Lindinet 20 instruction is poisoning possible. Birth control pills Lindinet. Instructions for use and regimen

Lindinet 20 is a modern, which is available in the form of tablets. Ethinylestradiol and gestodene are the active substances of the drug, which suppress the secretion of gonadotropic hormones from the pituitary gland. Lindinet 20 prevents the maturation of the egg, reduces the susceptibility of the endometrium to the blastocyst, and also increases the viscosity of the mucus that is in the cervix. Which in turn makes the uterus relatively impassable for spermatozoa. If Lindinet 20 is used regularly, it also has a therapeutic effect on the body: it normalizes and prevents the development of certain gynecological diseases (including tumors).

Like all drugs, Lindinet 20 has its own contraindications and side effects, so before you start using it, you need to get expert advice and carefully read the instructions for the drug itself.

2. How to use Lindinet 20 correctly (instruction):

The intake of the drug does not depend on food intake, it is taken orally. The tablet does not need to be chewed, but it must be washed down with plenty of clean non-carbonated water.

Try to take the drug every day at the same time, the daily dose is one tablet. The application period is 21 days. After this period, take a short break for a period of 7 days. After the end of the break or after the start of taking the 1st tablet, count the 4th week (note that the day of the week must be the same), on this day you must continue taking Lindinet 20.

Please note that as a result of hormone withdrawal, when you are on a break, bleeding from the uterus occurs !!!

• admission start:

Lindinet 20 should be started either on the first day of menstruation, or on any other day, but no later than the fifth day of menstruation. If you wish to start taking Lindinet 20 after you have taken another oral combination contraceptive, then the 1st tablet of this drug should be taken after you take the last tablet of your previous drug. If before that you used mini-pills that contain progestogen, then you can start taking Lindinet 20 on any day of your period. If you are switching from injections that contain progestogen, then the 1st tablet of the drug must be taken on the eve of the injection, which will be the last one. If it is a progestogen-containing implant, then you need to start using Lindinet 20 after you remove the implant (namely, the next day).

Please note that in the situations listed above, while you are on a 7-day break (while taking Lindinet 20), you must start using additional methods of contraception.

• taking the drug after an abortion or childbirth:

If you start using Lindinet 20 immediately after an abortion in the first to third months of pregnancy, then additional means of contraception are not provided.
After an abortion at a gestational age of more than three months or immediately after the birth of a child, Lindinet 20 is allowed to be used no earlier than after the 21st day, namely from the 21st to the 28th day. If the first time the reception teaches for a later period, and before that unprotected intercourse did not take place, then during the first week of using Lindinet 20, use any additional barrier contraceptive. In the presence of an act, it is desirable to exclude, or postpone the start of admission on the first day of menstruation.

Please note that Lindinet 20 is contraindicated for use if you are breastfeeding. Its use can reduce lactation. The drug is also contraindicated in pregnancy!

• taking the drug when skipping pills:

If you suddenly missed taking the next pill and the missed period is up to 12 hours, you need to replenish the dose that you missed as soon as possible. In such a situation, you do not need to use additional means of contraception. Continue using the drug in the standard mode.
If the missed period is more than 12 hours, the dose you missed is not replenished. The drug should be taken as usual. Please note that the effectiveness of the drug itself may decrease, so start using additional means of contraception the next week of use. You do not need to take a break if there are less than seven tablets left in your package. Start accepting the packaging that should be next.

Please note that bleeding from the uterus will begin after the end of the second pack. And keep in mind that slight bleeding can still be observed while you are taking the next package. In the absence of bleeding when the drug is discontinued, pregnancy should be excluded.

• taking the drug in case of vomiting:

During the occurrence of vomiting in the interval of three to four hours after taking the tablet, you should act as described in situations where the next tablet is missed, due to the fact that its absorption is not complete. Try to take the pill that you missed from the package, which will be next, so as not to deviate from the standard contraceptive intake.

• taking the drug to regulate the cycle:

You can not observe a break if there is a desire to delay menstruation. You just need to start the next pack right away. The maximum delay period is the end of the tablets that are in the second pack.

Please note that bleeding from the uterus is not excluded.

After a week break, you can return to the standard Lindinet 20. For an early onset of menstruation, the number of days of the break is shortened.

3. Useful reviews for Lindinet 20:

The main reviews on the direct use of the drug are positive. Lindinet 20 is easily tolerated and does not have pronounced side effects. In girls who took the drug Lindinet 20, sometimes there are side effects such as breast enlargement, and sometimes pain in this area, headache, drowsiness, depression, facial rashes and nausea. For some, these symptoms disappeared within the first week of taking Lindinet 20. In rare cases, it was necessary to stop taking this drug.
And most importantly, Lindinet 20 does not affect the ability to become pregnant and bear a child in the future in case of termination of its use.

Lindinet 20 is a monophasic drug: all tablets in a package contain the same dose of hormones. One tablet of Lindinet 20 contains 20 micrograms (0.02 mg) of ethinylestradiol and 75 micrograms of gestodene.

One carton contains 1 or 3 blisters (plates). There are 21 tablets in one blister, the intake is designed for three weeks.

WARNING: The drug has contraindications. Do not start using this drug without first talking to your doctor.

Analogues

The drug Logest contains the same dose of hormones as Lindinet 20.

Advantages of Lindinet 20

Lindinet 20 is the latest generation contraceptive. Lindinet 20 tablets contain very low doses of hormones, and therefore side effects are almost never observed while taking these tablets.

Taking Lindinet 20 for 3 months or more restores the regular menstrual cycle (if it is disturbed), reduces the manifestations of premenstrual syndrome (PMS) and pain during menstruation. Against the background of regular intake of Lindinet 20, the risk of developing mastopathy, ovarian cancer, uterine cancer, endometriosis and other female diseases is significantly reduced.

Admission rules Lindinet 20

If you are just starting to take Lindinet 20, then you need to drink the first tablet from the blister from the 1st to the 5th day of menstruation. As a result of taking the first pills from the package, menstruation may stop. This is not scary and is associated with the effect of hormones on the body. During the first 14 days of taking the tablets, it is recommended to use additional contraceptives.

It is advisable to take the tablets every day at about the same hour.

It is advisable to drink the tablets in the order indicated on the blister. But, if by mistake you started taking the pills in the wrong order, then nothing bad will happen, since all Lindinet 20 tablets contain the same dose of hormones.

After you have taken 21 tablets, you should take a 7-day break during which you do not need to take the tablets. During this week break, you may have your period.

In the 7-day break, you do not need to use additional contraceptives. This is only true if, after the end of the week break, you start taking pills again.

You need to start taking the first tablet from the next blister on the 8th day after a seven-day break. It doesn't matter if your period has started or ended.

When will the contraceptive effect of Lindinet 20 come?

A reliable contraceptive effect of Lindinet 20 occurs after 14 days of taking the tablets. In the first 2 weeks of taking the first package of Lindinet 20, additional contraceptives must be used.

Do I need to protect myself during a week break Lindinet 20?

If you took the previous package of Lindinet 20 according to the rules and without gaps, then you do not need to use additional contraceptives during the 7-day break. Additional contraception is also not required at the beginning of the next pack.

How to switch to Lindinet 20 from other OKs?

If there were 28 tablets in the previous OK package, then the first Lindinet 20 tablet should be taken the next day after the end of the tablets from the previous package.

If there were 21 tablets in the package of previous OCs, then you can start taking the tablets the next day after the end of the previous OCs, or on the 8th day after the 7-day break.

Within 14 days after the start of taking Lindinet 20, you need to use additional contraceptives.

How to switch to Lindinet 20 from vaginal ring or hormone patch?

The first tablet of Lindinet 20 should be drunk on the day of removal of the vaginal ring or removal of the hormonal patch. You can also start taking birth control pills on the day you needed a new patch, or put your vaginal ring back on.

How to switch to Lindinet 20 from an intrauterine device (IUD)?

The first tablet of Lindinet 20 should be taken on the day of removal of the intrauterine device. For another week after starting birth control pills, it is recommended to use additional contraceptives to avoid unwanted pregnancy.

How to start taking Lindinet 20 after an abortion?

If you had an early abortion (before 12 weeks of pregnancy), then the first Lindinet 20 tablet can be drunk on the day of the abortion. If you want to start taking Lindinet 20 birth control pills not on the first day after an abortion, and you have already had unprotected sex, then you can start taking the pills only when you are sure that you are not pregnant.

If the abortion was performed at a gestational age of more than 12 weeks, then the first Lindinet 20 tablet should be taken 21-28 days after the abortion procedure. To do this, you must be sure that you have not become pregnant again within the past month. If you start taking the pills later than the recommended time, then it is recommended to use additional contraceptives for another week after the start of taking the pills.

How to start taking Lindinet 20 after childbirth?

You can start taking Lindinet 20 tablets 21-28 days after giving birth. If you had unprotected sex before you started taking birth control pills, then you should not start taking Lindinet 20 until you are sure that you are not pregnant. If the reception is started later than the specified period (21-28 days), then it is recommended to use additional contraceptives within 7 days after the start of taking the tablets.

Can I take Lindinet 20 if I am breastfeeding?

What should I do if I miss Lindinet 20 tablets?

If the delay in taking Novinet was less than 12 hours (that is, less than 36 hours have passed since taking the previous pill), then the contraceptive effect of the drug is preserved. Take the missed tablet as soon as possible. There is no need to use additional contraception.

If you are more than 12 hours late, the effectiveness of the tablets is reduced. Your actions in this case depend on the number of the missed tablet:

• 1 to 7 tablets: Take the missed tablet as soon as possible, even if you have to take 2 tablets at the same time. For the next week, use additional contraception (such as a condom) to avoid unwanted pregnancy.
• 8 to 14 tablets: Take the missed tablet as soon as possible, even if you have to take 2 tablets at the same time. If you haven't missed any in the past week, you may not use supplemental contraception. Otherwise, it is recommended to additionally protect yourself for another week after the release in order to avoid unwanted pregnancy.
• 15 to 21 tablets: Take the missed Lindinet 20 tablet as soon as you remember the missed tablet, even if it means taking 2 tablets at the same time. Then continue taking the tablets as usual, and after the end of the package, immediately start the next one. So you skip a week between packs. If you have taken all Lindinet 20 tablets on time for the previous 7 days before the pass, then there is no need for additional contraception. Otherwise, it is recommended to use additional contraceptives within 7 days after the pass.

What should I do if I miss a few Lindinet 20 tablets?

If you missed 2 Lindinet 20 tablets in a row, note which tablets you missed. If these are tablets of 1 or 2 weeks of intake (from 1 to 14), then take 2 tablets as soon as you remember about the pass and 2 more tablets the next day. Then take one tablet daily as usual until the end of the pack. Use additional contraception for another 7 days after resuming the pills.

If you missed two tablets in a row on week 3 (from 15 to 21), then there are two options: 1. continue taking Lindinet 20 one tablet per day until the package is over and then without taking a 7-day break , start a new pack. At the same time, use additional contraceptives for another 7 days after the pass. 2. Throw away the current (unfinished) package and start taking a new package from the first tablet (one tablet per day, everything is as usual). At the same time, additional contraceptives must be used for another 7 days after the pass.

If you miss 3 Lindinet 20 tablets in a row, then discard the current package of tablets and start a new package with the first tablet. Use additional contraceptives for another 7 days. You will have an increased risk of pregnancy, so if your period does not come in the next break, contact your gynecologist.

If you are not sure how to proceed in your situation, in any case, use additional methods of contraception until you consult with your doctor. In any case, if you miss two or more tablets, be sure to protect yourself additionally (using condoms) for at least 7 days.

You may experience spotting or breakthrough bleeding, similar to your period, 1 to 2 days after missing your pills. This is not dangerous and is associated with missing Lindinet 20. Continue to drink the tablets according to the instructions and the discharge will stop.

How to delay menstruation with Lindinet 20?

If you need to delay your period, then after finishing one pack of Lindinet 20 the next day, start a new blister without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but there may be slight bloody spotting around the middle of the next package.

Please note: you can postpone your period only if you have taken Lindinet 20 at least one month before the delayed period.

Bloody discharge while taking Lindinet 20

While taking Lindinet 20, you may experience brown discharge. In some situations, such discharge is normal (for example, in the first weeks after starting Lindinet 20, as well as in the middle of the package), but sometimes it may indicate that the contraceptive effect of the drug is reduced. Read more about the causes of bloody spotting when taking Lindinet 20 in the article: About spotting while taking OK.

What reduces the contraceptive effect of Lindinet 20?

The contraceptive effect of Lindinet 20 can be reduced by vomiting, diarrhea, taking large doses of alcohol, and taking certain medications. Read more about it here:

What to do if there is no menstruation during the seven-day break of taking Lindinet 20?

There are two options here: either you are pregnant, or this is a simple failure and next month your period will appear. If you missed your pills last month and then had unprotected sex, then you need to stop taking Lindinet 20 and do not start taking it until you are sure that you are not pregnant. If last month you took the pills according to the rules or were not sexually active, then start taking a new package on the 8th day, even if your period has not begun. If there is no menstruation in the next break, consult a gynecologist. For other possible reasons for the delay, read the article 10 reasons for the delay in menstruation.

What should I do if I become pregnant while taking Lindinet 20?

If the pregnancy test showed 2 strips, then stop taking the pills and consult a doctor. Taking Lindinet 20 in early pregnancy does not affect the development of the fetus, so there is no need to have an abortion due to the use of birth control pills. If you plan to continue your pregnancy, start taking folic acid as soon as possible.

Taking Lindinet 20 before surgery

Lindinet 20 should be stopped 4 weeks before the upcoming operation. If the operation is urgent, tell your doctor that you are taking birth control pills.

2 weeks after you can walk on your own after surgery, you can start taking Lindinet 20.

How often do I need to visit a gynecologist while taking Lindinet 20?

Once a year, even if nothing bothers you.

mygynecologist.ru

Birth control pills Lindinet 20

Lindinet 20

1. Description and action of Lindinet 20 tablets:

Lindinet 20 is a modern contraceptive that is available in the form of tablets. Ethinylestradiol and gestodene are the active substances of the drug, which suppress the secretion of gonadotropic hormones from the pituitary gland. Lindinet 20 prevents the maturation of the egg, reduces the susceptibility of the endometrium to the blastocyst, and also increases the viscosity of the mucus that is in the cervix. Which in turn makes the uterus relatively impassable for spermatozoa. If Lindinet 20 is used regularly, it also has a therapeutic effect on the body: it normalizes the menstrual cycle and prevents the development of certain gynecological diseases (including tumors).

Like all drugs, Lindinet 20 has its own contraindications and side effects, so before you start using it, you need to get expert advice and carefully read the instructions for the drug itself.

2. How to use Lindinet 20 correctly (instruction):

The intake of the drug does not depend on food intake, it is taken orally. The tablet does not need to be chewed, but it must be washed down with plenty of clean non-carbonated water.

Try to take the drug every day at the same time, the daily dose is one tablet. The application period is 21 days. After this period, take a short break for a period of 7 days. After the end of the break or after the start of taking the 1st tablet, count the 4th week (note that the day of the week must be the same), on this day you must continue taking Lindinet 20.

Please note that as a result of hormone withdrawal, when you are on a break, bleeding from the uterus occurs !!!

Lindinet 20 should be started either on the first day of menstruation, or on any other day, but no later than the fifth day of menstruation. If you wish to start taking Lindinet 20 after you have taken another oral combination contraceptive, then the 1st tablet of this drug should be taken after you take the last tablet of your previous drug. If before that you used mini-pills that contain progestogen, then you can start taking Lindinet 20 on any day of your period. If you are switching from injections that contain progestogen, then the 1st tablet of the drug must be taken on the eve of the injection, which will be the last one. If it is a progestogen-containing implant, then you need to start using Lindinet 20 after you remove the implant (namely, the next day).

Please note that in the situations listed above, while you are on a 7-day break (while taking Lindinet 20), you must start using additional methods of contraception.

• taking the drug after an abortion or childbirth:

If you start using Lindinet 20 immediately after an abortion in the first to third months of pregnancy, then additional means of contraception are not provided. After an abortion at a gestational age of more than three months or immediately after the birth of a child, Lindinet 20 is allowed to be used no earlier than after the 21st day, namely from the 21st to the 28th day. If the first time the reception teaches for a later period, and before that unprotected intercourse did not take place, then during the first week of using Lindinet 20, use any additional barrier contraceptive. In the presence of an act, it is desirable to exclude pregnancy, or to postpone the start of admission on the first day of menstruation.

Please note that Lindinet 20 is contraindicated for use if you are breastfeeding. Its use can reduce lactation. The drug is also contraindicated in pregnancy!

• taking the drug when skipping pills:

If you suddenly missed taking the next pill and the missed period is up to 12 hours, you need to replenish the dose that you missed as soon as possible. In such a situation, you do not need to use additional means of contraception. Continue using the drug in the standard mode. If the missed period is more than 12 hours, the dose you missed is not replenished. The drug should be taken as usual. Please note that the effectiveness of the drug itself may decrease, so start using additional means of contraception the next week of use. You do not need to take a break if there are less than seven tablets left in your package. Start accepting the packaging that should be next.

Please note that bleeding from the uterus will begin after the end of the second pack. And keep in mind that slight bleeding can still be observed while you are taking the next package. In the absence of bleeding when the drug is discontinued, pregnancy should be excluded.

• taking the drug in case of vomiting:

During the occurrence of vomiting in the interval of three to four hours after taking the tablet, you should act as described in situations where the next tablet is missed, due to the fact that its absorption is not complete. Try to take the pill that you missed from the package, which will be next, so as not to deviate from the standard contraceptive intake.

• taking the drug to regulate the cycle:

You can not observe a break if there is a desire to delay menstruation. You just need to start the next pack right away. The maximum delay period is the end of the tablets that are in the second pack.

Please note that bleeding from the uterus is not excluded.

After a week break, you can return to the standard Lindinet 20. For an early onset of menstruation, the number of days of the break is shortened.

3. Useful reviews for Lindinet 20:

The main reviews on the direct use of the drug are positive. Lindinet 20 is easily tolerated and does not have pronounced side effects. In girls who took the drug Lindinet 20, sometimes there are side effects such as breast enlargement, and sometimes pain in this area, headache, drowsiness, depression, facial rashes and nausea. For some, these symptoms disappeared within the first week of taking Lindinet 20. In rare cases, it was necessary to stop taking this drug. And most importantly, Lindinet 20 does not affect the ability to become pregnant and bear a child in the future in case of termination of its use.

Publication: 2015-03-21 20:11:53

health-mam.ru

Hormonal contraceptives "Lindinet 20": reviews. Is it worth taking into account? :

You can’t just go to a pharmacy and buy Lindinet 20. Reviews containing frightening facts are based precisely on the fact that it was not selected individually, for a particular person. Only after examining the patient, the doctor can decide on the appointment of a contraceptive.

Compound

The drug contains the following hormones:

• ethinylestradiol - 0.02 mg;
• gestodene - 0.07 mg.

It should be noted that these are very low doses of hormones, sufficient to prevent pregnancy, but do not affect the body as a whole.

Analogues

Absolutely identical in composition is the popular drug "Logest".

Manufacturer

The drug is produced by the Gedeon Richter company, known for its quality and affordable prices.

Release form

A cardboard box with plates (blisters), each of which contains 21 tablets, is how this contraceptive is packaged.

This is a monophasic drug, the tablets can be taken in any order, since they all have the same composition. After three weeks, a seven-day break is made, after which, on the eighth day, a new package begins.

Drugs that reduce the reliability of the drug

Unwanted pregnancy in exceptional cases can also occur with the correct use of the Lindinet 20 contraceptive. Reviews about the drug in such patients are usually negative, although the reason is usually not related to the quality and reliability of the remedy. Many drugs can increase the risk of pregnancy, in particular all antidepressants and sedatives. Seriously reduce the reliability of the Lindinet 20 contraceptive antibiotics: ampicillins, tetracyclines, rifampicin. In addition, care should be taken with products containing St. John's wort extract. If you are prescribed a course of treatment, use additional methods of contraception for the entire duration of it, and for a week after completion.

Pharmacological action of the drug "Lindinet 20"

The main action is aimed at inhibiting the production of pituitary gland secretion, which slows down the maturation of follicles and prevents the onset of ovulation. In addition, there is a local, barrier effect. It is expressed in an increase in the viscosity of mucus (which is formed in the cervix), which makes it difficult for sperm to move.

The benefits of the drug

As a new generation contraceptive, in addition to reliable protection, it has a number of positive effects. The menstrual cycle is evened out, painful sensations practically disappear at the same time. The risk of developing cysts, ectopic pregnancy is significantly reduced. Today, the number of women who take the contraceptive Lindinet 20 is growing. Reviews confirm positive changes in the body, easier menstruation and good health.

Course start

Be sure to consult your doctor. If you are prescribed the drug "Lindinet 20", you need to start taking it from the first day of menstruation. The plate contains 21 tablets. Every day you need to drink one at a time, followed by a break for a week. A convenient cycle of 28 days is formed. Three weeks of admission, the fourth - rest (during the break, the protective effect is preserved).

Switching from other OK

If your gynecologist has decided that you need to change your means of contraception, you can use the following rules. Finish taking the previous pills, and if there were 28 of them in the pack, start a new one the next day (at 21, according to the scheme, after a week break). If the previous drug was interrupted in the middle, wait for your period and start the course from the first day.

Switching from other methods of contraception

Vaginal rings, patches, and coils are popular methods, but sometimes they can no longer be used for medical reasons. Start taking immediately after implant removal. Oral contraceptives are a more gentle and reliable means of family planning.

Termination of pregnancy and contraception

After an abortion (if it was performed in the first trimester), the reception begins immediately after surgery. Continue to drink the drug for at least three months, so that the body is fully rehabilitated. After termination of pregnancy at a later date or childbirth, the first tablet should be postponed for 28 days.

Childbirth and lactation

The low-dose drug is an excellent means for contraception in the postpartum period. But only if the child is bottle-fed. The hormones contained in the preparation are excreted in small amounts with breast milk. During lactation, progestogen tablets are usually prescribed, such as the contraceptive "Laktinet".

Overdose

Nausea or vomiting is possible. To date, no severe consequences of an overdose of low-dose contraceptives have been described. There is no specific antidote, treatment is symptomatic.

What are the symptoms to watch out for?

Like all other medicines, Lindinet 20 still has side effects. Especially often they appear during the adaptation period, in the first few weeks of taking the drug. This is bloody discharge from the vagina between periods, a change in vaginal secretion. Nausea, dizziness, weakness, headaches, and the most frightening thing for women is a change in body weight. If these symptoms persist for more than three weeks, see your doctor.

Contraindications

Severe liver disease associated with serious violations of its work, including tumors. Problems with the cardiovascular system: heart attacks, angina pectoris, acute heart failure. Diabetes mellitus, as well as pregnancy and lactation. Be sure to tell your doctor about chronic diseases.

Missed Appointment

Try to keep the reception at the same time, if this is not possible, then take the pill as soon as you remember. An interval of up to 36 hours does not reduce the effectiveness of contraception. That is, normally you should have taken another pill after 24 hours, for example, the next evening, and took it in the morning. In this case, just continue as before. If the interval has been exceeded, then take the missed pill as soon as you remember, even if you have to do it together with the next one, and connect additional (local contraception) until the next menstruation.

If several tablets are missed

If more than half of the course has already passed, it is best to throw away the started pack and, after waiting for menstruation, start a new pack. At this time, it is imperative to protect yourself. To do this, you can use condoms, vaginal suppositories. If the package was just started, then continue taking the drug according to the scheme, and at the end of it, start a new one the next day, without a week break. Remember to use additional contraception for the first two weeks.

The absence of menstruation during the break - does it mean pregnancy?

If the previous pack was taken completely, without gaps, then you can start a new pack, even if your period has not started (or has not yet ended). But to be safe, remember if there have been cases of severe diarrhea, poisoning, vomiting, or taking medications, such as antibiotics. Since all this can reduce the effect of the contraceptive, it makes sense to use the test or visit a gynecologist.

Is it possible to take the drug without a week break

You don’t need to do this all the time, but if the upcoming trip to the sea or the wedding can be spoiled by the onset of menstruation, you can start a new package immediately after the end of the previous one. Menstruation will be delayed by about three or four weeks (give or take a few days). This method is absolutely safe for health.

We can conclude that we are presented with an excellent, modern drug "Lindinet 20". Reviews of thousands of women say that it is easily tolerated, convenient to use and reliably protects against unwanted pregnancy.

www.syl.ru

Lindinet 20: instructions for use of the drug

Contraception.

coated tablets; blister pack 21 carton pack 1; coated tablets; blister pack 21 carton pack 3;

It inhibits the secretion of gonadotropic hormones of the pituitary gland, inhibits the maturation of follicles and prevents the process of ovulation. Increases the viscosity of cervical mucus, which makes it difficult for sperm to enter the uterus.

Gestodene Rapidly and almost 100% absorbed from the gastrointestinal tract (about 99% bioavailability). After 1 hour after a single injection, the concentration is 2-4 ng / ml. It binds to albumin and sex hormone-binding globulin (SHBG). 1-2% is in the form of a free steroid, 50-75% specifically binds to SHBG. An increase in the level of SHBG in the blood caused by ethinylestradiol affects the level of gestodene: the fraction associated with SHBG increases and the fraction associated with albumin decreases. The mean volume of distribution of gestodene is 0.7–1.4 l/kg. Undergoes biotransformation similar to other steroids. Average clearance values: 0.8-1.0 ml / min / kg. Serum levels decrease biphasically. In the final phase T1 / 2 - 12-20 hours. It is excreted only in the form of metabolites: 60% - with urine, 40% - with feces. T1 / 2 metabolites about 1 day. Ethinylestradiol

Rapidly and almost completely absorbed from the gastrointestinal tract. The average Cmax in serum is 30-80 pg / ml, achieved 1-2 hours after administration. Bioavailability due to presystemic conjugation and primary metabolism is about 60%. Completely but non-specifically binds to albumin (about 98.5%) and induces an increase in the level of SHBG in the blood serum. The average volume of distribution is 5–18 l / kg. It mainly undergoes aromatic hydroxylation with the formation of hydroxylated and methylated metabolites, which are present in the form of free metabolites or in the form of conjugates (glucuronides and sulfates). Metabolic clearance from blood plasma is about 5-13 ml / min / kg. Serum concentration decreases biphasically. T1 / 2 of the second phase is about 16–24 hours. Ethinylestradiol is excreted only in the form of metabolites, with urine and bile in a ratio of 2:3. T1 / 2 metabolites - about 1 day. A stable concentration (20% higher than after a single dose) is established by 3-4 days.

The drug is contraindicated in pregnancy. If it is necessary to prescribe the drug during lactation, the issue of stopping breastfeeding should be resolved (the active substances of the drug are excreted in breast milk in small quantities).

Hypersensitivity to the components of the drug; the diseases which are followed by the expressed disturbances of function of a liver; liver tumors (including history); thrombosis and thromboembolism (including history); myocardial infarction (including history); heart failure; cerebrovascular disorders (including history); conditions preceding thrombosis (including transient ischemic attacks, angina pectoris); coagulopathy; sickle cell anemia; estrogen-dependent tumors, incl. tumors of the breast or endometrium (including history); diabetes mellitus complicated by microangiopathies; uterine bleeding of unknown etiology; idiopathic jaundice and itching during a previous pregnancy; a history of herpes; otosclerosis with deterioration during a previous pregnancy; pregnancy. With caution: breast cancer; chorea of ​​pregnant women (previous appointment may worsen the course of chorea of ​​pregnant women); diabetes; epilepsy; diseases of the gallbladder, especially cholelithiasis (including history); liver failure; arterial hypertension; immobilization; major surgical interventions; cholestatic jaundice (including a history of pregnant women); depression (including history);

From the side of the cardiovascular system: rarely - thromboembolism, thrombosis (including retinal vessels), increased blood pressure. From the digestive system: sometimes - nausea, vomiting, hepatitis, hepatocellular adenoma. From the reproductive system: sometimes - intermenstrual spotting, changes in vaginal secretion, changes in libido. From the endocrine system: sometimes - a feeling of tension in the mammary glands, a change in body weight. From the side of the central nervous system: emotional lability, depression, dizziness, headaches, migraine, weakness, fatigue. Others: pain in the lower abdomen, chloasma, discomfort when wearing contact lenses, fluid and sodium retention in the body, allergic reactions, impaired glucose tolerance are possible.

Change in laboratory parameters: under the influence of oral contraceptives, some laboratory parameters (functional parameters of the liver, kidneys, adrenal glands, thyroid gland, blood coagulation and fibrinolytic factors, levels of lipoproteins and transport proteins) may change, but within normal values.

Inside, without chewing, drinking plenty of water, regardless of the meal. Take 1 table. per day (if possible at the same time of day) for 21 days, followed by a 7-day break, during which menstrual-like bleeding occurs due to discontinuation. After a 7-day break, regardless of whether the bleeding has ended or is just starting, continue taking the drug from the next package. At the same time, an easily reproducible rhythm is established: 3 weeks - taking pills, 1 week - a break. Taking the drug from each new package begins on the same day of the week. The first dose of the drug: taking the drug Lindinet should be started from the first day of the menstrual cycle. It is allowed to start taking it on the 2nd-5th day of the menstrual cycle, but in this case it is recommended to use additional methods of contraception. Switching to taking the drug from another oral contraceptive. When switching from a contraceptive containing ethinylestradiol 20 mcg, the transition is carried out as usual after a 7-day interval. When switching from tablets containing 30 mcg of ethinyl estadiol, it is recommended to exclude the 7-day interval, and then take it as usual. Switching to taking the drug from drugs containing only progestogen ("mini-pill", injections, implants): from the "mini-pill" you can switch to taking Lindinet on any day of the cycle. From the implant, you can switch to Lindinet the day after the removal of the implant; with a solution for injection - the day before the injection. In these cases, in the first 7 days it is necessary to use additional methods of contraception. Taking the drug Lindinet after an abortion in the first trimester of pregnancy: after an abortion, you can immediately start taking the drug, in this case there is no need to use an additional method of contraception. Taking the drug Lindinet after childbirth or after an abortion in the second trimester of pregnancy: taking the drug can be started 21–28 days after childbirth, provided that the woman is not breastfeeding, or an abortion in the second trimester of pregnancy. In these cases, in the first 7 days it is necessary to use additional methods of contraception. If after childbirth or abortion there was already sexual contact, pregnancy should be excluded before taking the drug or wait until the first menstruation. Missed pills: if a pill was missed, take the missed pill as soon as possible. If the interval was less than 12 hours, the effectiveness of the drug will not decrease, and in this case there is no need to use an additional method of contraception. The remaining tablets should be taken at the usual time. If the interval is more than 12 hours, the effectiveness of the drug may decrease. In this case, the woman should take the missed pill(s) and take the next pills as normal, while additional methods of contraception should be used for the next 7 days. If less than 7 tablets are left in the package, the drug from the next package is started without interruption. In this case, menstrual-like bleeding does not occur due to discontinuation of the drug before the completion of the drug from the second package, but spotting or breakthrough bleeding may occur. If menstrual bleeding does not occur due to discontinuation of the drug after the completion of the second package, then pregnancy should be excluded before continuing to take the drug. Measures taken in case of vomiting and diarrhea: if vomiting and / or diarrhea begins within 3-4 hours after taking the drug, the contraceptive effect may decrease. In this case, it is necessary to act according to the paragraph "Pass in taking pills." If the patient does not want to change the regimen, the missed tablets should be taken from a new package.

Changing the date of the onset of menstruation: it is possible to accelerate the onset of menstruation by shortening the break in taking the drug. The shorter the break in taking the drug, the more likely it is that menstrual-like bleeding will not occur, and breakthrough or spotting bleeding will occur while taking the drug from the next package. To delay menstruation, the drug should be continued from a new package without a 7-day break. Menstruation can be delayed as long as necessary: ​​until the end of the last pill from the second package. With a delay in menstruation, breakthrough or spotting bleeding may occur. Regular use of the drug Lindinet can be restored after the usual 7-day break.

Severe symptoms after taking large doses of a contraceptive have not been described. Symptoms: nausea, vomiting, in young girls - slight vaginal bleeding.

Treatment: symptomatic. There is no specific antidote.

Rifampicin (increases clearance), as well as barbiturates, carbamazepine, phenylbutazone, phenytoin, griseofulvin, topiramate, felbamate, oxcarbazepine can lead to breakthrough uterine bleeding or reduce the contraceptive effect. Contraceptive reliability is reduced when taking ampicillin, tetracycline (the mechanism of this action has not been elucidated). During concomitant use with the above drugs, as well as within 7 days after the completion of their course, it is necessary to use other non-hormonal (condom, spermicidal gels) methods of contraception. When using rifampicin, additional methods of contraception should be used within 4 weeks after completion of the course of its administration. Any drug that increases gastrointestinal motility reduces the level of the drug in the blood. Drugs (for example, ascorbic acid), which undergo sulfation in the intestinal wall, competitively inhibit the sulfation of ethinyl estradiol and enhance its bioavailability. Inhibitors of liver enzymes (eg itraconazole, fluconazole), increase the concentration of ethinyl estradiol in blood plasma. Ethinylestradiol, by inhibiting liver enzymes or accelerating conjugation (primarily glucuronidation), can affect the metabolism of other drugs, increasing or decreasing their concentration in the blood (for example, cyclosporine, theophylline).

The use of St. John's wort (including tea) reduces the concentration of the drug in the blood, which can lead to breakthrough bleeding, pregnancy (the reason is the inducing effect of St. John's wort on liver enzymes, which continues for another 2 weeks after completing the course of St. John's wort). Ritonavir reduces the AUC of ethinylestradiol by 41%. In this regard, during the use of ritonavir, you should use a drug with a higher dose of ethinyl estradiol (Lindinet 30) or use non-hormonal methods of contraception.

Diseases of the circulatory system. Oral contraceptives increase the risk of myocardial infarction. The risk of myocardial infarction and thromboembolic complications of various localization increases in women who smoke and have other risk factors (for example: arterial hypertension, hypercholesterolemia, obesity, diabetes mellitus, family history of VTS, age over 35–40 years). This should be taken into account for women over 35 years of age and heavy smokers. In older women and taking the drug for a long time, an increase in blood pressure was noted. An increase in blood pressure is more often observed with the use of drugs with large doses of hormones. It is necessary to consult a specialist before using the drug if a woman has: congenital predisposition to thromboembolic diseases, obesity (body mass index above 30 kg / m2), fat metabolism disorders (dyslipoproteinemia), arterial hypertension, heart valve disease, atrial fibrillation, in cases prolonged immobilization, severe surgery, surgery on the legs, severe trauma (due to the fact that the risk of thromboembolic diseases increases in the postoperative period, it is necessary to stop taking the drug 4 weeks before the planned operation and resume taking it 2 weeks after the patient is activated). The drug should be stopped immediately if symptoms of thromboembolism appear: chest pain that may radiate to the left arm, unusually severe pain in the legs, swelling of the legs, sharp stabbing pain when inhaling or coughing, hemoptysis. Tumors. Some studies have noted an increase in cervical cancer among women who have taken oral contraceptives for a long time (however, a causal relationship with taking the drug has not been proven). The likelihood of developing cervical cancer depends on sexual behavior and other factors (human papillomavirus). Studies have not proven a causal relationship between breast cancer and drug use: in women taking oral contraceptives, the disease was detected at an earlier stage than in women who did not take these drugs. There have been isolated reports of the development of a benign liver tumor in women taking hormonal contraceptives for a long time, with the development of intra-abdominal bleeding. Other pathological conditions. The drug should be discontinued if there is a loss of vision (complete or partial), exophthalmos, diplopia, or if edema of the optic nerve papilla or vascular disorders of the retina is detected. Studies show that the relative risk of developing gallstones increases with age among women who take oral contraceptives or drugs containing estrogen. Recent studies have shown that the risk of developing gallstone disease is less with the use of drugs with a low dose of hormones. If a migraine occurs, worsens the course of a migraine, or if a persistent or repeated unusually severe headache occurs, the drug should be discontinued. Lindinet should be discontinued immediately if generalized itching occurs or if an epileptic seizure occurs. The effect of the drug on the metabolism of carbohydrates and lipids. In women taking oral contraceptives, there may be a decrease in carbohydrate tolerance. Some women have been found to have elevated blood triglyceride levels when using oral contraceptives. In women with hereditary hyperlipidemia, taking the drug with estrogen, a sharp increase in plasma triglycerides was found, which could lead to the development of pancreatitis. When using oral contraceptives, especially in the first 3 months, irregular (spotting or breakthrough) bleeding may occur. If bleeding occurs for a long time or occurs after regular cycles have formed, the cause is usually non-hormonal, and an appropriate gynecological examination should be performed to rule out pregnancy or malignancy. If a non-hormonal cause can be excluded and intermenstrual bleeding continues for more than 4 months, you should switch to another drug. In some cases, menstrual-like bleeding due to discontinuation of the drug during the 7-day interval does not occur. If the regimen of taking the drug was violated before the absence of bleeding or if there is no bleeding after taking the second package, pregnancy must be excluded before continuing the course of taking the drug. Before starting the use of birth control pills, a detailed family and personal history should be taken and a general medical and gynecological examination should be performed. These studies are repeated every 6 months. During a physical examination, blood pressure is measured, breast examinations, abdominal palpation, a gynecological examination with a cytological examination of a smear are performed, as well as laboratory studies according to indications (functional parameters of the liver, kidneys, adrenal glands, thyroid gland, blood coagulation and fibrinolytic factors, levels of lipoproteins and transport proteins). A woman must be warned that the drug does not protect her from sexually transmitted infections, in particular from AIDS. In case of acute or chronic impairment of hepatic function, the drug should be discontinued until the values ​​of liver enzymes are restored. With impaired liver function, the metabolism of steroid hormones may be impaired. For those women who develop depression while taking contraceptives, it is advisable to stop the drug and temporarily switch to another method of contraception, to clarify the relationship between the development of depression and taking the drug. Careful monitoring should be carried out in the presence of a history of depression, and if depression recurs, the course of oral contraception should be completed. When using oral contraceptives, the concentration of folic acid in the blood may decrease. This is of clinical significance only if pregnancy occurs shortly after completion of the oral contraceptive course.

With diarrhea, intestinal motility increases and absorption of the drug decreases.

Studies to identify the possible effect of the drug on the ability to drive a car or the ability to control dangerous mechanisms have not been conducted.

At a temperature not higher than 30 °C.

G Genitourinary system and sex hormones

G03 Sex hormones and modulators of the reproductive system

G03A Systemic hormonal contraceptives

G03AB Progestogens and estrogens (sequential combinations)

Lindinet 20 is a drug belonging to the group of combined oral contraceptives. The tool is used to prevent the onset of unwanted pregnancy and the correction of hormonal levels in women. The drug has a complex effect, therefore, a doctor who has studied the characteristics of the hormonal background should prescribe it to a woman. Rough use will not lead to the expected results.

Dosage form

The drug is available in the form of film-coated tablets intended for oral administration.

Description and composition

The contraceptive drug Lindinet 20 consists of estradiol and gestodene. This composition inhibits the production of gonadotropic hormones by the pituitary gland, which contributes to the inhibition of the process of maturation of the follicles. The estrogen component of the contraceptive is represented by ethinylestradiol, which is part of the synthetic analogues of estradiol produced in the human body, which takes an active part in the process of ensuring the flow of the menstrual cycle in a woman's body.

The activity of the contraceptive is associated with the functioning of central and peripheral mechanisms that inhibit the process of maturation of the follicles, reducing the susceptibility of the endometrial uterine layer. The viscosity of cervical mucus secretions increases, the likelihood of conception decreases.

The data of statistical tests confirm the fact that the constant use of Lindinet can significantly reduce the likelihood of developing dangerous gynecological diseases, including oncological ones.

The drug has a special composition.

The active components are:

• ethinylestradiol;
• gestodene.

List of auxiliary components:

• calcium edetate sodium;
• magnesium stearate;
• colloidal silicon dioxide;
• povidone;
• corn starch;
• lactose monohydrate.

The shell contains the following components:

• yellow quinoline;
• povidone;
• titanium dioxide;
• macrogol;
• talc;
• calcium carbonate;
• sucrose.

Taking such a remedy is prohibited for women who have allergic reactions to any of the components of the remedy.

Pharmacological group

Oral contraceptive action, which is due to the effectiveness of its constituent components. Such components reduce the pituitary secretion of gonadotropic hormones. The effect that provides the prevention of unwanted pregnancy is associated with the presence and provision of several mechanisms. Ethinylestradiol, which is a synthetic analogue of estradiol, is present as an estrogen component in the composition of the drug. The progestogen component in this case is a nortestosterone derivative. Such an element is superior in selectivity and strength to the female hormone of the corpus luteum.

Women should take into account the fact that the effectiveness of the remedy can be traced only if used regularly. The gynecologist will determine the exact number of required courses of exposure when taking the remedy in order to prevent the occurrence of dangerous gynecological diseases. In most cases, it is enough to take the remedy for 3-4 cycles to restore the hormonal background.

Indications for use

The drug is prescribed to women of childbearing and menopausal age in order to restore normal hormonal levels. Lindinet 20 prevents pregnancy, therefore it can be used for contraceptive purposes.

for adults

The only indication for the use of the drug, according to manufacturers, is contraception. The ability of such a composition to regulate the hormonal background with regular use is confirmed by clinical trials.

for children

The drug is not used in pediatric practice because the main purpose of the application is to prevent unwanted pregnancy. In extremely rare cases, on the recommendation of a gynecologist, the composition can be prescribed to girls during puberty. Dosages and frequency of administration will be determined individually.

During pregnancy, Lindinet 20 is not prescribed. Such a remedy can cause a significant change in the hormonal background of the mother. Such actions can provoke irreversible consequences.

Contraindications

The list of contraindications to the use of the drug is as follows:

• increased risk of venous or arterial thrombosis;
• damage to the valvular apparatus of the heart;
• pathology of cerebral vessels;
• hypertension with aggravated course;
• the presence of precursors of thrombosis in history;
• migraine focal lesions;
• surgical interventions;
• pancreatitis;
• dyslipidemia;
• severe liver damage;
• allergic reactions when taking oral contraceptives;
• the presence of hormone-dependent tumors in the body.
• bleeding of unknown etiology;
• smoking over the age of 35;
• pregnancy and lactation.

With increased caution, the drug is taken in the following cases:

• the presence of a genetic predisposition to thrombosis in a patient;
• acute disorders of cerebral circulation;
• liver damage;
• herpetic rash;
• valvular heart disease;
• migraine;
• arterial hypertension;
• thrombophlebitis;
• postpartum period;
• ulcerative colitis;
• Crohn's disease.

Applications and doses

The use of the hormonal agent Lindinet should be done daily, at the same time. This condition is optimal and allows you to get the best contraceptive effect. In case of accidental skipping of the composition, the tablet should be taken as soon as possible. The contraceptive effect is maintained if the pass was valid - no more than 12 hours. Do not take a double dose of the drug on the same day. Such actions can cause a serious imbalance of hormonal odds. The possibility of side effects cannot be ruled out.

for adults

If the COC is taken for the first time, then the tablet is taken from the 1st to the 5th day of the menstrual cycle, and it is mandatory to continue taking it for the next 21 days. After this time, a seven-day break is required. taking hormonal pills from the next pack begins on day 8, regardless of whether the bleeding has ended.

If you accidentally miss a tablet by less than 12 hours, you should take it as soon as possible. In the case when the pass is more than 12 hours, the drug is taken the next day. It is important to remember that in this case, you need to use additional contraceptives.

for children

Lindinet 20 is not used in pediatric practice. If there are indications for use in the form of hormonal disorders, the drug can be prescribed to adolescents after the onset of menarche. The decision on the advisability of using a combined oral contraceptive is made by the doctor after establishing the true cause of the imbalance.

for pregnant women and during lactation

The drug is not prescribed during pregnancy and breastfeeding.

Side effects

The list of possible adverse reactions is presented as follows:

• hypertonic disease;
• porphyria;
• hearing loss;
• thrombotic damage to the veins;
• circulatory disorders in the brain;
• pathology of veins and arteries;
• damage to the retina;
• violations of the reproductive system;
• vaginal hemorrhages;
• lack of menstrual bleeding on the background of the withdrawal of the drug;
• change in the state of the mucous membranes;
• feeling of discomfort and burning;
• an increase in the size of the breast;
• digestive disorders;
• nausea;
• diarrhea;
• the appearance of pain in the epigastric region;
• granulomatous enteritis;
• hair loss;
• manifestation of pigmentation on the face;
• metabolic change;
• hearing loss;
• the appearance of discomfort in the eyes;
• other hypersensitivity reactions.

Patients should remember that the risk of adverse reactions increases several times with uncontrolled use of the drug. In some cases, such actions can cause infertility or prolonged absence of menstruation.

Interaction with other drugs

The drug has a composition similar to Lindinet. The pack contains 121 or 63 tablets, depending on the configuration. The advantage of this tool is the possibility of using it to correct the hormonal background and influence the process of therapy of certain diseases. The drug has its drawbacks - there is a possibility of side effects. The composition has a rather high cost.

Mirelle is also a combined oral contraceptive. This composition is well tolerated and rarely provokes the manifestation of side effects. The drug has a fairly affordable cost among the list of drugs of this drug group.

Price

The cost of Lindinet 20 is an average of 687 rubles. Prices range from 335 to 1195 rubles.

The drug "Lindinet 20" is used for contraception. It is also prescribed for functional defects of the menstrual cycle. Feedback on Lindinet 20 from satisfied consumers will be presented in this article.

The drug is taken orally, regardless of food intake, always at the same time. The first tablet is taken from the first to the fifth day of menstruation. The use of this remedy involves the use of one tablet per day for 21 days, after which a week-long break is taken, that is, menstruation actually begins. Reviews of Lindinet 20 confirm that this is how most contraceptives work.

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 combination, you need to take the first tablet of the drug the next day after the previous package is finished, at the beginning of the menstrual cycle. What are the reviews about Lindinet 20 for women over 30?

They write in their comments that while using the mini-pill, you can start switching 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 single drugs, you need to accompany this stage with the use of barrier contraceptive methods as an adjunct during the first week. If an abortion was performed in the first trimester of pregnancy, then it is recommended to take pills immediately after the operation, without using additional methods of protection.

After the 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 the drug should be taken after pregnancy is excluded or with the onset of menstruation.

Reviews of Lindinet 20 birth control pills confirm this.

If the next dose was missed at the set time, then if the delay is less than twelve hours, the pill should be taken immediately, as soon as the missed pass was remembered (the contraceptive effect of the drug has not yet been broken), the next pills should be taken at the usual time. If you are late for more than twelve hours, you do not need to take the missed pill, but continue using 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 contraception should be continued only after pregnancy has been ruled out.

Reviews of women about "Lindinet 20" indicate that taking pills is skipped quite often, but with the right further actions, unwanted pregnancy did not occur in anyone.

When is an additional tablet required?

If the patient develops diarrhea and / or vomiting within 3-4 hours after taking the pill, which disrupted the absorption process and reduced 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 set time according to the scheme, after which measures are taken that comply with the recommendations that are associated with skipping the drug. Another way is for a woman to take the same pill from another blister, while not deviating from her usual contraceptive regimen. 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 shorter the break, the higher the risk of breakthrough or spotting bleeding while taking pills from another blister (similar to situations with a delay in menstruation). If you want to delay menstruation at a later time, then you need to continue taking the 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. During a planned delay in bleeding, spotting or bloody breakthrough discharge may occur. After a week break, you must continue to use Lindinet 20 regularly. There are reviews on this.

Contraindications

As contraindications are:

• severe and / or multiple signs of the risk of thrombosis of the veins or arteries (including atrial fibrillation, which is complicated by disorders of the heart valve apparatus, severe or moderate arterial hypertension (blood pressure of 160/100 mm and above), diseases of the coronary vessels or arteries of the head brain);
• ischemic transient attack, angina pectoris and other precursors of thrombosis;
• venous thromboembolism;
• long immobilization after the intervention of the surgeon;
• migraine with neurological symptoms of focal type;
• thromboembolism of the veins or arteries or thrombosis (deep vein thrombosis of the lower leg, pulmonary artery embolism, myocardial infarction, stroke);
• liver tumors;
• jaundice when using glucocorticoids;
• pancreatitis;
• hyperlipidemia;
• liver pathology of a pronounced nature, cholestatic jaundice (the period of bearing a child is also considered), hepatitis (including history) - until the period when functional and laboratory parameters are not restored, after their normalization for three months;
• cholelithiasis;
• syndromes of Gilbert, Dabin-Johnson, Rotor;
• 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 suspicion of them;
• breastfeeding time;
• smoking by people over the age of 35 (more than fifteen cigarettes per day);
• hypersensitivity to the constituent components of the drug;
• pregnancy or its assumption.

Carefully

Reviews of women about "Lindinet 20" confirm that you need to be extremely careful when using the drug for patients with risk factors that increase the likelihood of thrombosis of the veins or arteries, as well as thromboembolism. Risk factors:

• genetic predisposition of the patient to thrombosis (thrombosis, circulatory defects of the brain and myocardial infarction in the youth of the next of kin);
• age over 35 years;
• smoking;
• liver pathology;
• angioedema hereditary edema;
• herpes of pregnant women;
• chloasma;
• chorea of ​​Sydenham;
• porphyria;
• chorea and other diseases that appear or worsen during the previous use of sex hormones or during childbearing;
• obesity with a weight index over 30 kg per m 2;
• arterial hypertension;
• hemolytic-uremic syndrome;
• valve defects, dyslipoproteinemia, atrial fibrillation;
• epilepsy, prolonged immobilization, migraine, severe trauma;
• surgical intervention in the lower extremities, major surgery, superficial thrombophlebitis, sickle cell anemia, Crohn's disease, postpartum period, varicose veins, diabetes mellitus (not complicated by vascular disorders), ulcerative colitis, acute and chronic liver pathologies, systemic lupus erythematosus , abnormalities in biochemical tests, deficiency of antithrombin III and protein C or S, including antibodies to cardiolipin, severe depression, hyperhomocysteinemia, lupus anticoagulant, antiphospholipid antibodies, activated protein C resistance, hypertriglyceridermia.

Side effects

According to reviews, "Lindinet 20" can cause the following side effects:

• sense organs: hearing loss due to otosclerosis;
• system of vessels and heart: arterial hypertension;
• in more rare cases - myocardial infarction, stroke, thromboembolism of the lung artery, 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 as severe, but more common:

• genital organs: vaginal acyclic bleeding and discharge, candidiasis, deformation of the state of the vaginal mucosa, after termination - amenorrhea, the development of vaginal inflammation processes, 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, a decrease in carbohydrate tolerance, an increase in the degree of 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 loss;
• others: the development of allergic reactions.

This information is available in the instructions and reviews for Lindinet 20. The decision on the possibility of further use of the drug should be made only after consulting with a specialist on an individual basis, analyzing the risks and benefits of this contraceptive method.

special instructions

"Lindinet 20" is required to be used after a medical consultation and a gynecological and general medical examination.

It is recommended to be examined every six months. Taking into account the clinical condition of the patient and risk factors for the occurrence of side effects, the disadvantages and advantages of oral protection are determined, and the question of the appropriateness of its use is decided.

Reviews of Lindinet 20 tablets are contradictory.

The specialist should inform the woman about the possible worsening of her existing diseases, the undesirable effects of the drug and the mandatory visit to the doctor if her health changes for the worse. Hormonal contraception is also canceled if any of the following conditions or diseases worsen or occur: epilepsy, pathology. They can cause the development of renal and cardiovascular insufficiency, diseases of the hemostasis system, migraine, 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 drug is characterized by a good contraceptive effect two weeks after the start of administration, and therefore, to exclude pregnancy during this time, it is recommended to use additional contraceptive barrier methods. This is confirmed by the instructions and reviews for Lindinet 20.

Against the background of taking hormonal oral contraceptives, the likelihood of arterial and venous thromboembolic diseases increases. It is necessary to take into account the possible (but very rare) occurrence of venous or arterial thromboembolism of the mesenteric, renal, hepatic or retinal vessels.

Risk factors

Factors that increase the risk of developing venous or arterial thromboembolic pathologies are: hereditary predisposition, obesity, excessive smoking, the patient has arterial hypertension, dyslipoproteinemia, heart valve pathologies with hemodynamic defects, diabetes mellitus with vascular lesions, atrial fibrillation. Reviews of women about "Lindinet 20" for 20 years will be considered at the end of the article.

The risk also increases with the age of the patient, with prolonged immobilization due to extensive surgical intervention, including operations on the lower extremities, or after a serious injury. During elective operations, the drug is advised to cancel the drug four weeks before the event, and 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 nonspecific nature, sickle cell anemia, and also in the postpartum period. The likelihood of developing thromboembolic pathologies of veins or arteries increases resistance to protein activated C, lack of antithrombin III, proteins S and C, as well as the presence of antiphospholipid antibodies. Reception of the drug is regarded as one of the many factors that affect the development of cervical or breast cancer.

So with caution should be taken "Lindinet 20". Reviews about contraceptives on the network are plentiful, they will help you make the right decision.

An increase in the number of registration of such diseases in patients who take hormonal contraceptives may be due to irregular medical supervision and appropriate examinations. With prolonged hormonal oral protection, it is necessary to take into account the possible appearance of a liver tumor of a malignant or benign nature 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 Lindinet 20. Women after 35 years of age who have a predisposition to chloasma, it is desirable to be less under the direct rays of the sun or ultraviolet radiation.

The tool reduces its contraceptive effect in the case when the next dose was missed, with diarrhea and vomiting, while the use of drugs that may affect its effectiveness. In order to avoid conception, the patient must use additional protective barriers in accordance with the recommendations. If irregular breakthrough or spotting bleeding occurs, and there is no menstruation during a week break, then this may indicate pregnancy. That is why, before using the tablets from the new blister, it is necessary to discuss all the nuances with the doctor, and start treatment again only after the pregnancy is excluded. The presence of an estrogen component in the preparation can affect the result of laboratory tests of the degree of lipoproteins and transport proteins, functional data of the kidneys, thyroid gland, liver, hemostasis, 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 has been normalized. Patients who smoke are more likely to develop vascular diseases, especially after the age of 35 (the level of risk is also determined by age parameters and the number of cigarettes smoked during the day). Means "Lindinet 20" is not able to protect against infection with various sexual infections, including HIV infection. The impact of the drug on the woman's ability to drive mechanisms and vehicles has not been identified.

Interaction with other drugs

Inducers of hepatic microsomal enzymes (barbiturates, Oxcarbazepine, Rifampicin, Hydantoin, Felbamate, Phenylbutazone, Rifabutin, Griseofulvin, Topiramate, Phenytoin), antibiotics (Tetracycline, "Ampicillin") help to reduce the degree of ethinyl estradiol in the blood plasma.

Hepatic enzyme inhibitors increase the level of ethinylestradiol 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 slow down the sulfation of ethinyl estradiol and increase its bioavailability. The simultaneous use of Tetracycline, Ritonavir, Rifampicin, Ampicillin, barbiturates, Primidone, Carbamazepine, Topiramate, Phenylbutazone, Phenytoin, Griseofulvin also leads to a decrease in the contraceptive effect of the drug , "Felbamata", "Oxcarbazepine".

That is why during the reception and for a week (with simultaneous use with "Rifampicin" - four weeks) after treatment with the listed drugs, the patient needs to use indirect barrier contraceptive methods.

It is undesirable to simultaneously prescribe drugs with St. John's wort, as the likelihood of breakthrough bleeding increases. Patients with a diagnosis such as diabetes mellitus may need to adjust the dosage of hypoglycemic drugs.

Recently, more and more women are choosing Lindinet 20 as an oral contraceptive. It is believed that this hormonal agent has a rather mild effect on the female body. According to statistics, the number of pregnant women while taking a contraceptive varies within 0.05%. Despite this, it should be taken seriously in its use. This will help the reviews of the women and specialists who received it.

Lindinet 20: features of the drug

Lindinet 20 is a coated tablet. They are sold in individual blisters and are designed for certain admission courses. Moreover, all tablets have the same doses of hormones.

The action of the drug is due to the presence of ethinylestradiol and gestodene in its composition. The first is a synthetic analogue of a hormone that has an effect on the menstrual cycle. How the drug works: its components affect ovulation. They also make the mucus in the cervix more viscous. Due to this, the spermatozoa cannot continue to move towards the egg.

The drug is interesting in that it can have a positive therapeutic effect on the female body. It manifests itself in the fact that menstruation becomes less painful. There is also a cycle going on. It is believed that Lindinet 20 has a preventive effect. In particular, it can prevent the occurrence of fibroids and ovarian cancer.

How to take Lindinet 20?

The main feature of the drug is in the method of application. The pills in the blaster are numbered. You need to drink them in this sequence, 1 pc per day. It is better to choose the same time. There is a nuance. It is believed that oral hormonal contraceptives increase appetite. Therefore, it is better to drink them in the evening, when you are less hungry. Some doctors believe that the optimal time is 9 hours, since at this time hormones begin to be better absorbed. Take the drug according to the following scheme:

• Begin to drink Lindinet 20 from the 1st to the 5th day of the menstrual cycle. In the first days of admission, menstruation may stop. Don't be scared. This is the reaction of the body.
• In the first 14 days of taking a contraceptive, non-hormonal methods of protection should be used. This is due to the fact that the contraceptive effect at this time may not occur. A similar reaction is associated with the absorption of hormones and their effect on the body.
• Then drink 1 tablet for 21 days. Then you need to take a 7-day break. During this period, you may begin menstruation. During this period of time, you can do without other methods of contraception if you continue the course.
• Resume drinking Lindinet strictly on the 8th day of the break. This is done even if your period has begun.
• The drug has a number of features. Often they are related to how to take Lindinet 20 after other contraceptives. Reception regimens depend on the course of previous drugs. If it contained 28 tablets, then Lindinet 20 is taken the next day. It happens that contraceptives are designed for 21 days. In this case, you can take Lindinet 20 immediately the next day after the last tablet. It is also allowed to take a 7-day break and drink it for 8 days.
• A separate scheme exists if you stick a hormonal contraceptive patch or put on a ring. Then you can start drinking Lindinet 20 after you have taken them off. Or they drink it on the day when they need to be replaced.
• The instructions for the drug also indicate how it should be drunk when “missing” tablets. If this happened in the period from 1 to 7 days, then the drug should be drunk as soon as possible. A double dose is allowed. By the way, it has the desired effect only for 12 hours. In the next week, you will have to use additional protection. In the period from 8 to 14 days they do the same. If there were no missed pills in the previous week, then you can not protect yourself in other ways. The same rule applies to a pass in the period of 15-21 days.

Lindinet 20 side effects

The side effects of Lindinet 20 may scare some women. The manufacturer claims that in some cases the drug can also lead to hearing loss! The main unpleasant symptoms from taking the drug include:

1. Deterioration of the condition - there is a headache up to migraines, nausea, weakness. A sharp change in mood is possible, and even the onset of depression.
2. Skin and hair problems - hair may begin to fall out. Eczema or rash occurs on the skin.
3. Changes are also possible in the reproductive system. Discharge or inflammation may begin. Sometimes women have a severe decrease in sexual activity.
4. The digestive system reacts with stomach pain and even ulcerative colitis!
5. Vision loss is also possible.
6. This drug should not be taken by diabetics, women with problems with blood clots, in the presence of liver tumors, jaundice, during pregnancy and lactation, and in a number of other cases.

Lindinet 20: reviews of doctors

Lindinet 20 is a special preparation. The instructions for it say that it can not be assigned independently. If you want to switch to this contraceptive, then first you need to contact a gynecologist. He will conduct a routine examination and prescribe the necessary tests. The drug is prescribed only on the basis of diagnosis!

Special attention should be paid to doctors' reviews about the action of Lindinet 20. There are opinions that the drug is "whimsical". This means that there are times when it is difficult for a woman's body to perceive it. This is manifested, among other things, in the manifestation of some side effects. The woman simply becomes ill. The condition worsens to the point that bright red discharge occurs, the temperature rises and severe weakness.

Equally important are the reviews on Lindinet by 20 women who take it. On the network, opinions about this drug differ. So you can find references to strong side effects. Some people have spotting discharge, there is pain in the lower abdomen, which radiates to the lower back. Those who are not suitable for Lindinet 20 may also suffer from nausea up to the rejection of food. It happens that because of the drug there are migraines.

Some women, on the contrary, have positive side effects due to taking Lindinet 20. So, the fair sex, in some cases, according to reviews, is pleased with the enlarged breasts. In some cases, it becomes 1-1.5 sizes larger! Also note the normalization of weight. One of the women in the reviews on Lindinet 20 wrote that she started taking it when her daughter was 6 months old. At that moment, with a height of 165 cm, she weighed 80 kg. As a result, in six months of taking her weight decreased to 68 kg!

Lindinet 20 can only be used after consulting a gynecologist. He is appointed according to the results of the examination and analysis. They drink a contraceptive from 1 to 5 days of the cycle for 21 days. Then they take a break for 7 days and resume taking it on the 8th day. In the first 14 days, you need to use additional contraceptives. Reviews for the drug are different. In some cases, the woman's body rejects it. This causes severe side effects.