Minipil 20 Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Last updated:

Overview

Minipil 20 Tablet is a prescription-only medicine (POM) presented as a tablet, with Ethinylestradiol and Levonorgestrel as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take one Minipil 20 Tablet tablet at approximately the same time each day, with or without food, following the arrows or numbering on the blister pack. After completing all 21 tablets, take a 7-day break (during which a withdrawal bleed usually occurs), then start a new strip on the same day of the week as before, regardless of whether bleeding has finished. Use an additional barrier method of contraception if you miss a tablet, as advised in the package leaflet, and consult your doctor or pharmacist if you are unsure.

Dosage

Minipil 20 Tablet is taken as one tablet daily for 21 days, in the order indicated on the blister strip, followed by a 7-day tablet-free interval before starting the next strip. Your doctor will confirm exactly when to start your first strip based on your cycle and individual circumstances.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea and vomiting
  • Irregular menstruation or spotting
  • Headache or dizziness
  • Tiredness or fatigue
  • Breast tenderness or discomfort
  • Abdominal pain or cramps

Contraindications

  • Known or suspected pregnancy
  • Current or past history of venous or arterial blood clots (e.g. deep vein thrombosis, pulmonary embolism, stroke, heart attack)
  • Migraine with aura
  • Smokers aged over 35 years, due to a significantly increased risk of cardiovascular events with combined hormonal contraceptives
  • Known or suspected breast cancer or other oestrogen-sensitive cancer
  • Severe liver disease or liver tumours
  • Uncontrolled high blood pressure
  • Breastfeeding in the early weeks after childbirth, as combined hormonal contraceptives are generally not recommended during this period

Drug / Food Interactions

  • Enzyme-inducing medicines such as rifampicin, certain anticonvulsants (phenytoin, carbamazepine), and the herbal product St John’s Wort can reduce contraceptive effectiveness
  • Some antibiotics and other medicines may interact – always tell your doctor and pharmacist you are taking this contraceptive before starting any new medicine
  • Smoking significantly increases the cardiovascular risks (blood clots, stroke, heart attack) associated with this medicine
  • Persistent vomiting or severe diarrhoea can reduce absorption and contraceptive protection

Quick Tips

  • Take your tablet at the same time every day to maintain effective contraceptive protection
  • Do not smoke while taking this medicine, particularly if you are over 35, due to increased cardiovascular risk
  • Use a barrier method (e.g. condoms) if you miss a tablet or are unsure about your protection, and check the package leaflet or ask your pharmacist for missed-dose guidance
  • Seek urgent medical attention for leg swelling/pain, chest pain, sudden breathlessness, or severe headache with vision changes
  • Tell any doctor or dentist that you take this medicine before you start a new medicine or have surgery
  • This medicine does not protect against sexually transmitted infections

Ingredients / Active Ingredients

  • Ethinylestradiol
  • Levonorgestrel

Safety Advice

Pregnancy

Not Safe

This medicine is not considered safe during pregnancy and should be avoided.

Breastfeeding

Safe If Prescribed

Use during breastfeeding should only be done if prescribed and monitored by a doctor.

Kidney

Limited Data

Limited data in kidney disease patients. Use only if necessary.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Generally Safe

Consuming alcohol with this medicine is generally safe, but moderate intake is advised.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Frequently Asked Questions

Product Specifications

BrandLeon Farma
ClassificationPrescription medicine
Ingredients / Active IngredientsLevonorgestrel
Pack Size21s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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Important Medical Information

💊 Recommended Dosage:

Minipil 20 Tablet is taken as one tablet daily for 21 days, in the order indicated on the blister strip, followed by a 7-day tablet-free interval before starting the next strip. Your doctor will confirm exactly when to start your first strip based on your cycle and individual circumstances.

🛑 Contraindications (Do not use if):
  • Known or suspected pregnancy
  • Current or past history of venous or arterial blood clots (e.g. deep vein thrombosis, pulmonary embolism, stroke, heart attack)
  • Migraine with aura
  • Smokers aged over 35 years, due to a significantly increased risk of cardiovascular events with combined hormonal contraceptives
  • Known or suspected breast cancer or other oestrogen-sensitive cancer
  • Severe liver disease or liver tumours
  • Uncontrolled high blood pressure
  • Breastfeeding in the early weeks after childbirth, as combined hormonal contraceptives are generally not recommended during this period
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Nausea and vomiting
  • Irregular menstruation or spotting
  • Headache or dizziness
  • Tiredness or fatigue
  • Breast tenderness or discomfort
  • Abdominal pain or cramps
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.