disease called herpes gestationis, a neurological disease called Sydenham's chorea)
have chloasma (yellowish-brown pigmentation patches on the skin, particularly of the face) - if so, avoid exposure to the sun or ultraviolet radiation
have hereditary angioedema - you should see your doctor immediately if you experience symptoms of angioedema, such as swollen face, tongue and/or pharynx and/or difficulty swallowing or hives together with difficulty in breathing.
you have an intolerance to some sugars. LENEST 30 ED contains lactose monohydrate.
During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section 6. Are there any side effects?

Pregnancy and breastfeeding

Check with your doctor if you are pregnant or intend to become pregnant.
Talk to your doctor if you are breastfeeding or intend to breastfeed. LENEST 30 ED is generally not recommended if you are breastfeeding.

Children under 18 years old

Do not give this medicine to a child.
LENEST 20 ED is not intended for use in females whose periods have not yet started.

3. What if I am taking other medicines?

Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines may interfere with LENEST 30 ED and affect how it works.
These include:
medicines used to treat tuberculosis such as rifampicin, rifabutin
a class of antibiotics known as macrolides, such as clarithromycin, erythromycin
medicines used to treat fungal infections, such as ketoconazole, griseofulvin
medicines used to treat HIV, such as ritonavir or nevirapine
some medicines used to treat Hepatitis C Virus (HCV) such as boceprevir, telaprevir, glecaprevir, pibrentasvir, ombitasvir, paritaprevir, dasabuvir
medicines used to treat epilepsy such as phenytoin, primidone, barbiturates (e.g. phenobarbital), carbamazepine, oxcarbazepine, topiramate, felbamate, lamotrigine
ciclosporin, an immunosuppressant medicine
etoricoxib, a medicine used to treat painful joint disease
melatonin, a hormone used as a sleep aid
midazolam, a medicine used as a sedative
theophylline, a medicine used to treat respiratory disease
tizanidine, a medicine used as a muscle relaxant
some medicines used to treat high blood pressure, chest pain or irregular heartbeats such as diltiazem, verapamil
herbal medicines containing St John's Wort
grapefruit juice.
These medicines may be affected by LENEST 30 ED or may affect how well it works. Your doctor may need to alter the dose of your medicine or prescribe a different medicine.
You may need to use additional barrier methods of contraception (such as condoms or a diaphragm) while you are taking any of these medicines with LENEST 30 ED and for some time after stopping them.
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins or supplements you are taking and if these affect LENEST 30 ED.

4. How do I use LENEST 30 ED?

How much to take

Take one tablet daily at about the same time every day. You must take LENEST 30 ED every day regardless of how often you have sex. This will also help you remember when to take it.
Swallow the tablet whole with water. It does not matter if you take it before or after food
Each blister pack is marked with the day of the week. Take your first tablet from the coloured on the blister pack corresponding to the day of the week.
Follow the direction of the arrows on the blister pack until all the tablets have been taken.
A period should begin 2 to 3 days after starting to take the green inactive tablets (last row) and may not have finished before the next pack is started.
Always start a new blister pack on the same day of the week as your previous pack.
Follow the instructions provided and use LENEST 30 ED until your doctor tells you to stop

Taking LENEST 30 ED for the first time

If you are starting LENEST 30 ED after a natural cycle, and you have not used a hormonal contraceptive in the past month, start on the first day of your period, i.e. the first day of menstrual bleeding. You must also use additional barrier contraceptive precautions (e.g. condoms or a cap or diaphragm with spermicide) for the first 14 days of tablet-taking when having intercourse.
Your doctor will advise you when to start if you:
are taking LENEST 30 ED after having a baby
have had a miscarriage or an abortion

Changing from another contraceptive

Changing from a combined oral contraceptive:
Start taking LENEST 30 ED on the day after taking the last active tablet in your previous Pill pack. Bleeding may not occur until the end of the first pack of LENEST 30 ED.
If you are not sure which were the active/inactive tablets in your previous Pill pack, ask your doctor or pharmacist.
Your previous Pill pack may have different colour tablets to those of LENEST 30 ED.
Changing from a vaginal ring:
Start taking LENEST 30 ED on the day of removal of the ring but at the latest when the next application would have been due.
Changing from a progestogen-only pill ('minipill'):
Stop taking the minipill on any day and start taking LENEST 30 ED at the same time the next day
You must also use additional barrier contraceptive precautions (e.g. condoms or a diaphragm) for the first 14 days of tablet-taking when having intercourse.
Changing from a progestogen-only injection, implant or intrauterine system (IUS):
Start taking LENEST 30 ED when your next injection is due, or on the day that your implant or IUS is removed.
You must also use additional barrier contraceptive precautions (e.g. condoms or a diaphragm) for the first 14 days of tablet-taking when having intercourse.

Stopping LENEST 30 ED

You can stop taking LENEST 30 ED at any time. If you are considering becoming pregnant, it is recommended that you begin taking a vitamin supplement containing folic acid. It is best that you start taking folic acid tablets before you stop taking LENEST 30 ED and not stop until your doctor advises this. Ask your doctor or pharmacist about suitable supplements. It is both safe and recommended that you take folic acid during pregnancy

Additional contraceptive precautions

When additional contraceptive precautions are required you should either abstain from sex, or use a barrier method of contraception, a cap (or diaphragm) plus spermicide, or a condom. Rhythm methods are not advised as the Pill disrupts the cyclical changes associated with the natural menstrual cycle e.g. changes in temperature and cervical mucus.

If you forget to use LENEST 30 ED

LENEST 30 ED should be used regularly at the same time each day. If you miss your dose at the usual time, within 12 hours of missing it, you should still be protected against pregnancy.
If you are more than 12 hours late follow these detailed instructions:
For LENEST 30 ED to be most effective, white active tablets need to be taken uninterrupted for 7 days.
If you have been taking the white active tablets for 7 uninterrupted days and miss a white active tablet, take the missed tablet as soon as you remember, then go back to taking your Pill as you would normally, even if this means taking two tablets in one day, at the same time. You should still be protected against pregnancy.
The chance of pregnancy after missing a white active tablet depends on when you missed the tablet. There is a higher risk of becoming pregnant if you miss a tablet at the beginning or end of a pack.
If after taking your missed tablet you have less than 7 days of white active tablets left in a row, you should finish the active tablets in your pack but skip the green inactive tablets. Start taking the white active tablets in your next pack corresponding to the correct day of the week.
This is the best way to maintain contraceptive protection. However, you may not have a period until the end of the white active tablets of the second pack. You may have spotting or breakthrough bleeding on tablet-taking days.
If you have been taking the white active tablets for less than 7 days and miss a white active tablet, take the missed tablet as soon as you remember, then go back to taking your Pill as you would normally, even if this means taking two tablets in one day, at the same time. In addition, you must also use additional barrier contraceptive precautions (e.g. condoms or a diaphragm) for the next 7 days.
If you have had sexual intercourse in the preceding 7 days, there is a possibility of pregnancy and you may need emergency contraception. You should discuss this with your doctor or pharmacist.
If you forget to take more than one white active tablet, seek advice from your doctor or pharmacist about what to do.
If you have had sexual intercourse in the week before missing your tablets, there is a possibility of becoming pregnant.
If you forget to take a green inactive tablet, take it as soon as you remember and take the next tablet at the usual time.
You should still be protected against pregnancy because the green tablets do not contain any active ingredients. However, it is important that you discard the missed green tablets to make sure the number of days between taking active tablets is not increased as this would increase the risk of pregnancy.

Summary of advice if you missed a white active tablet more than 12 hours ago:

Before missing your tablet, did you take white active tablets for the previous 7 days?
NO - Did you have sex in the 7 days before missing the tablet?
NO - Take the tablet missed AND use extra barrier precaution for 7 days. If there are fewer than 7 white active tablets left in the pack, finish the white active tablets and go straight to the white active tablets of the next pack. This means you skip the green inactive tablets.
YES - See your doctor or pharmacist for advice
YES - Does your pack still have 7 active white tablets in a row to follow?
NO - Take the tablet you missed AND complete taking the white active tablets. Skip the green inactive tablets. Start your next pack with white active tablets.
YES - Take the tablet you missed AND complete the pack as normal
Ask your doctor or pharmacist to answer any questions you may have.

If you use too much LENEST 30 ED

If you think that you have used too much LENEST 30 ED, you may need urgent medical attention.
You should immediately :
phone the Poisons Information Centre
(Australia telephone 13 11 26) for advice, or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.

5. What should I know while using LENEST 30 ED?

Things you should do

Tell any doctors, dentists and pharmacists who treat you that you are taking this medicine.
If you are about to have any blood tests, tell your doctor that you are taking this medicine. It may interfere with the results of some tests.
Have regular check-ups with your doctor. When you are taking the Pill, your doctor will tell you to return for regular check-ups, including getting a Cervical Screening Test. Your doctor will advise how often you need a Cervical Screening Test. A Cervical Screening Test can detect abnormal cells lining the cervix. Sometimes abnormal cells can progress to cancer.
If you are about to start on any new medicine, remind your doctor and pharmacist that you are taking LENEST 30 ED.
Stop taking LENEST 30 ED and Call your doctor straight away if you notice possible signs of thrombosis. These include:
one-sided swelling of the leg and/or foot or along a vein in the leg
pain or tenderness in the leg which may be felt only when standing or walking
increased warmth in the affected leg; red or discoloured skin on the leg
sudden onset of unexplained shortness of breath or rapid breathing
sudden coughing or coughing up of blood
sharp chest pain or sudden severe pain in the chest which may increase with deep breathing
severe light headedness or dizziness
sudden pain, swelling and slight blue discoloration of an extremity
rapid or irregular heartbeat
sudden numbness or weakness of the face, arm or leg, especially on one side of the body
sudden trouble walking, dizziness, loss of balance or coordination
sudden confusion, slurred speech or aphasia; sudden partial or complete loss of vision, double vision, painless blurring of vision which can progress to loss of vision
sudden, severe, or prolonged headache with no known cause
loss of consciousness or fainting with or without seizure
pain, discomfort, pressure, heaviness, sensation of squeezing or fullness in the chest, arm, or below the breastbone
discomfort radiating to the back, jaw, throat, arm, stomach
feeling of being full, having indigestion or choking
sweating, nausea, vomiting
extreme weakness and anxiety
If you are going to have surgery, tell the surgeon or anaesthetist beforehand that you are taking LENEST 30 ED.
The risk of having blood clots is temporarily increased as a result of major surgery, any surgery to the legs or pelvis, neurosurgery or major trauma. In women who take LENEST 30 ED, the risk may be higher.
In women at risk of prolonged immobilisation (including major surgery, any surgery to the legs or pelvis, neurosurgery, or major trauma), your doctor may tell you to stop taking the Pill (in the case of elective surgery at least four weeks in advance) and not resume until two weeks after complete remobilisation. Another method of contraception should be used to avoid unintentional pregnancy. Your doctor may prescribe other treatment (e.g. treatment for blood clots) if LENEST 30 ED has not been discontinued in advance.
Other risk factors for blood clotting include temporary immobilisation including air travel of greater than 4 hours, particularly in women with other risk factors.
Consult your doctor if you plan to air travel for greater than 4 hours.
Consult your doctor if you develop high blood pressure while taking LENEST 30 ED - you may be told to stop taking it.
If you become pregnant while taking this medicine, tell your doctor immediately.
If you vomit within 3 to 4 hours or have severe diarrhoea after taking a white active tablet, the active ingredients may not have been completely absorbed. This is like missing a tablet. Follow the advice for missed tablets.
If you have unexpected bleeding and it continues, becomes heavy, or occurs again, tell your doctor.
When taking this Pill for the first few months, you can have irregular vaginal bleeding (spotting or breakthrough bleeding) between your periods. You may need to use sanitary protection but continue to take your tablets as normal. Irregular vaginal bleeding usually stops once your body has adjusted to the Pill, usually after about 3 months.
If you have missed a period, but you have taken all your tablets, it is unlikely that you are pregnant, as long as:
you have taken the white active tablets at the right time
you have not been taking a medicine(s) that may interfere with your Pill
you have not vomited or had severe diarrhoea during this cycle.
If this is so, continue to take LENEST 30 ED as usual. If you have any concerns consult your doctor or pharmacist.
If you miss your period twice in a row, you may be pregnant, even if you have taken the Pill correctly. Stop taking LENEST 30 ED and seek advice from your doctor. You must use a non-hormonal method of contraception, (such as condoms or a diaphragm) until your doctor rules out pregnancy.
LENEST 30 ED will not protect you from HIV-AIDS or any other sexually transmitted infections (STIs), such as chlamydia, genital herpes, genital warts, gonorrhoea, hepatitis B, human papillomavirus and syphilis.
To protect yourself from STIs, you will need to use additional barrier contraceptives (e.g. condoms).

Things you should not do

Do not take LENEST 30 ED to treat any other conditions, unless your doctor tells you to.
Do not give your medicine to anyone else.
Do not stop taking your medicine or change the dosage without checking with your doctor.
You may become pregnant if you are not using any other contraceptive and you stop taking LENEST 30 ED, or do not take a tablet every day.

Looking after your medicine

Keep your tablets in the pack until it is time to take them. If you take the tablets out of the pack they may not keep well.
Keep your tablets in a cool dry place where the temperature stays below 25°C.
Follow the instructions in the carton on how to take care of your medicine properly.
Store it in a cool dry place away from moisture, heat or sunlight; for example, do not store it:
in the bathroom or near a sink, or
in the car or on window sills.
Keep it where young children cannot reach it.

Getting rid of any unwanted medicine

If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal.
Do not use this medicine after the expiry date.

6. Are there any side effects?

All medicines can have side effects. If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you have any further questions about side effects.

Less serious side effects

Less serious side effects
What to do
Skin-related:
acne
hair loss or hair growth
Gastrointestinal-related:
nausea
stomach pain
Metabolic:
changes in weight
Neurological:
headache, including migraines
mood changes, including depression
Breast-related:
breast tenderness or pain
Speak to your doctor if you have any of these less serious side effects and they worry you.

Serious side effects

Serious side effects
What to do
Blood clot-related:
pain in the chest, arm or below the breastbone
pain or discomfort that goes to your back
breathlessness and/or difficulty breathing
swelling, pain or tenderness of one leg
sudden weakness, numbness or bad 'pins and needles' of the face, arm or leg, especially on one side of the body
sudden trouble walking, dizziness, loss of balance or coordination
severe, sudden stomach pains
a fainting attack or you collapse
unusual headaches or migraines that are worse than usual
sudden problems with speaking, seeing or understanding what people are saying to you
Liver-related:
jaundice (yellowing skin or yellowing eyes)
Bleeding-related:
you cough up blood
Reproductive and breast-related:
unexplained vaginal bleeding
breast lumps
Call your doctor straight away, or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.

Blood clots and the Pill

Blood clots may block blood vessels in your body. This type of blood clot is also called thrombosis.
Blood clots sometimes occur in the deep veins of the legs (deep venous thrombosis - DVT). If a blood clot breaks away from the veins where it has formed, it may reach and block the blood vessels of the lungs, causing pulmonary embolism (PE).
Blood clots can also occur in the blood vessels of the heart (causing a heart attack) or the brain (causing a stroke).
Blood clots are rare occurrence and can develop whether or not you are taking the Pill. They can also happen during pregnancy. The risk of having blood clots is higher in Pill users than in non-users, but not as high as during pregnancy.
The risk of a blood clot is highest during the first year of taking the Pill for the first time, or after having a break from the Pill for 4 weeks or more.
If you notice possible signs of a blood clot, stop taking LENEST 20 ED and consult your doctor immediately.
To prevent pregnancy, you must also use additional barrier contraceptive precautions (e.g. condoms or a diaphragm).
If you are concerned about an increased risk of blood clots while on LENEST 20 ED, speak to your doctor.

Cancer and the Pill

Breast cancer has been diagnosed slightly more often in women who take the Pill than in women of the same age who do not take the Pill.
This slight increase in the numbers of breast cancer diagnoses gradually disappears during the course of the 10 years after women stop taking the Pill.
It is not known whether the difference is caused by the Pill. It may be that these women were examined more often, so that the breast cancer was noticed earlier.
It is important that you check your breasts regularly and contact your doctor if you feel any lumps.
In rare cases benign liver tumours and, even more rarely, malignant liver tumours have been reported in users of the Pill. These tumours may lead to internal bleeding.
Contact your doctor immediately if you have severe pain in your abdomen.
Cervical cancer have been reported to occur more often in women who have been taking the Pill for a long time. This finding may not be caused by the Pill, but may be related to sexual behaviour and other factors.
Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell.
Other side effects not listed here may occur in some people.

Reporting side effects

After you have received medical advice for any side effects you experience, you can report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems  By reporting side effects, you can help provide more information on the safety of this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines.

7. Product details

This medicine is only available with a doctor's prescription.

What LENEST 30 ED contains

Active ingredient
(main ingredient)
30 micrograms of ethinylestradiol
150 micrograms of levonorgestrel
Other ingredients
(inactive ingredients)
povidone
lactose monohydrate
maize starch
magnesium stearate
Each green inactive tablet contains:
lactose monohydrate
iron oxide yellow
brilliant blue FCF aluminium lake
polacrilin potassium
magnesium stearate
Potential allergens
lactose
Do not take this medicine if you are allergic to any of these ingredients.

What LENEST 30 ED looks like

LENEST 30 ED active tablets are round, white to off white, uncoated, biconvex tablets debossed with '711' on one side and the other side plain.
LENEST 30 ED inactive tablets are round, green coloured, uncoated, biconvex tablets debossed with '274' on one side and the other side plain.
Lenest 30 ED comes in a box containing 1 or 4 blister packs (AUST R 233113).

Who distributes LENEST 30 ED

Alphapharm Pty Ltd trading as Viatris
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
Phone: 1800 274 276
This leaflet was prepared in September 2023.
LENEST® is a Viatris company trade mark
LENEST 30 ED_cmi\Sep23/00

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