The drug "Lindinet 20" is used for contraception. It is also prescribed for functional defects of the menstrual cycle. Reviews about Lindinet 20 from satisfied customers will be presented in this article.
The drug is taken orally, regardless of the food intake, always at the same time. The first pill is taken from the first to the fifth day of menstruation. The use of this tool involves the use of one tablet per day for 21 days, after which a week-long break is made, that is, menstruation actually begins. The Lindinet 20 reviews confirm that most contraceptives work this way.
Tablets from another blister are taken on the first day after a seven-day break at the same time as in the previous cycle. To switch from another combined oral contraceptive, you need to take the first tablet of the drug the day after the previous packaging is completed, at the beginning of the menstrual cycle. What are the reviews for Lindinet 20 for women after 30?
They write in their comments that while using mini-drinks, you can begin the transition to Lindinet 20 on any day of your cycle. If an implant was used before, then the next day after it is removed. If injections were used, then before the next injection. To switch from monopreparations, it is necessary to accompany this stage with the use of barrier contraceptive methods as a supplement during the first week. If an abortion was performed in the first trimester of pregnancy, then it is recommended to take tablets immediately after the operation, without using additional methods of protection.
After abortion
After an abortion in the second trimester or after childbirth, the use of the drug should be started after 21-28 days, also without using additional methods of contraception. If a woman had an intimate relationship before the start of protection, then you need to take the drug after pregnancy is excluded or with the onset of menstruation.
Reviews of birth control pills "Lindinet 20" confirm this.
If the next dose was missed at the scheduled time, then if you are late for less than twelve hours, you need to take the pill as soon as you remember about the miss (the contraceptive effect of the drug has not yet been broken), the next pill at the usual time. If you are late, which exceeds twelve hours, you do not need to take the missed pill, but continue to use the drug in accordance with the scheme and using additional contraceptive methods over the next week.
If the reception is missed less than seven days before the end of the pack, then you need to start using the drug from the next blister without a break. In this case, menstruation begins after the second blister is completed, oral protection should be continued only after the exclusion of pregnancy.
Reviews of women about Lindinet 20 indicate that taking pills is skipped quite often, but with the right further actions, no one had an unwanted pregnancy.
When is an extra pill needed?
If the patient appears within 3-4 hours after taking a pill of diarrhea and / or vomiting, which disrupt the absorption process and reduce the clinical effect of the drug, then in this case there are two ways of further treatment. So, one of them is based on the fact that the next pill is taken at the prescribed time according to the scheme, after which measures are taken that are consistent with the recommendations that are associated with skipping the use of the drug. Another way is to take a woman the same pill from another blister, while not deviating from the usual regimen of protection. If acceleration of the onset of menstruation is required, it is recommended to reduce the break in the use of Lindinet 20, according to doctors.
It should be borne in mind that the smaller the break, the greater the risk of breakthrough or spotting bleeding while taking pills from another blister (similar to situations with a delay in menstruation). If you need to delay menstruation at a later time, then you need to continue taking pills from a new pack without a week break. The onset of menstruation can be delayed for the desired period, even until the end of the drug from the second package. Spotting or spotting breakthroughs may appear during a planned bleeding delay. After a week-long break, you should continue to use Lindinet 20 regularly. Reviews on this subject are available.
Contraindications
As contraindications are:
- severe and / or multiple signs of a risk of venous or arterial thrombosis (including atrial fibrillation, which is complicated by cardiac valve apparatus disorders, severe or moderate arterial hypertension (blood pressure from 160/100 mm and above), coronary artery disease or head arteries brain);
- ischemic transient attack, angina pectoris and other precursors of thrombosis;
- vein thromboembolism;
- long immobilization after the intervention of the surgeon;
- migraine with neurological symptoms of focal type;
- thromboembolism of veins or arteries or thrombosis (deep vein thrombosis of the leg, pulmonary embolism, myocardial infarction, stroke);
- liver tumors;
- jaundice with glucocorticoids;
- pancreatitis
- hyperlipidemia;
- liver pathology of a pronounced nature, cholestatic jaundice (also considered the period of bearing a child), hepatitis (including a history) - until the period when the functional and laboratory parameters are not restored, after normalizing them for three months;
- cholelithiasis;
- Gilbert, Dabin-Johnson, Rotor syndromes;
- severe itching;
- diabetes mellitus, which is complicated by angiopathy;
- vaginal bleeding of unknown origin;
- otosclerosis with further progression during a previous pregnancy or with the use of corticosteroids;
- malignant hormone-dependent neoplasms of the mammary glands and various organs of the reproductive system, or suspicions of them;
- breastfeeding time;
- smoking by people over the age of 35 (more than fifteen cigarettes per day);
- hypersensitivity to the components of the drug;
- pregnancy or its assumption.
Carefully
Women's reviews of Lindinet 20 confirm that extreme care must be taken when using the product for patients with risk factors that increase the likelihood of venous or arterial thrombosis, as well as thromboembolism. Risk factors:
- the patient’s genetic predisposition to thrombosis (thromboses, defects in the blood circulation of the brain and myocardial infarction in youth in close relatives);
- age over 35 years;
- smoking;
- liver pathology;
- hereditary angioedema;
- cold sores of pregnant women;
- chloasma;
- Sydenham Chorea;
- porphyria;
- minor chorea and other diseases that appear or are aggravated during previous use of sex hormones or during gestation;
- obesity with a weight index of over 30 kg per m 2 ;
- arterial hypertension;
- hemolytic uremic syndrome;
- valvular defects, dyslipoproteinemia, atrial fibrillation;
- epilepsy, prolonged immobilization, migraine, severe trauma;
- surgery in the lower extremities, extensive surgery, superficial thrombophlebitis, sickle-cell anemia, Crohn’s disease, postpartum, varicose veins, diabetes mellitus (not complicated by vascular disorders), ulcerative colitis, acute and chronic liver pathologies, systemic lupus erythematosus , biochemical analysis indicators deviations, deficiency of antithrombin III and protein C or S, including antibodies to cardiolipin, severe depression, hyperhomocysteinemia, lupus anticoagulant, antiphospholip iden antibodies, resistance of activated protein C, hypertriglyceridemia.
Side effects
According to reviews, “Lindinet 20” can cause such side effects:
- sensory organs: hearing loss due to otosclerosis;
- system of vessels and heart: arterial hypertension;
- in more rare cases - myocardial infarction, stroke, pulmonary artery thromboembolism, deep vein thrombosis of the legs and other arterial and venous thromboembolism;
- in very rare cases, thromboembolism of the hepatic, mesenteric, retinal, hepatic veins and arteries.
But most often the use of Lindinet 20, according to reviews, does not provoke negative reactions of the body.
In addition, the tool can cause other side effects. Not so heavy, but arising more often:
- genitals: acyclic vaginal bleeding and discharge, candidiasis, deformation of the vaginal mucosa, after cessation - amenorrhea, the development of vaginal inflammation, an increase in the size of the mammary glands, their pain and tension, galactorrhea;
- from the nervous system: unstable mood, headache, depression, migraine;
- metabolism: weight gain, hyperglycemia, fluid retention in the body, decreased carbohydrate tolerance, increased thyroglobulin concentration;
- digestive system: epigastric pain, nausea, ulcerative colitis, vomiting, Crohn's disease, cholelithiasis, hepatitis, hepatic adenoma, itching or exacerbation due to cholestasis, jaundice;
- dermatological reactions: erythema nodosum, rash, severe hair loss, chloasma, exudative erythema;
- sensory organs: increased corneal sensitivity in patients with contact lenses, hearing impairment;
- others: the development of allergic reactions.
This information is available in the instructions and reviews of "Lindinet 20". The decision on the possibility of further use of the drug should be taken only after consultation with a specialist individually, analyzing the risks and benefits of this contraceptive method.
special instructions
"Lindinet 20" is required to be used after medical consultation and the implementation of gynecological and general medical examination.
It is recommended to be examined every six months. Taking into account the clinical condition of the patient and the risk factors for side effects, the disadvantages and advantages of oral protection are determined, and the question of whether it is advisable to use it is decided.
Reviews about Lindinet 20 tablets are contradictory.
The specialist should inform the woman about the possible worsening of her diseases, the undesirable effects of the drug and the mandatory visit to the doctor if she feels worse. Hormonal contraception is also canceled if any of the following conditions or diseases worsens or occurs: epilepsy, pathology. They can cause the development of renal and cardiovascular failure, diseases of the hemostasis system, migraines, the likelihood of developing gynecological estrogen-dependent diseases, diabetes mellitus without vascular defects, severe depression, deviations in the results of laboratory tests of the functional state of the liver, sickle-cell anemia.
The medication is characterized by a good contraceptive effect two weeks after the start of administration, and therefore it is recommended to use additional contraceptive barrier methods to rule out pregnancy during this time. This is confirmed by the instructions and reviews to "Lindinet 20".
With the use of hormonal oral contraceptive drugs, the likelihood of arterial and venous thromboembolic diseases increases. It is necessary to take into account the possible (but very rare) appearance of venous or arterial thromboembolism of mesenteric, renal, hepatic, or retinal vessels.
Risk factors
Factors that contribute to the increased risk of developing venous or arterial thromboembolic pathologies are: hereditary predisposition, obesity, excessive smoking, the patient’s presence of hypertension, dyslipoproteinemia, heart valve pathologies with hemodynamic defects, diabetes mellitus with vascular lesions, fibrillation before. Women's reviews of Lindinet 20 will be reviewed for 20 years at the end of the article.
The risk also increases with the patient's age, with prolonged immobilization due to extensive surgical intervention, including surgery on the lower extremities or after a serious injury. During planned operations, the drug is advised to cancel four weeks before the event, and to resume taking it fourteen days after remobilization. According to reviews and instructions for use, Lindinet 20 requires constant medical supervision for diagnosed Crohn’s disease, systemic lupus erythematosus, diabetes mellitus, hemolytic uremic syndrome, ulcerative colitis of a non-specific nature, sickle cell anemia, as well as in the postpartum period. The likelihood of developing thromboembolic pathologies of veins or arteries increases resistance to C-activated protein, a lack of antithrombin III, S and C proteins, as well as the presence of antiphospholipid antibodies. Taking the drug is regarded as one of many factors that affect the development of cervical cancer or breast cancer.
So with caution should be taken "Lindinet 20". Reviews about contraceptives on the network are abundant, they will help make the right decision.
An increase in the number of registrations of such diseases in patients who take hormonal contraceptives may be associated with irregular medical supervision and appropriate examinations. With prolonged hormonal oral protection, it is necessary to take into account the possible appearance of a malignant or benign liver tumor in the differential diagnostic study of abdominal pain associated with bleeding inside the peritoneum or an increase in liver volume.
This is confirmed by reviews of the "Lindinet 20". Women over 35 years old with a predisposition to chloasma, it is advisable to be less in direct sunlight or ultraviolet radiation.
The tool reduces its contraceptive effect in the case when the next dose was missed, with diarrhea and vomiting, the simultaneous use of drugs that can affect its effectiveness. In order to avoid conception, the patient must use additional protective barrier means in accordance with the recommendations. If irregular breakthrough or spotting bleeding occurs, and menstruation is absent during the weekly break, this may indicate pregnancy. That is why, before using tablets from a new blister, it is necessary to discuss all the nuances with the doctor, and start treatment again only after the exclusion of pregnancy. The presence of an estrogen component in the preparation may affect the result of laboratory tests of the degree of lipoproteins and transport proteins, functional data of the kidneys, thyroid gland, liver, hemostasis, and adrenal glands. This is confirmed by the instructions and reviews of doctors about Lindinet 20.
You can use the drug after acute viral hepatitis no earlier than six months later, if the functioning of the liver was normal. Smoking patients are especially likely to develop vascular disease, especially after the age of 35 (the risk level is also due to age parameters and the number of cigarettes smoked during the day). Means "Lindinet 20" is not able to protect against infection by various genital infections, including HIV infection. The effect of the product on the woman’s ability to drive machinery and vehicles has not been identified.
Interaction with other drugs
Inducers of hepatic microsomal enzymes (barbiturates, Oxcarbazepine, Rifampicin, Hydantoin, Felbamat, Phenylbutazone, Rifabutin, Griseofulvin, Topiramat, Phenytoin), antibiotics (Tet "Ampicillin") contribute to a decrease in the degree of ethinyl estradiol in the blood plasma.
Inhibitors of hepatic enzymes increase the level of ethinyl estradiol in the blood plasma.
Drugs that increase gastrointestinal motility, reduce the absorption of active active ingredients and their concentration in the blood plasma when used with Lindinet 20.
Ascorbic acid and other agents that are susceptible to sulfation in the intestinal wall make sulfation of ethinyl estradiol slower and increase its bioavailability. «», «», «», «», , «», «», «», «», «», «», «», «».
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Consider the reviews of women about Lindinet 20 for 20 years. Most often, in the comments you can read complaints about a sharp weight gain while taking the medication, the appearance of spotting after the end of the course of treatment, as well as nausea, lethargy, pain in the mammary glands.
But for many, the drug is ideal, no adverse reactions occur.
Reviews of gynecologists about Lindinet 20
Doctors often prescribe this drug to patients. It is well tolerated, according to doctors, 100% protect against unwanted pregnancy. Adverse reactions occur, but more often it is an individual intolerance. In this case, you need to choose a more suitable contraceptive. It is best to pre-test, donate blood for hormones. This will help in choosing a contraceptive.
We reviewed the instructions for use "Lindinet 20" and reviews.