As you can see from the positive reviews, birth control pills "Lactinet" - a fairly popular remedy among women who want to control the possibility of pregnancy. Doctors often recommend focusing on this particular drug, explaining this by the reliability of the effect and its safety for the female body. Nevertheless, Lactinet has certain disadvantages, side effects and contraindications. To get acquainted with them, you should study the instructions that the manufacturer always puts in the package with the product. From it, you can learn how to take the medicine correctly.
general information
Lactinet, Lactin Richter tablets are made on desogestrel. One serving contains 0.075 mcg of the substance. Additional compounds are also included to simplify intake and increase the efficiency of digestibility by the body:
- silicon dioxide;
- magnesium stearate;
- starch;
- lactose.
In the manufacture of the drug used dl-alpha-tocopherol, povidone and stearic acid. The shell of the product is made of talc, macrogol, titanium dioxide, opadra white and polyvinyl alcohol.
One box contains Lactinet tablets (Lactin Richter), instructions for use. Capsules are convex on both sides, round, covered with a thin film. The color is close to white. One of the sides is marked by the amount of active compound, on the second there is a letter “D”. In a cardboard box, in addition to the instructions, there are one or three blisters with the drug. 28 tablets are packed in an aluminum plate. The cost of the product is determined by the number of blisters in the package, the pricing policy of the point of sale. On average, prices start at 750 rubles.
Pharmacology and dynamics
As indicated in the instructions for use for birth control pills "Lactinet", the drug is monophasic, contains gestagen and is used orally. The medication is designed to prevent unwanted pregnancy. The main substance of the contraceptive is third-generation progestogen, characterized by increased affinity for progesterone receptors, which guarantees a high level of protection against unplanned conception. The active substance is effective even in small concentrations, while there is practically no negative effect on the fat composition of the blood. The compounds contained in Lactinet do not correct the quality of hemostasis and do not affect the metabolic processes in the female body.
The doctors' reviews about the Lactinet birth control pills confirm the assurances of the instructions: the product is safe, modern and effective if used, taking into account all contraindications and limitations. “Lactinet” is one of the oral contraceptives with a particularly low dose of the active substance, and has a positive effect on the body. No additional hormonal compounds are present in the composition, "Lactinet" contains only progestogen, which means that you can use the composition during breastfeeding. The drug is applicable if estrogen medications are contraindicated for a woman or for personal reasons there is no desire to use such drugs.
Effects and dangers
The instructions for use of the drug "Lactinet" gives a complete description of the processes that occur in the female body after taking the pill. Desogestrel slows down ovulation. Clinical trials were organized to confirm this fact: an ultrasound examination showed that the follicle was absent. A blood test demonstrates reduced levels of lactogenic hormone. When reading indicators in the middle of the cycle, you can observe a reduced amount of progesterone. Cervical mucus generated by the uterine glands, under the influence of active components, becomes more viscous, dense. This prevents the penetration of male germ cells, and therefore creates a barrier to unwanted conception.
The instructions for birth control pills "Lactinet" indicate: Pearl index for the drug is 0.4 - the lower this figure, the more reliable the drug. The figure reflects the number of pregnancies per thousand patients who did not use additional contraceptives. The calculation is carried out for the year. From the Pearl index follows the reliability of the chosen contraceptive method. The indicated value is similar to the characteristics of popular combined contraceptives.
A particularly important aspect is the change in this indicator if the moment of taking the pill was missed. As can be seen from the studies devoted to this topic, if you drink Lactinet within three hours from the moment it was supposed to enter the body, the Pearl index remains unchanged, but for drugs based on levonorgestrel, it increases to 1.6.
How it works?
As indicated in the instructions for tablets "Lactinet", "Lactin Richter", after oral administration, the active compound is absorbed in a short time through the gastric walls, intestinal tract. The highest level of content in the circulatory system is observed two hours after use (sometimes a little less). Bioavailability is up to 70%.
Biochemical reactions involving enzyme compounds allow desogestrel to transform into etonogestrel, a key metabolite. Conjugates (sulfates, glucuronides) are formed from it. Etonogestrel is the most active compound of all the possible metabolic products of desogestrel. The substance can enter into strong bonds with plasma proteins by 95.5-99%. A greater percentage is accounted for by albumin; compounds with globulins responsible for binding hormones of the reproductive system are somewhat less actively formed.
The metabolic products of the active compound, as indicated in the instructions for use with Lactinet tablets, are excreted from the female body in 30 hours (average values). The duration of this period does not depend on the frequency of administration - the indicators are equally similar for a single use, and for the course. After 4-5 days from the start of the course, a stable concentration of active compounds is observed in the circulatory system.
Conjugates, steroid hormonal compounds are excreted by the kidneys, with urine. A small percentage leaves the body through the gastrointestinal tract.
Important aspect
As indicated in the instructions for use of "Lactinet", after childbirth during feeding, this drug can be used as an effective hormonal contraceptive. It should be borne in mind that etonogestrel is found in breast milk. Ratio with plasma: 0.37 to 0.55. If per day for every kilogram of the mass of the child receives 150 ml of natural product, along with this, the etonogestrel in the amount of 0.01-0.05 μg enters the child's body.
Before using "Lactinet" during breastfeeding, you should first consult with your doctor.
To use or not?
The instructions for use of Lactinet Richter indicate that the product is intended for women who want to prevent an unwanted conception.
The list of contraindications to the use of tablets is much larger than the indications. Do not use the drug with:
- pregnancy opportunities;
- lactose intolerance;
- the presence of vaginal discharge, which can not be explained;
- the possibility of a malignant neoplasm, depending on the hormonal background;
- hepatic, renal failure;
- thromboembolism (including history);
- severe liver disease.
The latter concerns the situation when the functioning parameters of the organ differ from the standard ones. When bringing the body to normal, tablets can be used following the manufacturer's recommendations.
The instructions for the use of Lactinet tablets indicate that the composition is not intended for those who are in an immobilized state for a long time, as well as those suffering from lactase deficiency, malabsorption syndrome. The tool can not be used if hypersensitivity to any of the components used in the manufacture of the drug is detected. This applies not only to the main substance, but also to all auxiliary substances. If you are allergic to any compound, you must first study the instructions. You will have to refuse to take the medicine if it is in the composition.
Features of use
The instructions for the use of Lactinet tablets indicate possible additional effects that occur when taking the drug. As can be seen from the studies, most often there is a violation of the cyclicity of menstruation. Up to half of those who used the pills noted vaginal discharge containing blood, without reference to the cycle. Menstruation can become less frequent (every 3-5 women), up to the complete absence of bleeding, but there is also the possibility of the opposite option - a noticeable increase in frequency. Cases of increasing the duration of the bleeding period are known. Menstruation usually becomes more rare after a two-month course of use.
To reduce possible risks, when taking birth control pills "Lactinet" should be regularly examined by a gynecologist, consult about all changes in the state of the body. A diary of menstruation will be beneficial, in which dates are fixed, the nature of the vaginal discharge.
Unpleasant consequences: what to prepare for?
“Lactinet” birth control pills can provoke unpleasant sensations and conditions:
- vomiting
- nausea
- acne
- weight gain;
- decrease in sexual activity;
- mood decline;
- discomfort in the mammary glands.
The head may also hurt. Studies have shown: with a low degree of probability (this also follows from patient reviews), Lactinet birth control pills can provoke alopecia, chronic fatigue, a cyst, and pain in the lower abdomen during bleeding. Against the background of the use of tablets, the risk of infection, inflammation of the vaginal mucosa may increase. Occasionally, the drug provokes an increase in pressure inside the skull.
It is extremely rare for skin negative reactions of the body (erythema, rashes, redness, urticaria). Possible small volume of discharge from the mammary glands. An ectopic pregnancy is extremely rare. “Lactinet” can provoke angioedema, exacerbation of such a condition with its congenitality. Also among the extremely rare cases is the appearance of malignant neoplasms dependent on the hormonal background, as well as thromboembolism of veins, arteries.
Reception: how to?
To ensure the effectiveness of the drug and prevent the occurrence of negative consequences, it is important to follow the instructions for the use of "Lactinet". If before the course, the woman did not use the contraceptive taken orally, the composition is used from the first day of the new menstrual cycle, taking one capsule daily at the same time. The interval between doses is 24 hours. The manufacturer applies the instructions to the tool, in which special attention is paid to this. It is important to follow all manufacturer's recommendations. No breaks are needed between the two courses.
The instructions for use "Lactinet" there are indications of the peculiarities of the use of the composition by women who have not used any hormones to prevent unwanted pregnancy for a month or more. The first tablet of the course is eaten the day after the cessation of menstrual flow. No additional barrier methods of protection are required.
If the interval between the last day of bleeding and the use of the first pill varies from two to five days, at first Lactinet is combined with barrier methods of contraception.
Options and Combinations
The instructions for use of "Lactinet" have tips on the correct transition to this drug from other hormonal contraceptives. If a woman was taking combination drugs, it is best to replace the composition the day after the cessation of use of the former. No additional protective measures are required. If Lactinet is chosen to replace a remedy with one component (progestogen), they begin to use the new medication immediately, as soon as they have stopped taking the old one. This applies to injections, and implants, mini-pills and intrauterine devices to prevent unwanted pregnancy.
At the same time, the manufacturer recommends the use of barrier contraceptives in the first week after switching to a new method of protection to ensure the highest possible level of safety.
After termination of pregnancy (planned, spontaneous), “Lactinet” according to the instructions for use begin to use immediately after what happened, if it happened in the first trimester of gestation. No additional ways to protect yourself from re-conception will be needed.
If the pregnancy is interrupted at a later date, "Lactinet" can begin to be applied 3-4 weeks after the event. A similar condition applies to the postpartum period. If the drug is started to be taken later, the manufacturer recommended the first week in the instructions for use of "Lactinet" in combination with additional barrier contraceptives.
Important Features
If before the start of the contraceptive pill course the woman had intimate contact without the use of protective equipment, you can use “Lactinet” only after a thorough check on the impossibility of pregnancy. The most responsible approach is to start the course of the drug along with the start of a new menstrual cycle. In this case, it is worth remembering (and this is indicated in the instructions for use): “Lactinet” in 20-30% of cases can cause an extension or shortening of the duration of the menstrual period.
If a woman missed the moment of using the next dose of the drug, while the error was noticed within 12 hours, then it is enough to simply use the next capsule orally. In this case, the contraceptive effect is maintained, and the use of the composition is continued according to the previous scheme. No additional protective techniques need to be used, the Pearl index is practically unchanged, and the risk of unwanted conception is minimal.
If more than half a day, but less than three days have elapsed since the pass, the effectiveness of Lactinet is significantly reduced. As indicated in the reviews, the instructions for the use of the drug "Lactinet" recommends continuing to use the composition according to the standard scheme, but be sure to protect yourself with barrier contraceptives, since the likelihood of unwanted conception increases significantly.
"Lactinet" and the body's response
It is likely that after eating the capsule, vomiting will begin. If this happened in the first few hours after using the drug, then the active compound was not absorbed in the digestive tract. This requires the use of barrier contraceptives during sexual intercourse, since vomiting is equivalent to missing a dose. To make up for the missed, you can use a tablet from another package.
If the medication is accompanied by menstrual irregularities, it is reasonable to consider Lactinet analogues. Instructions for such deviations include pain, a change in frequency up or down, irregular discharge. If after replacing the composition the symptoms continue to bother, you need to visit a doctor for a detailed examination of the body. Perhaps such reactions are provoked by the improper use of Lactinet. It is strictly forbidden to use the drug during pregnancy. When revealing the fact of conception, you must immediately abandon the reception.
Replace "Lactinet" with the following drugs:
Overdose
Excess active compounds in the body can express itself:
- vomiting
- vaginal discharge (sometimes quite plentiful);
- nausea
In this case, a specific drug is not used (it is not), symptomatic treatment is sufficient.
"Interesting" position
As indicated in the instructions for use, after childbirth, "Lactinet" can be used as a contraceptive after 3-4 weeks from the moment of the event. During the bearing of a child, medication is strictly prohibited. Preclinical studies have shown that an increased concentration of progestogens in the female body leads to masculinization if a daughter was conceived. Additionally, the measures taken showed that the use of the composition does not increase the risk of developing abnormalities in the fetus; there is no violation of embryogenesis if a woman uses Lactinet before conception and in the first weeks of pregnancy (unintentionally).
, «» , . , , , , . , . , «», .
Mutual influence
«» , , . «». , . , :
, , , .
, «» , . , .
«» , . , . ( ) «» , .
Technical points
«» , . . . : – 25 . 28 750 .
?
Mostly reviews about "Lactinet" are positive both from doctors and from women who used it. It is noted that the list of contraindications is quite limited, so the drug is suitable for most women. Subject to the recommendations of the manufacturer, the use of the composition almost never provokes side effects (with the exception of changing the menstrual cycle). Even a long course usually does not cause any serious consequences.
Lactinet is suitable for protection during breastfeeding, that is, the stage of life when the choice of drugs for a woman is extremely limited. In addition, the tool is applicable if combined contraceptive pills are contraindicated. As noted, the taste of milk, its nutritional value and other qualities due to the inclusion of a small amount of the hormone do not change. The product is completely safe for the child. Active substances that enter the mother's body do not have any effect on the baby, being transmitted to it with breast milk.
"Lactinet", as many women have used it, is quite convenient to use. The only subtle point is the need to strictly follow the usage schedule. This weakness is inherent in all contraceptives for oral use. Women who use the drug mainly note that side effects do not bother, although there are reports of menstrual irregularities. Occasionally, you can see responses that mention the activation of hair loss, weight gain.
Another weakness of the composition is the high price. The closest in composition and effect on the female body drug in pharmacies is Charozetta, a Dutch product. This tool is even more expensive than Lactinet.
Is there an alternative?
Choosing the optimal method of contraception for yourself, you should consult a gynecologist. The doctor will examine the woman, assess the state of health, analyze the individual characteristics of the body. Based on this information, you can understand what is most suitable: monophasic or combined contraceptives, Lactinet and its analogues, injections, plasters or implants. Each of the formats has its strengths and weaknesses, and you need to take into account when choosing different aspects, including rhythm and lifestyle, frequency and saturation, regularity of sexual activity.
It must be remembered that Lactinet, like other birth control pills, does not protect a woman from sexually transmitted diseases. If there is a risk of infection, barrier contraception methods must be used. Pills are more suitable if there is one regular sexual partner, while the couple is regularly screened for possible infections. Only in such a situation can one be sure of safety, one's own health.