7.3.1 Combined hormonal contraceptives (CHC)

See Contraception Guidance for advice on

  • Missed pill
  • Risk factors
  • Counselling advice
  • Drug interactions
  • Practical advice
  • Emergency contraception

In the absence of any other clinical reason, the product of lower acquisition cost should be chosen

Evidence suggests that CHCs containing the 'third generation' progestogens gestodene or desogestrel are associated with an increased risk of venous thromboembolism (VTE) when compared with those containing the 'second generation' progestogens levonorgestrel or norethisterone.

CHC containing a 3rd generation progestogen may be suitable for women who experience unacceptable side-effects from other progestogens. It is important that the woman is aware of the possible increased risk of venous thromboembolism, backed up with an up-to-date leaflet. The Family Planning Association produce a suitable leaflet (The Combined Pill).

Monophasic low strength (21 day)

Loestrin 20®
  • Tablets ethinylestradiol 20 micrograms/ norethisterone 1mg (£0.90)
Gedarel® 20/150
  • Tablets ethinylestradiol 20 micrograms/ desogestrel 150 micrograms (£1.69)
Millinette® 20/75
  • Tablets ethinylestradiol 20 micrograms/ gestodene 75 micrograms (£1.80)

Monophasic standard strength (21 day)

Levest®
  • Tablets ethinylestradiol 30 micrograms/ levonorgestrel 150 micrograms (£0.60)
Rigevidon®
  • Tablets ethinylestradiol 30 micrograms/ levonorgestrel 150 micrograms (£0.63)
Brevinor®
  • Tablets ethinylestradiol 35 micrograms/ norethisterone 500 micrograms (£0.66)
Loestrin 30®
  • Tablets ethinylestradiol 30 micrograms/ norethisterone 1.5mg (£1.30)
Millinette® 30/75
  • Tablets ethinylestradiol 30 micrograms/ gestodene 75 micrograms (£1.37)
Gedarel® 30/150
  • Tablets ethinylestradiol 30 micrograms/ desogestrel 150 micrograms (£1.40)
Cilique® 250/35
  • Tablets ethinylestradiol 35 micrograms/ norgestimate 250 micrograms (£1.55)
Lizinna®
  • Tablets ethinylestradiol 35 micrograms/ norgestimate 250 micrograms (£1.55)
Marvelon®
  • Tablets ethinylestradiol 30 micrograms/ desogestrel 150 micrograms (£2.37)

 

Home > Formulary > Chapters > 7. Obstetrics, gynaecology, and urinary-tract disorders > 7.3 Contraceptives > 7.3.1 Combined hormonal contraceptives (CHC)

 

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