Rigevidon

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

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 Rigevidon

Property Description
Active Ingredients Ethinyl Estradiol, Levonorgestrel
Form Coated Tablet (Oral Dosage Form)
Pharmacological Class Estrogens and Progestins, fixed combinations
Common Use Systemic Contraception (Birth Control)
Origin Synthetic Hormones (Derivatives)

What Type of Medicine is Rigevidon?

Rigevidon is a prescription-only medicinal product classified under the pharmacological group Progestogens and Estrogens, fixed combinations. Its primary function is to serve as a highly effective Combined Oral Contraceptive (COC) for Systemic Contraception and the Prevention of Pregnancy. The medication is an Oral Dosage Form, supplied as a Coated Tablet. This dual-hormone preparation provides a comprehensive approach to contraception, leveraging the fixed combined effect of two hormonal components. Pharmacological studies consistently support the efficacy of this hormonal combination, which is clinically recognized for its reliability when used by women of childbearing age seeking established birth control.


Composition: The Role of Ethinyl Estradiol and Levonorgestrel

The essential composition of Rigevidon involves two active ingredients by their International Nonproprietary Names (INN): Ethinyl Estradiol (a synthetic estrogen) and Levonorgestrel (a synthetic progestin). These substances are synthetic derivatives of natural hormones, engineered for predictable systemic action and optimal oral absorption. Rigevidon is characterized as a monophasic oral contraceptive because the concentrations of both the synthetic estrogen and the synthetic progestin are maintained at a uniform level across every active tablet in the cycle. This differentiates it from multiphasic products which feature varying hormonal levels. Other popular products with the same core formulation, like Microgynon or Ovranette, reinforce the widespread clinical acceptance of this specific combination, ensuring that this combination product design contributes synergistically to the desired Birth Control efficacy.

Regulatory References

  1. Ethinyl Estradiol and Levonorgestrel Drug Information (MedlinePlus/NIH)

What side effects are possible with Rigevidon?

Possible Side Effects and Safety Information

The official safety profile for Rigevidon, a combined oral contraceptive containing Ethinyl Estradiol and Levonorgestrel, details adverse effects classified by frequency and the body systems they affect, according to regulatory documents from health authorities like the EMA and FDA.

Frequency-Classified Adverse Reactions

Adverse reactions are organized based on their expected frequency of occurrence in clinical use:

  • Very Common (ge 1/10): Headache, and menstrual cycle changes such as spotting and breakthrough bleeding.
  • Common (ge 1/100 to < 1/10): Nausea, abdominal pain, breast pain or tenderness, weight gain, and mood alterations, including depressed mood.
  • Uncommon (ge 1/1,000 to < 1/100): Migraine, vomiting, diarrhea, and fluid retention.
  • Rare (ge 1/10,000 to < 1/1,000): Hypersensitivity reactions and thromboembolic events.

Serious Adverse Reactions and Safety Constraints

The regulatory profile highlights a risk of serious adverse reactions, particularly Venous and Arterial Thromboembolism (blood clots) and an association with certain malignancies, such as liver tumours. These events are rare but clinically significant.

Safety limitations explicitly restrict the use of this medicine in certain populations. Use is prohibited in individuals with a history of or current Thromboembolic disorders, severe liver disease, or known or suspected hormone-sensitive malignancies. Official labeling also notes a significantly increased risk of serious cardiovascular events for smokers over 35 years of age.

Time-related safety patterns indicate that effects like breakthrough bleeding are often more common during the initial cycles of use, while the risk of some serious vascular events may increase with the duration of exposure.

Overdose and Emergency Response

Overdose and When to Seek Help

The regulatory assessment of acute overdose with combined oral contraceptives, such as Rigevidon, indicates the event is generally associated with low acute toxicity and is not likely to be life-threatening.

Documented Manifestations

Clinical manifestations listed in official documentation commonly include gastrointestinal upset, such as nausea and vomiting. Other documented signs may involve headache, breast tenderness, drowsiness, and emotional changes. A delayed, but characteristic, finding following the ingestion of an excessive dose is heavy vaginal bleeding, which is consistent with withdrawal bleeding.

Emergency Actions and Management

Regulatory guidance mandates that individuals must seek medical help right away and contact a poison control center immediately when an overdose is suspected. This immediate action is necessary despite the low acute severity assessment.

Due to the official statement that no specific antidote is known, the required medical treatment is limited to providing symptomatic and supportive care. This management protocol typically involves necessary monitoring, including the observation of vital signs (temperature, pulse, blood pressure, respiration rate) and may require blood and urine tests to assess the body's overall physiological status.

Therapeutic Uses of Rigevidon

Rigevidon is a combined oral contraceptive and is applied in addressing the therapeutic domain of contraception. The medication is commonly used to help with pregnancy prevention, which is relevant in contexts involving heightened systemic burden where functional stability becomes affected. This class of medication may assist with secondary benefits, often applied across domains where additional symptomatic support is needed.

The combined hormones can generally help address symptom clusters that interfere with daily comfort, such as assisting with the overall symptom burden of acne and easing symptoms related to physical discomfort often associated with menstrual cycles.

“This medication is considered relevant for easing symptoms related to physical discomfort and symptoms that become more disruptive during flare-ups.”

This type of support contributes to improved comfort during periods of heightened symptoms and assists with maintaining functional stability when symptoms interfere with routine activities.

Quick Fact: Supports patients with symptoms related to physical discomfort

Regulatory References

  1. NIH MedlinePlus Drug Information on Ethinyl Estradiol and Levonorgestrel

Eligibility and Restrictions for Use

Rigevidon is a combined oral contraceptive indicated for use by females of reproductive potential for pregnancy prevention. Use is not established for pre-menarcheal or postmenopausal women. The official regulatory labeling dictates strict exclusions based primarily on minimizing the risk of blood clots and hormone-sensitive conditions.

Contraindicated Populations

Use is contraindicated if a woman has the following conditions, as stated by regulatory bodies:

  • Thromboembolic Risk: Current or history of deep vein thrombosis, pulmonary embolism, stroke, or myocardial infarction. This includes known hereditary or acquired thrombophilias.
  • Vascular/Metabolic: Severe diabetes mellitus with vascular damage, uncontrolled hypertension, or a history of migraine with focal neurological symptoms or aura.
  • Malignancy/Liver: Known or suspected breast cancer, other estrogen- or progestin-sensitive neoplasia, or current severe liver disease, including tumors or decompensated cirrhosis.
  • Lifestyle: Females over 35 years of age who smoke.

Restricted or Not Recommended Use

Certain populations face explicit restrictions:

  • Pregnancy/Lactation: The medicine is contraindicated during known or suspected pregnancy and not recommended for nursing mothers.
  • Postpartum/Surgery: Starting Rigevidon is restricted during the immediate postpartum period (use should not start earlier than 4 weeks after delivery) or before and after major surgery that involves prolonged immobilization.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Rigevidon’s hormonal components, Ethinyl Estradiol and Levonorgestrel, are subject to various interactions documented in official prescribing information.


Interaction Classifications

Classification Details (Official Regulatory Context)
Contraindicated Combinations Medicinal products containing Ombitasvir/Paritaprevir/Ritonavir, Dasabuvir, Glecaprevir/Pibrentasvir, or Sofosbuvir/Velpatasvir/Voxilaprevir are prohibited due to the risk of severe liver enzyme elevation (ALT). The herbal product St. John's wort is also contraindicated.
Clinically Significant PK Interactions Co-administration with enzyme-inducing medicines reduces the plasma concentration of the hormones, potentially compromising contraceptive efficacy.

Official Interaction Statements and Requirements

  • Enzyme-Inducing Medicines: Interactions are primarily mediated through the induction of CYP3A4 enzymes, leading to the increased clearance of the hormonal components. This applies to anticonvulsants such as Phenytoin and Carbamazepine, and the anti-tuberculosis agent Rifampicin.
  • Exposure Modification: Rigevidon may increase the plasma concentration of co-administered medicines such as Ciclosporin, and may decrease the concentration of Lamotrigine.
  • Timing Requirements: Use of a barrier method is required during co-therapy with enzyme-inducing drugs and must be continued for 28 days after their discontinuation. Following cessation of contraindicated Hepatitis C regimens, the product can only be restarted 2 weeks later.
  • Condition Constraints: The official label specifies that the product must be stopped at least 4 weeks before and through 2 weeks after major surgery due to VTE risk, and cautions that severe vomiting or diarrhea may lead to reduced drug absorption.

Mechanism of Action

Central Action: HPO Axis Suppression

Rigevidon works through its synthetic estrogen (ethinylestradiol) and progestin (levonorgestrel), which act as agonists at Estrogen and Progesterone Receptors. This agonism triggers a negative feedback loop targeting the hypothalamus and pituitary gland. The resulting suppression inhibits the release of FSH (Follicle-Stimulating Hormone) and eliminates the critical LH (Luteinizing Hormone) surge. The primary physiological state resulting from this central action is the inhibition of ovulation (anovulation), characterized by the absence of ovum release from the ovary.


Peripheral Action: Reproductive Tract Modulation

In addition to its central effect, the levonorgestrel component acts peripherally on the cervix and the endometrium. This action alters the cellular environment, leading to the thickening and increased viscosity of the cervical mucus. Concurrently, the hormone combination causes the uterine lining to become atrophic and hypo-proliferative. These mechanistic changes create a viscous medium that impedes sperm migration and an atrophic and hypo-proliferative lining, establishing biological constraints on fertilization and implantation independent of the central HPO axis action.

Dosage and Administration Information

Rigevidon is a monophasic combined oral contraceptive supplied as a coated tablet, containing a uniform dose of 150 µg Levonorgestrel and 30 µg Ethinyl Estradiol per active tablet. Administration of the product is exclusively by the oral route. The dosage regimen is rigidly structured around a 28-day cycle, consisting of 21 consecutive days of active tablet intake followed by a 7-day tablet-free interval.

The official use protocol mandates that one tablet must be taken once daily at approximately the same time each day, following the sequential order directed on the blister packaging. Tablets may be taken without regard to meals, although swallowing with a little liquid is permissible if necessary. For cycle initiation, tablet-taking typically commences on the first day of menstrual bleeding; an alternative start on days 2–5 is permitted, but requires the concomitant use of a non-hormonal barrier method for the subsequent seven days.

The labeled instructions provide specific procedural steps for managing delays. If the tablet intake is delayed by less than 12 hours, protection is not reduced and the tablet should be taken immediately. If the delay exceeds 12 hours, contraceptive protection may be compromised, requiring the application of specific week-dependent protocols to re-establish adequate hormonal suppression. Official instructions for post-partum use advise initiation between 21 and 28 days after delivery for non-lactating women, with the requirement of a barrier method for the first seven days if the start is delayed past day 28.

Recent Clinical Evidence

Phase III Clinical Trials Overview

Rigevidon is a widely prescribed combined oral contraceptive containing ethinylestradiol (an estrogen) and levonorgestrel (a progestin). The clinical evidence supporting its use is based on extensive studies of this formulation and its bioequivalent generic forms.

Research regarding the effectiveness of this combination focuses on preventing pregnancy through three primary mechanisms: preventing ovulation, thickening cervical mucus to obstruct sperm passage, and altering the uterine lining to discourage implantation.

Primary Efficacy Metric Studied Outcomes Documented
Pearl Index (PI) PI values in clinical trials for this formulation typically range from 0.30 to 1.36 based on perfect use in women aged 18 to 40 years.
Typical Use Effectiveness Real-world usage studies suggest effectiveness may be around 91%, accounting for common factors like missed pills or delayed intake.

Safety and Long-Term Data

Clinical trials have assessed the safety profile, documenting common adverse events which included nausea, headache, and mood changes, often reported as mild and tending to decrease after the initial months of use.

Long-term epidemiological studies consistently show that the use of combined hormonal contraceptives (CHCs), including those containing levonorgestrel, is associated with a small increase in the absolute risk of venous thromboembolism (VTE) compared to non-users. However, this levonorgestrel combination is associated with one of the lowest VTE risks among available CHCs. Clinical data confirms the importance of screening for risk factors like age, smoking, and high blood pressure before initiation.

Secondary benefits, where documented, include a reduction in menstrual pain (dysmenorrhea) and an improvement in acne symptoms for some users. Continuous monitoring of safety and effectiveness continues through post-marketing surveillance and ongoing phase IV research.

Frequently Asked Questions (FAQ)

Common questions about Rigevidon (FAQ)

Q: Is Rigevidon the same as other combined birth control pills?

A: Rigevidon is a combined oral contraceptive that contains a fixed combination of ethinylestradiol and levonorgestrel. The official product information sometimes classifies its hormone concentrations as a 'low-dose' formulation. While it has the same components as many other combined pills, its specific dosage defines its classification within this group.

Q: How quickly does Rigevidon start working to prevent pregnancy?

A: According to the official product information, if you begin taking the pill on the first day of your period, contraceptive protection is generally considered established on the first day of use. If the start is delayed until days 2–5 of your cycle, a non-hormonal barrier method is used for the subsequent seven days to establish full protection.

Q: Can Rigevidon affect mood or cause emotional changes?

A: Yes, official regulatory documents list mood alterations, including depressed mood, as Common side effects. This means they may potentially affect up to 1 in 10 users. It is important to be aware of this possibility when taking the medication.

Q: Will Rigevidon cause weight gain?

A: Yes, regulatory documents list weight gain as a Common side effect associated with this medication. This means it may be experienced by up to 1 in 10 users.

Q: Does Rigevidon increase the risk of blood clots?

A: Official information states that the use of combined oral contraceptives is associated with a small increase in the absolute risk of Venous Thromboembolism (VTE). This specific combination of hormones is generally associated with one of the lowest VTE risks among combined pills. Regulatory guidance confirms that risk factors like age and smoking are assessed by a healthcare provider before initiation.

Q: Is Rigevidon a low-dose pill?

A: Yes, the Patient Information Leaflet for Rigevidon often describes it as a combined oral contraceptive that contains its hormones in a low dose.

Q: What happens if Rigevidon is taken with antibiotics?

A: Regulatory documents indicate that interactions with certain anti-tuberculosis and anti-seizure medicines that induce liver enzymes can reduce contraceptive effectiveness, requiring the use of a barrier method for 28 days after discontinuation. Other common, non-enzyme-inducing antibiotics are generally not noted to pose a risk to efficacy.

Q: How long can a person safely stay on Rigevidon?

A: Regulatory guidance does not define an explicit time limit for safe use. However, the risk of some serious vascular events may increase with the duration of exposure. Continuous monitoring for known risk factors like age, smoking, and blood pressure is necessary throughout the time the medication is used.

Q: Are there any long-term effects associated with Rigevidon use?

A: Long-term epidemiological studies have been conducted to assess the medication's safety profile. Official documents confirm that continuous monitoring is important, as the risk of certain vascular events, like Venous Thromboembolism, may increase with the duration of exposure.

Q: Does taking Rigevidon affect future fertility?

A: Official regulatory information states that studies indicate combined oral contraceptives do not affect a person's future fertility. Normal fertility generally returns shortly after stopping the medication.

Q: What types of cancer risk are mentioned in connection with Rigevidon?

A: Regulatory documents mention an association with liver tumours and contraindicate the pill for known hormone-sensitive malignancies, such as breast cancer. Studies have also observed a small increased risk for cervical cancer with long-term use, and a reduced risk for ovarian and endometrial cancer.

Q: Can Rigevidon help with acne?

A: Clinical trial data confirms that secondary benefits, including an improvement in acne symptoms, have been documented for some users of this formulation.

Q: Is it normal to have a shorter or lighter period while on Rigevidon?

A: Yes, this is considered normal. The medication works by causing the lining of the uterus to become atrophic and hypo-proliferative, which often results in a lighter withdrawal bleed.

Q: Does Rigevidon protect against sexually transmitted infections (STIs)?

A: No, official regulatory and patient information explicitly states that oral contraceptives like Rigevidon do not provide any protection against HIV infection (AIDS) or any other sexually transmitted infections (STIs).

Q: Can Rigevidon interfere with pain relievers like ibuprofen?

A: Official regulatory texts primarily focus on enzyme-inducing drugs and do not list common pain relievers like ibuprofen as a clinically significant interacting medicine that compromises contraceptive efficacy. However, any co-administered medicine that causes severe vomiting or diarrhea could potentially reduce drug absorption.

Q: Are there any foods or drinks that interact with Rigevidon?

A: The tablets can be taken without regard to meals, and specific foods or drinks are not listed as clinically significant interacting agents in the regulatory documentation. However, the label does caution that severe vomiting or diarrhea caused by any source may reduce drug absorption.

Q: Is there a generic version of Rigevidon?

A: Rigevidon is a brand name for a combined oral contraceptive. Other products containing the same active hormonal components (levonorgestrel 150 mu g and ethinylestradiol 30 mu g) from various manufacturers are considered bioequivalent generics.

Q: Can Rigevidon be used to regulate periods?

A: While the official indication is for contraception, the medication works by altering the natural menstrual cycle. This often results in predictable, regular, lighter, and less painful withdrawal bleeds, which some users consider cycle regulation.

Q: Is it possible to take Rigevidon to skip a period?

A: Some patient information leaflets mention that the scheduled withdrawal bleed can be skipped by starting a new strip of active pills immediately instead of taking the 7-day pill-free break. Consultation with a healthcare provider is noted for this practice.

Q: Do studies suggest any link between Rigevidon and changes in blood pressure?

A: The regulatory label advises that blood pressure should be measured before starting Rigevidon and regularly during use. This is because high blood pressure is a known risk factor, and an existing condition may worsen while taking the pill.

Q: Does Rigevidon affect cholesterol levels?

A: The regulatory label lists high levels of fat in the blood, such as cholesterol or triglycerides, as a risk factor that can increase the risk of arterial thrombosis in combined pill users.

Q: Can Rigevidon cause increased vaginal discharge?

A: Yes, regulatory documentation lists vaginal discharge as an undesirable effect (side effect) associated with the use of the medication.

Q: How are the risks described for Rigevidon in older patients or those nearing menopause?

A: Regulatory documents state that use is contraindicated (prohibited) for women over 35 years of age who smoke. Additionally, combined oral contraceptives are generally not established for use in postmenopausal women.

Q: What is Rigevidon approved for besides contraception?

A: The official indication is Systemic Contraception. However, clinical data confirms secondary benefits for some users, including the reduction of menstrual pain (dysmenorrhea) and improvement in acne symptoms.

Q: How does official guidance describe the expected experience when stopping Rigevidon?

A: Official guidance confirms that normal fertility generally returns shortly after stopping the medication. However, it may take some time for the body to return to its natural cycle.

Q: Does Rigevidon have a Black Box Warning in the US?

A: While the FDA label for combined pills typically carries prominent boxed warnings regarding serious cardiovascular risks, the EMA/UK regulatory systems often subject this drug to 'additional monitoring' due to post-marketing surveillance requirements.

Q: What should be known about Rigevidon and travel, such as time zone changes?

A: The regulatory advice states the pill must be taken at approximately the same time each day with a 12-hour margin of error. When crossing time zones, the user must ensure the interval between doses does not exceed this 12-hour window.

Q: What should be known about Rigevidon use and migraine headaches?

A: Use is strictly contraindicated for individuals with a history of migraine with focal neurological symptoms or aura. Migraine itself is also listed as an Uncommon side effect of the medication.

Q: How does the estrogen component in Rigevidon affect the body?

A: The synthetic estrogen, ethinylestradiol, acts at Estrogen Receptors, which contributes to the suppression of the HPO axis (preventing ovulation). This component is also linked to the risk of Venous Thromboembolism (VTE) documented in regulatory information.

Q: What is the eligibility for taking Rigevidon based on age or health history?

A: It is indicated for females of reproductive potential. Official regulatory documents list strict contraindications including a history of blood clots, certain cardiovascular diseases (like uncontrolled high blood pressure), severe liver disease, and smoking if over 35 years of age.

Q: Are there any specific liver or kidney concerns mentioned regarding Rigevidon?

A: Severe liver disease (including tumours or decompensated cirrhosis) is a contraindication. While the official documents extensively detail liver concerns, they do not explicitly detail concerns related to kidney function.

Q: Does Rigevidon interact with common cold or flu medicines?

A: Official regulatory texts do not list common cold or flu ingredients as interacting medicines that compromise contraceptive efficacy. Only specific drug classes, such as enzyme-inducing anticonvulsants, are noted for serious interactions.

Q: Does Rigevidon interact with commonly prescribed mental health medications?

A: Yes, official documents state that the medication may decrease the plasma concentration of co-administered medicines such as Lamotrigine, which is often used for mood stabilization. This could potentially lead to a loss of seizure control. The pill itself is also associated with mood alterations.

Q: Can Rigevidon cause hair loss or growth?

A: Yes, regulatory documents list both Alopecia (hair loss) and Hirsutism (excessive hair growth) as Uncommon side effects. This means they may affect up to 1 in 100 users.

Q: What does official information say about Rigevidon and autoimmune conditions?

A: Official information mentions conditions such as Systemic Lupus Erythematosus (SLE) and Crohn’s disease as conditions that may worsen while taking the combined pill, requiring regular medical check-ups.

Q: Is Rigevidon associated with changes in vision or eye health?

A: Yes, Intolerance to contact lenses is listed as an Uncommon side effect in regulatory documents. Additionally, the label warns of rare but serious events involving thrombosis of cerebral or retinal vessels (blood clots that can affect the eyes or brain).

How should Rigevidon be stored and disposed of?

Storage and Disposal Requirements for Rigevidon

Official regulatory guidelines mandate specific conditions to maintain the stability and safety of Rigevidon coated tablets.


Storage Conditions

Requirement Official Instruction
Temperature Store below 25 C.
Packaging Keep in the original blister pack and carton.
Child Safety Must be kept out of the sight and reach of children.
Stability Do not use past the expiration date on the package.

Disposal Instructions

Unused or expired Rigevidon must not be thrown away with household waste or disposed of via wastewater. Disposal should be managed by asking a pharmacist for instructions, which ensures the product is handled as pharmaceutical waste and helps protect the environment.

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

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