Mala D Tablet

Mala D Tablet is a contraceptive pill consumed to avoid unwanted pregnancy. It is an oral pill which is to be followed as per the regimen, for 28 days or as prescribed by a doctor. Quite a few times, it is prescribed in the treatment of irregular periods.

This medication contains two types of tablets, the White tablet, which is a combination of Ethinyl estradiol and Levonorgestrel as active ingredients and the Red tablet is composed of Ferrous Fumarate. It helps to prevent the release of the egg and its fertilization by the sperm.

The Ethinyl estradiol and Levonorgestrel (white) tablet is taken for 21 days followed by the Ferrous fumarate (red) tablets for the next 7 days. It functions by stopping ovulation i.e. stopping ovaries from releasing an egg.

Mala D pills is also known to reduce or stop short term changes of menopause. You must always consult your gynaecologist before consuming the pill as it may have certain side effects like lower abdominal pains, acne, vomiting, allergic reaction, high blood pressure etc.

If consumed in regular doses, as prescribed by the doctor, this drug can avoid pregnancy up to three years.

• Oral Contraceptives

• Menstrual Abnormalities

• Pregnancy

• Liver Disease

• Undiagnosed Vaginal Bleeding

• Disrupted Menstrual Cycle

• High Blood Pressure

• Severe Allergic Reaction

• Vomiting

• Acne

• Stomach Pain

• Breast Pain

• Headache

• Are there any pregnancy warnings?

  Mala D Tab is highly unsafe during pregnancy.

• Are there any breast-feeding warnings?

  Consult doctor before using this medication during breastfeeding.

• Is it safe to drive while on this medicine?

  If you are using this medication, consult your doctor whether to drive or not.

• Does this affect kidney function?

  Mala D Tablet does not affect the kidney. Adjustment of dose might not be needed. Kindly consult your doctor before taking it.

• Does this affect liver function?

  It can cause potential harm to the liver. Adjustment of dose might be needed. Kindly consult your doctor before taking it.

• How long is the duration of effect?

  The duration of action of Tablet in the body is not known.

• What is the onset of action?

  It starts the action within a couple of hours of consumption.

• Is it habit forming?

  It is not addictive.

Below is the list of medicines, which have the same composition, strength and form as Mala D Tablet , and hence can be used as its substitute.

• Ovral L 0.03 Mg/0.15 Mg Tablet

  Pfizer Ltd

• Are there any missed dose instructions?

  If you miss a dose, skip it and continue with your normal schedule. Do not double the dose.

• Are there any overdose instructions?

  Consult your doctor before using this medication.

Mala D is a combination of Ethinyl Estradiol and levonorgestrel. Ethinyl Estradiol is a semisynthetic estrogen which enters the cells and binds to the estrogen receptors and forms a complex that enters the cell nucleus and bind to the DNA. This activates the DNA transcription of genes that are involved in estrogenic cellular responses. Levonorgestrel is a nortestosterone derivative and is a potent inhibitor of ovulation. This medicine also prevents fertilization of the egg and reduces the secretion of hormones like follicle stimulating hormone and luteinizing hormone.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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• Interaction with Alcohol

  It shows slight interaction with alcohol.

• Interaction with Medicine

  It interacts with drugs like Aminoglutethimide, Barbiturates, Bosentan, Carbamazepine, Dicoumarol, Felbamate, Griseofulvin, Hydrocortisone, Oxcarbazepine, and Phenobarbital.

• Interaction with Disease

  Mala D medicine is not safe for patients suffering from liver diseases, adenoma, postoperative thromboembolism, coronary and cerebrovascular diseases, history of breast cancer, jaundice during a past pregnancy, and hyperlipidemia.

• Interaction with Food

  It has no adverse interactions with food.

• Ques : What is Mala D tablet?

  Ans : It is an oral pill which is to be followed as per the regimen, for 28 days or as prescribed by doctor. It contains two types of tablets, one is combination of Ethinyl estradiol and Levonorgestrel as active ingredients and the other one is of Ferrous Fumarate.

• Ques : What is the use of Mala D tablet?

  Ans : It is used to avoid unwanted pregnancy.

• Ques : What are the side effects of Mala D tablet?

  Ans : It is a medication which has some known side effects which may or may not occur always and some of them are rare and serious. Patients should have precautions and prescriptions before taking this medication. If you experience any of the below-mentioned side effects, contact your doctor immediately. Here are some side effects of Mala D tablet listed below:

  1. Lower stomach pain
  2. Rising BP
  3. Vomiting
  4. Headache
  5. Amenorrhea
  6. Cervical
  7. Cholestatic jaundice
  8. Unexpected bleeding
  9. Allergic rejections
  10. Acne
  11. Cervical erosion
  12. Edema
  13. Tiredness
  14. Diarrhea
  15. Breast tenderness
  16. Anaphylactic reactions
  17. Amenorrhea
  18. Irregular bleeding

• Ques : What precaution should you take while using Mala D tablet?

  Ans : You should have a record of your medical history for the consultation of the doctor before taking medicine. Do not self-medicate yourself. Consult your doctor about the risks and benefits of this medication before taking this.

• Ques : What if I forget to take medicine?

  Ans : If you forget to take one tablet, take it as soon as you remember. Frequent missing of doses can cause unexpected vaginal bleeding or spotting (blood stain). Consult your physician if the problem persists.

• Ques : Are there any specific contraindications associated with the use of medicine?

  Ans : The use of Mala D medicine is not recommended to patients with known allergy to any of its components or excipients. The medication should not be taken by patients with a history of hypertension, heart disease, diabetes mellitus, migraine headache, liver disease or tumors, uterine bleeding, breast cancer, deep vein thrombosis and pulmonary embolism.

• Ques : Can medicine be taken by a patient who smokes?

  Ans : Mala D pills should not be consumed by a person who smokes. Smoking may increase the risk of serious side effects. Smokers should consult their physician before taking the medication.

• Ques : What if I miss my regular menstrual periods while taking medicine?

  Ans : If you miss your menstrual periods while taking Mala D, then its is likely that you are pregnant. However, some women may miss periods or have light periods while taking Mala D Tablet even when they are not pregnant. Consult your physician if you think you are pregnant or have missed one or two periods.

• Ques : Can medicine cause bleeding or spotting between the regular menstrual periods?

  Ans : Yes, Mala D Medicine can cause some unexpected bleeding or spotting, especially during the first three months. Do not stop taking medicine because of this. Inform your physician if the spotting continues for over 7 days or if the bleeding is heavy.

• Ques : What if I vomit after taking medicine?

  Ans : If you vomit within 3-4 hours after taking Mala D pills, then it is considered as a missed dose. You should take another dose when you feel well enough.

• Ethinylestradiol- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 24 April 2019]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/ethinyl%20estradiol

• LEVONORGESTREL- levonorgestrel tablet- Daily Med [Internet]. dailymed.nlm.nih.gov. 2016 [Cited 24 April 2019]. Available from:

  https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ef898b8-d503-4cc3-8feb-de51d3c1f384

• Levonorgestrel 1.5 mg Tablet- EMC [Internet]. www.medicines.org.uk. 2018 [Cited 24 April 2019]. Available from:

  https://www.medicines.org.uk/emc/product/8626/smpc

• Ferrous fumarate- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 24 April 2019]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/ferrous%20fumarate