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Am Fam Physician. 2024;109(1):90-91

Author disclosure: No relevant financial relationships.

Norgestrel 0.075 mg (Opill) is a once-daily progestin-only oral contraceptive. It is labeled for use as an over-the-counter medication to reduce the likelihood of pregnancy.1

The terms woman and women may be used in this article to reflect original study populations of cisgender females, but the research may be extended to all people who could become pregnant.

DrugDosageDose formCost of full course
Norgestrel (Opill)0.075 mg orally once daily0.075-mg tabletPrice not yet available

Safety

When used as directed, norgestrel is safe for most women with reproductive potential. It should not be used in people who have or have had breast cancer because norgestrel may stimulate breast cancer cell growth by activating the estrogen receptor.2 It is unclear whether oral use of norgestrel for contraception can increase lifetime risk of breast cancer in women.3 Norgestrel should not be used by women who have undiagnosed abnormal uterine bleeding or in women with benign or malignant liver tumors.4

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STEPS new drug reviews cover Safety, Tolerability, Effectiveness, Price, and Simplicity. Each independent review is provided by authors who have no financial association with the drug manufacturer.

This series is coordinated by Allen F. Shaughnessy, PharmD, assistant medical editor.

A collection of STEPS published in AFP is available at https://www.aafp.org/afp/steps.

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