Novinet candles. Novinet - instructions for the use of birth control pills, composition, side effects, analogues and price. Is it possible to stop drinking novinet: what you did not know
![Novinet candles. Novinet - instructions for the use of birth control pills, composition, side effects, analogues and price. Is it possible to stop drinking novinet: what you did not know](https://i1.wp.com/simptomy-lechenie.net/wp-content/uploads/2018/02/Novinet-foto.jpg)
Active ingredients:
Ethinylestradiol 0.02 mg
Desogestrel 0.15 mg in each film-coated tablet.
Excipients:
Tablet core D + C yellow 10, E 104; α-tocopherol; magnesium stearate; silicon dioxide colloidal; stearic acid; povidone K-30; potato starch; lactose monohydrate.
Shell propylene glycol; macrogol 6000; hypromellose.
pharmachologic effect
Novinet is a contraceptive that contains synthetic follicular and luteal hormones. The action of Novinet is to inhibit the maturation of the egg.
Before starting the use of the drug, you should undergo a general and gynecological examination to exclude diseases that pose a risk for the use of hormonal contraception.
While taking the drug, you must regularly - every six months - undergo a medical examination.
Taking contraceptives has several advantages over other contraceptive methods:
A reliable method of contraception, after the termination of which the ability to bear children is restored;
The volume of bleeding during menstruation is reduced, and its duration is shortened;
Pain during menstruation is reduced or may disappear completely;
The use of contraceptives reduces the possibility of anemia, infectious diseases of the pelvic organs, the likelihood of ectopic pregnancy, as well as diseases of the uterus, ovaries and mammary glands.
Contraindications
The drug should not be taken during pregnancy, during breastfeeding, in the presence of a malignant tumor of the mammary glands or uterus, with a previously transferred thromboembolic disease (formation of a blood clot inside the vessel, resulting in deep vein thrombosis of the lower extremities, pulmonary thromboembolism, myocardial infarction or stroke), with a predisposition to thrombosis, with moderate or severe hypertension, with impaired lipid metabolism, with severe diabetes mellitus with complications, with severe liver disease, liver tumors, with serious metabolic disorders substances, with cholelithiasis, with bleeding from the vagina of unknown origin, with autoimmune diseases, with hypersensitivity to the components of the drug, in the presence of jaundice, itching, skin rash, with hearing loss during a previous pregnancy.
Pregnancy and lactation
Since the active ingredients pass into breast milk and may reduce the amount of milk excreted, the use of the drug during breastfeeding is not recommended.
Dosage and administration
Tablets should be started on the first day of the menstrual cycle and taken 1 tablet per day for 21 days, if possible at the same time of day.
After taking the last tablet, a 7-day break is taken, during which menstrual bleeding occurs. The next 21 tablets should be started on the eighth day after the 7-day break, even if the bleeding has not stopped.
First pill intake
Wait until the start of the monthly cycle, and at this time use other, non-hormonal methods of contraception (condom, pessary, spermicidal gels). Taking pills should start from the first day of the menstrual cycle.
If the menstrual cycle has already begun, then taking the pills can be started from the 2-5th day of menstruation, regardless of whether the bleeding has stopped or not, but in this case, additional methods of contraception should be used in the first 7 days of the first cycle.
If more than 5 days have passed since the start of menstruation, then you should wait until the start of the next menstrual cycle. In this case, other methods of contraception should be used. You can start taking pills from the first day of the next menstrual cycle.
Delayed menstrual cycle
If you want to delay your period (during holidays, an exam, or for any other reason), then you should continue taking the tablets from the next pack without interruption. Menstruation can be delayed at any time, but it is not recommended to delay it for more than three cycles, as this can cause spotty or breakthrough bleeding.
Switching from another oral contraceptive to Novinet
It is necessary to take all the tablets from the package of the previous drug. The first tablet of Novineta should be taken the next day, without interruption and without waiting for the onset of menstruation. There is no need to use additional methods of contraception.
In the case of switching to Novinet from a mini-pill, the first Novinet tablet should be taken on the first day of menstruation. If menstrual-like bleeding does not occur when taking a mini-pill, then you can start taking Novinet on any day of the cycle, but in this case, additional methods of contraception must be used in the first 7 days.
Taking the drug after childbirth
Tablets can be started 2-3 weeks after childbirth if the woman is not breastfeeding. Before you start taking the pills, you must use other methods of contraception during sexual intercourse, and the drug can be started at the onset of the first menstruation. If taking pills begins more than three weeks after birth, then additional methods of contraception must be used in the first 7 days.
Taking the drug after an abortion or miscarriage
After a miscarriage or abortion, the use of the drug is started immediately, in accordance with the instructions of the doctor.
The effectiveness of the drug may decrease:
If you missed a tablet more than 12 hours;
Vomiting or diarrhea that lasted more than 12 hours;
With the simultaneous use of certain other drugs.
If a woman forgot to take a pill in a timely manner, and no more than 12 hours have passed after the missed one, you just need to take the forgotten pill, and then continue taking it at the usual time. If more than 12 hours have passed between taking the pills - this is considered a missed pill, the reliability of contraception in this cycle is not guaranteed and the use of additional methods of contraception is recommended.
If one tablet is missed in the first or second week of the cycle, it is necessary to take 2 tablets the next day and then continue regular intake using additional methods of contraception until the end of the cycle. If you miss a pill in the third week of the cycle, you must take the forgotten pill, continue to take it regularly and do not take a 7-day break. It is important to remember that due to the minimum dose of estrogen, the risk of ovulation and / or bleeding increases when a pill is missed, and therefore the use of additional methods of contraception is recommended.
If you have vomiting or diarrhea, then the absorption of the drug may be defective. If the symptoms have stopped within 12 hours, then you need to take another tablet in addition. After that, continue taking the tablets in the usual way. If symptoms persist for more than 12 hours, then it is necessary to continue taking the drug and use additional methods of contraception for the next 7 days.
Side effect
Like all medicines, Novinet can have side effects.
Nausea, vomiting, headache, breast tightness, weight changes, vaginal infections, intermenstrual bleeding, skin rash, contact lens complaints, mood changes may occur. In the first months of taking the drug, intermenstrual bleeding may appear, which can be profuse, breakthrough or weak, printing. There may be a lack of bleeding at the right time. These signs do not indicate that the drug is not suitable for you. Seek medical attention if necessary. Rarely, severe adverse events such as thrombosis, breast cancer, cervical cancer, liver disease, (nervous system disease), gallstone disease can occur.
Tell your doctor about these or other unusual symptoms.
If you smoke, tell your doctor about it, because smoking increases the risk of thromboembolism, especially after the age of 35.
Stop taking the tablets immediately and consult a doctor
following cases:
If signs of thromboembolism appear (chest pain that radiates to the left arm, unusually severe pain in the legs, weakness, numbness of any part of the body, shortness of breath, unusual cough, especially with bloody secretions, dizziness, loss of consciousness, impaired vision, hearing, speech, first-time or worsening migraine);
With the appearance of jaundice;
When a seal appears in the mammary gland;
With the appearance of sudden, severe pain in the abdomen;
When there is unusually heavy bleeding from the vagina or the absence of menstrual-like bleeding for two cycles in a row;
Prolonged bed rest; four weeks before the planned surgical intervention;
If pregnancy is suspected.
Novinet is a combined oral contraceptive designed to prevent unwanted pregnancy. The composition of the drug includes the following combination of hormones, 0.02 mg of ethinylestradiol and 0.15 mg of desogestrel in each tablet of the drug.
In order to start protection with combined oral contraceptives, a doctor's consultation is necessary. Firstly, any drug has contraindications, so it is necessary to conduct an examination in order to identify diseases, the presence of which is an obstacle to taking the drug. The desire of many women is the choice of the lowest dose of the drug. However, such desires may not correspond to the state of the body at all. Much depends on the initial hormonal status of your body. Low-dose drugs are not suitable for those who already have this status initially high, and vice versa. Thus, it is clear that before starting to take oral contraceptives, it is necessary to consult not only a gynecologist, but also a therapist and an endocrinologist. Thus, the most high-dose preparations containing 35 mcg of ethinyl estradiol are classified as medium-dose preparations with a content of 30 mcg, and low-dose ones with a content of 20 mcg. Novinet belongs to the last group of drugs.
Novinet should be taken on the first day of menstruation. The drug must be taken one tablet a day, at the same time of the day. The course of taking the drug is 21 days, after which a seven-day break is taken, during which a menstrual-like reaction should appear. In the event that a woman continues to decide to protect herself from unwanted pregnancy with this drug, then on the eighth day, you should start taking pills from a new package. It is necessary to start taking a new pack on the eighth day even if menstruation has not stopped. For the convenience of a woman, the number of the tablet and the arrow are indicated on the blister.
http://medi.ru/doc/f23603.htm
The contraceptive effect of the use of Novinet, if the start of the intake coincided with the first day of menstruation, is achieved by the end of the first week of taking the drug. That is, after the end of menstruation, usually on the seventh day, you can have sexual intercourse without resorting to additional contraceptives. The contraceptive effect, provided that the drug is taken correctly, persists throughout the entire period of drug use, including during a seven-day break.
If a contraceptive pill is missed, if vomiting or diarrhea followed after taking the pill, taking the drug coincides with taking antibiotics, then the contraceptive effect can be significantly reduced, so it is advised to use an additional non-hormonal method of contraception for two weeks after that.
After the end of the drug, the restoration of fertility occurs on average within two to three months, but much depends on the individual characteristics of the organism.
Three months after the start of taking the drug, it is advisable to visit the doctor again in order to assess the effect of hormonal substances on the woman's body and the general health of the woman. If a woman does not experience side effects when taking the drug, then she can visit a gynecologist once every six months. If there are changes in the body, or the manifestation of side effects, you should consult a doctor immediately.
In addition, before starting the use of the drug, it is necessary to conduct a general medical and gynecological examination (primarily measuring blood pressure, determining blood sugar levels, examining liver function, examining the mammary glands, cytological analysis of cervical smear) to exclude risk-related diseases and pregnancy.
For women with a family history of thromboembolic disease at a young age or bleeding disorders, the use of Novinet is not recommended.
Special care is required in the presence of diabetes mellitus, heart disease of non-ischemic etiology, hypertension, impaired renal function, thrombophlebitis, otosclerosis, multiple sclerosis, epilepsy, chorea minor, intermittent porphyria, latent tetany, bronchial asthma.
While taking the drug, medical supervision is required at least every 6 months.
After viral hepatitis, the use of oral contraception is allowed no earlier than 6 months, subject to the normalization of hepatic functions.
Against the background of long-term (more than 8 years) continuous use of sex hormones, benign, extremely rare - malignant liver tumors were very rarely observed. With the appearance of sharp pain in the upper abdomen, hepatomegaly and signs of intra-abdominal hemorrhage, a liver tumor may be suspected. In this case, the drug should be discontinued until the cause is clarified.
In case of violations of the hepatic functions during the administration of the drug, it is necessary to monitor the condition of the therapist every 23 months.
In the absence of menstrual bleeding, continued use is allowed only after the exclusion of pregnancy.
With the appearance of intermenstrual bleeding, especially in the first 23 months, you should continue taking Novinet, since in most cases these bleedings stop spontaneously. If intermenstrual bleeding does not disappear or recurs, a medical examination is required to exclude the pathology of the internal organs.
In case of vomiting or diarrhea, the tablets should be continued, but it is recommended to use an additional mechanical method of contraception.
In women taking oral contraceptive preparations containing estrogens, the likelihood of developing thromboembolism of various localization may increase. This risk increases with age, mainly in smokers. In this regard, women over 30 years old who take oral contraceptives are advised to completely stop smoking.
If a woman is planning a pregnancy, the drug should be stopped at least three months before the expected date of conception.
You should immediately stop taking Novinet:
- in the case of a migraine-like, unusually severe headache that has arisen for the first time or is getting worse, with acute visual impairment, with suspected thrombosis or cerebral infarction;
- with a sharp increase in blood pressure, with the development of jaundice or hepatitis without jaundice, with the occurrence of generalized itching, with the occurrence or increase in epileptic seizures;
- with a planned operation (6 weeks before the operation), with prolonged immobilization (for example, after injuries).
Novinet - combined contraceptive pills from the hormonal group.
Taking pills has a systemic effect on the reproductive system of a woman, inhibits ovulation, prevents the penetration of spermatozoa through the cervical mucus. The tablets have the ability to suppress the pituitary secretion of luteotropin and follitropin, thereby making the vaginal secretion more viscous.
The active ingredient of the drug are synthetic hormones - ethinyl estradiol and progestogen, which can suppress ovulation.
Clinical and pharmacological group
Monophasic oral contraceptive.
Terms of dispensing from pharmacies
Released by prescription.
Prices
How much does Novinet cost in pharmacies? The average price is at the level of 500 rubles.
Release form and composition
The drug Novinet is available in the dosage form of enteric-coated tablets for oral (inside) use. They have a light yellow color, a round shape and a biconvex surface.
- The basis of the drug is 20 mcg of ethinyl estradiol and 150 mcg of desogestrel.
- As auxiliary components, Novinet includes: E 104 (quinoline yellow dye), α-tocopherol, magnesium stearate, povidone, colloidal silicon dioxide, potato starch, stearic acid, lactose monohydrate.
- Ingredients p/o: hypromellose, macrogol 6000, propylene glycol.
Tablets are packaged in a blister of 21 pieces. A cardboard pack contains 1 or 3 blisters with the appropriate number of tablets, as well as instructions for using the drug.
Pharmacological effect
Novinet is a hormonal contraceptive that contains two hormones: estrogen and progestin. The contraceptive effect of the drug is based on the inhibition of gonadotropins and the suppression of the ovulation process. Due to the increase in the viscosity of the cervical fluid, the movement of spermatozoa through the cervical canal slows down, and the altered state of the endometrium prevents the implantation of a fertilized egg.
Desogestrel, which is part of Novineta tablets, has a pronounced antiestrogenic and progestogenic effect, weak anabolic and androgenic activity. Ethinylestradiol is a synthetic analogue of follicular estradiol. Reviews of doctors about Novinet are mostly positive, since the drug contains a small amount of hormones. In this regard, Novinet is widely used in gynecological practice.
During the period of taking Novinet, the loss of menstrual blood is greatly reduced, the menstrual cycle returns to normal. In addition, according to doctors, Novinet has a beneficial effect on the skin, especially if it is prone to acne vulgaris.
Indications for use
Novinet tablets are prescribed to prevent unwanted pregnancy (contraception).
Contraindications
Taking Novinet tablets is contraindicated in a significant number of various pathological and physiological conditions of the body, which include:
- Venous thromboembolism (availability of anamnestic data);
- Dyslipidemia;
- (with angiopathy);
- Jaundice during therapy with glucocorticosteroids;
- Syndromes of Gilbert, Dubin-Johnson, Rotor;
- Vaginal bleeding of unknown origin;
- Otosclerosis or its progression, severe itching during a previous pregnancy or during glucocorticosteroid therapy;
- Smoking at the age of 35 (more than 15 cigarettes per day);
- Pregnancy (confirmed or suspected) and lactation;
- Multiple and / or severe factors that increase the risk of developing venous or arterial thrombosis, including severe or moderate arterial hypertension with blood pressure from 160/100 mm Hg;
- Harbingers of thrombosis, including transient ischemic attack, angina pectoris (currently or in the presence of anamnestic data);
- Thrombosis / thromboembolism (venous or arterial), including myocardial infarction, deep vein thrombosis of the lower leg, stroke, pulmonary embolism (currently or in the presence of anamnestic data);
- Pancreatitis occurring with severe hypertriglyceridemia (including in the presence of anamnestic data);
- Severe liver disease, cholestatic jaundice (including that developed during pregnancy), hepatitis (including in the presence of anamnestic data; the drug can be taken 3 months after the normalization of laboratory and functional parameters);
- Gallstone disease (currently or in the presence of anamnestic data);
- Malignant hormone-dependent neoplasms of the mammary glands and genital organs (confirmed or suspected of them);
- Tumors of the liver (including in the presence of anamnestic data);
- Migraine occurring with focal neurological symptoms (including in the presence of anamnestic data);
- Hypersensitivity to the components of the drug.
Novinet is prescribed with caution in the following conditions and / or diseases that increase the likelihood of arterial or venous thrombosis / thromboembolism: if there are indications in the family history);
- Severe injuries;
- sickle cell anemia;
- Varicose veins and superficial thrombophlebitis;
- Severe depression (including in the presence of anamnestic data);
- Ulcerative colitis;
- Prolonged immobilization;
- burdened family history;
- Obesity (with a body mass index of more than 30 kg / m 2);
- Dyslipoproteinemia;
- Extensive surgical interventions, surgical interventions on the lower extremities;
- Arterial hypertension;
- Migraine;
- Epilepsy;
- Valvular heart disease;
- atrial fibrillation;
- Hypertriglyceridemia (including
- Systemic lupus erythematosus;
- Diabetes mellitus, not complicated by vascular disorders;
- Crohn's disease;
- Liver disease (in acute and chronic course);
- Smoking;
- Changes in biochemical parameters (antiphospholipid antibodies, including antibodies to cardiolipin, hyperhomocysteinemia, activated protein C resistance, antithrombin III deficiency, protein C or S deficiency, lupus anticoagulant);
- postpartum period;
- Age from 35 years.
Dosage and method of application
The instructions for use indicate that Novinet is prescribed orally.
Reception of tablets is begun from the 1st day of a menstrual cycle. Assign 1 tablet / day for 21 days, if possible at the same time of day. After taking the last pill from the package, a 7-day break is taken, during which menstrual-like bleeding occurs due to drug withdrawal. The next day after a 7-day break (4 weeks after taking the first tablet, on the same day of the week), the drug is resumed from the next package, also containing 21 tablets, even if the bleeding has not stopped.
This scheme of taking pills is followed as long as there is a need for contraception. Subject to the rules of admission, the contraceptive effect persists for the duration of the 7-day break.
First dose of the drug:
- The first tablet should be taken from the first day of the menstrual cycle. In this case, you do not need to use additional methods of contraception. You can start taking pills from the 2-5th day of menstruation, but in this case, in the first cycle of using the drug, additional methods of contraception should be used in the first 7 days of taking the pills. If more than 5 days have passed since the start of menstruation, you should postpone the start of taking the drug until the next menstruation.
Taking the drug after an abortion:
- After an abortion, in the absence of contraindications, pills should be started from the first day after the operation, and in this case there is no need to use additional methods of contraception.
Taking the drug after childbirth:
- Women who are not breastfeeding can start taking pills no earlier than 21 days after giving birth, after consulting with their doctor. In this case, there is no need to use other methods of contraception. If after childbirth there was already sexual contact, then taking the pills should be postponed until the first menstruation. If a decision is made to take the drug later than 21 days after birth, then in the first 7 days it is necessary to use additional methods of contraception.
Switching from another oral contraceptive:
- After using another hormonal oral contraceptive containing 30 mcg of ethinylestradiol, according to a 21-day regimen, the first Novinet tablet is recommended to be taken the next day after completing the course of the previous drug. It is not required to withstand a 7-day break or wait for the onset of menstruation. There is no need to use additional methods of contraception. When switching from a preparation containing 28 tablets, the next day after the tablets in the package have ended, you should start a new package of Novinet.
Switching to Novinet after using progestogen-only oral hormonal preparations (“mini-pills”):
- The first tablet of Novinet should be taken on the 1st day of the cycle. There is no need to use additional methods of contraception. If menstruation does not occur when taking the “mini-pill”, then after the exclusion of pregnancy, you can start taking Novinet on any day of the cycle, but in this case, additional methods of contraception must be used in the first 7 days (use of a cervical cap with spermicidal gel, a condom, or abstinence from sexual intercourse). The use of the calendar method in these cases is not recommended.
Postponement of the menstrual cycle:
- If there is a need to delay menstruation, it is necessary to continue taking the tablets from the new package, without a 7-day break, according to the usual scheme. With a delay in menstruation, breakthrough or spotting bleeding may occur, but this does not reduce the contraceptive effect of the drug. Regular reception of Novinet can be restored after the usual 7-day break.
Vomiting/diarrhea:
- If vomiting or diarrhea occurs after taking the drug, then the absorption of the drug may be defective. If the symptoms have stopped within 12 hours, then you need to take another 1 table. additionally. After that, you should continue taking the tablets in the usual way. If symptoms persist for more than 12 hours, then additional methods of contraception should be used during vomiting or diarrhea and for the next 7 days.
Missed pills
If a woman forgot to take a pill in a timely manner, and after the missed no more than 12 hours, you need to take the forgotten pill, and then continue taking it at the usual time. If it has passed between taking the pills more than 12 hours this is considered a missed pill, contraceptive reliability is not guaranteed in this cycle, and additional methods of contraception are recommended.
When one tablet is missed first or second week of the cycle, you need to take 2 tab. the next day and then continue regular intake using additional methods of contraception until the end of the cycle.
When you miss a tablet third week of the cycle you need to take a forgotten pill, continue regular intake and do not take a 7-day break. It is important to remember that due to the minimum dose of estrogen, the risk of ovulation and / or bleeding increases when a pill is missed, and therefore the use of additional methods of contraception is recommended.
Side effects
Side effects of Novinet are manifested:
- Nervous system: headache, mood instability, depression, migraine;
- Organ of vision: in patients with contact lenses - increased sensitivity of the cornea;
- Dermatological reactions: rash, erythema nodosum, chloasma, exudative erythema;
- Metabolism: weight gain, fluid retention in the body, decreased carbohydrate tolerance;
- Digestive system: nausea, vomiting, ulcerative colitis, Crohn's disease, exacerbation or development of jaundice and / or itching caused by cholestasis, cholelithiasis;
- Reproductive system: amenorrhea against the background of drug withdrawal, vaginal spotting or acyclic bleeding, changes in the state of vaginal mucus, candidiasis, development of vaginal inflammation, galactorrhea, pain, tension, breast enlargement;
- Other: development of allergic reactions.
The use of the drug can cause side effects that require immediate discontinuation of the drug:
- Sense organs: hearing loss caused by otosclerosis;
- Cardiovascular system: arterial hypertension; rarely - venous and arterial thromboembolism (including pulmonary embolism, stroke, myocardial infarction, deep vein thrombosis of the legs); very rarely - venous or arterial thromboembolism of the renal, hepatic, mesenteric, retinal veins and arteries;
- Others: porphyria, hemolytic uremic syndrome; rarely - exacerbation of reactive systemic lupus erythematosus; very rarely - transient chorea of Sydenham.
Overdose
In case of an overdose, the following symptoms may occur: nausea, vomiting, in girls - bloody discharge from the vagina.
special instructions
Before starting the use of the drug, it is necessary to conduct a general medical (detailed family and personal history, measurement of blood pressure, laboratory tests) and gynecological examination (including examination of the mammary glands, pelvic organs, cytological analysis of a cervical smear). A similar examination during the period of taking the drug is carried out regularly, every 6 months.
In each case, before prescribing hormonal contraceptives, the benefits or possible negative effects of their use are individually assessed.
The state of health of women must be carefully monitored. If the condition / disease appears or worsens while taking the drug, it is necessary to stop taking the drug and switch to another, non-hormonal method of contraception.
Epidemiological studies have shown that there is a connection between taking oral hormonal contraceptives and an increased risk of developing arterial and venous thromboembolic diseases (including myocardial infarction, stroke, deep vein thrombosis of the lower extremities, pulmonary embolism).
An increased risk of venous thromboembolic disease has been proven, but it is significantly less than during pregnancy (60 cases per 100,000 pregnancies). When using oral contraceptives, arterial or venous thromboembolism of the hepatic, mesenteric, renal or retinal vessels is very rarely observed.
Women after childbirth have an increased risk of venous thromboembolic disease.
It should be borne in mind that diabetes mellitus, systemic lupus erythematosus, hemolytic-uremic syndrome, Crohn's disease, ulcerative colitis, sickle cell anemia increase the risk of developing venous thromboembolic diseases.
It should be borne in mind that resistance to activated protein C, hyperhomocysteinemia, deficiency of proteins C and S, deficiency of antithrombin III, the presence of antiphospholipid antibodies increase the risk of developing arterial or venous thromboembolic diseases.
Some studies have reported an increase in the incidence of cervical cancer in women who have taken hormonal contraceptives for a long time, but the results of the studies are conflicting. Sexual behavior, human papillomavirus infection and other factors play a significant role in the development of cervical cancer.
There are few reports of the development of benign or malignant liver tumors in women who take hormonal contraceptives for a long time. This should be kept in mind in the differential diagnostic evaluation of abdominal pain, which may be associated with an increase in the size of the liver or intraperitoneal bleeding.
Chloasma can develop in women who have a history of this disease during pregnancy. Those women who are at risk of developing chloasma should avoid contact with sunlight or ultraviolet radiation while taking Novinet.
The effectiveness of the drug may decrease in the following cases: missed pills, vomiting and diarrhea, simultaneous use of other drugs that reduce the effectiveness of birth control pills.
If the patient is simultaneously taking another drug that can reduce the effectiveness of birth control pills, additional methods of contraception should be used.
The effectiveness of the drug may decrease if, after several months of their use, irregular, spotting or breakthrough bleeding appears, in such cases it is advisable to continue taking the tablets until they are finished in the next package. If at the end of the second cycle, menstrual bleeding does not begin or acyclic spotting does not stop, stop taking the tablets and resume it only after pregnancy has been ruled out.
Under the influence of oral contraceptive pills - due to the estrogen component - the level of some laboratory parameters (functional parameters of the liver, kidneys, adrenal glands, thyroid gland, hemostasis indicators, levels of lipoproteins and transport proteins) may change.
After suffering acute viral hepatitis, the drug should be taken after normalization of liver function (not earlier than after 6 months).
With diarrhea or intestinal disorders, vomiting, the contraceptive effect may decrease. Without stopping taking the drug, it is necessary to use additional non-hormonal methods of contraception.
Women who smoke have an increased risk of developing vascular diseases with serious consequences (myocardial infarction, stroke). The risk depends on age (especially in women over 35) and on the number of cigarettes smoked.
A woman should be warned that the drug does not protect against HIV infection (AIDS) and other sexually transmitted diseases.
No studies have been conducted to study the effect of Novineta on the ability to drive and operate machinery.
drug interaction
Oral contraceptives may decrease carbohydrate tolerance, increase the need for insulin or oral antidiabetic agents.
Ampicillin and tetracycline reduce the effectiveness of Novinet (the mechanism of interaction has not been established). If co-administration is necessary, it is recommended to use an additional barrier method of contraception throughout the course of treatment and for 7 days (for rifampicin - within 28 days) after discontinuation of the drug.
Drugs that induce liver enzymes, such as hydantoin, barbiturates, primidone, carbamazepine, rifampicin, oxcarbazepine, topiramate, felbamate, griseofulvin, St. John's wort, reduce the effectiveness of oral contraceptives and increase the risk of breakthrough bleeding. The maximum level of induction is usually reached no earlier than 2-3 weeks, but may last up to 4 weeks after discontinuation of the drug.
Novinet refers to oral monophasic contraceptives and is designed to prevent unwanted pregnancy in women. It contains synthetic polar hormones, the action of which is to inhibit the maturation of the egg and prevent the movement of spermatozoa in the cervical canal.
Properties and components of the drug
The release form of Novinet are round yellow film-coated tablets. Each tablet is engraved with RG. Tablets are on blisters of 21 pieces. Each carton contains 1 or 3 blisters. The drug is produced by the Hungarian pharmaceutical company Gedeon Richter.
The shelf life of the drug is 3 years at a temperature not exceeding 30 degrees.
Among the analogues of Novinet, the following means are considered the most popular: Mercilon, Regulon and Marvelon.
Chemical composition of Novinet
The active components of this drug are desogestrel and ethinylextradiol. And also in the composition of Novinet contains the following additional substances:
- Stearic acid.
- colloidal dioxide.
- magnesium stearate.
- lactose monohydrate.
- vegetable starch.
The shell contains propylene glycol and macrogol. The yellow color of the tablet is given by the quinoline dye E 104.
How the contraceptive works
The active components of the drug are synthetic hormones which are more active than natural sex hormones. Due to this action, the process of ovulation is suppressed. Novinet has a high degree of absorption. The active substances are evenly distributed in the tissues of the internal organs and, after 24 hours, are excreted with the help of urine and bile. Under the action of this agent, mucus thickens in the cervical canal, which, in turn, prevents the passage of spermatozoa.
Novinet has a number of advantages compared to other contraceptives:
- Reliably protects against unwanted pregnancy.
- Under the influence of this drug, there is a reduction in blood loss during menstruation.
- In women, the cycle stabilizes, and menstruation passes painlessly and quickly.
- Regular intake of Novinet guarantees the absence of an ectopic pregnancy.
- Improves the condition of the skin and hair.
- This contraceptive prevents the development of tumor diseases.
The drug is indicated for oral contraception. It can be used both before the onset of the first pregnancy and after. Novinet is recommended for use in menopause, since during this period the risk of an unplanned pregnancy is very high.
How to use this remedy
Tablets are taken daily at certain times of the day. After they finish one blister, take a seven-day break and continue taking it with a new package.
You should start using this remedy from the 1st or 2nd day of the menstrual cycle.
The transition from one oral contraceptive to another occurs as follows: wait for the onset of menstruation, skip 7 days and start taking Novinet tablets. If the replacement of the drug occurred between cycles, then Novinet is used the next day after the previous drug has ended.
After childbirth, Novinet is used on the 28th day, and after an abortion, the first contraceptive pill is drunk on the same day and the course is continued from the very beginning.
If for any reason one tablet was missed, then it can be drunk along with the next, but only with a time gap of 3-4 hours.
Contraindications for use
This drug has many contraindications and side effects. Among them are the following:
![](https://i1.wp.com/krasotka.guru/wp-content/auploads/545478/tromboz__protivopokazanie.jpg)
Side effects
Often, side effects occur during the use of birth control pills. These may be the following symptoms:
![](https://i1.wp.com/krasotka.guru/wp-content/auploads/545477/protivopokazanie_primeneniyu.jpg)
To avoid such effects, before using Novinet, you should take blood tests for the state of hormones. It is not recommended to use any hormonal contraceptives without first consulting a doctor.
Reviews about taking the drug
Before Novinet, I used Jess. My gynecologist advised me to switch to a new drug after I turned to him with complaints about breast swelling and scanty periods. For some reason, the doctor connected this with contraceptive Jess and advised me to purchase Novinet. The first month after the start of the reception, I did not have any side effects. True, menstruation, as they were meager, remained. But the condition of the skin and hair has improved. Reviews of women about Novinet also indicate a similar effect of the drug.
Before that, I had already heard that hormonal contraceptives can improve hair and pimples on the skin of the face, but when I used Jess, I did not notice this. Apparently, Novinet is a more modern drug. I want to advise all women to be sure to get a hormone test before taking such contraceptives. If there are any disruptions in hormones, then contraceptives can provoke the growth of hair on the face and body, as well as rapid body gain.
Marianna, Tver
I started taking this drug 4 years ago. The doctor prescribed me this remedy in order to dissolve the ovarian cyst. Six months later, I passed the tests, which showed that the cyst had really gone. But these six months were a real torment for me. I had almost all the side effects of Novinet. I constantly experienced discomfort in the lower abdomen and nausea in the morning. By the end of the course of treatment, I gained 12 kg of excess weight. So these hormonal contraceptives left me with an ambivalent impression.
On the one hand, they are really effective, they protect well from unwanted pregnancy and even cure some diseases, and on the other hand, they have a lot of side effects. It's been a year now and I still can't lose weight.
Maria, Omsk
About six years ago, I first started taking Novinet. Since you can’t constantly use it, so I took breaks for 2 months and continued to take birth control again. It is very important to use the tablets daily, at certain times of the day. Very often I heard the opinion that hormonal contraceptives reduce libido and lead to fullness. Nothing like this happened to me. When my husband and I wanted to have a baby, I simply stopped using Novita pills and got pregnant after 2 months.
This drug has many fans of different ages and good reviews. For women over 30 years old, Novinet is often recommended by gynecologists. At this age, the risk of developing many gynecological diseases increases. Modern oral contraceptives can cure many female diseases or prevent their occurrence. You can forget to take a pill and nothing will happen.
Larisa, Saransk
After the birth of my second child, I came to grips with the study of contraceptives. Since I really did not want an unplanned pregnancy, I approached the choice of pills very seriously. I immediately decided that I would only buy hormonal contraceptives. This is the most reliable way of protection. In second place are spirals, but they are not so reliable, they have more side effects. On one forum I read about Novinet and decided to buy it. The pills never let me down, I didn’t notice any side effects, although there are quite a lot of them described in the Novineta instructions.
Marina, Sochi
This drug was recommended to me by a gynecologist in a antenatal clinic. He recommended it as a very effective drug of a new generation. Before that, I had never used oral contraceptives, but only used condoms. From the first week I started having side effects. Very often attacks of nausea rolled up, shortness of breath appeared and sleep worsened. I constantly had frequent mood swings and a depressive state.
But then this condition passed, the condition of the skin improved markedly. She was very oily, but as soon as I started taking Novinet, my skin stopped getting oily and became absolutely normal. Also, all pimples and blackheads disappeared.
Before I started using Novinet, I took Charosetta. I switched to Novinet solely because of the price, but otherwise I was completely satisfied with Charosetta. And now for 2 years I have been using a new remedy. At first I had headaches, which I attributed to the new drug, but when I stopped using it, the pain did not go away. It turned out that these are not side effects of the drug. And I started taking it again.
Instructions for use Novineta gives a large list of side effects that may occur. But I didn't have any other symptoms. We can say that the drug completely suits me and I am not going to change it to another yet.
Valentina, Lipetsk