Europe — EMA
Mirabella (Ethinylestradiol, Levonorgestrel | Lactose)
GNH USA supplies Mirabella (Ethinylestradiol/Levonorgestrel), a combined oral contraceptive for prevention of pregnancy. Request a quote for global supply.
Request sourcing
What is Ethinylestradiol, Levonorgestrel | Lactose?
Ethinylestradiol and Levonorgestrel, the active ingredients in Mirabella, are a combined oral contraceptive presented as tablets for oral use. It prevents pregnancy in women of reproductive age by inhibiting ovulation and altering cervical mucus and the endometrial lining. GNH USA supplies Mirabella as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Ethinylestradiol, Levonorgestrel | Lactose used for?
Mirabella, a combined oral contraceptive, is used to prevent pregnancy by influencing the hormonal regulation of the menstrual cycle.
Contraception (prevention of pregnancy): provides reliable, reversible birth control. Menstrual cycle regulation: helps achieve more predictable bleeding patterns and may reduce dysmenorrhea. Acne improvement: can lessen acne associated with androgen excess. Endometrial protection: reduces the risk of endometrial hyperplasia in women requiring estrogen therapy.
What are the side effects of Ethinylestradiol, Levonorgestrel | Lactose?
Common Side Effects: - Nausea: mild to moderate stomach upset. - Breast tenderness: temporary swelling or discomfort. - Headache: occasional mild to moderate pain. - Spotting or breakthrough bleeding: irregular light bleeding. - Mood changes: fluctuations in emotional state. - Weight gain: slight increase in body weight.
Serious or Rare Side Effects: - Venous thromboembolism: blood clots in deep veins. - Arterial thrombosis: clot formation in arteries, potentially causing stroke. - Hypertension: elevated blood pressure. - Liver dysfunction: abnormal liver enzyme levels. - Severe allergic reaction: rash, swelling, or anaphylaxis. - Visual disturbances: sudden vision changes or loss.
What precautions apply to Ethinylestradiol, Levonorgestrel | Lactose?
Before using Mirabella, consider the following precautions: - Pregnancy: contraindicated in known or suspected pregnancy. - Smoking: avoid if over 35 years and a regular smoker. - Thromboembolic history: not for patients with past blood clots. - Liver disease: contraindicated in active liver disease. - Hypertension: monitor blood pressure regularly. - Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.
What does Ethinylestradiol, Levonorgestrel | Lactose interact with?
Mirabella may interact with several medicines. Review the following categories:
Major Interactions (Avoid): - Enzyme‑inducing anticonvulsants (e.g., carbamazepine, phenytoin): reduce contraceptive effectiveness. - Rifampin and other rifamycins: decrease hormone levels. - St. John's Wort: may lower contraceptive efficacy.
Moderate Interactions (Monitor Closely): - Antifungals (e.g., ketoconazole): may increase hormone concentrations. - Certain antidepressants (SSRIs): can enhance bleeding risk. - Antihypertensives (e.g., ACE inhibitors): may augment blood‑pressure‑lowering effect.



