Eskapel - a drug for the prevention of pregnancy emergency, which has an effect similar to the female sex hormone progesterone. He has a strong progestogen (progesterone-like) and anti-estrogen effects, thus preventing pregnancy.

The mechanism of action eskapel

Eskapel - a postcoital contraceptive oral. Active ingredient levonorgestrel eskapel is that different drug companies sold under the name mikrolyut, levonova, postinor Postinor - used very carefully!   and others. Eskapel available in tablets of 1, 5 mg pharmaceutical firm Gedeon Richter (Hungary).

Eskapel inhibits the action of the female sex hormones estrogen and progesterone enhances the action. As a result of inhibited ovulation (release of an egg from the ovary) in the conception and if sexual contact occurred shortly before ovulation Ovulation - How to determine as accurately as possible? When the probability of getting pregnant more real. Eskapel also suppresses the increase in the volume of the mucous membrane of the uterus (endometrium), which creates problems for the introduction of the endometrium of a fertilized egg.

If you observe the correct dosage and use of the drug, eskapel has no significant side effects.

If the introduction (implantation) egg in the endometrium has occurred eskapel becomes ineffective, so it is recommended to take as far as possible before, not later than three days after unprotected sex. Efficiency eskapel is directly dependent on the time elapsed after intercourse: it exceeds 90% if eskapel was adopted on the first day, 80% - in the second and equal to 60% - on the third.

Eskapel excreted from the body in feces and urine. In some diseases of digestive organs, which are accompanied by malabsorption (e.g. malabsorption) eskapel efficiency may be reduced.

Indications and contraindications

Eskapel take for emergency prevention of pregnancy after unprotected sex. Sometimes the drug is required to take, if any doubts about the unreliability of the method used to prevent pregnancy.

Contraindications eskapel are:

• severe liver disease with significant impairment of its functions;
• lack of the enzyme lactase, which breaks down milk sugar (lactose) intolerance to lactose malabsorption simple sugars glucose and galactose;
• age up to 16 years;
• Pregnancy and breast-feeding Breastfeeding - a personal choice   breast;
• individual intolerance of components.

Eskapel Precautions must be taken in all diseases of the liver and biliary tract, and ulcerative lesions of the colon. It should also be remembered that eskapel is the drug for emergency prevention of pregnancy and often can not be applied, it should not be used twice within one menstrual cycle.

Side effects

When receiving eskapel possible side effects of a general nature in the form of nausea, vomiting, diarrhea, weakness, headache, dizziness. Allergic reactions are also possible.

From the genitals often appear abdominal pain, intermenstrual bleeding and spotting, breast tenderness, delay of the next menstrual period (not more than a week, if more, we should exclude pregnancy). It may change the nature of menstruation: the bleeding may become more plentiful or, on the contrary, poor.

Data on the effect eskapel on ability to drive vehicles and management mechanisms manufacturers are not represented, but given that this drug may cause dizziness, it is best not to risk it.

An overdose of the drug is in the form of a strengthening of its side effects.

How to take

Eskapel can be taken any day of the menstrual cycle The days of the menstrual cycle: Four phases . Take it inside one tablet as soon as possible after unprotected sex. If within three hours after taking the first tablet eskapel vomiting occurred, the drug is taken repeatedly in the same dose.

After applying eskapel until the end of the menstrual cycle for the prevention of unwanted pregnancy it is recommended to use barrier methods (condoms and other). If eskapel used repeatedly during the same menstrual cycle, the occurrence of intermenstrual bleeding risk increases sharply.

Eskapel - a drug that causes the body to female hormonal punch, so use it often (especially during one menstrual cycle) is not recommended.

Galina Romanenko

Ekslyuton a contraceptive containing progestin only. The action, indications and contraindications for receiving Ekslyutona similar to other tablets minipill. As the contraceptive effect of the drug is superior to other means, which comprise a progestogen.

Structure and Composition

Ekslyuton manufactured by Organon (the Netherlands). In one blister is 28 tablets in a dose of 0, 5 mg each. The active substance - lynestrenol.

pharmachologic effect

Ekslyuton has a contraceptive effect. Is gestagen preparation, the viscosity increases and reduces the permeability of cervical mucus changes and secretory transformation of the endometrium, thus preventing implantation of the ovum. Around 70% of cases inhibits ovulation and disrupts the formation of the corpus luteum.

Indications Ekslyutona

The main indication for Ekslyutona is contraception. But it is possible reception and therapeutic purposes in the following cases:

• dysfunctional uterine bleeding;
• amenorrhea (primary and secondary);
• oligomenorrhea;
• endometriosis;
• endometrial carcinoma;
• breast;
• premenstrual syndrome;
• postponement of normal ovulation Ovulation - How to determine as accurately as possible? .

The dosage regimen of the drug

The first tablet should be taken from the pack on the first day of the menstrual cycle The days of the menstrual cycle: Four phases   (this also applies to cases of transition from one product to another). Within four weeks of daily take one pill without a break (after the package immediately start receiving the drug in the following). After birth Ekslyuton begin to take the first day of the first spontaneous menstruation. If necessary, the start of reception until postpartum onset of menstruation is necessary for two weeks to be protected by additional methods. After a medical abortion or miscarriage to start taking the drug immediately, additional contraceptive protection is needed. If the gap between the drunk tablets was more than 27 hours, the contraceptive effect Ekslyutona reduced.

Side effects Ekslyutona

While receiving the drug may cause the following side effects:

• intermenstrual spotting Spotting - it is important to rule out pathology ;
• vaginal candidiasis;
• bloating and breast tenderness;
• dyspeptic symptoms (nausea, vomiting);
• cholestatic jaundice, formation of gallstones;
• skin rash, chloasma;
• mood changes, headache, migraine, decreased libido;
• fluid retention, weight changes;
• reduced glucose tolerance;
• allergic reactions.

Cautions

The main condition for ensuring contraceptive action is the regular intake of medication. But in some cases, possibly weakening contraceptive effect: when skipping tablets, diarrhea or vomiting occurs (during the first four hours after ingestion of the tablet), coadministered with other drugs (barbiturates, rifampicin, activated carbon Activated carbon - old but indispensable , Laxatives, phenytoin). While taking minipill possible absence of menstrual bleeding. If the above events were necessary to stop taking Ekslyutona and exclude pregnancy. During long-term use of the drug must undergo regular medical examinations (tests for blood clotting, liver function tests).

Women who are predisposed to the appearance of age spots, while taking Ekslyutona should avoid exposure to the sun. The probability of occurrence chloasma higher in women who have had chloasma during pregnancy.

Contraindications to the appointment Ekslyutona

The drug should not be taken in cases of:

• Pregnancy or suspicion of it;
• uterine bleeding of unknown origin;
• steroids;
• herpes or severe itching during pregnancy;
• ectopic pregnancy in history;
• cholestatic jaundice or jaundice during pregnancy;
• severe liver disease, a history of or current;
• Rotor syndrome and Dubin-Johnson.

Anna Sozinova