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Min-Ovral 21 Day is an estrogen and progestin combination used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions as determined by your doctor
Brand Name
Midamor
Common Name
amiloride HCl
How does Min Ovral work? What will it do for me?
Min Ovral is a potassium-sparing diuretic (water-pill) that is used alone or in combination with a potassium-depleting diuretic (such as hydrochlorothiazide) to lower high blood pressure. It is also used to decrease edema (fluid retention) that occurs with congestive heart failure and disorders of the liver. Diuretics work by making the body lose excess water and salt. Min Ovral is called a potassium-sparing diuretic because it does not cause potassium to be lost from the body.
Your doctor may choose to use Min Ovral for other conditions not listed here. If you're unsure why you are taking Min Ovral, contact your doctor.
How should I use Min Ovral?
The recommended adult dose of Min Ovral is 5 mg to 20 mg daily (one to four tablets) in one or two divided doses. Min Ovral can be taken with or without food, but taking the drug with food can reduce the risk of upset stomach.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is very important that Min Ovral be taken exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue on with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue on with your regular dosing schedule. Do not double doses.
What form(s) does Min Ovral come in?
Each yellow, diamond-shaped tablet, coded "MSD 92", contains Min Ovral hydrochloride 5 mg. Nonmedicinal ingredients include calcium phosphate, cornstarch, D&C Yellow No. 10, iron oxides, lactose, and magnesium stearate. Min Ovral does not contain gluten or tartrazine.
Who should NOT take Min Ovral?
Do not take Min Ovral if:
potassium levels in your blood are too high (hyperkalemia)
you are taking potassium supplements or other potassium-sparing diuretics (e.g., triamterene or spironolactone)
you have reduced kidney function or kidney disease
you are allergic to Min Ovral or any of the ingredients of the tablet
What side effects are possible with Min Ovral?
The side effects listed below are not experienced by everyone who takes Min Ovral. If you are concerned about side effects, discuss the risks and benefits of Min Ovral with your health professional. They may be able to help you to deal with some of the effects.
The following side effects may go away as your body becomes used to the medicine; check with your doctor if they continue or become bothersome.
Less common
constipation
cough
dizziness
erectile dysfunction (impotence)
gas pain
headache
loss of appetite
muscle cramps
nausea and vomiting
stomach cramps and diarrhea
signs and symptoms of too little sodium:
drowsiness
dry mouth
increased thirst
lack of energy
Check with your doctor as soon as possible if any of the following side effects occur:
Rare
jaundice (yellowing of eyes and skin)
skin rash or itching
shortness of breath
visual disturbances
signs and symptoms of too much potassium:
confusion
irregular heartbeat
nervousness
numbness or tingling in hands, feet, or lips
shortness of breath or difficult breathing
unusual tiredness or weakness
weakness or heaviness of legs
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Min Ovral.
Are there any other precautions or warnings for Min Ovral?
High blood potassium (hyperkalemia): High blood potassium has been observed in some people who receive Min Ovral either alone or with diuretics (water pills). This happens mostly in the elderly, in people with diabetes, and in people with liver disease or kidney disease. Warning signs or symptoms of high potassium include:
confusion
irregular heartbeat
nervousness
numbness or tingling in hands, feet, or lips
shortness of breath or difficult breathing
unusual tiredness or weakness
weakness or heaviness of legs
Cardiopulmonary (heart and lung) disease: People with cardiopulmonary disease should be cautious while taking Min Ovral, as they are at an increased risk of developing important side effects.
Pregnancy: Min Ovral is not recommended for use during pregnancy. The potential benefits of the drug must be weighed against possible risks if it is taken by a woman who is or may become pregnant.
Breast-feeding: It is not known whether Min Ovral is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious side effects, a decision should be made whether to stop nursing or stop taking the drug.
Children: The safety of Min Ovral has not been established for children. It is not recommended for them.
What other drugs could interact with Min Ovral?
The following medications may affect how Min Ovral works or increase the risk of side effects:
ACE inhibitors (e.g., enalapril, ramipril)
medications that reduce high blood pressure
nonsteroidal anti-inflammatory drugs (e.g., ibuprofen, naproxen)
drugs which increase potassium levels (such as potassium supplements, spironolactone, triamterene, and salt substitutes containing potassium)
The following medications may be affected by Min Ovral:
lithium
digoxin
amoxicillin
quinidine
If you are taking any medications containing this drug, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
stop taking one of the medications,
change one of the medications to another,
change how you are taking one or both of the medications, or
leave everything as is.
An interaction between two medications does not always mean that you must stop taking one of them. In many cases, interactions are intended or are managed by close monitoring. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with Min Ovral. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription) and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, decongestants, alcohol, the nicotine from cigarettes, or illegal drugs can affect the action of many medications, you should let your prescriber know if you use them.
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