Contraceptive pills "Jeanine". Instructions for use, feedback

Contraceptive pills "Zhanin" refer to modern low-dose hormonal drugs. They have a pronounced therapeutic effect. Help to cope with pain during menstruation, to defeat endometriosis. Normalize the menstrual cycle and protect against unwanted pregnancy. Use them only if prescribed by a doctor.

Composition and form of the preparation

Contraceptive tablets "Zhanin" contain two active substances, this is ethinylestradiol in an amount of 0.03 mg and dienogest in a dosage of 2 mg. The data are based on one capsule.

Additional components in the tablets are lactose monohydrate, talcum, potato starch, gelatin, magnesium stearate. The shell of the pill consists of dextrose, sucrose, povidone K25, macrogol 35,000, calcium carbonate, carnauba wax and titanium dioxide.

The tablets are white in color and round in shape. Packed in blisters for 21 pieces. In a cardboard box there is one or three aluminum blisters. For the convenience of taking each tablet a day of the week is written, it helps a woman not to lose control and take care of the reception of pills.

Pharmacological features

Contraceptive pills "Jeanine" have a pronounced contraceptive effect, which manifests itself only under the influence of various complementary mechanisms. First of all, this is an ovulation warning, as well as a change in the state of viscosity of cervical mucus, which makes it simply impenetrable to sperm.

If you use the medicine according to the instructions, then the Perl index, reflecting the number of women who become pregnant after taking the capsules, does not reach one. If the contraceptive is misused and the tablets are skipped, the Pearl index sticks unshakably up.

Dienogest in the "Zhanina" is characterized by antiandrogenic activity. Positively affects the lipid profile of the blood.

Women who use the combined contraceptive inside notice the normalization of the menstrual cycle. In critical days, they are almost not disturbed by pain, the volume of secretions decreases, the duration of menstrual doses decreases. This reduces the likelihood of the appearance in women of iron deficiency anemia, ovarian cancer and endometrium.

Dienogest is completely absorbed into the walls of the intestine. The maximum concentration of the active substance in the blood is observed 2.5 hours after the use of the pill. Bioavailability of the drug is 96%, and the half-life of the drug from plasma fluctuates from 8.5 to 10.8 hours. A small part of the drug is excreted unchanged, along with the urine, and the bulk comes out in the form of metabolites through the kidneys in a 3: 1 ratio.

Ethinyl estradiol, like dienogest, has a full and rapid absorption. The maximum concentration in plasma is observed after 1.5-4 hours. At the first admission, it is metabolized in the liver, which affects the bioavailability of the component, which is 44%. Ethinylestradiol is distributed completely (by 98%), connecting with albumin. Passes the systemic biotransformation in the liver and small intestine. It is processed by aromatic hydroxylation. In the unchanged form, it is not excreted from the human body. Metabolites come out with bile and urine.

Indications for use

Contraceptive pills "Zhanin" are used to protect against unwanted pregnancy. These are the main indications for the use of the drug.

Contraindications

The drug is not used for hypersensitivity to active substances of the drug and its additional components. It is not recommended to take pills for arterial and venous thrombosis, thromboembolism. The ban on the use of "Zhanin" is the condition preceding the formation of thrombosis. You can not drink pills with migraine, accompanied by focal neurological phenomena.

Prohibition of the use of pills is diabetes mellitus, in which there are vascular complications, as well as the likelihood of venous or arterial thrombosis. These are diseases that have arisen because of injury to the heart valve, pathology of the brain's head vessels, atrial fibrillation, coronary artery disease.

Do not prescribe medication in case of arterial hypertension and serious surgical intervention. Do not take the drug to smoking patients aged 35 years.

It is forbidden to take pills for people with pancreatitis, liver failure and severe liver ailments.

Do not use contraceptives in the presence of tumors, hormone-dependent malignant pathologies, and if there is the slightest suspicion of their presence in the body. Do not use the product with vaginal bleeding of unknown origin. Contraindication to admission is pregnancy and breastfeeding.

Dosing and Administration

The drug "Zhanin" is used orally. Tablets should be drunk at one time in the order that is drawn on the blister.

The medication is taken one pill per day for twenty-one days, then take a break with a weekly duration. It is at this time that menstruation should come. Then start taking the pills from the new package. Monthly comes on 2-3 days, after using the last capsule from the old packaging. Can not end to the time when you need to take a capsule from a new blister.

Use of the drug is initiated if the previous month did not use other contraceptives, as well as the first day of menstruation. The medicine can be used on the 2nd-5th day of a month's bleeding, but it will require secondary measures to protect against unnecessary pregnancy during the following week, when pills from the new package will be taken.

When switching to "Janine" from other combined contraceptives, you should take the capsule on the next day after using the last pill or inactive capsule from the drug blister, taken earlier. The break between the use of dragees from new and old packaging should not exceed a week. If a woman passes from the transdermal patch or vaginal ring to the contraceptive, then the use should begin on the day of removal of the indicated elements. Translation of a lady from a gestagenic contraceptive ("mini-pill") to "Jeanine" is carried out any day without taking a break. The transition from an implant or contraceptive to gestagen administered intrauterine is performed on the day of their removal. Transition from injections should be done at the time the next injection is expected. In all these cases, you need to use additional contraception during the first week of use of "Zhanin".

This remedy is used after the abortion that took place in the first trimester of pregnancy. In this case, the lady can take the drug immediately after this procedure. "Zhanin" is allowed to drink for 21-28 days after the birth of the child and after the abortion, held in the II trimester. At a later reception of a dragee it is necessary to accept additional methods of protection during seven days of the use of pills.

If a woman had already had a sex life before taking the pills, then before the use of "Jeanine" it is necessary to exclude a possible pregnancy or wait for the onset of menstruation.

Skipping pills

If the lady missed the contraceptive pill "Jeanine", and the delay did not exceed twelve hours, the protective effect of this remedy does not decrease. It is necessary to take a pill at the first opportunity. Subsequent pills are used normally.

If you lost one of the contraceptive pill "Jeanine", what should I do? If the delay in taking the drug goes more than twelve hours, then the contraceptive protection decreases. Here it is necessary to rely on the following concepts:

• A break in taking a dragee should not exceed seven days.
• In order to achieve effective blocking of hypothalamic-pituitary-ovarian regulation, it is necessary to take the medication continuously for seven days.

If you delay in taking this drug for more than 12-36 hours, you should take the pill at the first opportunity, even if you have to drink two capsules at the same time. In the future, the drug is taken in the usual rhythm. During the week, additional contraception should be used.

If the sexual act was before the lady missed the medication, then the process of fertilization of the egg is possible.

If the capsule is missed in the second week of hormonal contraceptive use, you should take the pill at the first opportunity. The next dragee is taken at the usual time. If a woman during the previous week did not take a break in taking pills, then there is no need to use supplementary measures of contraception. Otherwise, if two or more capsules are missed, additional measures of protection should be resorted to during the whole week of taking the hormonal remedy.

Can I get pregnant while taking Jeanin contraceptive pills? No, if you do not miss taking pills. Passing pills, especially in the third week, increases the risk of pregnancy due to the proximity of a break in the use of the medication. If there was no break in the previous seven days of taking the drug, then secondary measures of protection should not be used. If during the indicated period the admission of pills took place, then:

• The lady should drink the pill at the first opportunity, even if she has to use two at once. The following capsules should be drunk at the usual time, until all the tablets in the blister are exhausted. Receiving pills from a new package should be started immediately, without a one-week break. During the administration of the drug, spotting or bleeding of a breakthrough nature can be observed.
• The lady can stop taking the pills from the current package and take a week off, including the day with the missed tablet, and then start taking the capsules, but from the new blister.

Pregnancy after taking the contraceptive pills "Zhanin" can occur if the reception of the dragee was missed, and during the weekly break, the monthly did not come.

Special situations for admission

If, when taking active pills in a woman, vomiting or diarrhea was observed within four hours, the absorption of the drug would be incomplete. In this case, take secondary protective measures and drink the contraceptive pills "Zhanin" as well as with missed pills.

To delay the onset of menstruation, do not take a week off, but you need to continue to drink tablets from a new blister until the day the woman wants. The second package can be used by a lady completely without a seven-day break. When taking pills from the second blister may disturb breakthrough bleeding, as well as minor spotting. The medication should be resumed after a one-week break.

If there is no monthly intake of the contraceptive pill "Jeanine", then this indicates excessive suppression of hormonal work of the ovaries. In this case, you should see a doctor for a comprehensive diagnosis and determine the cause of this phenomenon.

Side effects

It should be used only by the appointment of the gynecologist of the contraceptive pill "Jeanine". The instruction for use fully describes all the nuances of receiving this product. Often when using the drug, women face negative phenomena, such as nausea, vomiting reflex. In the genital area, changes in the secretion of the vagina can occur, there may be soreness of the mammary glands and their engorgement, disturb secretions from the breasts secret, lack of sexual desire.

Also, pills can cause bad mood, headache, migraine, depression. During the use of the drug, chloasma, fluid retention in the body, intolerance of contact lenses and allergy were recorded.

Analogues

They have not only a contraceptive effect, but also treat the contraceptive pill "Zhanin". The instruction is attached to them and must be studied before applying the drug. If for some reason this remedy is not suitable, then it can be replaced with the following pills:

• "Yarina".
• "Jess."
• Marvelon.
• "Trikvilar."
• "Loveston".
• "Benatex."
• "Chloe."
• "Microlut".

It is not necessary to replace the hormone drug alone, because only a doctor, assessing the state of women's health, will be able to choose the right analogue correctly.

Cost

Contraceptive pills "Jeanine" (the instruction details the contraindications that should be taken into account before using this contraceptive) are sold in a package where there is twenty one tablets and in a box containing three blisters (63 capsules). The first option is within 800 rubles, the second - 2000 rubles.

Contraceptive pills "Zhanin": reviews

This drug has a variety of reviews. Positive opinions about pills say that they 100% protect against unwanted pregnancy, treat endometriosis, polycystic ovaries and glandular hyperplasia. Help to normalize the menstrual cycle, remove the symptoms of PMS. Women note that after taking them they do not gain weight, but, on the contrary, lose weight. Some have noticeably improved their hair and skin condition. These ladies were satisfied with the drug and continue to take the contraceptive pill "Jeanine".

Reviews negative note that this tool can cause side effects, including headache, gag reflex, nausea, pain in the liver region, decreased libido, sudden mood swings, a period of getting used to and lifting, a painful chest and prolonged bleeding. Many patients say that the contraceptive tablets "Jeanine" are quite expensive.

The doctors' comments on the drug are mostly positive. They often recommend it for endometriosis, cyst, for the normalization of the menstrual cycle, as well as for painful and profuse menstrual periods. Consider it a good low-dose hormonal agent, able to completely protect against unwanted pregnancy.