X-Out 21 Tablet belongs to a group of medications called 'hormonal contraceptives' primarily used for contraception and treating dysmenorrhea (irregular and painful periods). Contraception is a procedure that aims to prevent unwanted pregnancy for safe family planning. Dysmenorrhea is an irregular and painful menstrual period leading to abdominal pain, mood swings, digestion problems, fainting, vomiting, and nausea.

X-Out 21 Tablet is a combination of two medications: Ethinylestradiol and Levonorgestrel. Ethinylestradiol is a synthetic female hormone (estrogen) that maintains a normal menstrual cycle (periods) in women. It works by fulfilling the deficiency of estrogen hormone, thereby preventing symptoms like night sweats, hot flashes, and mood swings. Levonorgestrel is a progestin (female sex hormones) that prevents the release of an egg from the ovary (female reproductive cells) or prevents fertilization of an egg by sperm (male reproductive cells). X-Out 21 Tablet may also change the lining of the uterus to prevent the development of a pregnancy. Thus, together, X-Out 21 Tablet helps prevent pregnancy.

Take X-Out 21 Tablet  as prescribed by your doctor. X-Out 21 Tablet can be taken with or without food but take it simultaneously every day for best results. Depending on your medical condition, you are advised to take X-Out 21 Tablet for as long as your doctor has prescribed it for you. You may experience stomach pain, headache, nausea, breast pain, weight gain, and irregular uterine bleeding. Most of these side effects of X-Out 21 Tablet 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 X-Out 21 Tablet if you are pregnant or have recently delivered a baby.

Inform your doctor before starting to X-Out 21 Tablet if you are over 35 years or ever have a heart problem, cancer (breast, uterus, or vagina), uterine bleeding, liver, or kidney problems. Do not take X-Out 21 Tablet if you are pregnant already or a breastfeeding mother. X-Out 21 Tablet does not prevent the transmission of any sexually transmitted disease (STD), so use some other form of contraception (condom) during sexual intercourse if you have any STD or AIDS (acquired immunodeficiency syndrome).

X-Out 21 Tablet is an oral hormonal combination drug, Ethinylestradiol and Levonorgestrel, primarily used for contraception. X-Out 21 Tablet contains two female sex hormones, progestin (levonorgestrel) and estrogen (ethinylestradiol), 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 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. X-Out 21 Tablet is generally taken for 21 days starting from day one of the menstrual cycle, and then for the next seven days, it is not taken, and the same course is repeated.

• Headache
• Weight gain
• Acne (pimples)
• Stomach pain/cramps
• Tiredness
• Depression

Please inform your doctor if you have ever had heart disease, hypertension, obesity, cancer (breast, cervix, or uterus), diabetes mellitus, liver or kidney disease, or abnormal uterine bleeding as X-Out 21 Tablet is known to contra-indicate. Check your breast every month for changes, such as if you feel lumps or see anything odd, please inform your doctor. Smoking may increase the risk of cardiovascular disease in women over 35 years when taking X-Out 21 Tablet . X-Out 21 Tablet does not protect against any sexually transmitted disease or HIV. If pregnancy occurs while you are taking X-Out 21 Tablet , please consult your doctor. 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 X-Out 21 Tablet 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 two days while 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 X-Out 21 Tablet may increase your headache.

Drug-drug interactions: X-Out 21 Tablet  may have an interaction with anti-epilepsy medicines (primidone, phenytoin, carbamazepine), medications used to treat tuberculosis (rifampicin, rifabutin), drugs used to treat HIV (ritonavir, efavirenz, paritaprevir) medicine used to treat fungal infections (griseofulvin, ketoconazole, itraconazole, posaconazole).

Drug-Food Interactions: X-Out 21 Tablet interacts with St. John's wort (an antidepressant herbal supplement). Also, alcohol consumption and grapefruit juice should not be included with the X-Out 21 Tablet .

Drug-Disease Interactions: 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.

• PRIMIDONE
• PHENYTOIN
• CARBAMAZEPINE
• RIFABUTIN
• RITONAVIR
• EFAVIRENZ
• PARITAPREVIR
• GRISEOFULVIN
• KETOCONAZOLE
• ITRACONAZOLE
• POSACONAZOLE

• ​​Keep your weight under control with a body mass index (BMI) of 19.5-24.9.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Including 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.
• Do regular exercise to maintain weight fluctuations caused due to X-Out 21 Tablet .
• Avoid chronic stress and exercise like running, as it might increase vaginal bleeding.
• Monitor your blood pressure daily and if there is too much fluctuation, immediately contact your doctor.
• Monitor your blood sugar level and blood pressure regularly to avoid any complications.
• Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complications.

• Stop taking this X-Out 21 Tablet and inform your doctor immediately if you notice unexplained pain and swelling in your limbs, chest pain, shortness of breath, severe headache, or changes in vision. These could be symptoms of a blood clot in a vein.
• X-Out 21 Tablet is an oral contraceptive pill preferably taken with or without food but should be taken simultaneously every day for best results. X-Out 21 Tablet is generally prescribed for 21 days starting from the first day of your menstrual cycle. It should not be taken for the remaining seven days afterwards. The course will remain the same every month.

Contraception: It is a procedure that aims to prevent pregnancy. A woman can only get pregnant if a man's 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 an irregular and painful period leading to abdominal pain, digestion problems, fainting, vomiting, and nausea. Generally, a menstrual cycle is about 25-30 days. But this cycle may be short or prolonged in dysmenorrhea, leading to excessive pain.