Postinor analogues are safe. Postinor: instructions for use. What may a delay after Postinor indicate?

In case of unplanned unprotected sexual intercourse, Postinor will come to the rescue. The drug is intended to cleanse the uterine cavity and tubes of fertilized cells.

The tablets are not indicated for regular use. Read the instructions for use, about the features of the drug, as well as what cheap analogues of Postinor are available.

Instructions for use

Hormonal medication works as a means to terminate an unwanted pregnancy. The active substance is levonorgestrel.

Postinor is available in the form of dragees, 2 or 4 tablets in a blister. The active ingredient is effective in 85% of cases.

However, there are several nuances that must be taken into account when taking:

• The tablet should be taken within 3 days (72 hours) after possible conception.

  The shorter the interval between unprotected sex and taking the pill, the more likely it is that the medication will work.

• The second tablet must be consumed 12 hours after the first tablet, but no later than 16 hours.

Such hormonal drugs are now available only by prescription and are taken under the guidance of a gynecologist. The main effect is abortifacient.

The active component of the drug prevents the sperm from fertilizing the egg. If a zygote has already formed, the hormone prevents penetration into the uterus.

After some time, the dead cells come out along with menstruation.

Postinor can be prescribed to women who have a long delay in menstruation. The medication is not prescribed for girls under 16 years of age.

The drug is used at a young age in extreme cases, when a minor has been raped, etc.

The list of contraindications also includes pregnant women and nursing mothers. You should not use the drug if you have liver or kidney failure.

The list of side effects is long. The most common violations include:

• Malfunctions of the gastrointestinal tract.
• Bleeding from the uterine cavity.
• Severe fatigue, migraine.
• Your breasts may hurt and your regular menstrual cycle may be disrupted.
• After taking the drug, periods become less or more heavy than usual.

If you experience severe discomfort or abdominal pain, consult your doctor. Sometimes reactions of individual intolerance to the components of the composition are observed.

Cheap analogues of Russian production

The cost of the original is about 400 rubles for a small package. The Russian manufacturer offers its own pharmacological agents.

The most famous close substitutes on the domestic market are Zhenale and Ginepriston.

Compare synonyms with the Hungarian generic:

• Genale. Does not differ in composition and main active component.

  However, if pregnancy continues after taking the drug, then the risk of giving birth to a sick child with many pathologies is high.

  The list of contraindications and side effects is almost identical to the original. However, it is better to check the dosage and regimen of taking the tablets with your doctor.

  The price does not differ from the cost of the Hungarian original, depends on the number of tablets in the blister and ranges from 360 to 780 rubles.

• Gynepristone. The drug is also prohibited for pregnant and nursing mothers.

  If it is necessary to take the pill during lactation, breastfeeding the child is prohibited for two weeks until the active substance is completely eliminated from the body.

  The drug should not be used by patients with a history of heart disease and dysfunction of the kidneys, adrenal glands and liver.

  Disturbances in the functioning of the digestive system often occur after taking the pills; abdominal pain and dizziness often appear.

  In case of individual intolerance to the components, allergic reactions appear. The active substance is mifepristone. Ginepristone is in the price category from 250 rubles.

Russian generics differ little from Postinor. The list of indications, contraindications and side effects is almost identical.

Ginepristone differs in its hormonal composition. However, the domestic manufacturer offers to purchase the product cheaper than the Hungarian original.

Other foreign substitutes

Imported substitutes have always been very popular among the population. Foreign products are considered to be of better quality and performance.

Check out the differences between imported products and the original in the table:

Among foreign generics you can even find cheaper products. The composition, indications, contraindications and even side effects do not differ from the original drug.

Check with your gynecologist for the regimen, dosage and which emergency contraceptive medication to choose.

Important! Read the instructions for use carefully.

The drug Postinor belongs to the group of contraceptive postcoital drugs. Postinor is a synthetic drug with antiestrogenic and gestagenic properties, which can be called an emergency drug. Analog drugs can also be included in the same group. Ginepristone, Escapel, Genale, Microlut, Levonorgestrel, Eskinor-F.

Postinor and its analogues cannot be considered a real contraceptive, since the principle of their action is completely different from the principle of action of real contraceptives that are used regularly. It is impossible to constantly take postcoital drugs, since the structure of the endometrium changes, severe side effects appear in some organs, addiction may occur, due to which the effectiveness of the drug will be reduced, and it may also begin.

Therefore, the drug Postinor and its analogues should be used only in emergency cases: during rape, unplanned unprotected sexual intercourse, when a condom breaks and in other unforeseen cases.

Which drug should you prefer - Postinor or any of its analogues?

Postinor is one of the earliest of all drugs produced; every second woman experiences nausea after taking it. And if pregnancy does occur, Postinor may have a negative effect on it.

The operating principle of analogues. However, there are some distinctive properties. For example, a drug Escapelle, created later, has fewer side effects, and you can drink it not for 72 hours, like Postinor, but longer - for 96 hours.

In general, usually all later generation drugs are more effective and less harmful. But if we talk about an analog drug Gynepristone, then its side effects are identical to Postinor: it causes nausea, even vomiting, bleeding, and also disrupts the menstrual cycle. Both drugs can equally cause urticaria, weakness, dizziness, and hyperthermia. That is why it is strictly forbidden to take Postinor and its analogues uncontrollably without a doctor’s recommendations - the consequences can be irreversible.

In addition, it is very important to remember that all such drugs have many contraindications. They cannot be accepted

• with renal and liver failure,
• with extragenital pathology,
• for pulmonary diseases,
• during pregnancy and lactation.

If you still have to take postcoital pills, it is better to purchase those that are right for you. And which ones exactly - only a specialist doctor can say.

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Postinor's analogues are cheaper

Postinor and its analogues are hormonal drugs used after unprotected sexual intercourse to prevent unwanted pregnancy. The Postinor package contains 2 tablets, the first one should be taken as quickly as possible, the second one a day later. The drug is relatively cheap, but in many pharmacies you can find its safe analogues at the same price or cheaper.

Genale

Zhenale is a cheap analogue of Postinor, which can be found in almost all cities of Russia. Available in the form of round tablets, convex on both sides, yellow in color with a pale green tint. Each of them contains 10 mg of the active substance of the drug - mifepristone, while in the drug Postinor the active ingredient is levonorgestrel.

This analogue is used as an emergency contraceptive within three days after unprotected sexual intercourse. Dosage - 1 tablet, 2 hours after eating.

The action, like Postinor, is aimed at:

• blocking progesterone functions at the receptor level;
• delayed ovulation;
• changes in the composition of the uterine mucosa;
• an obstacle to the fixation of the fertilized egg on the walls of the uterus;
• The end result of taking the pill is the release of the fertilized egg.

Before taking the medicine, like other analogs of Postinor, it is important to make sure that there are no contraindications specified in the instructions: chronic kidney and liver diseases, pregnancy and lactation.

The use of this Postinor substitute has side effects that manifest themselves in the nervous, digestive and reproductive systems, and can also cause general weakness and skin rashes.

Zhenale, like Postinor and similar similar drugs:

• does not protect against sexually transmitted diseases and HIV infection;
• can terminate a pregnancy in the first trimester or negatively affect the condition of the fetus and reproductive organs of a woman;
• does not guarantee 100% termination of pregnancy. If the fertilized egg does not come out, the consequences can be very dangerous for the fetus, so it is recommended to have a surgical or medical abortion.

After taking the drug, the use of medications whose action is aimed at relieving inflammatory processes is not allowed. If a woman is breastfeeding, she needs to take a two-week break.

Zhenale is stored for a maximum of 3 years in a dry place at room temperature.

Escapelle

A worthy replacement for Postinor is the drug Escapelle - cheaper and no less effective. This is a postcoital emergency contraceptive used orally once. If a woman vomits within three hours after using the drug, she must take the drug again. The medicine is available in white tablets.

The action of Escapel, like other analogues, is aimed at:

• Suppression of ovulation and fertilization even in the most favorable period from a physiological point of view;
• Obstruction of implantation of a fertilized egg due to changes in the composition of the uterine mucosa;
• Hatching of the fertilized egg.

It is important to remember that the effectiveness of the drug and analogues directly determines the time of sexual intercourse: during the first day the probability of abortion is 95%, the second - 85% and the third - only 58%. The indicators are approximately the same for other analogues.

This analogue of Postinor is strictly contraindicated in the following cases:

• Chronic kidney disease;
• Diseases of the adrenal glands in acute or chronic form;
• Periods during which hormonal imbalance occurs: adolescence, pregnancy, lactation, menopause;
• For individual intolerance to lactose and other components of Escapelle.

Nursing mothers need to stop lactation for up to 12 days.

The drug does not protect against sexually transmitted diseases.

Like analogues, it can cause adverse reactions: allergies, symptoms of intoxication, fatigue, pain in the genital area, bleeding and menstrual irregularities.

To preserve their properties, the tablets must be stored in a dark, dry place at an air temperature of at least 25 degrees.

Both Postinor and Escapelle can be purchased at the pharmacy without a gynecologist's prescription, but this does not mean that the drugs are safe. They are considered analogues of each other, have an identical list of contraindications, side effects and the active substance - levonorgestrel, only in different dosages. Therefore, they differ only in the method of application. If the question arises, which is better - Postinor or Escapelle - the answer is clear: the products are the same, both are cheap, you just need to take two tablets of the first, and one of the second.

Gynepristone

Postinor analogues can be dispensed without a doctor's prescription or with one. Ginepristron belongs to the second group of drugs. It is not as cheap as Postinor, Escapelle and Zhenale, on average its price is 100 rubles higher per pack. Pharmaceutical form - yellow-green tablets. Each of them contains 10 mg of mifepristone, like Zhenale tablets, so Ginepristron, like other analogues of Postinor, is a synthetic drug.

It is used as soon as possible after unprotected sexual intercourse; it is advisable to maintain a two-hour interval between meals. The algorithm of action of the active and auxiliary substances looks like this:

• Blocking progesterone receptors, which are responsible for a healthy pregnancy;
• Due to disruption of the main female hormone in the uterus, unfavorable conditions are created for the implantation of a fertilized egg;
• Unable to attach to the walls of the uterus, the fertilized egg comes out.

Like Postinor tablets, its analogue Ginepriston does not protect against sexually transmitted diseases and AIDS.

The drug has an impressive list of contraindications, the absence of which must be ensured before use:

• Diseases of the adrenal glands, which are responsible for the production of steroid hormones;
• Kidney and liver health problems;
• Diseases of any organs in a severe form;
• Pregnancy;

When previously taking medications whose action is aimed at blood clotting, as well as anti-inflammatory medications.

Like all analogues of Postinor, Ginepristone affects lactation. If the drug was taken by a woman who is breastfeeding, breastfeeding should be stopped for at least 2 weeks.

Side effects include the same as other analogues of Postinor: symptoms similar to manifestations of intoxication, pain in the genital area, disruption of the menstrual cycle, and general loss of strength.

The main requirements for storing the drug are a dry place inaccessible to sunlight, air temperature up to 30 degrees. Prices for Ginepristone are close to the cost of Postinor, but slightly cheaper.

Microlute

Among analogues that can replace Postinor, Microlut differs in its release form and method of application. The drug is a pill, 35 pieces in each package. The price is just as cheap. The difficulty of use in comparison with other analogues lies in the regularity and continuity, as well as the need to control the time of administration. But the action of Microlut, unlike other analyzed contraceptives, is aimed at preventing unwanted pregnancy, and not disrupting it. The fact that the drug does not have harmful effects is its main advantage.

The active ingredient is levonorgestrel, 0.03 mg in each tablet. It is this component that affects the composition of the uterine mucosa, which contributes to the formation of an environment unfavorable for embryo implantation. Among frequently asked questions regarding the effectiveness of the drug, women ask whether Microlut can prevent conception completely. The answer is no, like any analogue of Postinor - cheap or expensive, this drug does not provide a 100% guarantee.

Used as prescribed by a doctor, provided that any of these contraindications are absent:

• Sexual bleeding of unknown cause;
• Oncological diseases of the reproductive system;
• Any kidney disease;
• Pregnancy;
• Diabetes;
• Individual intolerance to the components of the drug.

Thanks to the gentle dosage of the synthetic substance, this Postinor analogue rarely has side effects. If they do happen, they are expressed like this:

• Disorders of the digestive system;
• Depressive state;
• Menstrual irregularities;
• Headache;
• Weight gain or loss;
• Allergic reaction;
• Changes in vaginal microflora;
• Skin rashes and others.

The drug must be stored at room temperature in a dry, dark place for no more than 5 years.

Conclusion

Postinor is considered to be the most popular emergency contraceptive. The analogues described above are almost all the same cheap, but no less effective. Each of them is a synthetic drug due to the nature of the active substance. Contraindications and side effects are similar, as is the method of application. The exception is Microlute, which must be used constantly. All these cheap analogues are sold in pharmacies in Russian cities.

Postinor is a means to prevent unwanted pregnancy, and its effectiveness has been proven in practice by many women. This potent drug belongs to the line of emergency contraception; it is based on the effect of an artificial hormone on the body. Due to its powerful effects, Postinor should be used with extreme caution, preferably after consulting a doctor.

Chemical composition

The active substance is an artificial hormone - levonorgestrel. 1 tablet of the drug contains 0.75 milligrams.

Action of the hormone:

• delays or stops ovulation, preventing the release of an egg from the ovary;
• blocks sperm, preventing fertilization of an already released egg;
• prevents an already fertilized egg from implanting, thus preventing pregnancy.

In addition to the hormone, the product includes excipients: colloidal silicon dioxide, potato starch, magnesium stearate, talc, corn starch, lactose monohydrate.

Release form

Postinor is available in foil and PVC blisters, 2 tablets per blister. The cardboard package contains 1 blister and instructions for use of the medicine.

Indications

Postinor is indicated for women with a regular menstrual cycle for emergency postcoital contraception. At its core, the drug is an alternative to traditional contraceptives.

• slippage or mechanical damage to the condom;
• rupture, shift of the diaphragm or cervical plate;
• incorrect calculation of ovulation days when using the calendar method;
• unsuccessfully interrupted sexual intercourse;
• removal or loss of an intrauterine contraceptive device;
• missing 3 or more tablets of permanent oral contraceptive pills.

Methods of application

The effectiveness of Postinor directly depends on the time of its use. The first tablet is taken no later than 72 hours after sexual intercourse.

Postinor does not guarantee 100% contraception, but if you take the first tablet in the first 24 hours after intercourse, the effectiveness of the drug is 95%. Then it decreases noticeably: if Postinor is taken within 25-48 hours after unprotected sexual intercourse, then the chances of preventing an unwanted pregnancy are 85%, and if the drug is taken for the first time within 49-72 hours, they are reduced to 58%. The second tablet must be taken 12 hours after the first.

Postinor cannot replace traditional means of contraception, and its use is an emergency, emergency method. The drug has a strong effect on the body, and therefore it is strongly not recommended to take it repeatedly during one menstrual cycle. The interval between courses of Postinor should be at least 3-6 months.

Contraindications

• Diseases of the liver, gall bladder and small intestine (Crohn's disease);
• Pregnancy and breastfeeding period;
• Allergic reaction to components;
• Adolescence, since the drug can cause hormonal imbalance, which will negatively affect the unformed reproductive system.

To avoid a decrease in effectiveness, it is not recommended to use Postinor in cases of concurrent use of medications used in the treatment of fungal infections and thrombosis, or containing medications that conflict with the active substance of Postinor, in particular, St. John's wort.

Side effects

• Disorders of the digestive system (nausea, pain in the lower abdomen, vomiting, diarrhea);
• Increased fatigue;
• Bleeding not associated with menstruation;
• Allergic reactions (urticaria, itching, swelling of the face);
• Headache;
• Painful swelling of the mammary glands;
• Delayed menstruation.

Typically, the duration of side effects does not exceed 5-7 days, after which the body returns to normal. Otherwise, you need to consult a doctor.

Overdose

An overdose of a drug is manifested in the idea of ​​increasing its side effects. In case of overdose, you should not treat yourself; the doctor should prescribe symptomatic therapy, which will eliminate the unpleasant consequences of using Postinor.

Analogues

Postinor has been produced since the 70s of the 20th century. Despite many side effects and contraindications, it is successfully used for emergency contraception today. At the same time, a number of modern analogues of Postinor are produced.

The mechanisms of action of alternative drugs are similar - these drugs inhibit ovulation, disrupt the process of fertilization of the egg by sperm and prevent its movement to the uterus.

Dwella

A relatively new postcoital contraceptive. The active substance is ulipristal acetate in an amount of 30 milligrams. It is enough to take the drug in the amount of 1 tablet. Dwella is a hormonal drug indicated for emergency contraception within 120 hours after unprotected sexual intercourse.

Contraindications: pregnancy, lactation, adolescence, lactose intolerance (the drug contains lactose as an excipient), bronchial asthma, severe renal and liver failure.

Side effects: headache, nausea, abdominal pain, increased irritability, fatigue, allergic reactions, in rare cases, sleep and appetite disturbances.

Gynepristone

Developed by the Russian pharmaceutical company Nizhpharm OJSC as a gentle analogue of Postinor. Active substance: mifepristone containing 0.01 grams per tablet. Mifepristone is of non-hormonal origin. Gynepristone should be taken once, no later than 72 hours after unprotected sexual intercourse or unreliable contraception.

Contraindications: bronchial asthma, renal, liver and heart failure, pregnancy and lactation. Due to the non-hormonal nature of the drug, there are no contraindications to the use of gynepristone in adolescence.

Side effects:

Genale

The drug is manufactured under license from Pfizer and is an almost complete analogue of gynepristone - the active substance, its content and tablet form are identical. The differences between these drugs are only in the composition of the excipients. Zhenale should be consumed once within 72 hours after sexual intercourse.

Contraindications: bronchial asthma, renal, liver and heart failure, pregnancy and lactation.

Side effects: headache, weakness, nausea, allergic reactions, bleeding, menstrual irregularities.

Lupinor

A drug based on levonorgestrel. Production - India. Lupinor is available in tablets containing 1.5 milligrams of levonorgestrel, which is twice the content of this hormone in a single dose of Postinor. Lupinor should be taken once, no later than 72 hours after unprotected sexual intercourse.

Contraindications: diseases of the liver, gall bladder and small intestine (Crohn's disease), pregnancy and breastfeeding, adolescence, allergies to components.

Side effects:

Microlute

The drug is available in mini-pill format, 35 tablets per blister. The content of levonorgestrel per tablet is 0.03 milligrams. Microlute is used not only as an emergency contraceptive, but also as a permanent oral contraceptive. For emergency prevention of pregnancy, the drug should be taken twice, 20 tablets each: the first time - no later than 72 hours after unprotected sexual intercourse, the second time - 12 hours later.

Contraindications: pregnancy, breastfeeding, adolescence.

Side effects: nausea, headaches, fatigue, bleeding, menstrual irregularities, allergic manifestations.

Model 911

The drug is made in Israel. It is a tablet containing 1.5 milligrams of levonorgestrel. Model 911 is taken once for emergency prevention of pregnancy no later than 72 hours after the need arises. The manufacturer claims that timely use of Modell 911 prevents pregnancy in 85% of cases.

Contraindications:

Side effects: nausea, abdominal pain, vomiting, diarrhea, bleeding not associated with menstruation, delayed menstruation, itching, urticaria.

Evadir 2

Tablets made in India containing 0.75 milligrams of levonorgestrel. 2 tablets should be taken in a course similar to Postinor.

Contraindications: pregnancy, adolescence and breastfeeding.

Side effects: disorders of the endocrine (non-menstrual bleeding, delayed menstruation) and nervous systems (dizziness, headaches), gastrointestinal tract (diarrhea, nausea, vomiting), fatigue.

Escapelle

The drug differs from Postinor in the dosage of levonorgestrel. 1 tablet of Escapel contains 2 times more active substance - 1.5 milligrams.

Taken once no later than 72 hours after unprotected sexual intercourse. Some sources claim that a single dose of levonorgestrel in the amount of 1.5 milligrams has a less negative effect on a woman’s body, however, opinions vary.

Contraindications: diseases of the liver, gall bladder and small intestine (Crohn's disease), pregnancy, lactation, adolescence, allergies to components.

Side effects: nausea, abdominal pain, vomiting, diarrhea, bleeding not associated with menstruation, delayed menstruation, itching, urticaria.

Eskinor-F

Cheap analogue of Postinor. This Indian-made product is available in 2 dosages: 1 tablet with 1.5 milligrams of levonorgestrel, or 2 tablets containing 0.75 milligrams of this hormone. They should be taken according to the packaging - either once within 72 hours, or in a course of 2 doses.

Contraindications: liver failure, diseases of the gallbladder and small intestine (Crohn's disease), lactose intolerance, pregnancy, lactation, adolescence, allergies to components.

Side effects: nausea, abdominal pain, vomiting, diarrhea, bleeding not associated with menstruation, delayed menstruation, itching, urticaria.

Contraceptive pills Postinor are classified as emergency contraception to prevent pregnancy due to unprotected sexual intercourse.

Indications for use

Tablets after unprotected intercourse, when the barrier or calendar method of preventing unwanted pregnancy has failed.

Composition of the drug

The product contains in one tablet 750 mcg of the active ingredient - the strongest gestagen, levonorgestrel. Additionally, the composition contains: colloidal silicon (dioxide), starchy substances from corn and potatoes, lactose, talc.

Medicinal properties

The principle of action of the active substance is to prevent conception by suppressing estrogen-like effects. In large dosages, levonorgestrel prevents the embryo from attaching to the uterine cavity, and it also has gestagenic properties, like the second phase hormone progesterone. The combination of anti-estrogenic and progesterone activity will significantly complicate conception, so the medication can easily prevent the onset of unwanted pregnancy.

How does postinor work?

The action of postinor is to prevent ovulation and prevent conception. Doctors have not yet been able to fully explain the mechanism of action on the body. Levonorgestrel changes the condition of the endometrial mucosa, causing the embryo to become unable to attach to the uterine cavity. It is important to have time to take Postinor on time, otherwise in the case of a fertilized egg that has already begun to attach, it will be ineffective. It is best, according to the annotation on Wikipedia, to use the medication when the dominant follicle has reached a large size - at least 17 mm. This indicates the proximity of the ovulatory phase of the cycle.

Postinor effectiveness?

Pregnancy pills are effective depending on how quickly they are taken. The medicine is approximately 15-40% effective.

How long should you drink the product? It is necessary to take the dose as soon as possible after unprotected intercourse. If the medication was taken during the first day, then it will work in approximately 95% of cases, if during the second day, then in 85%, and on the third day, the effectiveness decreases to 60%. There is no point in taking the medicine on the 4th day or later.

How does the drug affect the body?

How can you tell if the medication has worked after taking it?

In most cases, after taking Postinor, menstrual-like bleeding begins.

How many days does it take for bleeding to start?

In this case, depending on the individual organism. For some on the same day, for others a few days later. The norm is within 3-6 days.

How often can you take Postinor?

Release forms

White, round and flat on the sides, 2 tablets, in one blister.

Mode of application

The average cost of the product in Russia is 370 rubles per package.

First, one tablet is taken as quickly as possible, then after 12 hours the second one is taken. If you vomit within three hours after taking the drug, you should immediately take another pill, regardless of the dose.

During pregnancy and breastfeeding

If pregnancy is desired, then use in this case is contraindicated. It is impossible to terminate a pregnancy using levonorgestrel in such dosages; this is done during a medical abortion with the help of other substitutes - postinor analogues (mifepristone, for example). Taking during lactation is also undesirable.

Contraindications and precautions

Contraindications include: intolerance or hypersensitivity reaction, age under 16 years.

Use with caution in women using any hormonal drugs; also, after taking the drug, you should protect yourself using the calendar method.

Cross-drug interactions

Barbiturates, carbamazepine, ritonavir reduce the effectiveness of the drug.

Side effects

Most often, nausea and vomiting, bleeding, abdominal pain, diarrhea, migraines, menstrual irregularities and decreased performance occur.

Overdose

There is no specific data, but in theory, severe nausea or vomiting occurs, as well as bleeding from the genital tract.

Storage conditions and periods

Up to 5 years at a temperature of 15 - 25 degrees Celsius.

Analogues

Izvarino Pharma LLC, Russia

average cost medicines – 410 rubles per package.

Zhenale is an effective and more modern substitute for postinor. This similar drug, according to the manufacturer, is more effective and causes fewer unwanted side effects.

Pros:

• Efficiency
• Normal price.

Minuses:

• Side effects
• Does not provide a 100% guarantee of obtaining results.

Gedeon Richter, Hungary

average cost medicine in Russia – 445 rubles per package.

Escapelle is practically a complete analogue, but with one difference: one tablet in the package contains a double dose of levonorgestrel. This form of release allows you to take the medicine in a more convenient form.

Pros:

• Efficiency
• Convenient release form.

Minuses:

• Doesn't give 100% guarantee
• Causes side effects.