Ethinyl estradiol and norethindrone is the generic name of Tilia Fe. It is a combination of female hormones that prevent ovulation. This medicine causes changes in the cervix mucus and uterine lining that makes it hard for sperm to reach the uterus. Sperm cells will have difficulty reaching the egg attached to the uterus. It is used as a contraceptive, can cure severe acne, and is prohibited in pregnant woman.

Tilia Fe should not be used if the patient has a history of stroke or blood clot, a hormone related cancer such as breast or uterine cancer, circulation problems, abnormal vaginal bleeding, liver cancer or liver disease and history of jaundice. If in case any of the above conditions is present, the woman may need to use backup birth control such as spermicide or condoms. If a person is a smoker or older than 35, there is a greater risk of blood clots, heart attack or stroke. It is advisable that the user of Tilia Fe informs the doctor about the medication she is taking before taking it. There are some drugs that can make birth control pills less effective that may result in pregnancy. Do not take this medicine without any doctor's advice. If a woman has missed two menstrual periods in a row, then it is not best to use this medicine. Do not use control pills if a woman is breastfeeding a baby. The hormones present in this pill can be passed unto the breast milk and can harm a nursing baby. It also slows down the production of breast milk.

This medication should be taken exactly as it was prescribed. Large amount or taking this medication for a longer time is not recommended. The first pill is taken on the first day of menstruation or on the first Sunday after the period begins. Use backup birth control like spermicide or condoms for first time users.

Tilia Fe is a 28-day pack that contains seven reminder pills to keep the user on a regular cycle. Menstrual period usually begins while using these reminder pills. Bleeding usually occurs during the first three months. If bleeding continues and becomes heavy, tell your doctor for immediate treatment. One Tilia Fe pill is taken every day with no more than 24 hours of gap. Start a new pack when pills run out. If not used properly the user may become pregnant. The pills are chewable and easy to swallow.

In case the user needs to have medical tests or surgery or was advised to take a bed rest, medication should be stopped for a short time. This medication should be stored at room temperature away from moisture and heat. If the patient missed one active pill, take two pills on the day that you remember. Then continue taking one pill per day until the pack runs out. If in case the patient missed two active pills in a row in week one or two, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack.