In the article, we consider Novinet tablets, instructions for use and reviews about the drug.
It is a hormonal monophasic contraceptive for internal use, which contains a combination of desogestrel (gestagen) and ethinyl estradiol (estrogen). Its main contraceptive effect is inhibition of ovulation and inhibition of gonadotropins. Due to the fact that the viscosity of the cervical fluid is enhanced, the movement of sperm becomes slower, and changes in the state of the endometrium prevent the fertilized egg from being implanted. Ethinyl estradiol is an analogue of estradiol of a synthetic nature, that is, follicular hormone. Desogestrel is characterized by a pronounced antiestrogenic and gestagenic effect, which, like endogenous progesterone, has a small anabolic and androgenic activity.
How to drink "Novinet" according to the instructions for use? This is a common question. We will understand it in more detail.
The tool has a good effect on lipid metabolism: it increases the concentration of HDL in plasma, without affecting the amount of LDL. During the use of the drug, the loss of menstrual blood is greatly reduced (if initially there is menorrhagia), the menstrual cycle normalizes, a good effect on the integument of the skin is noted, especially in the presence of acne (acne vulgaris).
Indications and form of release
According to the instructions for use, Novinet applies:
- for contraception;
- from acne (blackheads).
Available in film-coated tablets. The indications of Novinet indicated in the instructions for use must be strictly observed.
Structure
The main active ingredients are: ethinyl estradiol and desogestrel in each tablet (0.02 and 0.15 mg, respectively).
Excipients are: dye; α-tocopherol; E 104; magnesium stearate; colloidal silicon dioxide; povidone K-30; stearic acid; lactose monohydrate; potato starch (tablet core). Macrogol 6000, propylene glycol and hypromellose - in the shell of a tablet.
Pharmacological effect
As indicated by the instructions for use, Novinet is a contraceptive containing synthetic luteal and follicular hormones. Its effect is that the maturation of the egg is inhibited. Before starting to use the product, it is necessary to undergo a general examination and examination by a gynecologist in order to exclude diseases that pose a risk for the use of hormonal contraception. When using the drug, you need to regularly undergo a medical examination for every six months.
Also, in the instructions for use for Novinet, side effects are described. We will talk about them later.
Taking a contraceptive has a number of advantages compared to other contraceptive methods:
- reliable contraceptive method, after cessation of use of which the patient's ability to give birth to children is restored;
- the amount of bleeding during menstruation decreases and its duration is shortened;
- with menstruation, the pain decreases or disappears completely;
- the use of contraceptives reduces the possibility of anemia, diseases of the pelvic organs of an infectious nature, ectopic pregnancy and pathologies of the mammary glands, ovaries and uterus.
Instructions for use "Novinet" and the scheme of admission
"Novinet" is assigned inside. You need to use it from the first day of your menstrual cycle, one tablet per day for twenty-one days, preferably at the same time. After the packaging has ended, you need to take a week-long break during which bleeding similar to menstrual bleeding occurs due to withdrawal of the drug. The day after the break, that is, four weeks after the first tablet is consumed and on the same day of the week, the drug from another package is resumed, even if the bleeding has not stopped. A similar scheme should be adhered to as much as contraception is required. If you follow all the rules of use, then the contraceptive effect can persist even during a break for a week.
What else does the application instruction for Novinet tell us?
First trick
You need to take the first pill starting from the first day of your menstrual cycle. In this case, it is not allowed to use other contraceptive methods. Pills are also allowed during the period from the second to the fifth day of menstruation, however, in this situation, in the first cycle of using the drug, you need to insure yourself for a week using additional methods of protection. If more than five days have passed since the onset of menstruation, it is necessary to postpone the start of taking the tablets until the next menstruation.
According to the instructions for use and reviews, Novinet is usually well tolerated by the body.
Postpartum Use
Those patients who do not breast-feed a baby should start taking pills no earlier than 21 days after giving birth. Prior consultation with a specialist is required. In this case, there is no need to use other contraceptive methods. If you already had sexual contact after childbirth, then you need to take pills only after the first menstruation. When deciding on the use of the drug later than 21 days after the birth of the baby in the first week, additional protection methods must be applied.
This confirms the instructions for use for Novinet tablets.
Reception after abortion
If there are no contraindications, then after an abortion, you need to start taking pills from the first day after surgery, and in this case there is no need to use additional contraceptive methods.
Features of the transition from other oral contraceptives
In accordance with the instructions for use with the Novinet medicine, if another oral hormonal contraceptive was used, including ethinyl estradiol in a dosage of 30 μg, then the drug described by us should be taken according to its usual scheme the day after the completion of the previous course. To withstand a week break or wait for the critical days to begin is not required. There is no need to use additional contraceptive methods. When switching from a product that includes 28 tablets, the next day after the end of the drug, a new pack of Novinet should be started.
If you go to Novinet after using hormonal oral preparations that contain only progestogen (the so-called "mini-drank"), the first tablet should be taken on the 1st day of the menstrual cycle. There is no need to use additional methods of protection. If during the use of "mini-drank" critical days do not appear, then after eliminating the presence of pregnancy, it is allowed to start taking the drug "Novinet" on any convenient day of the cycle, but in this case, additional contraceptive methods (condoms, neck cap, including spermicidal gel, abstinence from intimate communication). Using the calendar method in this case is undesirable.
Instructions for use with Novinet tablets are very detailed.
Delay critical days
If you need to delay menstruation, you should continue to use the drug from a new package, without taking a week break, according to the same scheme. During the delay of critical days, spotting or breakthrough bleeding may appear, but this does not reduce the contraceptive effect of the drug. Regular use of Novinet is restored after a normal break of seven days.
So reports the instructions for use. Reviews about the drug "Novinet" are in large numbers.
Missed pills
In the event that a woman forgot to drink a pill in a timely manner, and after skipping less than twelve hours, it is necessary to use a forgotten pill and then continue to use the drug in normal mode. If more than twelve hours have passed, then this is already a pass of the tablet, which means that the reliability of protection in this cycle is not guaranteed, and it is advisable to use additional contraceptive methods. This is confirmed by the instructions for use. Reviews of doctors about Novinet tablets can be read at the end of the article.
If one tablet is missed in the first / second week of the menstrual cycle, then you need to take two tablets the next day and then continue their regular use, using additional methods of protection until the end of the cycle. If a pill is missed in the third week of the cycle, you need to drink a forgotten pill and then continue to take the drug regularly, without taking a break for a week.
It must be remembered that, due to the small dosage of estrogen, the risk of spotting and / or ovulation increases when you skip another pill, and therefore it is advisable to use additional methods of protection.
This information is in the instructions for use for Novinet. Side effects are discussed in more detail below.
Nausea, vomiting
If diarrhea or vomiting occurs after taking the drug, the absorption of the drug may become inferior. If symptoms stop within twelve hours, you need to take one additional tablet. After this, it is necessary to continue the use of the drug in the usual way. If diarrhea or vomiting continues for more than twelve hours, additional methods of protection are required in the next seven days during diarrhea or vomiting.
This is indicated in the instructions for use for Novinet.
Side effects
The following side effects may occur:
- venous and arterial thromboembolism (including lower limb venous thrombosis, stroke, myocardial infarction, pulmonary artery thromboembolism);
- hearing loss due to otosclerosis;
- porphyria;
- hemolytic uremic syndrome;
- bloody vaginal discharge and / or acyclic bleeding;
- amenorrhea after the end of the use of the drug;
- changes in the condition of the vaginal mucus;
- the development of inflammation in the vagina;
- candidiasis;
- chest pain, tension and engorgement caused by an increase in the size of the mammary glands;
- nausea;
- galactorrhea;
- vomiting
- ulcerative colitis;
- Crohn's disease;
- exudative erythema;
- migraine;
- erythema nodosum;
- headache;
- depression;
- mood changes;
- increased sensitivity of the ocular cornea (if the patient wears contact lenses);
- weight gain;
- fluid retention;
- allergic reactions.
According to the instructions for use and reviews of Novinet tablets, adverse reactions are more often observed in the first months of administration.
Contraindications
As contraindications are:
- the patient has multiple and / or severe risk factors for venous or arterial thrombosis (this also includes moderate or severe arterial hypertension);
- indication or presence in the medical history of precursors of thrombosis (including angina pectoris, ischemic transient attack);
- thromboembolism, as well as arterial or venous thrombosis (including deep vein thrombosis of the legs, stroke, myocardial infarction, pulmonary embolism in the medical history or at present);
- migraine with neurological focal symptoms, including also an anamnesis;
- diabetes accompanied by angiopathy;
- dyslipidemia;
- pancreatitis (including also an anamnesis), which is accompanied by severe hypertriglyceridemia;
- serious liver pathologies, hepatitis (until laboratory and functional indicators are normalized and within three months after their normalization), cholestatic jaundice (including during pregnancy);
- gallstone disease;
- jaundice during the use of glucocorticosteroids;
- Dubin-Johnson syndrome;
- liver tumors;
- Gilbert's syndrome;
- severe itching;
- rotor syndrome;
- otosclerosis or its progression during a previous pregnancy;
- hormone-dependent neoplasms in the field of mammary glands and intimate organs of a malignant nature (including suspicion of their presence);
- vaginal bleeding of unknown origin;
- smoking of patients over the age of 35 years (from 15 cigarettes during the day);
- pregnancy or its possibility;
- lactation period;
- high sensitivity to the constituent components of the product.
Contraindications in the instructions for use for Novinet are described in detail.
Drug interaction
Such drugs that induce liver enzymes, for example, barbiturates, Hydantoin, Carbamazepine, Primidon, Topiramat, Carbamazepine, Oxcarbazepine, Rifampicin, Griseofulvin, Felbamat, drugs based St. John's wort reduces the effectiveness of oral contraceptives and increases the likelihood of breakthrough bleeding.
According to the instructions for use with the Novinet preparation, the maximum induction level is most often reached not earlier than in 2-3 weeks, however, it can continue up to four weeks after cessation of use of the drug. "Tetracycline" and "Ampicillin" reduce the effectiveness of Novinet (the mechanism of their interaction has not been established). If there is a need for simultaneous administration, it is advisable to use an additional contraceptive barrier method during the entire therapeutic course and during the week after stopping the use of the drug (if we are talking about Rifampicin, then 28 days).
Oral contraceptives can reduce the body's tolerance to carbohydrates, as well as increase the need for antidiabetic oral drugs and insulin.
This is also described in the instructions for use. Reviews about "Novinet" consider below.
special instructions
Prior to the use of the drug, a general medical (personal history and family history in detail, pressure measurement, laboratory tests) and gynecological examination (including cytological examination of the cervical smear, analysis of the state of the pelvic organs, and mammary glands) are required. Such manipulations with the use of a contraceptive need to be done constantly, every six months.
According to the instructions for use, Novinet birth control pills are a reliable remedy. The indicator of the number of pregnancies that occurred during the use of the contraceptive method in one hundred women throughout the year is approximately 0.05.
Before the appointment of hormonal-type contraceptives, in each case, the advantages and the expected negative effects when taking them are individually taken into account. This issue is discussed with the patient, and she, in turn, after receiving the necessary information, makes the final decision about which contraceptive method is suitable for her. This is confirmed by the reviews of women about Novinet.
The instruction for use reports that it is necessary to carefully monitor the status of women's health.
If during use any of the listed diseases / conditions appears or worsens, then you should stop the use of the drug and choose a non-hormonal method of protection:
- with diseases of the hemostatic system;
- in diseases or conditions that predispose to the occurrence of insufficiency of the kidneys, blood vessels and heart;
- with migraine;
- with epilepsy;
- with the risk of gynecological estrogen-dependent diseases or tumors of the estrogen-dependent type;
- with diabetes, which is not complicated by vascular defects;
- in severe depression, if it is not caused by violations of tryptophan metabolism (this condition is corrected with vitamin B 6);
- with sickle cell anemia, since in certain situations (for example, hypoxia, infections), preparations containing estrogen in this disease can provoke thromboembolic events;
- the appearance in the laboratory analyzes of the functioning of the liver of any deviations.
Efficiency
According to the instructions for use and reviews of doctors to Novinet, the following factors can affect its effectiveness:
- skipping pills;
- diarrhea and vomiting;
- the simultaneous use of other drugs that reduce the effectiveness of tablets for protection.
If a woman at the same time uses another remedy that can affect the effectiveness of contraceptive pills, then it requires the use of auxiliary methods of protection.
The effectiveness of the drug may also decrease if breakthrough, spotting, or irregular bleeding occurs after a few months of taking them. That is why it is recommended that you continue to use the tablets before they end in the next pack. If, at the end of the second cycle, menstrual bleeding does not begin, or spotting does not stop, then you need to stop the use of tablets and resume it again only if the patient is excluded from pregnancy.
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Patient Reviews
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Patients who choose this particular contraceptive do not regret it in the future. Weight does not increase, acne does not appear. For several years of admission according to the correct scheme, there is no discomfort or negative consequences, as well as malfunctions or unwanted pregnancy. After stopping the use of the drug, patients were able to calmly become pregnant.
Before taking it, you should definitely study the instructions for use for Novinet.
We give the reviews of doctors below.
Comments of experts
According to experts, this drug is very effective. Fits most women, perfectly protects against unplanned pregnancy. Rarely causes adverse reactions.
In some cases, the drug is not suitable for women. They are disturbed by mood swings, headaches, unusual irritability and tearfulness appear. In this case, I had to switch to another drug.
We reviewed the Novinet tool for instructions on use, analogues and reviews.