Prescription requiredHormonal contraceptive

Ovral L Tablet — Side Effects & Warnings

Known side effects of Ovral L Tablet include Nausea, vomiting, headache, breast tenderness, abdominal pain, bloating, mood changes, spotting/breakthrough bleeding, missed periods, weight change, acne, dizziness. Not everyone experiences these side effects.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated June 2026

Common Side Effects

Nausea
vomiting
headache
breast tenderness
abdominal pain
bloating
mood changes
spotting/breakthrough bleeding
missed periods
weight change
acne
dizziness

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

Prescription-only (Schedule H). Not for use in pregnancy; stop and consult doctor if pregnancy suspected. Increased risk of blood clots (DVT/PE), stroke and heart attack—risk higher in smokers (especially >35 years), obesity, prolonged immobilization, surgery, personal/family history of thrombosis. Avoid/use with caution in uncontrolled hypertension, diabetes with vascular disease, migraine with aura, severe liver disease/jaundice, liver tumors, hormone-dependent cancers (breast/endometrium), unexplained vaginal bleeding. Stop before major surgery/immobilization as advised. Does not protect against HIV/STIs. Seek urgent care for chest pain, shortness of breath, severe headache, vision changes, leg swelling/pain.

Drug Interactions

Ovral L Tablet may interact with the following:

Rifampicin/rifabutin
certain anti-epileptics (phenytoin
carbamazepine
phenobarbital
primidone
topiramate)
some antiretrovirals
griseofulvin
St John’s wort (reduced contraceptive effect); lamotrigine (reduced lamotrigine levels); cyclosporine (levels may increase); some antibiotics may affect efficacy if causing vomiting/diarrhoea—use backup method

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Not recommended (contraindicated in pregnancy)

Alcohol Interaction

Use with caution (no direct interaction, but excess alcohol may increase missed doses/vomiting and reduce effectiveness)

Habit Forming

Storage

Store below 25°C in a cool, dry place. Protect from light and moisture. Keep in original blister pack and out of reach of children.

Ovral L Tablet — Safety Summary

Composition: Ethinylestradiol 0.03 mg + Levonorgestrel 0.15 mg
Prescription: Required (Rx)
Pregnancy: Not recommended (contraindicated in pregnancy)
Alcohol: Use with caution (no direct interaction, but excess alcohol may increase missed doses/vomiting and reduce effectiveness)
Habit forming: No

Ovral L Tablet — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.

Ovral L Tablet — Side Effects & Warnings

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated June 2026