Labellefille

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Labellefille

Labellefille is a prescription medication classified as a Combined Oral Contraceptive (COC), primarily used for pregnancy prevention in females of reproductive potential. It is administered via the oral route as an oral tablet and functions by introducing synthetic hormones into the body.


Quick Facts

Property Description
Active Ingredients Ethinyl Estradiol and Levonorgestrel
Form Oral tablet
Pharmacological Class Estrogen-progestin combination
Common Use Contraception (Pregnancy prevention)
Origin Synthetic hormone derivatives

What Type of Medicine is Labellefille?

Labellefille belongs to the pharmacological class of Estrogen-progestin combination products, which are the most commonly prescribed type of oral contraceptive pill globally. This classification reflects its dual composition, defining it as a combination product that utilizes both a synthetic estrogen and a synthetic progestin.

The medication is supplied as a solid oral dosage form, specifically a sugar-coated tablet, intended for daily ingestion. This approach is clinically recognized for providing high efficacy in suppressing the body's natural reproductive processes.

Composition: Ethinyl Estradiol and Levonorgestrel

The composition of Labellefille is defined by its two active ingredients: Ethinyl Estradiol and Levonorgestrel. Ethinyl Estradiol is a potent synthetic estrogen derivative, while Levonorgestrel is a widely studied synthetic progestin. The product’s reliance on these specific synthetic hormones is a distinguishing feature from older, purely natural hormone-based treatments.

The General Purpose of This Oral Contraceptive

The singular, general indication of Labellefille is providing reliable, reversible contraception by interfering with the reproductive cycle. Hormonal contraceptives prevent pregnancy primarily by stopping ovulation and thickening the cervical mucus. Therefore, the overall purpose of this medication is to minimize the risk of conception for the user.

Regulatory References

  1. Oral Contraceptive Pills - StatPearls - NCBI Bookshelf
  2. MedlinePlus

What side effects are possible with Labellefille?

Possible side effects and safety information

The official safety profile for Labellefille, a combined oral contraceptive containing Ethinyl Estradiol and Levonorgestrel, details adverse effects and safety constraints strictly classified by regulatory authorities (FDA, EMA). Reactions are grouped into System-Organ Classes (SOCs) such as Vascular, Gastrointestinal, Reproductive System, and Nervous System Disorders.

Frequency-Classified Adverse Reactions

Adverse effects are categorized based on their expected occurrence in clinical use:

  • Very Common (ge 1/10): Headache, nausea, and irregular uterine bleeding (spotting or metrorrhagia).
  • Common (ge 1/100 to < 1/10): Breast pain/tenderness, mood changes, vomiting, abdominal pain, acne, and weight gain.
  • Rare (< 1/1,000): Includes the risk of thromboembolic events (blood clots), liver tumors, and cholestatic jaundice.

Serious Adverse Reactions and Safety Constraints

The regulatory label highlights rare but clinically significant Serious Adverse Reactions (SARs), primarily the increased risk of Venous Thromboembolism (VTE), Arterial Thromboembolism (ATE) (e.g., Stroke, Myocardial Infarction), and the potential for Liver Neoplasms.

Safety constraints and time-related patterns are also specified:

Safety Constraint / Pattern Regulatory Documentation Note
Population Constraint Contraindicated in females over 35 who smoke and in those with migraine with aura [FDA].
Time-Related Risk The risk of VTE is highest during the first year of COC use and when restarting after a break of four weeks or longer [DailyMed].
Irregular Bleeding Breakthrough bleeding and spotting are frequently observed during the first three months of treatment and typically decrease with continued use [NIH].

The official safety profile strictly defines the regulatory risk landscape by classifying all documented adverse events, from common expected effects to rare, critical SARs. By detailing specific constraints and time-related patterns, the profile provides a structured understanding of the risks associated with this combined oral contraceptive.

Overdose and Emergency Response

Overdose and when to seek help

The following information is derived strictly from the Overdosage sections of official government regulatory documents (e.g., FDA Prescribing Information and EMA Summaries of Product Characteristics) for combined oral contraceptives containing Ethinyl Estradiol and Levonorgestrel.


Documented Overdose Manifestations

Acute ingestion of a large dose of Labellefille is typically associated with documented physiological manifestations of excess hormone exposure, rather than severe toxicity. The most commonly reported clinical manifestations listed in regulatory labeling are nausea and vomiting. Furthermore, withdrawal bleeding (or breakthrough bleeding) may occur in females of reproductive age.


Required Emergency Actions

Official regulatory guidance mandates that users seek medical advice or contact a doctor or pharmacist immediately following a suspected overdose. This requirement applies even if the symptoms appear minor or if the overdose is acute and uncomplicated.

Management and Antidote

Classification Official Regulatory Statement
Antidote Availability No specific antidote is known for this product.
Treatment Approach Treatment is exclusively symptomatic and supportive.

Serious ill effects have generally not been reported following acute ingestion of large doses of this type of medicine, specifically in populations such as young children, as noted in official documentation. Therefore, management is directed at symptom control.

Therapeutic Uses of Labellefille

What Labellefille Treats: Main Uses and Benefits

The combined oral contraceptive pill, which includes the components of Labellefille, is considered relevant across therapeutic domains where additional symptomatic support is needed, as it is commonly used across conditions presenting with episodic or fluctuating manifestations. The medication is considered relevant in contexts involving heightened systemic burden.


Contraceptive Support and Symptom Management

Labellefille is commonly used for managing symptoms related to systemic imbalance, including the prevention of pregnancy in women who elect to use oral contraceptives. Beyond this primary use, it may assist with maintaining the functional stability of the menstrual cycle, which helps improve day-to-day comfort.

It is commonly applied in addressing symptom clusters that may become intense or disruptive, including conditions characterized by periods of heightened symptoms such as severe menstrual pain (dysmenorrhea), symptoms that create noticeable physiological strain (heavy bleeding), Premenstrual Syndrome (PMS), and PMDD. Furthermore, it may assist with managing symptoms related to heightened physiological activity, such as hormonal acne.

In summary, the use of this therapeutic category “offers supportive relief when symptoms interfere with routine activities and assists with maintaining functional stability.”


Quick Fact Relief for Symptom
Symptom Category Menstrual Cycle Distress, Hormonal Skin Issues
Primary Benefit Supports Pregnancy Prevention and Functional Cycle Stability
Relief Target Severe Pain, High Symptom Burden Bleeding, Hormonal Acne

Eligibility and Restrictions for Use

Who can and cannot use Labellefille?

The population officially eligible for Labellefille (Ethinyl Estradiol/Levonorgestrel) is females of reproductive potential seeking pregnancy prevention, provided they do not have specific contraindicating conditions. Safety and efficacy are not established for use before menarche or in the geriatric/post-menopausal population.


Absolute Contraindications (Must Not Use)

Contraindication Category Specific Conditions
Thrombotic Risk Current or history of blood clots (DVT/PE), arterial diseases (stroke, MI), or inherited/acquired hypercoagulopathies
Hormone-Sensitive Current or history of breast cancer or other estrogen-sensitive malignancies
Hepatic Function Severe liver disease (e.g., severe cirrhosis, acute hepatitis) or liver tumors
Lifestyle/Age Smoking and over the age of 35 years

Conditional Eligibility and Restrictions

  • Pregnancy Status: Use is contraindicated during known or suspected pregnancy.
  • Lactation: Use is not recommended while breastfeeding as the product may decrease milk production.
  • Comorbid Conditions: The medicine is contraindicated in cases of uncontrolled hypertension, diabetes mellitus with vascular damage, or migraine headaches with aura.
  • Surgical Events: The medication must be discontinued for a defined period (e.g., four weeks before) and after major surgery to mitigate the risk of thromboembolism.

What should I know about interactions with other medicines?

Labellefille Interactions with other medicines and products

The combined oral contraceptive Labellefille, containing Ethinyl Estradiol and Levonorgestrel, has officially documented interactions primarily related to hepatic metabolism and drug exposure. These interactions are classified as contraindicated, clinically significant, or requiring administration changes, according to regulatory sources.

Classification Interacting Agents (Examples) Constraint Summary
Contraindicated Combination Hepatitis C drug regimens containing Ombitasvir/Paritaprevir/Ritonavir, with or without Dasabuvir. Formal prohibition of co-administration due to the risk of significant elevation of liver enzymes (ALT).
Decreased Exposure Enzyme Inducers (e.g., Carbamazepine, Rifampin, Phenytoin, St. John’s Wort); Colesevelam. Diminished systemic exposure of the hormones, potentially reducing contraceptive efficacy.
Increased Exposure CYP3A Inhibitors (e.g., Itraconazole, Fluconazole); Ascorbic Acid (Vitamin C), Acetaminophen. Increased plasma concentrations of the estrogen and/or progestin components.

Co-administration with enzyme-inducing products, such as those used for epilepsy or certain infections, is documented to decrease the hormone levels in the body. Conversely, certain inhibitors or supplements can increase the hormones' exposure. A specific requirement exists for the bile acid sequestrant Colesevelam, which must be separated by 4 or more hours during administration to attenuate reduced Ethinyl Estradiol absorption. Furthermore, the COC is documented to decrease the plasma concentration of Lamotrigine, a medication used for other conditions.

Mechanism of Action

Labellefille, a combination progestin and estrogen preparation, exerts its primary actions via progesterone receptor and estrogen receptor agonism. The progestin component, levonorgestrel, functions as a synthetic progestogen, binding to the progesterone receptor with high affinity. This interaction, primarily in the hypothalamus and pituitary gland, modulates the hypothalamic-pituitary-ovarian (HPO) axis.

Intracellularly, this receptor binding suppresses the pulse frequency of gonadotropin-releasing hormone (GnRH) release from the hypothalamus. This proximal signal modification attenuates the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the anterior pituitary.

The downstream cascade consequence of blunted LH secretion is the inhibition of the preovulatory LH surge, which is the requisite physiological signal for follicular rupture and ovum release from the ovaries. Furthermore, the molecular activity of the progestin component modifies the cervical mucus by increasing its viscosity and reducing its volume, a system-level physiological change that impedes sperm motility and access to the upper reproductive tract. The estrogenic component modulates follicular stability and contributes to the control of the endometrial cycle. Overall, this combined hormonal action systemically alters the conditions necessary for ovum development and transport.

Dosage and Administration Information

How Labellefille is Used: Official Administration Guidelines

Labellefille is administered exclusively via the oral route as a tablet for contraception in females of reproductive potential. The usage protocol is defined by a highly specific, standardized 28-day cyclic pattern to maintain consistent hormonal levels, ensuring its intended long-term effect.


Administration Scope

Instruction Detail
Route of administration Oral (by mouth).
Dosing schedule One tablet daily in a sequential, fixed-dose regimen.
Timing in relation to meals (if applicable) Generally taken with or without food.
Age-group administration rules Postpartum initiation is restricted to no earlier than four weeks after delivery in non-breastfeeding individuals.

Resulting Procedural Structure

The standard regimen consists of 21 consecutive days of active (hormone-containing) tablets followed by 7 consecutive days of inactive (placebo) tablets or a tablet-free interval. The medication must be taken at the same time every day, and tablets must be ingested in the order directed on the blister pack to ensure proper sequential dosing.

In cases of gastrointestinal disturbance, such as vomiting or severe diarrhea within a few hours of an active dose, the standard missed-dose rules apply, requiring specific actions to manage potentially incomplete absorption. Furthermore, a non-hormonal backup method of contraception is required during the initial seven days of certain starting methods. The continuous protocol requires that a new pack must be started immediately after the previous 28-day cycle is finished.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Labellefille

This section provides an overview of the clinical research that has explored the use of Labellefille (Ethinyl Estradiol and Levonorgestrel), summarizing the types of studies conducted and what outcomes were monitored. Research provides context but not individual predictions.


Evidence for use in Pregnancy Prevention (Contraception)

This medication was studied in large-scale clinical trials and post-marketing studies, primarily conducted on healthy women of reproductive potential. Research monitored outcomes related to pregnancy prevention, which was measured using standardized methods like the Pearl Index. Studies also monitored outcomes related to menstrual cycle regularity and the frequency of any unscheduled bleeding or spotting.

What remains uncertain is the variability in reported outcomes based on adherence factors. Furthermore, long-term outcomes beyond the immediate period of use are not fully established by the core research.

Evidence for use in Managing Menstrual Pain and Bleeding

Labellefille was studied in research contexts involving severe menstrual pain (dysmenorrhea). These investigations include Randomized Controlled Trials (RCTs) and Systematic Reviews that explored outcomes related to physical discomfort. Studies primarily focused on measured changes in self-reported pain scores and patterns related to the use of additional pain-relieving medication.

Findings were mixed or heterogeneous across different trials. Research focusing on dysmenorrhea often observed a notable placebo effect, meaning a portion of the measured change was also observed in groups not receiving the active pill.

Evidence for use in Managing Hormonal Acne and Related Symptoms

The pill was evaluated in research contexts involving hormonal acne (Acne Vulgaris), typically lasting six to twelve treatment cycles in women with mild to moderate facial acne. Outcomes were monitored using the count of total and inflammatory acne lesions and a Global Assessment Score assigned by clinicians.

Comparative evidence for this specific combination is limited against other combined oral contraceptive (COC) formulations. Additionally, there is limited information for long-term outcomes that would describe the maintenance of changes after the treatment is discontinued.

What Remains Uncertain in the Research Landscape

The existing body of evidence highlights areas where research is still needed. For symptomatic uses, long-term effects are not fully established, as follow-up durations were limited. Comparative evidence is lacking against many newer contraceptive formulations, meaning the full picture of this pill’s research context is still emerging.

Frequently Asked Questions (FAQ)

Common questions about Labellefille (FAQ)


Q: How quickly does Labellefille usually start to work?

Official regulatory documents indicate that if starting hormonal contraception, a non-hormonal backup method of contraception (such as condoms) is generally required for the first 7 days of taking the active tablets to ensure contraceptive effectiveness. The specific instructions in the prescribed regimen must be followed.


Q: How long does the effect of one dose of Labellefille last?

According to official product information on how the medication is processed by the body (pharmacokinetics), the hormones remain in your system for an extended period. The levonorgestrel component has an approximate half-life of 34 hours, and the ethinyl estradiol component has an approximate half-life of 18 hours. Taking the tablet daily maintains the necessary drug levels.


Q: What happens if I miss a dose of Labellefille?

Regulatory documents provide specific missed dose instructions, noting the steps to be taken based on how many active tablets were missed and in which week of the cycle the missed dose occurred. Missing tablets may increase the risk of pregnancy, and additional non-hormonal contraception may be necessary for 7 days.


Q: How does Labellefille differ from placebos in clinical trials?

Official clinical studies confirm the product's effectiveness as a contraceptive. These studies measure the rate of unintended pregnancy (known as the Pearl Index) and show that the rate is significantly lower among individuals taking Labellefille compared to those who received a non-active placebo.


Q: Is it normal to feel a mild headache after starting Labellefille?

Regulatory documents list headache as a very common adverse reaction associated with the medication. Official warnings additionally note that the highest risk of some systemic side effects (like blood clots) occurs during the first year of use and when restarting the medication.


Q: Can Labellefille be taken with cold and flu medicine?

Official drug interaction information indicates that common ingredients found in cold and flu medicines may interact with this pill. Ingredients like Acetaminophen and Ascorbic Acid (Vitamin C) may affect the systemic exposure levels of the hormones. Checking the official product information for any potential drug-drug interactions is required.


Q: Why does Labellefille need to be taken at a specific time of day?

Regulatory information indicates the tablet should be taken at the same time every day. This schedule supports maximum contraceptive effectiveness by ensuring the interval between active doses remains consistent and does not exceed 24 hours, helping to maintain stable hormone levels.


Q: What is the evidence regarding Labellefille's effectiveness in real-world settings?

While clinical trials measure the effectiveness when taken perfectly (perfect use), the official warnings explain that effectiveness in real-world settings (typical use) is lower. This difference is primarily due to factors like patient adherence, as the failure rate increases when tablets are missed or taken incorrectly.


Q: Does Labellefille affect mood or cause anxiety?

Official documentation lists mood changes and depression as common adverse reactions. The label states that females with a history of depression require careful observation, and the medication may need to be discontinued if depression recurs to a serious degree.


Q: How does Labellefille get processed by the body?

The official pharmacokinetic section describes how the body handles the medicine. After being swallowed, the active ingredients are rapidly absorbed. The ethinyl estradiol component undergoes extensive first-pass metabolism in the liver and gut wall, while levonorgestrel is completely absorbed without this effect.


Q: What kind of conditions is Labellefille approved to treat?

According to the official Indications section of the label, the primary approved use of Labellefille is for the prevention of pregnancy (contraception) in females of reproductive potential.


Q: Is Labellefille effective for all patients who use it?

The official product information clearly states that no contraceptive method is 100% effective. The risk of unintended pregnancy is known to increase if active tablets are missed or not taken according to the directions.


Q: Why is Labellefille considered a prescription-only medicine?

The product carries a regulatory Boxed Warning regarding the increased risk of serious cardiovascular events, such as stroke and heart attack. This serious risk necessitates a medical evaluation by a healthcare professional before the medication is prescribed.


Q: Can taking Labellefille make you feel tired or dizzy?

While fatigue is sometimes reported in post-marketing safety data, official regulatory documentation lists dizziness and drowsiness as symptoms associated with the use of the combined oral contraceptive, particularly in cases of overdosage.


Q: Why do people sometimes stop taking Labellefille?

Clinical trial data and adverse event reports indicate that common adverse reactions are the primary reasons for stopping the medication. These include effects like headache, nausea, weight change, mood alterations, and irregular or breakthrough bleeding.


Q: Does Labellefille affect sleep patterns?

Official information includes a section on central nervous system (CNS) effects. While direct sleep disturbance is not always listed, the presence of CNS-related side effects, such as headache and reported drowsiness (in overdosage), may indirectly affect sleep patterns.


Q: Are there different strengths or formulations of Labellefille?

Official regulatory documents state that the combination of levonorgestrel and ethinyl estradiol is available in various dosage forms and strengths. This includes both traditional 21/7-day regimens and continuous or extended-cycle regimens.


Q: Does Labellefille have a generic version available?

Regulatory documents and official records confirm that the combination of levonorgestrel and ethinyl estradiol is widely available as an FDA-approved generic medication.


Q: Can people with kidney problems use Labellefille?

Official documents provide detailed guidance on use in specific populations, such as those with liver (hepatic) insufficiency. However, the regulatory label generally lacks specific dosing adjustments or contraindications solely based on moderate kidney (renal) insufficiency.


Q: Is it necessary to have blood work done while taking Labellefille?

Official Warnings and Precautions state that monitoring of certain patient characteristics is advised during treatment. For instance, blood pressure monitoring is recommended, and glucose levels may need to be monitored in women who have pre-diabetes or diabetes.


Q: What are the symptoms of an allergic reaction to Labellefille?

Official patient safety information describes the signs of a serious allergic reaction that require emergency care. These documented symptoms include skin rash, hives, severe itching, or swelling of the face, lips, tongue, or throat.


Q: What if I experience side effects not listed in the patient leaflet?

Regulatory agencies, such as the FDA, provide a mechanism for reporting new or suspected adverse reactions. Patients are encouraged to use this official pathway, which includes reporting to a healthcare provider or directly to the regulatory body via their MedWatch program.


Q: How do doctors monitor the effects of Labellefille?

The official label notes that patient monitoring is necessary and describes several factors to be observed, including the patient’s blood pressure and any significant change in headaches. Additionally, monitoring of blood glucose is discussed for patients with pre-existing risk factors.

How should Labellefille be stored and disposed of?

How to Store and Dispose of Labellefille

Storage and disposal of Labellefille (levonorgestrel/ethinyl estradiol) must strictly follow official regulatory instructions to ensure product stability and safety.

Storage Requirements

Element Official Requirement
Temperature Store at Controlled Room Temperature, between 20 C and 25 C (68 F and 77 F).
Protection The tablets must be protected from light.
Container Store in the original container (blister packaging).
Safety Keep out of the reach of children.

Disposal Instructions

Unused or expired product must be disposed of according to local requirements. It is generally advised not to flush this medication down the toilet or pour it into a drain. If an official drug take-back program is unavailable, the tablets should be mixed with an undesirable substance, placed into a sealed container, and then discarded in the household trash.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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