- Diane-35 - not only contraceptive
- Drug Interactions
Warnings and Precautions
Before you start taking hormonal contraceptives, women have to undergo a medical examination. The doctor, among other things, has to learn her personal and family history. During the course of treatment of women should also be screened regularly, so the doctor can assess how successfully being treated, as well as to track the emergence of possible side effects. The surveys must be conducted gynecological examination
Gynecological examination: an important component of women's health
And the measured blood pressure. If before you start taking Diane 35 you have unusual vaginal bleeding, be sure to tell your doctor - this symptom is an occasion to conduct a more thorough medical examination.
Women who appointed Diana 35, should be informed that this drug protects only against pregnancy but not against HIV and other sexually transmitted diseases by.
In the following cases, the reception Diane 35 should stop and consult a doctor:
- The emergence of migraine or unusually frequent and severe headaches.
- Sudden blurred vision or hearing or other perceptual disorders.
- The first signs of thrombosis (eg, unusual pain or swelling in the legs, sharp pain when breathing or coughing for no apparent reason, pain and a feeling of pressure in the chest).
- Receiving Diane 35 should be discontinued six weeks before extensive surgery (eg, abdominal and orthopedic surgery). The same must be done before any operation on the legs, varicose veins before treatment and prolonged immobilization, as well as after injuries and operations that entail a prolonged restriction of mobility. Resume welcome Diana 35, you can usually two weeks after discharge from the hospital. In the case of emergency surgery, patients taking Diane 35, special measures for the prevention of blood clots, such as injections of heparin.
- Symptoms of jaundice, hepatitis, itching all over the body.
- Significant increase in blood pressure.
- Clinical depression
Depression - a little more than a bad mood
- Severe pain in the upper abdomen or liver enlargement.
Violations, the development of which may be related to Diana 35
Women taking Diane 35 (as well as other combined contraceptives) risk of venous thromboembolism, including - deep vein thrombosis and pulmonary embolism
Pulmonary embolism - a dangerous violation
- Significantly higher than in those who did not take such drugs. The likelihood of developing these disorders is particularly high in the first year of receiving Diana 35. However, this risk is still lower than during pregnancy - venous thromboembolism occurs in approximately 60 out of 100,000 pregnant women.
Completely cure violations of this type is not always possible; in 1-2% of cases, they lead to the death of the patient.
The risk of venous thromboembolism increases with age, as well as those who suffer from obesity and in whose family history has a venous or arterial thromboembolism. If it is assumed that a woman has a predisposition to develop such disorders, it should be sent for further examination before it will be an appointment Diane 35. Prolonged immobilization in combination with taking Diane 35 is also substantially increases the risk of venous thromboembolism. It is not entirely clear, as varicose veins and superficial thrombophlebitis affect the likelihood of venous thromboembolism, but doctors take into account the presence of these disorders in patients taking a decision on whether or not to appoint her to Diana 35.
- Arterial thrombosis and related disorders
Receiving Diane 35 may increase the likelihood of developing this type of violations, among them - stroke and myocardial infarction. The risk is especially great if a woman taking Diane 35, smokes, it is over 35 years old, suffering from obesity, dislipoproteinemia, hypertension, valvular heart disease, atrial fibrillation and migraines (for this reason, the drug should be discontinued if symptoms of migraine).
Several studies suggest that women who take Diane 35 and other combined hormonal drugs, are at increased risk of developing breast cancer. However, it is unclear whether this is due to the fact that these women have breast cancer
Breast cancer: what every woman needs to know
most often used to diagnose and (as they undergo regular check-up), or biological properties of the drug.
In women under 40 years of breast cancer is rare, whether they take the combined hormonal drugs, or not. However, after 40 years the risk of cancer is higher in those taking Diane 35. The most significant risk factor for the development of breast cancer is to stop receiving Diana 35 older women. The older woman was when she stopped taking the drug, the greater the risk of breast cancer.
The duration of treatment is less important. In addition, the risk of cancer decreases gradually after a woman stops taking Diane 35, and 10 years after the end of treatment it is not higher than normal.
The physician should discuss with the patient to increase the probability of breast cancer before it starts to take Diana 35. It is necessary to take into account the fact that taking the drug significantly reduces the risk of some other cancers (such as ovarian cancer and endometrial cancer) .
Some studies have shown that prolonged use of Diane 35 may enhance the probability of cervical cancer.
Liver cancer. In rare cases, after application of Diane 35 and other drugs containing similar ingredients identified benign and malignant tumors of the liver. For some patients, this led to life-threatening internal bleeding. For this reason, complaints of pain in the upper abdomen and signs of increased liver should immediately conduct a thorough medical examination.
The women, whose personal or family history of hyperlipidemia there, while taking Diane 35 increases the risk of pancreatitis.
Although many women who take Diane 35, slightly increased blood pressure, it is clinically significant increase it is a fairly rare occurrence. However, if during the course of treatment there is a significant and sustained increase in blood pressure, your doctor may prescribe a different hormonal drug to the patient. If the pressure reaches 160/110 mm / Hg., As a rule, appointed by the administration of drugs to treat hypertension.
For women with diabetes who have no disease caused by vascular changes, reception of Diana 35 is considered safe. However, we must remember that all diabetics are at increased risk of various diseases of blood vessels, so during the course of treatment the patient should always be seen by a doctor.
During the reception, Diana 35 there is an increased chance of developing chloasma - especially in women who have previously suffered from this disorder. Women who have a tendency to chloasma, during the course of treatment should be to limit the effects of sunlight on the skin, and give up the sunbeds.
Menstruation while taking Diane 35
Women taking Diane 35, menstrual bleeding are much less abundant and long. This is perfectly normal and even desirable for patients who had previously been heavy bleeding during menstruation. Sometimes bleeding may be absent for several menstrual cycles. If the patient correctly took Diana 35, pregnancy is unlikely, but still before the new rate of the drug is necessary to do a pregnancy test.
In the first months of receiving Diana 35 women from time to time to start bleeding between periods. As a rule, they do not cause significant discomfort and are not signs of serious problems in the body. If such bleeding begins three or more cycles later after the patient began to take Diane 35, you need to see a doctor.