Product image of Mirabella 28 (Ethinylestradiol, Levonorgestrel | Lactose) supplied by GNH India

Mirabella 28

Active Ingredient:
Ethinylestradiol, Levonorgestrel | Lactose
Origin:
EU

Mirabella 28 (Ethinylestradiol, Levonorgestrel | Lactose)

Ethinylestradiol and Levonorgestrel, the active ingredients in Mirabella 28, are a combined oral contraceptive presented as a tablet for oral use. They work together to prevent pregnancy in women of reproductive age by inhibiting ovulation, thickening cervical mucus, and altering the endometrium.

GNH India supplies Mirabella 28 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company ensures quality manufacturing according to EU standards and provides reliable global distribution.

Manufacturer / TM Owner

Exeltis Healthcare S.L

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Indications & Clinical Uses

Mirabella 28, a combined oral contraceptive, is used within the hormonal contraceptive pathway to prevent unintended pregnancy.

  • Contraception: prevents pregnancy in women of reproductive age.
  • Menstrual cycle regulation: helps establish regular menstrual bleeding patterns.
  • Management of dysmenorrhea: reduces the severity of painful menstrual cramps.

How It Works

  • Ethinylestradiol and levonorgestrel act by suppressing the hypothalamic‑pituitary‑ovarian axis, which blocks the mid‑cycle surge of luteinising hormone and prevents ovulation. The estrogen component stabilises the endometrial lining, while the progestin thickens cervical mucus and induces endometrial changes that make implantation unlikely.

Side Effects

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Headache: tension‑type or migraine‑like pain.
  • Breast tenderness: swelling or discomfort.
  • Spotting or breakthrough bleeding: irregular light bleeding.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins.
  • Pulmonary embolism: clot migration to lungs.
  • Stroke or transient ischemic attack: neurological events.
  • Myocardial infarction: heart attack risk.
  • Severe allergic reaction: rash, swelling, anaphylaxis.
  • Liver dysfunction: jaundice or abnormal liver enzymes.

Precautions & Warnings

Before starting Mirabella 28, consider the following precautions:

  • Smoking status: avoid use if over 35 and a smoker due to increased clot risk.
  • Cardiovascular history: assess for hypertension, heart disease, or stroke.
  • History of thromboembolism: contraindicated in prior clotting events.
  • Liver disease: monitor liver function and avoid if severe impairment.
  • Pregnancy and breastfeeding: discontinue if pregnancy is confirmed; discuss risks if breastfeeding.
  • Store at ambient temperature: keep below 25°C, in the original packaging, protected from moisture and light.

Avoid Interactions

Mirabella 28 may interact with several medicines.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): may reduce contraceptive efficacy.
  • Certain antiepileptics (e.g., carbamazepine, phenytoin): increase hormone metabolism.
  • Rifampicin and other enzyme inducers: lower plasma levels of estrogen and progestin.

Moderate Interactions (Monitor Closely)

  • Antifungal azoles (e.g., ketoconazole): may increase hormone concentrations.
  • St. John’s wort: may modestly reduce contraceptive effectiveness.

Frequently Asked Questions

Mirabella 28 is a combined oral contraceptive indicated for preventing unintended pregnancy in women of reproductive age. It may also be prescribed to help regulate menstrual cycles and reduce painful periods.

The two hormones suppress the hypothalamic‑pituitary‑ovarian axis, preventing the luteinising hormone surge that triggers ovulation. Levonorgestrel thickens cervical mucus and alters the endometrium, while ethinyloestradiol stabilises the uterine lining, together reducing the chance of fertilisation and implantation.

The dosing regimen for Mirabella 28 is determined by the prescribing clinician. Typically, it is taken as one tablet daily at the same time for a 21‑day active phase followed by a hormone‑free interval, but the exact schedule should follow the prescriber’s instructions.

Mirabella 28 should not be used during pregnancy. If pregnancy occurs, discontinue the product and consult a healthcare professional. Limited data are available for breastfeeding; the prescriber will weigh potential risks and benefits before recommending use.

Enquiries are submitted via the product page on gnhindia.com, where you specify the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Mirabella 28 contains ethinyloestradiol and levonorgestrel, a widely used estrogen‑progestin pair offering reliable contraception with a well‑characterised safety profile. Compared with newer formulations, it provides similar efficacy but may differ in hormone dose, which can influence side‑effect frequency and specific contraindications.

Store Mirabella 28 at ambient temperature, preferably below 25 °C. Keep the tablets in their original blister pack, protect them from moisture and direct sunlight, and ensure the container is tightly closed to maintain product stability.

Mirabella 28 is taken orally, usually once daily with or without food. It is important to take the tablet at the same time each day to maintain consistent hormone levels and maximise contraceptive effectiveness.

Serious risks include venous thromboembolism, pulmonary embolism, stroke, myocardial infarction, severe allergic reactions, and liver dysfunction. Women with a history of clotting disorders, cardiovascular disease, or certain liver conditions should avoid use and discuss alternatives with their clinician.

Mirabella 28 is contraindicated in women who are pregnant, have a known or suspected thromboembolic disorder, uncontrolled hypertension, certain cardiovascular diseases, severe liver disease, or are smokers over 35 years of age. It should also be avoided in individuals with known hypersensitivity to any component of the tablet.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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