Prehal-D21 Tablet 21's is used for contraception and in the treatment of dysmenorrhea (irregular and painful periods). Contraception is a procedure that aims to prevent pregnancy and is used in family planning. Dysmenorrhea is irregular and painful periods leading to abdominal pain, digestion problems, fainting, vomiting, and nausea.

Prehal-D21 Tablet 21's contains Desogestrel and Ethinylestradiol, which are primarily used for contraception. It also contains two female sex hormones that help to prevent pregnancy in multiple ways. It prevents the release of an egg from the ovaries and makes the fluid present in the cervix thick, making it difficult for sperm to enter the womb. In addition, it prevents the thickening of the uterus's inner wall, which is necessary for an egg to grow and multiply.

Prehal-D21 Tablet 21's can be taken with or without food, but it can be taken at the same time every day for the best results. Like all medicines, Prehal-D21 Tablet 21's can cause side effects, although not everybody gets them. The most common side effects are headache, weight increase or decrease, acne, abdominal pain, cramps, and depression. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor. Do not use Prehal-D21 Tablet 21's if you are pregnant or have recently delivered a baby.

Inform your doctor before starting Prehal-D21 Tablet 21's if you are over 35 years, smoke, have or ever had a heart problem, cancer (breast, uterus, or vagina), uterine bleeding, liver or kidney problem. If you have missed a dose or are late by 12 hours, please wear a condom for 5 days during sexual intercourse to avoid unwanted pregnancy. Do not take medicine if you are pregnant already or breastfeeding.  If you have a migraine, please inform your doctor, as taking Prehal-D21 Tablet 21's may increase your headache.

Prehal-D21 Tablet 21's is an oral hormonal combination medicine containing Desogestrel and Ethinylestradiol, primarily used for contraception. Prehal-D21 Tablet 21's contains two female sex hormones, progestin, and estrogen, which help prevent pregnancy in multiple ways. It prevents the release of an egg from the ovaries and makes the fluid present in the cervix thick, making it difficult for sperm to enter the womb. In addition to this, it prevents the thickening of the uterus's inner wall, which is necessary for an egg to grow and multiply. Prehal-D21 Tablet 21's is generally taken for 21 days starting from day one of the menstrual cycle, and then for the next 7 days, it is not taken, and the same course is repeated.

• Headache
• Increase in weight
• Acne
• Abdominal pain
• Cramps
• Breast pain
• Depression

Please inform your doctor if you have or have ever had heart disease, hypertension, obesity, cancer (breast, cervix, or uterus), diabetes mellitus, liver or kidney disease, or abnormal uterine bleeding before taking Prehal-D21 Tablet 21's. Smoking may increase the risk of a cardiovascular event in women over 35 years old when taking Prehal-D21 Tablet 21's. Prehal-D21 Tablet 21's does not protect against any sexually transmitted disease or HIV. If pregnancy occurs while you are taking Prehal-D21 Tablet 21's, please consult your doctor to use it as a birth control pill. Do not start using a new medication without telling your doctor. Sometimes, you may experience spotting or bleeding in between missed periods or menstrual periods. If the spotting persists, please consult your doctor. Do not use Prehal-D21 Tablet 21's if you are pregnant or have recently delivered a baby. If you have missed a dose or are late by 12 hours, please wear a condom for 5 days during sexual intercourse to avoid unwanted pregnancy. Do not take medicine if you are pregnant already or breastfeeding. If you have migraines, please inform your doctor, as taking Prehal-D21 Tablet 21's may increase your headache.

Drug-Drug interaction: Prehal-D21 Tablet 21's may interact with anti-viral medicines (paritaprevir, ritonavir), blood thinners (aspirin), pain-killer (acetaminophen), anti-anginal drugs (diltiazem), medicines used to treat stomach acid (esomeprazole, fluconazole, omeprazole, letrozole), cyanocobalamin, anti-allergy (cetirizine), antibiotics (moxifloxacin).

Drug-Food Interaction: Prehal-D21 Tablet 21's interacts with non-prescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Also, alcohol consumption and grapefruit juice should not be taken along with Prehal-D21 Tablet 21's.

Drug-Disease Interaction: Inform your doctor if you smoke,  have or have ever had liver or kidney disease, heart disease, hypertension, diabetes mellitus, liver disease, abnormal uterine bleeding, breast, cervix, uterus cancer, or anaemia.

• PARITAPREVIR
• RITONAVIR
• ASPIRIN
• ACETAMINOPHEN
• DILITAZEM

• Keep your weight under control with a body mass index (BMI) 19.5-24.9.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complications.
• Do regular exercise to maintain weight fluctuations caused by Prehal-D21 Tablet 21's.
• Monitor your blood pressure daily, and if there is too much fluctuation, immediately contact your doctor.
• Try to include heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.
• Monitor your blood sugar level and blood pressure regularly to avoid any complications.

• Consult your doctor if you experience menstrual irregularities such as spotting / missed periods/ bleeding between menstrual periods.
• Your doctor may advise regular eye tests and liver function tests.

Contraception: It is a procedure that aims to prevent pregnancy. A woman can only get pregnant if a man sperm fertilizes her egg. Contraception aims to prevent this from happening by keeping egg and sperm apart by stopping egg production or not letting the uterus wall become thick. As a result, no fertilization takes place, so contraception is a safe method for family planning.

Dysmenorrhea: It is irregular and painful periods leading to abdominal pain, digestion problems, fainting, vomiting, nausea. Generally, a menstrual cycle is about 25-30 days. But in dysmenorrhea, this cycle may be short or prolonged, leading to excessive pain.