Novynele Gedeon used for birth control (1 blister x 21 tablets)

Dosage form Box of 1 blister x 21 tablets
Specifications Ethinylestradiol, Desogestrel

Ingredient

Composition information	Content
Ethinylestradiol	0.02mg
Desogestrel	0.15mg

Uses

Indications

Novynele drug are indicated in the following case: Birth control pills.

Pharmacokology

No information.

pharmacokinetics

No information.

Before taking Novynele Gedeon used for birth control (1 blister x 21 tablets)

How to use

Take oral use.

Dosage

Start taking the drug on the first day of menstrual cycle . 1 tablet per day continuously for 21 days, preferably at the same time every day. Next is 7 days without drugs, during this time will menstruation. Use the next blister on the 8th day after 7 days off (coincide with the week of the first tablet, after 4 weeks) even when the menstrual period is still. Use this regimen continuously until there is still a need for contraception. If you follow the doctor's instructions, the contraceptive effect is still available in the days of not taking medicine.

Use Novynele for the first time

Start taking the drug on the first day of the menstrual cycle, in this case, there is no other contraceptive method.

may also start taking the drug on the 2nd to the 5th day of the menstrual cycle, but in this case, another method of contraception must be used in the first 7 days of the first medication cycle.

After the 5th day of the cycle, wait until the next menstrual cycle, start taking Novynele.

Take postpartum medication

After birth, if the mother does not breastfeed her baby, she can start taking birth control pills on the 21st day after birth. In this case, there is no additional method of contraception in the first 7 days.

Note: Nursing mothers should not use combined birth control pills, because the drug can reduce lactation.

miscarriage or abortion

After miscarriage or abortion, Novynele may start. In this case, there is no additional method of contraception.

Change from another contraceptive pills to Novynele

Change from 21 or 22 days of birth control pills to Novynele film tablets: Must take all of the old pills and use the first flight attendant of the Novynele blister, meaning that there is no distance between these two tablets, the patient also does not need to wait until the beginning of the new menstrual cycle. No additional methods of contraception.

Change from 28 -day birth control pills to Novynele film tablets: Use the first tablet of the Novynele blister after using all the active ingredients (containing hormones) of the blister blister first and there is no leave between the two types of tablets, the patient also does not need to wait until the new menstrual cycle. No additional methods of contraception.

Change from birth control pills only containing progesterone to Novynele film tablets: Start using Novynele on the first menstrual day. In this case, there is no additional method of contraception.

If not menstruation when using progesterone tablets, then start using Novynele on any day of the menstrual cycle. However, there must be another method of contraception in the first 7 days.

In the above cases, when using other contraceptive methods, the following measures should be used: Use cervical hat with spermicide, condom or non -intercourse. Do not use the method of calculating the cycle.

Skip a period

To skip a period, start using a new Novynele blister right after the blister is finished, do not rest a day. Take the drug in the usual way. When ignoring a menstrual period may experience hemorrhage or bleeding outside the menstrual cycle, this does not reduce the effectiveness of contraception. Start taking the medication after 7 days of vacation as usual.

Things to do in case of vomiting and diarrhea

If vomiting and diarrhea after taking the drug, the absorption of drugs is reduced. If these symptoms are out within 12 hours, patients should take another tablet from the backup blister and continue to drink the same type as usual. If these symptoms last more than 12 hours, use another method of contraception during the digestive time and the next 7 days.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.

What to do when using overdose? Therefore, no overdose treatment.

However, if an overdose is detected or taken too many tablets, you can wash the stomach. There is no antidote so symptomatic treatment.

What to do when forgetting a dose? The next tablet is taken at the usual hour. In that case, no other contraceptive measures are needed.

If you forget to take one or more tablets after more than 12 hours, the contraceptive effect decreases. Patients should take the last one to forget, even use 2 capsules in a day and continue using the next tablet at the usual time. In this case, another method of contraception must be used in the next 7 days.

Side Effects

When using Novynele drug , you may experience unwanted effects (ADR).

Epidemiological studies show rare events due to the relationship between the use of oral contraceptives with an increase in the risk of thrombosis and venous embolism such as myocardial infarction , stroke, deep vein thrombosis, pulmonary embolism.

Use contraceptive drugs that cause jaundice, bile stasis or gallstones. It is very rare for oral contraceptives to activate the lupus erythematosus system.

The common less serious side effects:

Genital system: Bleeding does not follow the menstrual cycle, amenorrhea after taking the drug, changes in the secretion of cervical fluid, increasing the size of the uterine fibroids, seriously adding endometriosis and vaginal infections such as vaginal candidia.

breast: tight, pain, breast enlargement, secretion.

Digestive system: Nausea, vomiting, gallstones , jaundice.

Skin: Rose button, floating, melasma.

Eyes: Uncomfortable cornea if using contact lenses.

Central nervous system: headache, migraine , change personality, depression.

Metabolic changes: fluid fluid, weight change, reducing glucose tolerance.

Melasma: Sometimes when you encounter melasma, especially women with a history of melasma. Women who tend to face melasma must avoid exposure to sunlight and ultraviolet radiation when using oral contraceptives.

Instructions on how to handle ADR

Notify the doctor with unwanted effects when using the drug.

Stop using birth control pills when having serious adverse effects.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

Novynele drug contraindicated in the following cases:

Knowing or suspecting pregnancy.

Average to severe hypertension.

hyperloteinemia.

Incorrect or have a history of arterial thrombosis (for example: myocardial infarction, stroke).

There are risk factors for venous thrombosis.

History of yourself or family history of blood tyranstorms.

Diabetes vascular disease.

Severe liver disease, jaundice or hepatitis, or a history of these diseases, a history of pregnancy jaundice, jaundice due to steroids, rolor syndrome and dubin syndrome - Johnson, liver cell tumor and porphyrin metabolism.

gallstones.

Known or suspected of depending on estrogen, endometrial hyperplasia, vaginal bleeding for unknown reasons.

Systemic erythematosus lupus or a history of this disease.

History of pregnancy or previously using severe steroids, genital herpes, jaundice, appearing or worse ear sclerosis.

Hypersensitivity to any ingredients of the drug.

Be cautious when using

Before taking birth control pills, you should check comprehensively and gynecological examination to check for pregnancy and risk diseases.

During the use of birth control pills if the disease is more serious, outbreak or manifesting the following conditions you have to stop taking the drug immediately, using the method of contraception without hormones and consulting your doctor.

Bloody disorders.

Other diseases accompanied by an increased risk of circulatory disease such as manifest or hidden heart failure, kidney failure or a history of these diseases.

Expression or a history of epilepsy.

manifest or have a history of migraine.

History of gallstones.

There are any risk factors for tumor dependent estrogen, gynecological diseases sensitive to estrogen such as uterine fibroids and endometriosis. diabetes.

severe depression or a history of this disease. If this disease is accompanied by tryptophan metabolic disorders, vitamin B6.

Sickle reduction disease, because under certain conditions, for example in infection or deficiency of blood oxygen, drugs containing estrogen can gay gay blood tyran transmission in these patients.

When there are symptoms of the emergence of thrombosis below, it is necessary to stop the medicine immediately and consult a doctor:

Severe, sudden pain in the chest, spread to the left arm.

Sudden breathing.

Prolonged, abnormal headache, especially first or severe than usual, or accompanied by the following evidence: Sudden loss of vision in part or whole vision or a bar, loss of language, dizziness, severe dizziness, fainting or not accompanied by local seizures, weakness or severe numbness that affects one side or body, severe abdominal pain, severe abdominal pain.

The risk of blood clot formation (thrombosis) increases when smoking. No smoking during the period of contraceptive pills, especially when over 35 years old.

The effectiveness of contraception may be reduced if after using Novynele for several months, there is irregular bleeding, appearing with a slim or bleeding outside the menstrual cycle. If menstruation or menstrual disorders do not tend to become pregnant, continue to drink until the end of the blister. If you still do not have menstruation at the end of the 2nd medication cycle or still not all menstrual disorders, you should stop taking the drug but must be sure not to be pregnant before continuing to use birth control pills.

Change of testing values: Due to estrogen components, oral contraceptives can affect some test results, including liver, kidney, adrenal and thyroid function tests, blood clotting and fibin parameters, plasma lipoprotein content and gill proteins.

The ability to drive and operate machinery

No research has been conducted to know the effect of Novynele on the ability to drive and operate machinery.

Pregnancy

Study research shows that using birth control pills in the early stages of pregnancy does not increase infant deformities and does not cause teratogenic.

Breastfeeding period

Oral contraceptives can reduce milk secretion and change the ingredients, in addition to the drug also goes into breast milk, so it should not be used in this period.

Medicinal interaction

Some drugs can hinder the effect of Novynette, for example: reduce contraceptive effect or cause bleeding outside the menstrual cycle. These drugs include the treatment group:

epilepsy (Example: Primidon, Phenytoin, Barbiturat, Hytantoin, Carbamazepin, Oxcarbazepine, Topiramat, Felbamate).

Lao (Example: Rifampicin, Rifabutin, Izoniazid). anti -inflammatory (dexomethason, phenylbutozon).

HIV infection (Ritonavir, Nelfinovir, Nevirapin, Efavirenz) or other bacterial infections (ampicillin, chloramphenicol, Neomycin, nitrofurantoin, penicillin v, sulfonamid, tetracyclin).

Fungal infection (griseofulin, fluconazole, otraconazole and ketoconazole).

Hypertension of the pulmonary system (bosentan).

Modafinil or worry.

migraine.

Popular herbal medicine such as Hypericum Perforatum).

Novynette may affect the effects of other drugs:

ciclosporin (immune system inhibitors).

Theophylin (asthma treatment).

metoprolol (beta blockers treat some heart disease).

Three -round antidepressants.

Oral anticoagulant.

Some blood pressure drugs (guanethidin).

vitamins. glucocorticoid (for example, hydrocortison, treatment of dermatitis).

Some benzodiazepin (to control epilepsy or anxiety) such as Diazepam, Lorazepam, Alprazolam, Clorazepate, Flurazepam, Halazepam and Prazepam,

Temazepam (sleeping pills).

Salicylic acid (analgesic and anti -inflammatory).

guanethidin (treatment of hypertension).

Clofibrat and Atorvastatin (to lower blood fat). Morphin and Meperidin (very strong painkillers).

lamotrigin (epilepsy medicine).

paracetamol (painkillers, fever).

Some laxatives.

Take medicine with troleandomycin (antibiotics) may increase the risk of some bile diseases in the liver (increased bile secretion in the liver).

Oral contraceptives can reduce glucose tolerance and increase the need for insulin or oral diabetes treatment.

Therefore, it is important that you tell the doctor that you are taking birth control pills when prescribed any medication.

Storage

Store temperatures below 300C.

Other drugs

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