Diane-35 - not only contraceptive

  Diana 35 - a combined hormonal drug, which is used to prevent unwanted pregnancies and the treatment of severe acne and hirsutism Hirsutism - when femininity leaves . Diane-35 is not only used as a contraceptive; This drug is prescribed for women with marked signs androgenization - the impact of male sex hormones - which include excessive activity of the sebaceous glands and hair growth on the body of the male type.

One pill Diane 35 contains 2 mg of cyproterone acetate, and 35 micrograms (mcg) of ethinyl estradiol. The preparation also included lactose monohydrate (31.115 mg per tablet) and sucrose (19.371 mg).

Mode of application

Diane 35 inhibits ovulation Ovulation - How to determine as accurately as possible?   and thereby prevents pregnancy. Therefore, patients taking Diane 35, do not need to take any additional means of contraception, as in this case, the body will do too much hormone, which is not only not required to prevent unwanted pregnancy, but also can be dangerous to health.

Home reception. The first pill Diane 35 should be taken on the first day of the menstrual cycle The days of the menstrual cycle: Four phases   (the day when menstruation begins). Continue to take one tablet daily for 21 days.

The next course of the drug necessary to begin seven days after the end of the previous. During these seven days should begin bleeding, similar to menstrual, but much less abundant - this is due to the fact that Diana 35 prevents ovulation.

If Diane 35 is not only used to treat acne and other disorders, but also for contraception is especially important to follow the instructions above. If the seven-day break, the bleeding does not start, you need to do a pregnancy test or consult your doctor. The probability of pregnancy must be excluded before you start taking the next pack of the drug.

Those who goes to Diana 35 after taking other hormonal contraceptives, it is necessary to follow these instructions:

When combined hormonal contraceptive, calculated for 21 days: the first pill Diane 35 to take on the next day after you have finished your course of treatment with another contraceptive. Additional contraception in the first days after the change of the drug is needed.

When combined hormonal contraceptive, calculated at 28 days: Diana 35 need to start taking the next day after taking the last active tablet from the package of contraceptives, calculated on a 28-day cycle of the reception. Use extra contraception is not required either.

When progestin-only contraceptives: the first pill Diane 35 to take the first day of menstruation, even if on this day you are taking progestin contraceptive. Additional contraception is needed.

Start receiving Diana 35 after childbirth and abortion

Start taking Diane 35 can be 21 days after vaginal delivery, provided that the patient feels good, and it does not have any post-natal complications. During the first seven days of taking the drug need to use additional contraception. This is due to the fact that the first menstruation after childbirth occurs only after the first ovulation, and the probability of pregnancy can not be excluded, even soon after birth.

Reception Diana 35 during breast-feeding is contraindicated.

After an abortion, made in the third trimester of pregnancy, start taking Diane 35 can be in the day of the operation. In this case, extra contraception is not required, since the time when a woman can without harm to health have sex, Diana 35 already effectively protect her from pregnancy.

In the case of Diana receiving 35 after cesarean section or an abortion, made after the twelfth week of pregnancy, the doctor gives you personalized recommendations, based on the characteristics of each case.

The duration of the

At the onset of acne complete remission is expected in the vast majority of patients receiving Diana 35. This often occurs within a few months, but in severe cases may require longer treatment before they become noticeable results. It is recommended to stop taking Diane 35 through three or four cycles after signs of acne or hirsutism completely disappeared. Take Diana 35 only to prevent pregnancy should not be. If necessary, the treatment can be repeated.

Circumstances in which required additional means of contraception

Wrong drug. If you forget to take a tablet, take it as soon as you remember. If you have time to do this within 12 hour after the normal time of reception, protection from pregnancy to continue. Otherwise, you must at the same time taking Diane 35 use additional means of contraception (better suited for this condom) for the next seven days. If you forget to take one of the last seven pills in the pack, start a new course of taking Diana 35 without making the usual seven-day break. In this case, menstruation will not, until you finish the next course of treatment. Perhaps smearing vaginal bleeding, but it usually stops very quickly.

Stomach upset. Vomiting and diarrhea can prevent complete absorption Diana 35 and thus reduce the effectiveness of the drug. In case of severe indigestion need to continue to take the pill, but for seven days after the symptoms disappear, you should use barrier contraception. If the seven days ending the regular course of the drug, start a new course without interruption. In this situation, menstruation also will not.

If a patient is suffering from indigestion, it may be necessary to use a permanent barrier or other non-hormonal contraception. Reception Diana 35 must continue, unless it is established that indigestion is caused by this drug.

Contraindications

Combined hormonal contraceptives, including, Diana 35, should not be taken for those who are following the violation. If one of them is diagnosed during the course of treatment, the patient should immediately stop taking Diane 35.

• Thromboembolism (such as deep vein thrombosis, pulmonary embolism);
• Cardiovascular diseases such as stroke (transient ischemic attack, ischemic stroke, hemorrhagic stroke), angina pectoris, myocardial infarction;
• Disorders that cause a predisposition to thromboembolism, for example, problems with blood clotting, valvular heart disease and atrial fibrillation;
• Have the patient several factors that increase the risk of venous and arterial thrombosis;
• Severe or uncontrolled hypertension;
• Migraine and the presence of focal neurological symptoms;
• Severe diabetes with vascular changes;
• Severe liver disease (active or transferred in the past), such as viral hepatitis Hepatitis - the scourge of our time   and cirrhosis. Take Diana 35 can not be as long as the liver function is not fully normalized;
• Liver tumors (benign or malignant);
• Breast Cancer - active or transferred before;
• Pregnancy;
• Breast-feeding;
• Hypersensitivity to the active substance or any other drug of its ingredients.

In addition, Diane 35 is not prescribed for the treatment of acne in men.