Protects against unwanted pregnancy, eliminates the painful symptoms that accompany the premenstrual period, and improves the silhouette of the skin, the contraceptive hormonal drug Silhouette. Review after review women say that it is a reliable contraceptive. The main thing is not to miss taking pills.
"Silhouette": composition
The main active components of the drug are ethinyl estradiol (0.03 mg) and dienogest (2 mg). When combined, they give an antiandrogenic and contraceptive effect. The composition is supplemented by such ingredients as:
- lactose monohydrate;
- corn starch;
- hypromellose;
- talc;
- potassium polacryline;
- magnesium stearate;
- opadry II 85F18422 white (shell).
Product release form
The drug "Silhouette" (reviews claim that this tool helps to improve the condition of the skin and remove acne) is available in white tablets, which are enclosed in a blister in the amount of 21 pieces. Blisters are packed in a cardboard box of 1-3 pieces.
Pharmacological effects
“Silhouette” is a combined drug with a pronounced antiandrogenic effect. Here ethinyl estradiol acts as an estrogen, and dienogest carries the functions of a progestogen.
The drug inhibits ovulation, affects the peristalsis of the fallopian tubes and endometrium, increases the viscosity of cervical mucus. Antiandrogenic effect is achieved through close interaction of ethinyl estradiol and dienogest, which reduces the concentration of androgens in plasma.
It is proved that the drug, thanks to the active interaction of the components, eliminates acne of varying severity, treats seborrhea.
Contraceptive "Silhouette" (reviews of some women say that the drug did not fit and has many side effects) to prevent ovulation should be taken in an amount of 1 mg / day.
Indications
“Silhouette” (review after review of a woman noted an increase in body weight as a result of regular administration of the drug) is recommended for use as a contraceptive to prevent unwanted pregnancy. Also, contraceptive has shown its effectiveness in the treatment of acne.
Contraindications
The combined contraceptive "Silhouette" (tablets) fully lives up to its purpose. But it can not be used or its reception should be stopped in cases of special sensitivity to active and secondary components in its composition. Do not use the drug in the presence of arterial and venous diseases. The reason for the ban is thrombosis, myocardial infarction, thromboembolism of varying severity, cerebrovascular disorders of the ischemic and hemorrhagic apparatus.
Refrain from taking medication should be in a state preceding thrombosis. This angina pectoris, damage to the heart valve and atrial fibrillation, bacterial endocarditis, surgery with prolonged immobilization.
You should not use a contraceptive for pancreatitis, porphyria, during jaundice and congenital hyperbilirubinemia. You can not drink tablets with sickle cell anemia, diabetes mellitus, hypertension, dyslipoproteinemia, with a predisposition to arterial thrombosis. Refrain from admission should be smoking women from 35 years.
Taboo is imposed for liver diseases of varying severity and malignant diseases of the genitals and chest. Do not use the medicine for bleeding from the vagina of an unclear nature. The reasons for the ban are migraine, epilepsy, lactase deficiency, pregnancy, the period of breastfeeding.
Attention to taking the drug should be considered for varicose veins, impaired cardiovascular system, obesity, low blood coagulation. People who have arterial hypertension, uterine myoma, mastopathy, multiple sclerosis, severe depression, ulcerative colitis, cerebrovascular accident, heart failure, breast cancer, with vision problems, and herpes should think about its use.
Dosage and administration
Reception "Silhouette" should be daily for 21 days. Every day you should drink one tablet. Dragees are used according to the days of the week indicated on the blister. A new package begins after a week-long break during which menstruation usually comes. Bleeding may not end when taking pills from a new pack, but despite this, you should continue to drink the pills.
The transition to this contraceptive with drugs containing only progesterone is carried out at any time. In the case of the first hormonal contraception, the drug “Silhouette” (tablets) is prescribed on the day the menstruation begins. When switching from other combined contraceptives, “Silhouette” is taken on the first day after a seven-day break. You can take the drug the next day after taking the last pill from the old package.
The transition from implants to oral contraception occurs on the day the implant is removed, and from the injection on the day after the last contraceptive injection.
After an abortion in the period from the first to the twelfth week of pregnancy, the drug should be taken immediately, especially if there are no other methods of protection. After delivery or abortion in the II trimester, a contraceptive is prescribed on the 21-28th day. A later period of contraceptive use necessitates additional methods of protection over the next seven days. If at the "unprotected" moment there was a sexual intercourse, then before using the pills, you must completely exclude pregnancy and wait for the first menstrual cycle.
Missed pills
In order to achieve the proper contraceptive effect, the use of the “Silhouette” must be constant. Being late in taking the pill for less than twelve hours does not reduce the effectiveness of contraception. The lady in this case should take the drug as soon as possible. Being late for more than twelve hours significantly reduces contraceptive protection. In this case, it is necessary to take into account the following nuances:
- a break in taking hormonal tablets should not be more than seven days;
- the effect of hypothalamic-pituitary-ovarian regulation is achieved only with a daily seven-day intake of the drug.
In this situation, the lady needs to take a hormonal drug at the earliest opportunity, even if two pills need to be drunk at the same time. The next tablet is taken at the allotted time.
Additional contraceptive measures:
- Apply in the first week for the next seven days. If there was sexual intercourse before the missed pill, then pregnancy should be excluded.
- In the second week they are not used if the woman no longer violated the regimen of admission. In a situation where more than one tablet is missed, additional protection should be used over the next seven days.
- In the third week, do not apply if more than one tablet has not been missed. Here, the use of tablets from the current pack begins immediately without a week break. Menstruation may not occur at this time, or spotting may occur. You can go the other way and immediately stop taking the pills from the current pack, take a seven-day break and then switch to taking the medicine from the new package.
Side effects
Depending on which birth control pill a woman drinks, some side effects appear. So, while taking the “Silhouette”, anemia, tachycardia or myocardial infarction can be observed. Headaches, nausea, vomiting, weight gain, back pain, depressed mood, chest pain and enlargement of the mammary glands often occur. In some cases, migraine, excessive irritability, dizziness are observed. Infrequently, there were pains in the abdomen and a malfunction of the genitourinary system. Acne, eczema, dermatitis and other allergic manifestations have been observed. Patients noted an increase in appetite and weight loss. In private situations, vaginitis, vaginal candidiasis, varicose veins, arterial hypotension are manifested. Fatigue, swelling, ovarian cysts, bleeding of various genesis, salpingitis, endometritis and cramps in the calf muscles occur.
Visual disturbances, tinnitus, sinusitis, bronchitis, diarrhea, dyspepsia, gastritis, cholelithiasis, fungal infections, oral herpes, mastitis, vulvovaginal itching, fibrocystic breast dysplasia, insomnia, anorexia, decreased libido, are rarely disturbed aggressiveness.
special instructions
Before taking a contraceptive, you need to conduct a complete medical examination and completely exclude pregnancy. Hormone tablets "Silhouette" may not work so effectively in cases of missed intake of the drug, with disorders of the gastrointestinal tract and during concomitant treatment. Significantly reduces the effect of the drug perforatum perforatum.
In the first three months of taking a contraceptive, spotting from the vagina can be observed, which is associated with a period of adaptation. If this is constantly observed, then you should contact a gynecologist.
There may be a complete absence of menstruation in the interval between medications from the old and new packaging. If a woman drinks pills without skipping tricks, then pregnancy should be ruled out. If there are violations in taking the drug, then before you start a new pack, you should make sure that you are not pregnant.
The use of a combined contraceptive increases the likelihood of venous thromboembolism, especially in the first year of using a hormonal contraceptive. This picture is due to a combination of ethinyl estradiol and dienogest. The occurrence of the disease is indicated by pain in the legs and chest with numbness of the left arm, shortness of breath, coughing attacks, prolonged headaches, partial loss of vision, diplopia, blurry and slurred speech, fainting and dizziness, weakness and partial numbness of the extremities, and abdominal pain.
The use of the drug aggravates migraines, increases the risk of developing cervical and breast cancer. Promotes the development of benign and malignant tumors. Increases blood pressure, provokes the development of pancreatitis, acute and chronic liver diseases, diabetes, chloasma, ulcerative colitis and Crohn's disease.
Taking the drug may distort biochemical analysis, including indicators responsible for the function of the liver, thyroid, and kidneys. As a rule, there are minor changes and fluctuate within the normal range.
Duration and storage conditions
The drug "Silhouette" should be stored in a cool place, protected from direct sunlight at a temperature not exceeding 25 ° C. The shelf life of the drug is two years.
The drug "Silhouette" (tablets): price
The contraceptive is manufactured in Hungary by the company Gedeon Richter. The combined means "Silhouette" (tablets) differs in its affordable cost in comparison with analogues. The price may vary depending on the pharmacy network, but in general, packaging No. 21 costs about 500-600 rubles, and pack No. 63 - about 1500-1600 rubles.
Reviews about the drug
What birth control pills to drink, each lady decides for herself after consultation with a gynecologist. Contraceptive "Silhouette" appeared on the market recently, but has already aroused the interest of many women. The drug is half the price of its counterparts. Ladies also noted that after taking the medicine the hormonal background returned to normal, libido recovered, and the condition of the skin and hair improved. Menstruation became less painful, the cycle stabilized.
The disadvantages of the woman included spotting, weight gain, insomnia, headaches and nausea. Some have increased breasts, which after discontinuation of the drug became the same size. Ladies and soreness, numbness of the extremities, particular breast sensitivity, increased appetite, breakthrough brown discharge were noted.
The body gets used to the drug for three months, so many of the disadvantages of the drug are within normal limits. Also, a remedy with timely admission protects well from unwanted pregnancy. This is confirmed by numerous reviews.