Marvelon | Box | 150mcg+30mcg | Contraception | Medicine | ePharma
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Marvelon (Box)

Generic: Desogestrel + Ethinylestradiol

Type: Tablet

Pack Size: 1 Pc

Marvelon (Ethinyl Estradiol+Desogestrel) is used for contraception. It may also be used in the treatment of irregular periods.

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Discount Price: ৳ 99.75
MRP: ৳ 105 5% Off

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Marvelon Tablet is an oral hormonal combination medication that contains Desogestrel and Ethinylestradiol. It's primarily used for contraception and to address dysmenorrhea (irregular and painful periods). Contraception is employed to prevent pregnancy and facilitate family planning. Pregnancy can only occur if a man's sperm fertilizes a woman's egg. Dysmenorrhea involves irregular and painful periods, often causing symptoms such as abdominal pain, digestion issues, fainting, vomiting, and nausea.

The components in Marvelon Tablet 21's, Desogestrel and Ethinylestradiol, are female sex hormones that aid in preventing pregnancy through multiple mechanisms. They hinder the release of an egg from the ovaries and thicken the cervical fluid, creating barriers to sperm entry into the womb. Additionally, they inhibit the thickening of the uterus lining required for egg growth and attachment.

Marvelon 21's can be taken with or without food, but a consistent daily schedule is recommended for optimal efficacy. Side effects like headache, weight changes, acne, abdominal pain, cramps, and depression can occur, although not everyone experiences them. Most side effects tend to resolve on their own over time. If they persist, consult your doctor. The medication should be avoided during pregnancy and shortly after childbirth.

Prior to starting FMarvelon Tablet 21's, inform your doctor if you're above 35 years of age, a smoker, have a history of heart issues, cancer (breast, uterus, or vagina), uterine bleeding, or liver or kidney problems. If you miss a dose or are late by 12 hours, using a condom for 5 days during sexual activity is advised to prevent unintended pregnancy. The medication should not be used if you're already pregnant or breastfeeding. If you experience migraines, notify your doctor, as taking Marvelon Tablet 21's might exacerbate your headaches.

Safety Advices


Consumption of alcohol is not recommended during treatment with Marvelon due to the increased risk of severe adverse effects.


Do not take Marvelon Tablet if you are pregnant or are likely to be pregnant in the near future.


Do not take Marvelon while breastfeeding as this medicine reduces and changes the composition of the breastmilk.


Marvelon is not known to impair your driving ability. So, you can drive.


Marvelon 21's to be taken with caution, especially if you have a history of Kidney diseases/conditions. The dose may have to be adjusted by your doctor.


Marvelon Tablet 21's to be taken with caution, especially if you have a history of Liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Uses of Marvelon
  • Contraception
  • Treatment of Dysmenorrhea (Irregular Periods).
How does Marvelon work?

Ethinyl Estradiol works by replacing or replenishing the hormone estrogen that is normally produced in the body. Desogestrel works by preventing the fertilization of the egg with the sperm. It also induces changes in hormonal levels contributing to the prevention of pregnancy. Thus, this combination is an effective oral contraceptive for the prevention of pregnancy.

Side Effects of Marvelon
  • Nausea
  • Abdominal pain
  • Vomiting
  • Depression
  • Acne
  • Hair loss
  • Missed or irregular menstrual periods
  • Weight gain
  • Breast pain and tenderness
  • Dizziness
  • Back pain
  • Headache
  • Vaginal discharge with no odor
  • Change in the texture of breast skin and nipples
  • Oedema (accumulation of water in the tissues)
  • Breast enlargement
Quick Suggestions:
  • Marvelon tablets can be used as a birth control pill for females.
  • Take this tablet as directed by the doctor. It would be best if you took it at a fixed time for optimal results and should not consume it more than that prescribed by your doctor.
  • Inform your doctor about any medical conditions or medications you are taking before starting Marvelon tablet.
  • Do not use this tablet if you are pregnant or are likely to be pregnant if you are breastfeeding.
  • Smoking can increase the risk of blood clots and other complications in women taking oral contraceptives. Quitting smoking can help reduce these risks.
  • Regular exercise can help maintain a healthy weight, reduce stress, and improve overall health. It can also help regulate menstrual cycles.

This is used to avoid getting pregnant. Oral contraceptives are a highly efficient birth control strategy. When administered properly (no missing tablets), the chances of falling pregnant are extremely slim.


The 'combined Pill' is an oral contraceptive containing two female hormones: Desogestrel (a progestogen) and ethinylestradiol (an estrogen). Each tablet has a modest amount of both hormones, making it a low-dose contraceptive. All tablets in the pack have the same hormones and doses, classifying it as a monophasic combination oral contraceptive.

Dosage & Administration of

Taking Marvelon Tablet 21's:

  • This pack contains 21 tablets, each marked with the day of the week for easy tracking.
  • Take one tablet daily at roughly the same time, with water if needed, following the direction of the arrows until all 21 tablets are consumed.
  • After these 21 days, take no tablets for the next 7 days. During this period, a withdrawal bleed (similar to a period) should occur, usually starting on days 2-3 after the last tablet.
  • Start the next pack on the 8th day, regardless of whether your period continues. This ensures consistent scheduling and withdrawal bleeding timing.

Starting Your First Pack:

  • No prior hormonal contraceptive use: Begin on the first day of your cycle (first day of menstrual bleeding). Use the tablet marked with that day of the week.
  • Changing from another combined Pill: Start the day after your last tablet from the current pack, with no tablet-free break. If inactive tablets are present, start after the last active tablet.
  • Changing from progestagen-only Pill (minipill): Stop the minipill, start this tablet the next day, and use a barrier method for the first 7 days.
  • Changing from an injectable or implant: Start when your next injection is due or on implant removal day, using a barrier method for the first 7 days.

After Pregnancy, Miscarriage, or Abortion:

  • After a baby: Your doctor may recommend starting after your first normal period, or sooner.
  • After miscarriage or abortion: Follow your doctor's advice.

Missed Tablets:

  • Less than 12 hours late: Take the tablet as soon as remembered, maintaining reliability.
  • More than 12 hours late: Reliability may decrease. Risk is higher near pack start or end.
  • Specific actions for missed tablets in each week are provided.


  • Vomiting within 3-4 hours after taking a tablet may reduce absorption. Follow the advice for missed tablets.

Delaying or Changing Period:

  • To delay: Start the next pack immediately after finishing the current one. Stop tablet-taking for your desired period to begin.
  • To change starting day: Shorten tablet-free break. No more than 3 days.

Unexpected Bleeding:

  • Irregular bleeding (spotting) can occur initially but usually stops after about 3 tablet-taking cycles.

Missed a Period:

  • If all tablets are taken as directed and no vomiting or other medicines occur, pregnancy is unlikely. If you miss two periods, consult your doctor before starting the next pack.

Drug-Drug Interaction: Marvelon Tablet 21's can interact with various medications including:

  • Anti-viral medicines (paritaprevir, ritonavir)
  • Blood thinners (aspirin)
  • Pain-killers (acetaminophen)
  • Anti-anginal drugs (diltiazem)
  • Medicines for stomach acid (esomeprazole, fluconazole, omeprazole, letrozole)
  • Cyanocobalamin
  • Anti-allergy medication (cetirizine)
  • Antibiotics (moxifloxacin)

Drug-Food Interaction: Marvelon Tablet 21's interactions extend to non-prescription medications, vitamins, nutritional supplements, and herbal products you might be taking or planning to take. Additionally, alcohol consumption and grapefruit juice should be avoided in combination with Marvelon Tablet 21's.

Drug-Disease Interaction: Inform your doctor if you:

  • Smoke
  • Have a history of liver or kidney disease
  • Have heart disease
  • Suffer from hypertension
  • Have diabetes mellitus
  • Have liver disease
  • Experience abnormal uterine bleeding
  • Have a history of breast, cervix, or uterus cancer
  • Have anemia
  • If you are allergic to any of the components of Marvelon tablet.
  • If you are at a high risk of vascular blood clot formation.
  • If you have a family history of blood clot formation.
  • If you have undergone major surgery followed by bedridden for a long time.
  • If you have/had heart diseases such as a heart attack or chest pain.
  • If you have a history of paralysis.
  • If you have low blood circulation to the brain.
  • If you have a high blood sugar level.
  • If you have high blood pressure.
  • If you have dysfunction of the liver and pancreas.
  • If you have tumors of the liver.
  • If you have female-hormone-dependent tumours.
  • If you experience unknown bleeding from the vagina, are pregnant or are likely to be pregnant should not use this medicine.
Pregnancy & Lactation
  • This tablet should not be taken by women who are pregnant or suspect they are pregnant.
  • This tablet is not suggested for use while breastfeeding. If you want to use the Pill while breastfeeding, talk to your doctor first.
Precautions & Warnings

Before beginning to use this tablet, it's important to consider the following conditions. If any of these apply to you, inform your doctor before starting the medication:

  • You smoke.
  • You have diabetes.
  • You are overweight.
  • You have high blood pressure.
  • You have a heart valve disorder or a certain heart rhythm disorder.
  • You have inflammation of your veins (superficial phlebitis).
  • You have varicose veins.
  • There's a history of thrombosis, heart attack, or stroke in your immediate family.
  • You experience migraines.
  • You have epilepsy.
  • You or your immediate family members have had high blood levels of cholesterol or triglycerides.
  • Anyone in your immediate family has had breast cancer.
  • You have liver or gallbladder disease.
  • You have Crohn's disease or ulcerative colitis.
  • You have systemic lupus erythematosus (SLE).
  • You have hemolytic uremic syndrome (HUS).
  • You have sickle cell disease.
  • You have or have had chloasma (skin pigmentation patches, especially on the face); if so, avoid excessive sun exposure or ultraviolet radiation.

If any of the listed conditions appear, worsen, or recur while using the Pill, it's important to contact your doctor.

Regarding thrombosis and the Pill: Thrombosis is the formation of blood clots that block blood vessels. Deep venous thrombosis, which occurs in the deep veins of the legs, can occur with or without the use of the Pill. This clot can potentially travel to the lungs, causing a pulmonary embolism. While the risk of thrombosis is increased in Pill users compared to non-users, it's not as high as during pregnancy.

A breast cancer diagnosis has been slightly more frequent in Pill users than in non-users of the same age. However, this increased risk diminishes over time after discontinuation of the Pill.

There have been cases of benign and even rarer malignant liver tumors among Pill users, which can result in internal bleeding. If you experience severe abdominal discomfort, consult your doctor promptly.

Storage Conditions
  • Store the Marvelon Tablet below 25°C in the original packaging to protect it from moisture and light.
  • Keep this medicine out of sight and reach of children.
  • Do not use this medicine after its expiry date.
  • Do not throw away any medicines via wastewater or household waste.
Frequently Asked Questions (FAQ)

Marvelon Tablet remains active in your body for about seven to eight days.



Marvelon Tablet is a medication which has Desogestrel and Ethinyl Estradiol as active elements present in it. This medicine performs its action by constricting the ovulation, constricting the ovulation. Femilon Tablet is used to treat conditions such as Failure of ovarian development, Avoid pregnancy, Inflammation of vagina, Recurrent miscarriage, Painful menses, Breast cancer, Menstrual pain, etc.

You should take Marvelon tablet exactly as told by the doctor. It should be taken in exact doses, frequency and duration as prescribed. You need to swallow it, with water and not chew, cut or break it. You need to take it regularly and at a fixed time for maximum effectiveness.

Marvelon tablet is not intended for treating polycystic ovarian syndrome (PCOS). It's an oral contraceptive used to prevent pregnancy by inhibiting ovulation, altering sperm movement, and affecting the uterine lining.

If you vomit within 3-4 hours after taking Ethinyl Estradiol+Desogestrel, then it is considered as a missed dose. So, you should take another dose as soon as you feel well enough.

If you miss one tablet, take it as soon as you remember, even if it means taking two tablets together, and continue with your usual dosing schedule. But if you forget two or more tablets, your pregnancy protection may be compromised. Start taking the tablet as soon as you remember and use non-hormonal contraception like condoms for at least 7 days. Frequent missed doses might result in unexpected vaginal bleeding or spotting. If this persists, consult your doctor.

Marvelon might cause intermittent spotting between regular periods. While this typically resolves on its own, if spotting persists, inform your doctor as medical attention could be necessary.

Yes, Marvelon is known to cause weight gain. So, to avoid weight gain, do regular exercise, and eat home-cooked food.
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