When taking Yarina, there is no menstruation. Yarina (Yarina plus) and menstruation. Yarina and other hormonal contraceptives
![When taking Yarina, there is no menstruation. Yarina (Yarina plus) and menstruation. Yarina and other hormonal contraceptives](https://i1.wp.com/ginekolog-i-ya.ru/wp-content/uploads/2018/01/instrukciya-po-primeneniju-yariny.jpg)
Yarin's contraceptive pills have a special composition, which causes them an increased interest of gynecologists and their patients. This is a modern high-quality hormonal contraceptive that does not have many side effects of other combined oral contraceptives (COCs). It is produced in Germany by a large company Bayer Pharma.
The action of the drug
The composition of Yarin includes two components for hormonal contraception - ethinylestradiol (estrogenic) and drospirenone (gestagen) in a low dosage (30 μg and 3 mg, respectively). The drug is a monophasic contraceptive, that is, in all the tablets of the package, the ratio of these active ingredients does not change.
Against the background of admission, the likelihood of pregnancy is the same as with other low-dose COCs. The number of unplanned pregnancies during the year among 100 women does not exceed 1. If the patient complies with all the rules for using the drug, the probability of conception approaches 1:500.
Hormonal pills Yarin prevent pregnancy by combining the following effects:
- suppression;
- an increase in the viscosity of the mucus of the cervical canal, which makes it difficult for sperm to enter the uterus;
- inhibition of cyclic processes occurring during the cycle in the endometrium; this creates conditions unfavorable for the implantation of the egg, even if it has been fertilized.
Thus, the drug affects many of the processes necessary for conception, so it effectively prevents pregnancy.
Additional healing effects:
- restoration of regular menstruation;
- decrease ;
- reduction in the amount of blood lost during menstrual or intermenstrual bleeding;
- prevention of iron deficiency anemia in women;
- reduced risk of ovarian and uterine cancer.
Features and indications
There is nothing unusual about Yarina's estrogenic component, ethinyl estradiol. It is necessary for the regulation of the ovaries. Its presence in the composition of the drug causes some typical side effects of COCs, for example, a tendency to thrombosis of the veins.
The peculiarity of the remedy is in its progestogen component. Drospirenone, unlike levonorgestrel and other similar substances, has additional activity:
- has an effect similar to the drug spironolactone; that is, it is a weak diuretic that preserves potassium in the body, but at the same time prevents the appearance of edema and other signs;
- does not cause an increase in body weight with prolonged use;
- has an antiandrogenic effect: it prevents or treats acne, excessive oiliness of the skin and hair, hirsutism (appearance of hairs on the face).
These features determine the group of patients for whom Yarina is most suitable. They have the following symptoms:
- swelling, irritability, migraine and other signs of premenstrual syndrome;
- hirsutism phenomena - acne, excessive greasiness of hair and skin, the appearance of unwanted hairs on the face, seborrhea.
Indications for taking Yarina - a must. It can be prescribed even to young girls who have begun their menstrual cycle, without changing the dose and regimen. After menopause, when there are no cycles, you do not need to use Yarina.
How to drink Yarina?
To simulate the natural menstrual cycle, the drug is taken 21 days in a row, 1 tablet. It is advisable to do this at the same time of day, regardless of the meal. After 3 weeks of use, a break of 7 days is necessary.
On what day do menstruation begin when taking Yarin?
Menstruation starts in 2-3 days. Even if they have not stopped by the end of the week break, the 3-week course is started again. In this case, it is not necessary to open a new package, since the content of hormones in all tablets is the same. However, it is more convenient to start using the drug from the next package, so as not to get confused and prevent skipping the pill.
If menstruation does not end within 2 days after the resumption of the course of tablets, you should consult a doctor.
Effect on the menstrual cycle
In the first months of using the drug, some women experience irregular spotting. Adaptation occurs within 3 months of use. If after that the regular cycle has not recovered, you need to contact a gynecologist.
It is especially important to consult a doctor in time if, after several normal cycles, irregular discharge reappears. In such a situation, it is necessary to exclude pregnancy and malignant tumors of the genital organs.
Pregnancy after Yarina may occur in the next cycle after the next menstruation.
Start of reception
About how to take Yarina for the first time, the doctor who prescribed it should tell. There are also detailed instructions in the instructions for use.
You can end your appointment at any time. If pregnancy is not planned, you should start using others.
Missed reception
If the patient forgot to take a pill, the resumption of the use of the medicine depends on how much time has passed since the necessary but missed dose.
The rules for resuming protection are determined by which week of admission the unplanned break occurred.
1st week
- Take the pill as soon as possible. If the patient forgot to use the drug on the previous day, then you will need to take 2 tablets at once (“forgotten” and another).
- Drink subsequent tablets as usual.
- Within a week after this, you must use condoms during sexual intercourse.
- It must be borne in mind that pregnancy can also occur if there was sexual intercourse during the previous week before missing the pill.
2nd week
- The basic rules are the same as when skipping the 1st week.
- If the patient took the drug correctly before the unplanned break during the week, additional contraception is not needed.
- If during the week before the missed the drug was taken in violation of the regimen, as well as if more than one tablet was missed, it is necessary to resume the usual daily intake and use condoms for the next week.
3rd week
At this time, the likelihood of an unplanned pregnancy increases. However, if there were no violations in the regimen during the week before the admission, additional contraception is not needed. Otherwise, the patient chooses one of two options:
- Start taking the medicine as soon as possible, one tablet per day. In this case, do not take a break between packages. In this case, menstruation will not occur. Only small spotting may appear. After completing the next pack, take the usual week-long break.
- Do not take pills for a week, including the "missed" day. This will cause menstruation. After 7 days, start using the medicine from the new package. If after the abolition of Yarina there is no menstruation, it is necessary to consult a doctor, pregnancy may have occurred.
Vomiting or diarrhea in the first 4 hours after taking the pill is considered to be missed. In this case, you need to focus on the rules above, depending on the week in which this happened.
Changing the start date of your period
With the help of the drug, you can shift the timing of the start of the next menstruation. This property can be used in exceptional cases, for example, when traveling to the sea or before a responsible sports performance.
- To prevent menstruation in the current month, Yarina is not canceled after taking the entire package. Immediately, without a week's break, the medication from the next package begins. It can be continued for the required number of days, up to 21. 1-2 days after the end of the use of the medicine, menstruation will begin. In addition, spotting or short-term menstrual-like bleeding is possible while using the second package. The contraceptive effect is not reduced.
- To postpone your period a few days earlier, you should shorten the break between packs by the required number of days in advance. After the completion of the second package, menstruation will begin, that is, menstruation will come as many days earlier as the “free” interval between packages was shorter.
Side effects
6 out of 100 women who take Yarina experience nausea. With the same frequency, patients have chest pain. If these symptoms appear, you should consult a doctor. You may need to select another contraceptive.
The most dangerous side effects are thrombosis, that is, blockage of arteries or veins.
In 1-10% of cases, the following side effects are observed:
- unstable mood, depression, weakening of sexual desire;
- migraine headache;
- irregular bleeding from the vagina.
The development of thrombosis occurs in one in 10,000 women or less. In this case, such pathological conditions may appear:
- thrombosis of the veins of the extremities;
- thromboembolism of pulmonary vessels;
- myocardial infarction;
- ischemic stroke.
In large studies and in practice, conditions have been identified that may be somehow associated with taking Yarina, but occur extremely rarely when using this drug:
- slight increase in risk (for patients older than 40 years);
- an increase in the likelihood of liver tumors of a benign or malignant nature;
- the appearance of erythema nodosum - rounded nodes, usually located on the front surfaces of the legs;
- pancreatitis with a simultaneous high content of triglycerides in the blood;
- arterial hypertension;
- increased symptoms in hereditary angioedema;
- dysfunction of the liver;
- worsening of the course of diabetes;
- ulcerative colitis and Crohn's disease (intestinal disease);
- chloasma (dark spots on the skin);
- manifestations of intolerance, for example, skin allergic rash.
No negative effect on the fetus during early pregnancy was found. However, if this condition is suspected, the medication should be stopped.
Contraindications
For the drug Yarina there are such contraindications:
- previous vascular thrombosis, including deep vein thrombosis, pulmonary embolism, myocardial infarction, ischemic stroke;
- transferred transient ischemic attack;
- ischemic heart disease, including angina pectoris;
- migraine with the appearance of focal neurological symptoms (impaired movements, sensitivity, smell, speech, etc.);
- diabetes complicated by micro- or macroangiopathy (vascular damage);
- factors that increase the risk of vascular thrombosis: atrial fibrillation, valvular heart disease, high blood pressure, surgery with prolonged bed rest or limb immobility, and smoking in women over 35 years of age;
- pancreatitis, accompanied by an increase in the level of triglycerides in the blood;
- liver disease with altered liver tests (ALT, AST, alkaline phosphatase, bilirubin);
- liver tumors;
- liver or kidney failure;
- a malignant tumor of the genital organs or the mammary gland, or suspicion of them;
- vaginal bleeding of unknown origin;
- suspicion of pregnancy;
- breast-feeding;
- individual intolerance.
When the listed conditions appear against the background of taking Yarina, it must be immediately canceled.
This COC can be taken for fibroids, endometriosis, ovarian cysts and other non-tumor diseases of the genital organs.
Interaction with other drugs
Some medicines can reduce the contraceptive effectiveness of the medicine.
- phenytoin;
- drugs from the barbiturate group;
- carbamazepine, oxcarbazepine;
- rifampicin and rifabutin;
- topiramate or felbamate;
- griseofulvin;
- products based on St. John's wort;
- some medicines for the treatment of HIV infection.
Special rules must be observed when taking antibiotics such as penicillins (Amoxiclav, Oxacillin, Ampicillin and others) and tetracyclines (Doxycycline and others). During treatment with these drugs, as well as within a week after the completion of the course, it is necessary to additionally use condoms.
If during this week, when additional barrier contraception is needed, the pills from the package run out, immediately start the next one, without the usual weekly break.
Yarina and other hormonal contraceptives
The Bayer company, in addition to this drug, produces a similar one - Yarin plus.
What is the difference between Yarina and Yarina plus?
Yarina plus contains another component - calcium levomefolate, which is the active form of folic acid. Its purpose is to reduce the risk of defects in the nervous system of the fetus, if pregnancy still occurs while taking COCs.
Such a medicine is prescribed to patients who receive an insufficient amount of folic acid.
Which is better: Yarina or other COCs (Jess, Janine, Qlaira, Regulon, Belara)?
It is better to get the answer from the gynecologist observing you, since all these drugs have differences in properties and are prescribed in different clinical situations:
Complete analogues in composition, cheaper than Yarina:
- Anabella (Czech Republic) - 1400 rubles for 84 tablets;
- Midiana (Hungary) - 740 rubles for 21 tablets;
- Vidora (Spain) - 625 rubles for 21 tablets;
- Modell Pro (Israel) - 691 rubles for 21 tablets;
- Yamera (India).
The drugs Jess and Dimia practically do not differ from Yarina, except for the amount of ethinylestradiol in them - not 30, but 20 mcg.
Yarina is a rather expensive drug, so you need to make sure its authenticity. To do this, you should take a good look at the tablets from the package. It may contain 1 or 3 blisters of 21 tablets. Each of them has an even light yellow color, covered with a film sheath. On one side, a hexagon is extruded, in which the letters DO are located. You should not take the drug if its external characteristics do not correspond to those indicated, and also if it was sold at a price much lower than the average (about 1000 rubles for 21 tablets).
Yarina is a monophasic oral contraceptive. This means that all tablets in a package contain the same dose of hormones. One tablet of Yarina contains 30 micrograms (0.03 mg) of Ethinylestradiol and 3 mg of Drospirenone.
One package contains one blister (plate) of Yarina to be taken within one month.
WARNING: The drug has contraindications. Do not start using this drug without first talking to your doctor.
Analogues
What reduces the contraceptive effect of Yarina?
The contraceptive effect of Yarina can be reduced by vomiting, diarrhea, taking large doses of alcohol, and taking certain medications. Read more about it here:
How to delay menstruation with Yarin?
If you need to delay your period, then after finishing one pack of Yarin the next day, start a new blister without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but there may be slight bloody spotting around the middle of the next package.
Please note: you can postpone your period only if you took Yarin at least one month before unwanted menstruation.
Do I need to take long breaks while taking Yarina?
If you have been taking Yarina for more than 6-12 months, you may want to consider taking a break for a few months. You can read about how useful such breaks are by clicking on the link:
What to do if there is no menstruation during the 7-day break in taking Yarin?
Carefully remember whether you took all the pills correctly in the past month.
If last month you had errors in taking the pills (misses, delays), then stop taking Yarin's pills until you are sure that you are not pregnant.
What should I do if I become pregnant while taking Yarina?
Pregnancy in the case of proper administration of Yarin tablets is extremely rare. It is more likely that the pregnancy came as a result of the errors that you made in the previous month.
So, what to do if the test unexpectedly showed 2 strips? First of all, stop taking the pills and consult a gynecologist.
Taking Yarina in the early stages of pregnancy cannot harm the health of your unborn child, so you can safely leave the pregnancy. In this case, start taking as soon as possible.
Yarina's reception before surgery
If you have a planned operation, then taking Yarin tablets should be stopped a month (4 weeks) before surgery. This will reduce the risk of blood clots in the vessels. If the operation is required urgently, then be sure to tell the surgeon that you are taking birth control pills. In this case, the doctor will take additional measures to prevent the formation of blood clots (with the help of drugs).
You will be able to start taking Yarin 2 weeks after you can walk on your own after surgery.
How often do you need to visit a gynecologist while taking Yarin?
Even if nothing bothers you, then you need to visit a gynecologist prophylactically at least once a year.
Many women are concerned about the nature of the menstrual cycle while taking birth control pills.
In this article, we will consider the main points of the effect on menstruation of drugs such as and.
Both drugs are monophasic (the ratio of hormones is the same for each tablet throughout the entire cycle) low-dose agent, consisting of a combination of two hormones:
- Ethinylestradiol (30 μg) - an analogue of endogenous estradiol
- (3 mcg) - has an antiandrogenic effect
The only difference is that in the Yarina plus blister there are an additional seven tablets containing calcium levomefolate (a biologically active formula of folic acid). This is a medicinal substance designed to eliminate folate deficiency in the female body.
Menstruation when taking Yarina and Yarina plus
On the topic of Yarina (Yarina plus) and menstruation, we will consider both drugs at the same time, because. the difference between them is insignificant.
When does menstruation start after cancellation?
On what day do menstruation begin when taking (after) Yarina and Yarina plus? Ideally, when taking hormonal contraceptives, the menstrual cycle is built clearly, like a clock.
When taking Yarina for 21 days, you drink active tablets, after which you take a seven-day break, in which withdrawal bleeding (menstruation) should begin.
When taking Yarina plus for 21 days, you drink active tablets, after which you start drinking 7 vitamin tablets, at which time withdrawal bleeding should also begin.
On the eighth day, you start drinking active tablets again. Withdrawal bleeding goes away. And so in a circle. This is ideal.
It often happens that at the beginning of taking hormonal drugs, your body needs time to adjust and get used to it (1-3 months). If at this time there are any minor deviations from the norm (small intermenstrual daub or small changes in the nature of the menses themselves), then this is basically normal.
However (even at an early stage of admission), if there are strong deviations from the norm, for example, menstruation does not end, they are too heavy (breakthrough bleeding) or they do not exist at all, then you should consult a doctor as soon as possible.
Absence of menstruation
If, when taking Yarina or Yarina plus, there is no menstruation in a seven-day break, then the first thing you need to do is to exclude pregnancy. Buy a test or sign up for an ultrasound.
Remember that pregnancy and taking OK are incompatible!
Very often on the forums you can find questions like “I drank Yarina for 21 days, but no periods”, “I drink Yarina, but my periods do not start”, “I drink Yarina, there are no periods”, “After canceling Yarina there are no periods”, “I stopped drinking Yarina, but no menstruation” and so on.
What is the reason for the delay in menstruation after the cancellation of Yarina? We consulted an obstetrician-gynecologist, and this is what she answered us:
“In the first months of taking the cycle can be unstable, because. the body needs to readjust. 1-3 days deviation from the schedule is quite normal. The main thing is not to stop drinking the pills, strictly following the intake schedule (if there are no other strong side effects), everything will even out over time. It is also advisable to exclude pregnancy and undergo an examination by a doctor. If this situation is repeated constantly or there are other problems of a menstrual nature, then a specialist consultation is necessary. Perhaps these OKs do not suit you.
If you have completely canceled the intake of OK and are not going to return to them, but after the cancellation, menstruation does not come, then the first thing, again, is to exclude pregnancy.
If you are not pregnant, then, most likely, this is a restructuring of the body to its natural cycle and hormone production. Give him some time. Everything should be back to normal.
If there are no periods for more than 1-3 months, then you may have anemorrhea (absence of menstruation for several cycles) against the background of the cancellation of OK. What to do? In this case, you need expert advice. Do not delay with this and go to the doctor.
If, after Yarina, the periods are very meager, this may mean that the body has not yet recovered.
Breakthrough bleeding
If, while taking Yarina or Yarina plus, you have breakthrough bleeding (abundant, ongoing vaginal bleeding of a bright scarlet or light red color), then you need to urgently call an ambulance.
Months don't end
If, when taking Yarina, the periods go for a long time, then it will not be superfluous to consult a doctor. The experts themselves say that in the first months of taking Yarina (or any other OK), such a phenomenon as prolonged menstruation is typical.
Therefore, if you just started drinking Yarina, and your periods do not end, then track their character and your well-being. If there are any obvious deviations from the norm, then go to the doctor, for example:
- if menstruation lasts more than a week, then this is already abnormal
- if prolonged menstruation is repeated from time to time
- if menstruation stably begins ahead of time (the package has not yet been finished drinking)
- if menstruation does not end for a long time after the start of taking a new package
Don't be afraid to contact the experts. This is your health. With hormonal drugs do not joke!
Period started early
If menstruation starts earlier (a week or a few days) once, then it was a hormonal failure. You need to finish drinking this package, because. you can’t stop taking OK in the middle, this can only increase bleeding.
If menstruation started prematurely not for the first time, then you need to contact your doctor and report a re-start of bleeding ahead of time, because repeated bleeding at the end of the package may indicate a lack of a progestogen component and requires the selection of a drug with a different progestogen.
Watch for discharge, if the bleeding is heavy and requires more than 1 pad in 1-2 hours, call an ambulance.
Allocations when taking Yarina (Yarina plus)
Yes, when taking OK, there may be intermenstrual spotting (brown or bloody spotting), in particular while taking Yarina or Yarina plus. This is one of the side effects of taking birth control pills. You should be prepared for these kinds of side effects if you are taking oral contraceptives. In time, everything must pass. If the spotting does not go away for a long time, then consult a specialist, you may have chosen the wrong drug.
How to delay your period
“How to delay menstruation with the help of Yarina” is a fairly popular request on the Internet. If you need to eliminate menstruation between taking Yarina, then let's say right away that it will not be difficult to postpone the onset of menstruation, but often this technique cannot be used, because. you can harm your health.
Yarina - hormonal birth control pills. A distinctive feature of the drug is the absence of a large list of side effects, unlike other complex oral contraceptives.
The drug not only prevents conception, but also helps to establish the menstrual cycle.
Menstruation when taking Yarina should go according to a clear schedule, every 28 days.
Description and indications for use
The drug contains two main components: ethinylestradiol and drospirenone. They also provide hormonal contraception. Due to the fact that the ratio of active ingredients in tablets never changes, this drug is monophasic.
After using the drug Yarina, the likelihood of conception is the same as when taking other low-dose COCs. According to statistics, pregnancy occurs in one case out of 100. If the patient complied with all the requirements of the instructions, then the probability of becoming pregnant is reduced to 1:500.
Pregnancy is prevented by:
- elimination of ovulation;
- an increase in the level of viscosity of the mucus of the cervical canal, therefore the sperm cannot enter the uterus;
- suppression of cyclic processes.
The drug has a strong effect on most of the processes that are needed for normal conception.
In addition to the main effects, Yarina also has a number of additional effects.
They consist in:
- restoration of a normal menstrual cycle;
- prevention of the development of iron deficiency anemia;
- decrease in the intensity of menstrual bleeding;
- dulling pain during menstruation.
There are not so many indications for the use of Yarina.
More often the medicine is prescribed for groups of women who have the following symptoms:
- puffiness;
- irritability;
- frequent migraines;
- acne
- seborrhea;
- high greasiness of the skin and hair;
- unwanted facial hair.
The main indication for use is the need for contraception.
The drug is suitable even for girls whose menstruation has just begun. After the onset of menopause, the need for such pills disappears.
Scheme of application and admission admission
To get the desired effect, the tablets must be drunk for 21 days, without gaps. It is important to apply the medicine at the same time.
After the end of the first blister of tablets, between doses you need to take a short break of 7 days.
During such a pause, bleeding should appear, similar to menstruation.
Most often they occur 2-3 days after giving up the pills.
After the end of the week break, the second blister is drunk.
If a woman will take birth control for the first time, then the therapeutic course should begin on the first day of menstruation. A small delay of 2 to 5 days is possible. A woman who has already taken OCs can start treatment the next day after stopping or completing the course of the previous medication.
The resumption of taking pills after a missed one depends on when the last dose was. If the interval between doses is up to 12 hours, then take the medicine immediately as soon as the opportunity arose. In this case, additional contraception is not required.
With a delay between doses of 12 or more hours, the drug should be started only after 36 hours. The longer the interval between doses, the lower the concentration ability of the drug, therefore, the risk of pregnancy increases several times.
The week in which the break occurred also affects the schedule for resuming the drug. If this happened in the first week, then the pill is recommended to be taken as soon as possible. It is possible to take several tablets at once. Further, the scheme of contraceptive use is set to normal.
In the second week, the resumption scheme is the same. If before that Yarina was taken correctly, then additional contraception can not be used.
With a break in the third week, the risk of conception increases.
Exists Several options for resuming pills:
- You need to drink a contraceptive as soon as possible. However, there is no need to take a break between packs. In this case, menstruation does not occur, only light discharge is possible.
- You should stop taking the drug for a week. In this case, the patient begins menstruation. In a week it will be possible to resume reception. If, after discontinuation of the drug, there was no menstruation, you should consult a specialist, as this may indicate pregnancy.
It should be noted that if vomiting or diarrhea occurs within 4 hours after taking the pill, this is also a pass.
After it, you need to restore the reception mode according to one of the schemes.
Impact on the menstrual cycle
During the first months, the patient may experience bleeding, which will be irregular. It will take about three months to fully adapt the menstrual cycle. If during this time the cycle has not returned to normal, you should consult with a specialist.
You should also contact a gynecologist if, after several regular cycles, a failure occurs. In this case, you need to make sure that there is no pregnancy or malignancy.
With the help of Yarin, you can also change the timing of the onset of menstruation. However, this should only be done if absolutely necessary. To delay the critical days, the use of the drug should be carried out without a week break. Menstruation after Yarin will begin only on the second day after the cancellation of the remedy. During the period of use of the second package, small bleeding is possible.
To make your period a few days earlier, you can shorten the break between packs. When calculating how many days to shorten the course, one should be guided by the fact that after its completion I will immediately go to menstruation.
Possible side effects
According to statistics, 6 women out of 100 who took Yarina may feel nausea and chest pain. When such symptoms appear, you should immediately consult a specialist. Most likely it will be necessary to choose another drug for contraception. The most dangerous side effect is thrombosis.
The following negative manifestations are very rare:
- mood swings;
- depression;
- lack of sexual desire;
- periodic spotting;
- migraine.
The frequency of such manifestations varies from 1 to 10%.
The following pathological conditions may develop:
- ischemic stroke;
- vein thrombosis;
- myocardial infarction.
Thrombosis is observed in only one woman out of 1 thousand patients who took this remedy.
Rarely there are side effects such as:
- pancreatitis;
- increased risk of developing breast cancer;
- arterial hypertension;
- problems in the work of the kidneys;
- the formation of dark spots on the skin;
- exacerbation of diabetes;
- allergic reaction.
If pregnancy is suspected, it is recommended to stop taking the drug, although no negative effects on the fetus have been identified.
Contraindications and symptoms of overdose
Yarina has a number of contraindications for use, which you should be aware of in order to avoid negative effects on the body.
Contraindications include include the following pathological conditions:
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If at least one of the contraindications is identified, the use of such a contraceptive should be abandoned.
Serious consequences of an overdose have not been identified.
However there may be such negative manifestations as:
- bleeding from the vagina;
- vomit;
- nausea.
To eliminate such symptoms, there is no special antidote, therefore, in this case, only symptomatic therapy is carried out.
The drug Yarina is not only a good contraceptive, but also a tool that helps to establish the menstrual cycle. The drug can be taken only after consultation with a specialist.
Thank you
The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!
Composition and form of release
A drug Yarina available in the form of film-coated tablets. The active substances that make up the drug are ethinylestradiol at a dosage of 30 mg, and drospirenone at a dosage of 3 mg. One package of the drug contains 21 tablets.How does Yarina work?
Yarina is a combined remedy, as it contains two sex hormones - estrogen and gestagen. In addition, the drug is low-dose (low doses of hormones) and monophasic (all tablets contain the same amount of hormones).Yarina's ability to prevent pregnancy is based on two mechanisms - suppression of ovulation (ovum maturation) and a change in the properties of the secret (mucus) located in the cervix. The thick mucus of the cervix becomes an obstacle to the penetration of spermatozoa.
In addition, taking Yarina helps to establish the menstrual cycle (if it is irregular). Pain during menstruation decreases, bleeding becomes less intense (this fact reduces the risk of developing iron deficiency anemia).
Other beneficial effects of Yarina are antimineralocorticoid and antiandrogenic actions. The hormone drospirenone has this effect - it reduces fluid retention in the body, reduces swelling, so that body weight does not increase. The antiandrogenic effect is the ability of the drug to reduce the symptoms of acne (acne) and regulate the production of sebum by the skin and hair (reduces seborrhea).
Indications for use
The main indication for the use of tablets is the prevention of unwanted pregnancy.Contraindications
Yarina should not be used for the following diseases or conditions:1. Thrombosis of veins or arteries, and thromboembolism (blockage of blood vessels by blood clots), circulatory disorders of the brain.
2. Conditions that can lead to thrombosis are angina pectoris, transient cerebrovascular accidents, uncontrolled high blood pressure, major surgery with prolonged bed rest.
3. Migraine, manifested ever before, or at present, accompanied by focal neurological symptoms (impaired vision, sensitivity, speech).
4. Diabetes mellitus, accompanied by vascular complications.
5. Smoking if the woman's age is more than 35 years.
6. Pancreatitis (inflammation of the pancreas), accompanied by an increase in triglycerides in the blood (currently or earlier).
7. Severe liver disease or liver failure, liver tumors.
8. Renal failure - severe form or acute course.
9. Hormone-dependent malignant diseases of various organs, including genital ones, present at the moment, or suspicion of them.
10. Bleeding from the vagina, the cause of which is not known.
11. Pregnancy, lactation or suspected pregnancy.
12. Hypersensitivity to substances included in the composition birth control pills.
Conditions for which caution should be exercised
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- Diseases of the cardiovascular system (risk of thrombosis and thromboembolism).
- Angioedema.
- Liver diseases.
- Elevated levels of triglycerides (such as cholesterol) in the blood.
- postpartum period.
- Diseases associated with circulatory disorders (diabetes mellitus, systemic lupus erythematosus, sickle cell anemia, Crohn's disease, etc.).
- Diseases that occurred during pregnancy, or during a previous dose hormonal contraceptives.
Use during pregnancy and lactation
During pregnancy and lactation, Yarina is contraindicated. If pregnancy is detected while taking the drug, you should stop the course and immediately consult a doctor. During breastfeeding, it is not recommended to take the medicine, since its components can change the composition and properties of breast milk, as well as reduce its amount.Side effects
- The most common side effect when taking oral contraceptives is the occurrence of irregular bleeding from the vagina. They may appear as spotting or breakthrough bleeding. Most often they occur within the first three months.
- Other side effects associated with taking Yarina may be soreness, engorgement or discharge from the mammary glands, as well as vaginal discharge.
- On the part of the nervous system, there may be changes such as headache, mood swings or depression, decreased or increased libido, migraine.
Digestive disorders may present as nausea, abdominal pain, and, less commonly, vomiting or diarrhea. - Sometimes when taking Yarina, intolerance to contact lenses appears, there are unpleasant sensations while wearing them.
- Metabolic disorders are manifested by a change in body weight - more often an increase, less often - its decrease, fluid retention in the body.
- Skin manifestations of hypersensitivity to the drug are represented by urticaria, rash, less often by the appearance of erythema nodosum.
- Like others contraceptives with a hormonal composition, in rare cases, when taking Yarina, the development of thrombosis or thromboembolism is possible.
Overdose
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How to take Yarina?
It is necessary to take the drug 1 time per day, each time at the same time, drinking a tablet with a small amount of water. For convenience, each tablet is marked with the day of the week on which it must be taken. The tablets should be taken in the order indicated by the arrow. When all the tablets are taken, it is necessary to take a break of 7 days. During these 7 days (most often on day 2-3) menstruation (or withdrawal bleeding) begins. After a 7-day break, start taking the next pack of the drug. Thus, the intake of each package will begin on the same day of the week.The first package of Yarina
1. In the case when no contraceptive containing hormones has been used in the previous month, it is best to start taking Yarina on the first day of menstruation. From the package, you must select a tablet marked with the corresponding day of the week. Then you should drink them in the order indicated by the arrow. It is also allowed to start taking on the 2nd-5th day of the cycle, in this case, during the first 7 days of taking the tablets, additional methods of contraception (for example, a condom) should be used.2. If it is necessary to switch to taking Yarina with other combined oral contraceptives, the first tablet is taken without interruption. Thus, if the previous remedy contained 28 tablets, Yarina's intake is started after the last active tablet is drunk, but no later than the day the last inactive one is taken. If the product contained 21 tablets, Yarina is taken no later than the next day after a 7-day break.
3. In the case of using a vaginal ring or hormonal patch, Yarina's intake is started on the day they were removed, but no later than the day the next ring is inserted or the patch is pasted.
4. If, before taking Yarina, products containing only progestogen (mini-drinks) were used, their reception can be interrupted on any day and you can start drinking Yarina. In this case, it is necessary to use a barrier method of protection during the first week.
5. When switching to Yarina from injections, an implant or an intrauterine device Mirena, pills are started on the day when it was supposed to make the next injection, remove the implant or intrauterine contraceptive. After that, for 7 days, in addition to Yarina, barrier methods of contraception are used.
In case of violations of the liver, the drug should not be taken until the indicators characterizing liver function (liver tests) return to normal.
Pi violation of the kidneys should be careful, as the drug is contraindicated in acute or severe renal failure.
Interaction with other drugs
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- for the treatment of epilepsy (such as phenytoin, barbiturates, topiramate, carbamazepine and others);
- for the treatment of tuberculosis (rifampicin);
- for the treatment of HIV infection (eg, nevirapine, ritonavir);
- antibiotics (tetracyclines, penicillin, griseofulvin);
- St. John's wort (used to treat depressed mood).
You should always tell the doctor who prescribed Yarin what medications are already being taken. In addition, you should inform other doctors (including dentists) who prescribe other medications about taking Yarina. In addition, it is necessary to tell the pharmacist who sells medicines in the pharmacy about this.
In some cases, it may be necessary to use additional barrier agents to protect against unwanted pregnancies.
Special instructions for use
1. Before you start taking Yarina, you must undergo a medical examination to identify contraindications and restrictions on admission. The examination must necessarily include a general medical examination with measurement of blood pressure, pulse, determination of body mass index, gynecological examination, examination of the mammary glands, Papanicolaou test (examination of scraping of the cervical mucosa). Also, the doctor may prescribe other additional studies.2. It is important to remember that when taking combined oral contraceptives, the risk of thrombosis and thromboembolism increases. Therefore, before taking the drug, it is necessary to weigh the expected risk and possible benefit.
3. There is also evidence of more frequent detection of cervical cancer and breast cancer with long-term use of combined oral contraceptives. Perhaps this is due to a more thorough and regular examination of women taking them.
5. With Quincke's edema of a hereditary nature, the substances that make up Yarina can worsen the symptoms of this disease.
6. The effectiveness of the drug Yarina may decrease in three cases - when you miss a pill, indigestion, or as a result of interaction with other drugs.
7. It should be remembered that Yarina is not a means of protecting against infection with AIDS (HIV infection) and other sexually transmitted diseases.
Menstruation while taking Yarina
Menstruation occurs during a week break, most often on the 2-3rd day, approximately on the same day of the week (provided that it is taken correctly). If desired, it is possible to change the day of the appearance of menstruation. To delay the onset of menstruation, you should not take a 7-day break, but start taking the next pack of pills after the end of the current one. You can take the pills until the package runs out or, if desired, stop taking it on any day (then menstruation will begin). While taking the tablets from the second package, spotting or bleeding is likely. The next package of Yarina is taken after a break of 7 days, as usual.To change the day of the beginning of menstruation, it is necessary to shorten the 7-day break in the reception. Thus, menstruation will begin earlier. If the break was less than 3 days, menstruation may not begin, but instead bleeding or spotting may occur while taking the next pack of Yarina.
Spotting or bleeding while taking - what to do?
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When is it necessary to see a doctor?
When taking Yarina, the doctor must be visited regularly - at least once a year, for preventive examinations.A doctor should be visited as soon as possible if the following situations occur:
1.
With any changes in health, especially conditions in which the remedy is used with caution, or in which it is contraindicated.
2.
If a limited seal appears in the mammary gland.
3.
If necessary, take other medicines.
4.
If there is a long immobility, bed rest - for example, as in the case of a cast or surgery.
5.
When there is vaginal bleeding that is heavier or more profuse than usual.
6.
In case of missing a pill in the first week of taking it, if there was sexual intercourse in the previous 7 days.
7.
If menstruation did not occur 2 times in a row, or there was a suspicion of pregnancy.