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

Mirabella

Active Ingredient:
Ethinylestradiol, Levonorgestrel
Origin:
EU

Mirabella (Ethinylestradiol, Levonorgestrel)

Ethinylestradiol and Levonorgestrel, the active ingredients in Mirabella, are a combined oral contraceptive presented as a tablet for oral use. The formulation provides hormonal contraception by inhibiting ovulation, thickening cervical mucus, and altering the endometrial lining to prevent implantation in women of reproductive age.
GNH India supplies Mirabella as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable global logistics for consistent product availability, including regulatory support and after‑sales service.

Manufacturer / TM Owner

Exeltis Healthcare S.L

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Indications & Clinical Uses

  • Mirabella, a combined oral contraceptive, is indicated for hormonal contraception and related menstrual management.
  • Contraception: prevents pregnancy in women of reproductive age
  • Family planning: offers a reliable hormonal method for birth control
  • Menstrual cycle regulation: helps achieve more predictable bleeding patterns

How It Works

  • Ethinylestradiol and levonorgestrel bind to estrogen and progesterone receptors, respectively, suppressing the hypothalamic‑pituitary‑ovarian axis. This inhibition reduces the secretion of luteinizing hormone and follicle‑stimulating hormone, preventing follicular development and ovulation. The progestin component also thickens cervical mucus and induces endometrial changes that diminish the likelihood of implantation.

Side Effects

Common Side Effects

  • Nausea
  • Breast tenderness
  • Headache
  • Irregular bleeding

Serious or Rare Side Effects

  • Blood clots, including deep vein thrombosis or pulmonary embolism
  • Stroke or transient ischemic attack
  • Severe allergic reaction such as anaphylaxis
  • Liver disorders, including hepatic adenoma or cholestasis

Precautions & Warnings

Before prescribing Mirabella, clinicians should consider the following precautions:

  • Assess medical history: evaluate risk factors for thromboembolism
  • Avoid smoking: especially in women over 35 years of age
  • Monitor blood pressure: hypertension may increase cardiovascular risk
  • Consider drug interactions: certain antibiotics and anticonvulsants can reduce efficacy
  • Pregnancy testing: ensure the patient is not pregnant before initiating therapy
  • Store at ambient temperature: keep below 25°C in the original pack, protect from moisture

Avoid Interactions

Mirabella may interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Enzyme‑inducing anticonvulsants such as carbamazepine or phenytoin
  • Rifampin and other potent antimicrobial inducers
  • Protease inhibitor antiretrovirals
  • St. John’s wort herbal supplement

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., ketoconazole)
  • Macrolide antibiotics (e.g., erythromycin)
  • Certain diuretics, such as spironolactone

Frequently Asked Questions

Mirabella is a combined oral contraceptive containing ethinylestradiol and levonorgestrel. It is prescribed to prevent pregnancy in women of reproductive age and may also help regulate menstrual bleeding patterns as part of family‑planning strategies.

The estrogen component (ethinylestradiol) and the progestin component (levonorgestrel) work together to suppress the hypothalamic‑pituitary‑ovarian axis, preventing the surge of luteinizing hormone that triggers ovulation. Additionally, levonorgestrel thickens cervical mucus and modifies the endometrium, creating conditions that are unfavorable for fertilisation and implantation.

The dosing regimen for Mirabella is determined by the prescribing healthcare professional. Typically, it is taken as a daily tablet according to a specific cycle, but the exact schedule and any missed‑dose instructions should be provided by the prescriber.

Mirabella is intended for use only when a woman is not pregnant. If pregnancy occurs, the product should be discontinued immediately. While limited data exist for breastfeeding, most guidelines advise caution and suggest discussing alternative contraception with a healthcare provider.

To request Mirabella, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Mirabella contains the standard dose combination of ethinylestradiol and levonorgestrel, which is comparable to many other combined oral contraceptives on the market. Its efficacy, safety profile and side‑effect spectrum are similar to other products that use the same active ingredients, though individual tolerability may vary.

Mirabella tablets should be stored at ambient temperature, preferably below 25 °C, in the original packaging to protect them from moisture and light. Keep the product out of reach of children and do not use after the expiry date printed on the label.

Mirabella is taken orally, usually once daily at the same time each day. The tablets are swallowed whole with water and should be started according to the prescriber’s instructions, often on the first day of the menstrual period or as part of a prescribed cycle.

Serious but rare risks include venous thromboembolism (deep‑vein thrombosis or pulmonary embolism), arterial events such as stroke or myocardial infarction, severe allergic reactions, and liver disorders. Patients should seek immediate medical attention if they experience symptoms like sudden leg pain, chest pain, severe headache, or jaundice.

Mirabella is contraindicated in women with a history of thromboembolic disorders, uncontrolled hypertension, known or suspected breast cancer, active liver disease, or those who are pregnant. It should also be avoided by smokers over 35 years of age and by individuals taking medications that significantly reduce its effectiveness.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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