Zovia 1/50E-28
Zovia 1/50E-28 is a type of oral contraceptive pill that is used for the prevention of pregnancy. It belongs to a class of medications known as combined oral contraceptives, which contain both estrogen and progestin hormones. Zovia 1/50E-28 specifically contains ethynodiol diacetate, a form of progestin, and ethinyl estradiol, a form of estrogen. This contraceptive works by preventing ovulation (the release of an egg from an ovary), thickening the vaginal fluid to help prevent sperm from reaching an egg (fertilization), and changing the lining of the uterus to prevent attachment of a fertilized egg.
Composition and Dosage[edit | edit source]
Zovia 1/50E-28 is composed of 1 mg of ethynodiol diacetate and 50 mcg of ethinyl estradiol. The "28" in its name indicates that it is a 28-day pack, which typically includes 21 active hormone pills and 7 inactive pills. The inactive pills allow for a withdrawal bleed that mimics a natural menstrual cycle.
Indications[edit | edit source]
The primary indication for Zovia 1/50E-28 is the prevention of pregnancy. However, like many combined oral contraceptives, it may also be prescribed for other conditions such as menstrual disorders, acne, and polycystic ovary syndrome (PCOS), based on the discretion of a healthcare provider.
Mechanism of Action[edit | edit source]
Zovia 1/50E-28 prevents pregnancy through several mechanisms:
- Inhibition of ovulation: The presence of synthetic hormones interferes with the natural hormonal cycle that triggers ovulation.
- Cervical mucus thickening: This makes it more difficult for sperm to enter the uterus.
- Endometrial alteration: Changes in the lining of the uterus make it less receptive to a fertilized egg, preventing implantation.
Side Effects[edit | edit source]
Common side effects of Zovia 1/50E-28 include nausea, vomiting, headache, bloating, breast tenderness, and changes in weight or appetite. Serious side effects can include blood clots, stroke, and heart attack, especially in smokers and women over 35.
Contraindications[edit | edit source]
Zovia 1/50E-28 should not be used by individuals who have certain health conditions, including:
- History of blood clots, stroke, or heart attack
- Uncontrolled high blood pressure
- Breast cancer or other estrogen- or progestin-sensitive cancers
- Liver disease or liver tumors
- Unexplained vaginal bleeding
- Pregnancy
Interactions[edit | edit source]
Zovia 1/50E-28 can interact with other medications, which can diminish its effectiveness or increase the risk of adverse effects. These include certain antibiotics, anticonvulsants, and herbal supplements like St. John's Wort.
Conclusion[edit | edit source]
Zovia 1/50E-28 is a combined oral contraceptive that offers an effective means of preventing pregnancy when taken as directed. However, it is important for individuals to consult with a healthcare provider to ensure it is appropriate for their health status and to discuss potential side effects and interactions with other medications.
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Contributors: Prab R. Tumpati, MD