Nortrel 1/35 Birth Control Pills

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Equivalent Generic Brands: Alyacen 1/35, Dasetta 1/35, Necon 0.5/35

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$22 generic equivalent, $0 with most insurance

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What is Nortrel 1/35 Birth Control Pills?

Nortrel 1/35 is a combination oral contraceptive pill (OCP, birth control medication, birth control pills) that works to prevent pregnancy by preventing the release of an egg (ovulation), and thickening the cervical mucus, blocking sperm from getting into the uterus and getting to the egg. Nortrel 1/35 is also prescribed to: treat acne, reduce the risk of ovarian cysts (as in polycystic ovarian syndrome [PCOS]), treat painful or heavy periods, and more. Read More

How to Use Nortrel 1/35

Nortel 1/35 is very easy to use!

Simply take one pill every day, at the same time each day. Most women find that taking Nortrel 1/35 before bedtime or with your largest meal of the day helps reduce nausea and other side effects. It is recommended to take your first active pill the first Sunday after your period begins.

After taking 21 days of active pills, you’ll switch to 7 inactive pills. These are reminder pills with no hormones that exist to keep you in the habit of taking your pill every day. These seven tablets do have ferrous fumarate to prevent anemia from the blood loss with monthly bleeds.

If you do miss one active pill , take two pills as soon as you remember. Then, continue to take one active pill for the rest of the pill pack. If you miss two active pills in a row take two pills per day for two days. However, if you miss three active pills in a row, do not take the missed pills. Instead you should use back up birth control for at least 7 days. Note that you may experience some bleeding or spotting if you miss three pills in a row.

Remember that taking birth control pills and other hormone based contraceptives cannot be used to prevent HIV infection or other sexually transmitted diseases. In order to prevent STDs, always use condoms when having sexual intercourse.

Nortrel 1/35 Dosage

Nortrel 1/35 uses a combination of 2 hormones estrogen (Ethinyl Estradiol, 35 mcg) and progestin (Norethindrone 1 mg) to prevent pregnancy.

Benefits of Nortrel 1/35

  • Periods get lighter. If you are usually a 7-day person, it goes down to about 5 days. If you use 5 pads/tampons a day, it should decrease to 3.
  • You can use it to make #PeriodsOptional. Just skip the last week of pills and go straight into the next pack. See our CEO/Founder’s talk at the bottom of this page
  • Reduce the risk of ovarian cysts (as in polycystic ovarian syndrome [PCOS])
  • Improves moderate acne.
  • Reduce the risk of ovarian cysts (as in polycystic ovarian syndrome [PCOS]), treat painful or heavy periods, and more.

Nortrel 1/35 Side Effects

The risks are very low, but some women have experienced unwanted side effects when taking Nortrel 1/35.

Most common adverse effects include breast tenderness, headaches, nausea, swollen feet or ankles, and slightly elevated blood pressure or blood sugar levels. Women who are breast feeding should not take Nortrel 1/35 because it may slow breast milk production. Breakthrough bleeding may occur in the first couple months of starting this medication.

Positive side effects are also a possibility, too — reduced acne, fewer mood swings, and other perks are fairly common.

The chances of serious side effects are extremely unlikely, but some cases have been documented. Symptoms include heart disease, blood clotting, shortness of breath, migraines, vision problems, slurred speech, confusion, and fainting. Those who wear contact lenses or are nearsighted may notice vision problems as well.

These may sound scary, but remember — they’re very rare.

Nortrel 1/35 Warnings

    This medication may increase your risk for blood clots, stroke, pulmonary embolism, deep venous thrombosis, and heart attacks.

    Do NOT take this medication if:

  • You currently have or have had any of these health problems: blood clots, blood clotting problem, breast cancer, uterine cancer, heart attack, stroke, heart disease, chest pain, high blood pressure, liver disease, liver tumor, migraine with aura, or diabetes with neuropathy or any diabetic complications
  • You are allergic to ethinyl estradiol
  • You are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir)
  • You are pregnant or may be pregnant
  • You are breastfeeding or plan to breastfeed

Why Pandia Health?

FREE with insurance, $22/Pack without

FREE with insurance, $22/Pack without

FREE Delivery & Goodies

FREE Delivery & Goodies

Online prescription (skip the Dr. office visit and pharmacy lines)

Online prescription (skip the Dr. office visit and pharmacy lines)

Frequently Asked Questions


Some women may experience weight gain when taking Nortrel 1/35 and other birth control pills. While there’s a chance that the hormones can give you the munchies, it’s mostly water retention (and not actual fat).


Every prescription comes with a tiny risk of allergic reactions, including with Nortrel 1/35. The symptoms are usually mild and include: rashes, itching, dizziness. A severe allergic reaction would be: trouble breathing, and swollen lips, throat, or tongue. If this happens, seek emergency medical attention immediately –call 911!

Depending on your medical history, taking combination birth control pills may not be for you. It’s important to discuss your medical history with your physician or one of our helpful Pandia Health Patient Care Advisors before you get started on Nortrel 1/35, especially if you’ve health problems such as cancer, heart disease, blood clots, uncontrolled diabetes, or high blood pressure.


Nortrel 1/35 should be available at just about any pharmacy in your area. It does require a prescription from a doctor, though. If you’re hesitant to approach your doctor about Nortrel 1/35 or simply prefer the privacy, convenience, and ease of the internet, give Pandia Health a try. We have licensed, birth control passionate doctors in every state we operate in. We also accept most forms of private insurance at Pandia Health.


As with any new prescription, you should go over anything you’re already taking with your doctor or Pandia Health Care Advisor before starting on Nortrel 1/35. This includes recreational drugs, over-the-counter meds, and even herbal products. Even something that seems relatively harmless such as St. John’s wort can cause Nortrel 1/35 to be less effective at preventing pregnancy. There are certain meds you should absolutely bring up due to known drug interactions. These are aromatase inhibitors, cancer, HIV, seizure, and chronic hepatitis C medications.


If you choose to pay out-of-pocket, Nortrel 1/35 is pretty affordable since it is a generic brand. You can save money as well by choosing any other Nortrel 1/35 generics, such as Dasetta 1/35, Alyacen 1/35, Pirmella 1/35, Cyclafem 1/35, or Necon 1/35 for as low as $15/pack when ordering 3 packs at a time. Generics have the SAME active ingredients and dosage as the name brand. Watch our video explaining generics vs. brand birth control pills.


No, Nortrel 1/35 birth control does not stop your periods. There are 28 tablets on each packet and you will have a bleed on the last 7 days of each pack (aka placebo week). If you want to skip your period you can use Nortrel 1/35 for it. Learn more about #PeriodsOptional and how to skip your period here.

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