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What Is Junel Fe 24?

Junel Fe 24 is a prescription combination oral contraceptive containing norethindrone acetate and ethinyl estradiol. Each 28-day pack contains 24 active tablets with 1 mg of norethindrone acetate and 20 mcg of ethinyl estradiol followed by four non-hormonal tablets containing 75 mg of ferrous fumarate.

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What Is Junel Fe 24?

Junel Fe 24 is a prescription combination oral contraceptive containing norethindrone acetate and ethinyl estradiol. Each 28-day pack contains 24 active tablets with 1 mg of norethindrone acetate and 20 mcg of ethinyl estradiol followed by four non-hormonal tablets containing 75 mg of ferrous fumarate.

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How Does Junel Fe 24 Prevent Pregnancy?

Junel Fe 24 prevents pregnancy primarily by suppressing ovulation. Combined oral contraceptives also alter cervical mucus and the endometrium in ways that reduce the chance of pregnancy.

Who Uses Junel Fe 24?

Junel Fe 24 is used by females of reproductive potential for pregnancy prevention. Its efficacy has not been evaluated in patients with a body mass index above 35 kg per square meter. It is contraindicated in patients with a high risk of arterial or venous thrombosis and several other conditions listed in current labeling.

How Is Junel Fe 24 Taken?

One tablet is taken at the same time every day for 28 days in the order shown on the blister pack. The first 24 tablets contain hormones and the final four tablets contain non-hormonal ferrous fumarate. The next pack starts immediately after the final tablet.

What Serious Risks Are Linked to Junel Fe 24?

Junel Fe 24 carries a boxed warning for cigarette smoking and serious cardiovascular events. It is contraindicated in patients older than 35 who smoke. Other serious concerns include venous thromboembolism, stroke, heart attack, high blood pressure, liver disease, gallbladder disease, migraine-related vascular risk, and abnormal uterine bleeding.

Frequently Asked Questions About Junel Fe 24

Does Junel Fe 24 contain 24 active tablets?

Yes. Each pack contains 24 active hormone tablets.

What are the last four tablets in the pack?

The final four tablets are non-hormonal and each contains 75 mg of ferrous fumarate.

Do the ferrous fumarate tablets treat iron deficiency?

No. Current labeling states that the ferrous fumarate tablets do not serve a therapeutic purpose.

Does Junel Fe 24 have a boxed warning?

Yes. The boxed warning concerns cigarette smoking and serious cardiovascular events.

References

Combined Hormonal Contraceptives. https://www.cdc.gov/contraception/hcp/usspr/combined-hormonal-contraceptives.html. Date Accessed October 6, 2026.

Efficacy and Safety of a New 24-Day Oral Contraceptive Regimen of Norethindrone Acetate 1 mg/Ethinyl Estradiol 20 mcg. https://pubmed.ncbi.nlm.nih.gov/17161118/. Date Accessed October 6, 2026.

Ethinyl Estradiol and Norethindrone (Oral Contraceptives): MedlinePlus Drug Information. https://www.medlineplus.gov/druginfo/meds/a601050.html. Date Accessed October 6, 2026.

Extended- and Continuous-Cycle Oral Contraceptives. https://pubmed.ncbi.nlm.nih.gov/18657019/. Date Accessed October 6, 2026.

JUNEL FE 24 (Norethindrone Acetate, Ethinyl Estradiol, and Ferrous Fumarate) Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ffbf48de-0f61-49f9-9cd5-6eb8e08040db. Date Accessed October 6, 2026.