Novinet: instructions, application, reviews. Novinet: side effects and real prospects

Composition of the medicinal product Novinet

table p/captivity casing, No. 21 18.96 UAH.

table p/captivity casing, No. 63 51.24 UAH.

Ethinyl estradiol 0.02 mg

Desogestrel 0.15 mg

Other ingredients: quinoline yellow dye, magnesium stearate, alpha-tocopherol, colloidal silicon anhydrous, povidone, potato starch, lactose monohydrate, propylene glycol, macrogol 6000, hypromellose, stearic acid.

Dosage form

pills

Pharmacological properties

Novinet - combined hormonal contraceptive drug for systemic use, the effect of which is associated with inhibition of the effect of gonadotropins and inhibition of ovulation, as well as inhibition of sperm penetration through cervical mucus and implantation of a fertilized egg.

The effect of the drug is due to the properties of its components: synthetic estrogen - ethinyl estradiol and synthetic progestogen - desogestrel, which when oral administration have a pronounced inhibitory effect on ovulation.

Desogestrel is rapidly absorbed and almost completely metabolized to 3-keto-desogestrel, which is a biologically active metabolite of desogestrel. Average maximum concentration the drug in the blood serum (2 ng/ml) is achieved 1.5 hours after administration. Bioavailability - 62–81%. In the body, 3-keto-desogestrel binds to blood plasma proteins, mainly albumin and sex hormone binding globulin (SHBG). The volume of distribution is 1.5 l/kg.

In addition to 3-keto-desogestrel (which is formed in the liver and in the intestinal wall), there are other metabolites: 3α-OH-desogestrel, 3β-OH-desogestrel, 3α-OH-5α-H-desogestrel (first phase metabolites). These metabolites have no pharmacological activity; by conjugation they are partially converted (the second phase of metabolism) into polar metabolites, sulfates and glucuronates. Clearance from blood plasma is approximately 2 ml/min per 1 kg of body weight. The half-life of 3-keto-desogestrel is on average 30 hours. Metabolites are excreted in urine and feces in a ratio of 6:4. The equilibrium concentration is established in the second half of the cycle, at which time the level of keto-desogestrel increases 2-3 times.

Ethinyl estradiol is rapidly and completely absorbed. The average maximum serum concentration is 80 pg/ml and is achieved 1–2 hours after oral administration. Due to presystemic conjugation and the first-pass effect, bioavailability is approximately 60%. Ethinyl estradiol is completely bound to plasma proteins, mainly albumin. Causes an increase in sex hormone binding globulin (SHBG) levels. The volume of distribution is 5 l/kg. Presystemic conjugation of ethinyl estradiol is significant. Penetrating through the intestinal wall (first phase of metabolism), it undergoes conjugation in the liver (second phase of metabolism). Ethinyl estradiol and its conjugates (sulfates and glucuronides) are excreted in the bile and enter the enterohepatic circulation. Clearance from blood plasma is approximately 5 ml/min/kg body weight. The half-life of ethinyl estradiol is on average 24 hours. Approximately 40% is excreted in the urine and 60% in the feces. Steady-state concentrations are established on days 3–4, with serum ethinyl estradiol levels 30–40% higher than after a single dose.

Indications for use Novinet

contraception

Contraindications

absolute contraindications: pregnancy or suspicion of pregnancy, moderate or severe hypertension, lipid metabolism disorders, presence or history of arterial thromboembolic diseases (myocardial infarction, ischemic stroke), the risk of arterial or venous thromboembolism, the presence of venous thromboembolism in a personal or family history, diabetic angiopathy, the presence or indication in anamnesis of serious illnesses liver, cholestatic jaundice, hepatitis, jaundice during pregnancy, when using steroid drugs, with Dubin-Johnson syndrome or Rotor syndrome, with liver tumors, porphyria; hepatitis (within 3 months from the moment of normalization of laboratory parameters), cholelithiasis, presence of estrogen-dependent tumors or suspicion of them, endometrial hyperplasia, genital bleeding unknown etiology; presence or history of systemic lupus erythematosus, previously noted skin itching, genital herpes, otosclerosis or progression of otosclerosis during a previous pregnancy or steroid use; increased sensitivity to the components of the drug. Relative contraindications(if any of the following conditions are present, the benefits or possible negative effects of taking oral contraceptives are assessed individually): disorders of the blood coagulation system, all diseases in which there is a possibility of circulatory disorders: heart failure, renal failure, as well as a history of these diseases; epilepsy or a history of it; migraine or a history of it; history of cholelithiasis; risk of developing an estrogen-dependent tumor or estrogen-dependent gynecological diseases; diabetes; presence of severe depression, including a history of depression; sickle cell anemia.

Cautions for use

Before prescribing the drug, a detailed family and personal history should be collected, a general and gynecological examination(blood pressure measurement, laboratory tests, examination of the mammary glands and pelvic organs, cytological examination smears) to exclude diseases the risk of which increases with the use of oral contraceptives. Examinations must be repeated periodically. When deciding whether to prescribe oral contraceptives, you should evaluate the ratio potential risk and the benefits of their use, in particular oncoprotective properties against ovarian and endometrial cancer.

If there are changes in liver function tests, the drug should be discontinued.

If any of the above conditions occur or worsen while using the drug, you should stop taking it and switch to using a non-hormonal method of contraception.

Taking oral contraceptives may be accompanied by changes in certain indicators laboratory research(functional tests of the liver, kidneys, adrenal glands, thyroid gland, indicators of blood coagulation and fibrinolytic activity, levels of lipoproteins and transport proteins).

The risk of developing arterial or venous thromboembolic complications increases with age, smoking (a factor increased risk considered heavy smoking in women over 35 years of age), the presence of thromboembolic diseases in personal and family history (parents, brother or sister), obesity (body mass index above 30 kg/m2), dyslipoproteinemia, hypertension, heart valve diseases, atrial fibrillation, diabetes mellitus, prolonged immobilization, after extensive surgery, interventions on the lower extremities, severe injuries. It is recommended to stop taking the drug 4 weeks before surgery and resume 2 weeks after remobilization.

The risk of developing thromboembolic complications is increased in diabetes mellitus, systemic lupus erythematosus, hemolytic-uremic syndrome, Crohn's disease, nonspecific ulcerative colitis, sickle cell anemia.

If a dose is missed, but no more than 12 hours have passed since the missed dose, you should take the missed tablet and then continue taking the drug at the usual time. If more than 12 hours have passed since the missed period, the reliability of contraception in this cycle is not guaranteed, the use of additional methods of contraception is recommended. If a dose is missed in the 1st or 2nd week of the cycle, you must take 2 tablets the next day, and then continue taking the drug regularly using additional methods contraception until the end of the cycle. If a dose is missed in the 3rd week of the cycle, you should take the missed tablet and continue taking the drug regularly without a 7-day break. Due to the minimal dose of estrogen, the risk of ovulation and/or spotting if a dose is missed is increased, so the use of additional methods of contraception is recommended.

If vomiting or diarrhea was observed after taking the drug, absorption of its components may be incomplete. If these symptoms disappear within 12 hours, you must take one additional tablet. After this, taking the drug should continue as usual. If vomiting and diarrhea continue for more than 12 hours, additional methods of contraception must be used that day and for the next 7 days.

The appearance of irregular, spotting or breakthrough bleeding after several months of using the drug may indicate a decrease in its effectiveness. If menstrual-like bleeding does not begin at the end of the second cycle, taking the pills should be stopped and resumed only after possible pregnancy has been ruled out.

The drug did not have a teratogenic effect when taken accidentally at the beginning of pregnancy. The use of combined oral contraceptives during breastfeeding is not recommended as they may reduce secretion breast milk.

Interactions with drugs

cycle disruptions or decreased effectiveness are possible when combined with Novinet antispasmodics, barbiturates, antibiotics (tetracycline, ampicillin, rifampicin, griseofulvin), laxatives and some medicinal plants(for example St. John's wort). Oral contraceptives may reduce carbohydrate tolerance, which may require dose adjustments of insulin or oral antidiabetic agents.

Directions for use and dosage Novinet

Taking the drug begins on the 1st day of the menstrual cycle and takes 1 tablet per day for 21 days, if possible at the same time of day. After taking the last tablet, take a 7-day break, during which menstrual-like bleeding occurs as a result of drug withdrawal. The next day after a 7-day break (4 weeks after taking the first tablet, on the same day of the week), take it again from the next package, which contains 21 tablets, even if the bleeding has not stopped. Thus, the pills continue to be taken as long as there is a need for contraception. If you follow the rules of administration, the contraceptive effect of the drug remains during the 7-day break.

First dose of the drug

The first tablet should be taken on the 1st day of the menstrual cycle. In this case, additional methods of contraception are not needed.

You can start taking pills from the 2nd–5th day of menstruation, but in this case, in the first cycle, additional methods of contraception should be used in the first 7 days of taking the pills. If more than 5 days have passed since the start of menstruation, you should postpone the start of use until the next menstruation.

Taking the drug after childbirth

Women who are not breastfeeding should start taking the pill 21 days after giving birth. In this case, there is no need to use other methods of contraception.

If there has already been sexual intercourse after childbirth, taking the drug should be postponed until the next menstruation.

If a woman decides to take the drug later than 21 days after birth, then additional methods of contraception must be used in the first 7 days.

Taking the drug after an abortion

Taking the drug should begin on the 1st day after the abortion; in this case, there is no need to use additional methods of contraception.

Switching from taking another oral contraceptive

When transferring a woman to Novinet from another oral contraceptive (21, 22 or 28-day drug), it is recommended to take the first Novinet tablet the day after the end of the course of the previous drug. There is no need to take a break or wait for your period to start. There is no need to use additional methods of contraception.

When switching to Novinet from the so-called oral “mini-pill” drug containing only progestogen, the first Novinet tablet should be taken on the 1st day of the cycle. There is no need to use additional methods of contraception. If menstruation does not occur while taking the mini-pill, you can start taking Novinet on any day of the cycle, but be sure to use additional methods of contraception in the first 7 days.

As additional methods of contraception in these cases, it is recommended to use non-hormonal methods(cervical cap with spermicidal gel, condom). Calendar method in this case it is not recommended.

Delayed menstrual cycle

If there is a need to delay menstruation, you need to continue taking the tablets from the new package without a 7-day break according to the usual regimen. When menstruation is delayed, breakthrough and spotting bleeding may appear, which is not evidence of a decrease in contraceptive action drug. Regular use of Novinet can be resumed after the usual 7-day break.

Side effects

intermenstrual bleeding, amenorrhea after discontinuation of the drug, changes in vaginal mucus, growth of uterine fibroids, the occurrence of vaginal infections; feeling of tension, soreness and enlargement of the mammary glands, galactorrhea; nausea, vomiting, cholelithiasis, cholestatic jaundice; erythema nodosum, rash, chloasma; increased sensitivity of the cornea when using contact lenses; headache, migraine, mood changes, depression; fluid retention in the body, changes in body weight, decreased tolerance to carbohydrates. The drug should be stopped immediately if severe side effects such as thrombosis and thromboembolism occur (myocardial infarction, stroke, deep vein thrombosis lower limbs, thromboembolism of pulmonary, hepatic, mesenteric, renal arteries or retinal vessels), severe hypertension or medium degree severity, the occurrence of hormone-dependent tumors, breast cancer, reactive systemic lupus erythematosus, Sydenham chorea. Possible development of benign or malignant tumor liver in women who have been taking hormonal contraceptives for a long time.

Overdose

Possible severe headache, dyspepsia, convulsions calf muscles. There is no specific antidote, treatment is symptomatic.

Oral contraceptives have become increasingly popular among women over the past decade. Novinet is considered one of these drugs. Its popularity is due, first of all, to its high contraceptive effect with strict adherence to the dosage regimen, the influence of the drug on the regulatory mechanisms of the menstrual cycle, the small number of side effects and their rare occurrence, and the absence of any discomfort when taking them.

Novinet is a monophasic drug, that is, it implies the same dosage active substances during the entire course of admission. Novinet contains hormones - estrogen (ethinyl estradiol) and gestagen (desogestrel), the dosage of which is calculated in such a way that it is aimed, on the one hand, at suppressing ovulation, and on the other, at maintaining the balance of hormones.

Action of Novinet tablets.
Let me remind you that Novinet is an oral contraceptive (OC), containing synthetic analogues of the natural hormones gestagen and estrogen. The targeted action of the drug prevents the synthesis in female body hormones responsible for the onset of ovulation. Since the process of maturation of the egg is not observed, fertilization also cannot be possible. The contraceptive effect is also enhanced by the fact that Novinet helps thicken the cervical mucus, which, in turn, makes it difficult for sperm to penetrate the cervix.

In addition, Novinet, like many analogue drugs hormonal contraception, has a beneficial effect on the mechanisms of regulation of the menstrual cycle, eliminating existing disorders ( irregular cycle, heavy menstrual bleeding, pain during menstruation). This drug is also prescribed for the treatment of premenstrual syndrome (PMS), dysmenorrhea, acne.

The Novinet contraceptive, among other new generation oral contraceptive pills, is one of the safest. The drug contains minimal doses of estrogen, which reduces the risk of side effects, in particular weight gain, about which the entire fair half of humanity is worried.

Side effects from Novinet tablets.
Of course, upon admission this drug may develop side effects, but the risk of this is minimal. Among them are vomiting, headaches, diarrhea, increased blood pressure, rash, jaundice, nausea, bleeding, dizziness, mood swings, breast engorgement, decreased sexual desire, some weight gain or loss. In rare cases, the following side effects may develop:

amenorrhea;
erythema nodosum;
hair loss;
dark spots;
arterial hypertension;
candidiasis;
fast fatiguability;
vaginal mycosis;
thrombosis and thromboembolism;
changes in vaginal mucus;

Usually, all of the above manifestations go away on their own within several months of taking Novinet.

How to take Novinet tablets.
The drug is available in convenient packaging with the days of administration indicated. It helps to keep track of which day and which pill you take.

The first tablet should be taken on the first day of your period. Subsequent tablets must be taken at the same time (to within an hour) that the first one was taken. That is why it is important to think carefully about when and at what time of day it will be most convenient for you to take the drug. It is important to consider here own image life and habits. The contraceptive course is twenty-one days, after which a week-long break is taken, which is reserved for the next menstruation. After seven days, that is, on the eighth, you need to start new packaging(twenty-one tablets), even if your period has not ended.

It is not recommended to start taking Novinet if more than a week has passed since the start of menstruation, in in this case should wait until the next cycle. You should also not use these birth control pills for more than two years. In this case, it is recommended to take a break for six to eight months. This is necessary to restore ovarian function. If you suspect pregnancy while taking the drug, you should stop taking it immediately and go to see a gynecologist. The same applies to a week-long break while taking the drug. If you haven't had your period, you should see a doctor. I note that the manufacturers of Novinet indicate that there are no significant anomalies or defects in the development of children whose mothers took birth control pills Novinet was not detected in the first days of pregnancy.

Taking Novinet after pregnancy.
After delivery, you can start taking Novinet tablets after twenty-one days, but provided that the mother does not intend to breastfeed in the future or cannot for some reason. After all, breastfeeding and taking these oral contraceptives are incompatible; the drug contributes to the extinction of lactation and worsens the quality of milk.

After an artificial termination of pregnancy, the first course of Novinet should be started immediately on the day of the abortion (after it), or the next day.

If, while taking Novinet birth control pills, sharp headaches appear, blood pressure increases, generalized itching, hepatitis appear, or vision deteriorates, then you should stop taking the drug. Also if you are planning surgery, then taking the drug should be stopped one and a half months before it.

What to do if you miss taking a Novinet tablet?
It should be noted that this rarely happens. But if suddenly, for some reason, you still missed the time of taking the pill, you need to know what to do in this case. If you forgot to take a pill at hour X and remembered it some time later (less than thirty-six hours), it should be taken as soon as you remembered it. Then take the drug according to the established schedule, but on this day it is better to use additional funds contraception (condom).

If more than thirty-six hours have passed since taking the last pill, you must take the missed dose and continue to follow your usual dosage regimen, but you will have to use additional contraception before starting the next pack.

If a pill was missed in the first or second week of the cycle, then the next day you should take two pills at once, and then stick to the schedule.

If a missed dose occurred in the first two weeks of the cycle, and two doses at once, then for the next two days you should take two tablets at once.

If you missed a pill in the third week of your cycle, then in addition to what has already been said above, you will have to take the drug during a seven-day break.

It should be noted that minor bleeding or spotting may occur when missing a pill.

What should you know when taking Novinet?
In case of vomiting contraceptive effect tablets may decrease. You should additionally use barrier means contraception. If you have planned a pregnancy, you must stop taking the drug three cycles before the planned conception.

Smoking significantly increases the risk of developing thrombosis of various locations.

Contraindications for taking Novinet

migraine with focal neurological symptoms;
liver diseases;
systemic lupus erythematosus;
neoplasms in the genital area or mammary gland of a malignant nature;
cholecystitis;
period of pregnancy and lactation;
colitis in chronic form;
severe diabetes mellitus;
cholelithiasis;
chronic hemolytic anemia;
angina pectoris;
hyperlipoproteinemia;
severe hypertension;
otosclerosis;
arterial or venous thromboembolism;
bleeding from the vagina of unknown etiology;
genital herpes;
individual intolerance to the components contained in the drug;
sickle cell anemia;

It is also worth noting that simultaneous administration Novinet and some medications and herbs can significantly reduce the effectiveness of the drug, so you should consult your doctor before each course.

And most importantly, you must remember that Novinet, like any other hormonal contraceptive, should be taken only as prescribed by a doctor and only after a gynecological and general medical examination. By the way, after thirty-five such examinations must be carried out every six months.

According to statistics, women with a regular sexual partner to protect themselves from unwanted pregnancy prefer oral contraceptives. Today, the pharmacological industry offers a wide selection of drugs in this group. It is quite difficult to understand this diversity.

The answer is actually very simple - assign oral contraceptives should be the leading gynecologist, only in this case can you protect yourself from unwanted side effects of the hormonal drug.

Birth control pills Novinet - monophasic, microdosed, hormonal contraceptive. Novinet contains 2 synthetic hormones - progestogen and estrogen. The contraceptive effect is achieved by suppressing ovulation and changing the endometrium. Cervical mucus becomes more viscous, which leaves virtually no chance for sperm to penetrate the egg. This method of contraception underlies most drugs of the same group.

Novinet: instructions for use

Instructions for use recommend starting taking Novinet on the first day of menstrual bleeding. You must continue taking it for 21 days, 1 tablet at the same time. For convenience, the blister of tablets has marks in the form of numbers.

After the package is finished, that is, all the pills have been taken, the woman should take a week break. For example, taking the drug ended on Wednesday, therefore, a week later, on Wednesday, you begin taking pills from the next package. During this break, the woman begins menstrual bleeding, usually on the 2nd day after completion of treatment. Start new monthly course necessary regardless of whether menstruation has ended or not.

If you missed taking a pill on the 1st day of menstruation, you can start taking the pill on the 2nd or 5th day. But then you need to use barrier methods contraception for 14 days, as the contraceptive effect may decrease.

Novinet is also prescribed after abortion. In this case, the drug should be taken on the day after the operation. And take it at the same time for the period recommended by the doctor.

Like any drug, Novinet has its own indications and contraindications. The list of the latter is quite wide. The drug should not be taken if there is an increased concentration of cholesterol in the blood or thromboembolism, even if such a pathology was observed in relatives. The list of contraindications includes jaundice, endometrial hyperplasia, cholelithiasis, vaginal bleeding of unknown etiology, the presence of hormone-dependent tumors and individual hypersensitivity to the components of the drug.

It is also not recommended to take the drug while breastfeeding a child, as it can reduce the production of human milk. Novinet is prescribed with great caution to women with heart defects, epilepsy, diabetes and varicose veins.

Novinet: reviews from doctors

In most cases, doctors speak positively about this drug, and this is due to microdosing. Novinet, along with other low-dose drugs, is widely used in gynecology. In addition to the contraceptive effect, there is also therapeutic effect. Regulates the reception of Novinet menstrual cycle, reduces blood loss during menstruation, also has an effect on inflammatory processes female genital area. Moreover, taking the drug reduces the likelihood of ectopic pregnancy, appearance tumor processes in the breast, ovaries and endometrium.

Novinet: side effects

According to reviews from women, Novinet can cause depression and migraines. Also from the outside nervous system Changes in mood, moodiness and tearfulness may occur. Sometimes, Novinet causes nausea and even vomiting, which indicates individual intolerance to the drug. Sometimes it can provoke an exacerbation cholelithiasis.

While taking the drug, spotting and even bloody issues from the vagina.

Some women indicate water retention in the body, which provokes weight gain. Also noted allergic reactions and erythema - the occurrence of such symptoms requires stopping the drug - this is one of the options for individual intolerance.

From the outside of cardio-vascular system complications such as hypertension may develop; extremely rarely, the drug is able to create all the conditions for the formation of a heart attack.

Only a leading gynecologist who has been observing you for at least a couple of years should prescribe oral contraceptives. It is difficult to do without appropriate tests. A correctly selected drug can not only protect against unwanted pregnancy, but also have a positive effect on health - the number of days of menstruation, which ceases to be painful, decreases, breast enlargement, etc.

There are more and more birth control pills, and making a choice from such a variety is becoming increasingly difficult. Every woman should understand that self-prescribing hormonal contraceptives is dangerous, as is being treated with unknown pills.

The best solution would be to contact a gynecologist who can select the appropriate remedy. It could be Novinet.

How does this work? medicinal product? What contraindications does it have? Are there many side reactions? - Let's find out in this article.

pharmachologic effect

Novinet contraceptive pills have a contraceptive effect by suppressing the secretion of luteotropin and follitropin by the pituitary gland.

The mucous secretion of the vagina becomes more viscous, making it difficult for sperm to overcome it.

The advantage of the drug Novinet is that it contains a minimum of ethinyl estradiol.

This allows you to avoid the development of many adverse reactions in the form of:

Pain in the mammary glands;
Weight gain, etc.

Photos of adverse reactions:

Weight gain

Desogestrel reduces the amount bleeding, has a beneficial effect on the condition of the skin layer, normalizes the menstrual cycle.

It also prevents genital diseases and oncology.

Desogestrel is excreted in the urine, and ethinyl estradiol is excreted in urine and feces.

Composition and release form

The drug Novinet is produced in tablets with a concentration of ethinyl estradiol 20 mcg and desogestrel - 150 mcg.

One package contains 21 tablets

Used as auxiliary components:

A-tocopherol;
Magnesium stearate;
Povidone;
Colloidal silicon dioxide;
Potato starch;
Stearic acid;
Lactose monohydrate;
Hypromellose;
Macrogol-6000;
Propylene glycol.

Indications for use

The drug Novinet is intended to protect against unwanted pregnancy.

Birth control pills are also used for endometriosis of the uterus.

They are effective for uterine fibroids if they are small in size. Otherwise, the use of hormones is prohibited.

For ovarian cysts, the drug Novinet is also used.

Photo gallery of testimony:

Ovarian cyst Pregnancy

Contraindications

The drug Novinet has some contraindications for use:

Intolerance to the components of the drug;
Venous/arterial thrombosis;
Venous/arterial thromboembolism;
Focal migraine;
Diabetes mellitus with vascular complications;
Pancreatitis;
Severe liver diseases;
Liver oncology;
Tumors of different locations, depending on hormones;
Vaginal bleeding of unknown origin;
Otosclerosis;
Smoking;
Women over 35 years of age;
Carrying a child;
Lactation period.

Side effects

The active ingredient in Novinet birth control pills can cause adverse reactions as:

Bloody discharge between periods;
Amenorrhea after finishing treatment;
Thrush;
Changes in vaginal secretion;
Inflammation of the inner vaginal wall;
Discomfortable sensations in the mammary glands;
Nausea/vomiting;
Cholestatic jaundice;
Itching;
Erythema nodosum/exudative form;
Chloasma;
Skin rashes;
Headaches;
Mood variability;
Migraine;
Depressive state;
Edema;
Increased sensitivity to carbohydrates;
Weight gain;
Hypertension;
Porphyria.

Drug interactions

It is not advisable to simultaneously take Novinet birth control pills with medications that are liver enzyme inducers. They reduce the effectiveness of the contraceptive.

Simultaneous use of the drug Novinet with antibiotics requires the use of barrier contraception

There is poor compatibility between Novinet birth control pills and:

Tricyclic antidepressants;
Anticoagulants;
Beta blockers;
Bromocriptine;
Hepatoxic agents.

Alcohol compatibility

It is not advisable to combine Novinet birth control pills with alcohol, as this reduces contraceptive effectiveness.

Video on the topic:

Dosage and overdose

If you do not use the drug Novinet correctly, overdose symptoms may develop in the form of nausea, vomiting and bleeding.

Instructions for use

The method of using Novinet is no different from other oral contraceptive pills.

No.	Category	How to take the medicine?
1	General	The tablets are taken orally. Every day one piece at the same hours. It is advisable to start the course on the first day of your period. After 21 tablets, a break of 7 days is taken, and from 8 a new package is started.
2	Abortion/miscarriage	Should be taken immediately.
3	Switching from another contraceptive	Start on the day you intend to take or use a contraceptive.
4	To delay menstruation	Drink two packs without interruption.
5	If you missed a pill	Consume within 12 hours.
6	Is it possible during menopause?	If menopause has already occurred, there is no point in this. But, when menopause is just approaching, birth control pills will help relieve symptoms, although the dose of estrogen is minimal. High concentrations of estrogen increase the risk of uterine cancer.

Shelf life and storage of the drug

It must be stored in the temperature conditions of a living room. The period of use cannot exceed 3 years.

special instructions

For what age is the drug suitable? Basically, this is a period from 20 to 35 years, but it is possible to take it even older, in this matter it all depends on the individual characteristics of the body.

Therefore, when choosing contraceptive consultation with a gynecologist is necessary. But it is also important to note that the drug Novinet can be used by both women who have given birth and those who have not yet given birth.

If a woman is breastfeeding, birth control pills can only be taken 6 months after giving birth

If vomiting or diarrhea occurs after taking a contraceptive or a pill is missed, you need to resort to barrier contraceptives or other non-hormonal means of protection.

The description states that the drug Novinet does not protect against sexually transmitted infections.

Price

In pharmacies, Novinet birth control pills cost about 360 rubles for 21 pieces.

Conditions for dispensing from pharmacies

The drug Novinet from the manufacturer Gedeon Richter is sold on a prescription basis.

Useful video:

Analogues substitutes

Birth control pills Novinet have enough analogues.

The drug "Novinet" is a hormonal medication for systemic use with contraceptive action. When taking the drug, ovulation is suppressed, and it also prevents penetration through cervical canal sperm and prevents egg implantation. The drug "Novinet" is prescribed to prevent unwanted pregnancy.

Product "Novinet": instructions for use, reviews

the drug is used orally. Taking the medication begins on the 1st day of menstruation. Drink 1 tablet for 21 days a day, if possible at the same time. After taking the last tablet from the package, take a week-long break, during which time bleeding occurs due to discontinuation of the medication.

After a week-long break, immediately on the next day (this is 4 weeks after taking the 1st tablet), they begin to use the next package of the drug again, which also contains 21 tablets, even if the bleeding has not stopped. This regimen of taking the drug is followed until there is no longer a need for its use. If you strictly follow the rules for taking pills, the contraceptive effect lasts even during a week-long break.

Now many people are interested in the drug “Novinet”, instructions, price, reviews of the tablets, since this drug is in demand due to its effectiveness. Most of Doctors' reviews of the drug are positive. The hormonal medication copes with its main task. In reviews of the drug they often write that after long-term use This remedy shows an improvement in the skin condition, especially in the presence of acne. Also, judging by the reviews of the drug "Novinet" (the instructions for use, by the way, also indicate this), the drug reduces the risk of tumors in the breast, tumors in the ovaries, and the endometrium. In addition, the availability of Novinet tablets is pleasing: cost medicine varies around 180 rubles.

First dose of Novinet

You should start taking the first Novinet tablet on the 1st day of menstruation. In this case, there is no need to additionally use other methods of contraception. You can start taking the medication from the second to fifth day of the cycle, but in this case, in the 1st period of using the tablets, you must use additional ways contraception. If more than five days have passed since the start of menstruation, you should wait until the next menstruation to start taking the drug.

Taking pills after childbirth

How to take Novinet tablets after childbirth? Instructions for use indicate that women who are not breastfeeding can start taking the drug no earlier than 3 weeks after childbirth, first consulting a doctor. In this case, there is no need to use other methods of contraception. If there has already been sexual intercourse after childbirth, then taking the drug should be postponed until the 1st menstrual cycle.

If the decision to take medication is made later than 3 weeks after birth, then additional methods of contraception must be used in the first week.

Taking pills after an abortion

How to take the drug "Novinet" after an abortion? The instructions for use stipulate that if there are no contraindications, you should start taking the drug from the 1st day after the operation, and in this case there is no need to use additional methods of contraception.

Switching from another contraceptive

After using another oral hormonal contraceptive that contains 30 mcg of ethinyl estradiol, according to a 3-week regimen, the 1st Novinet tablet should be taken the next day after completing the course of the previous medication. There is no need to take a week's break or wait for menstruation to start. There is no need to use additional methods of contraception.

When switching from a medication containing 26 tablets per package, you should start taking Novinet tablets the next day after they run out.

Missed pills

If a woman does not take Novinet tablets in a timely manner, and less than twelve hours have passed since the omission, she needs to take this forgotten tablet. Then continue taking it at the usual time. If more than twelve hours have passed between taking the drug, this is already counted as missing a pill; in this cycle of contraception there is no longer a guarantee of reliability, therefore it is recommended to use additional contraceptive methods in addition to taking Novinet. Instructions for use suggest taking pills at a certain time, therefore, if you miss 1 pill in the first or second week of the cycle, you must take two the next day, and then continue taking it continuously, using additional methods of contraception until the end of the cycle. If you miss a pill during the third week of the cycle, you need to take the missed pill, and then continue taking it regularly without taking a week's break.

"Novinet" - effective drug, but it is important to remember that, due to the small dose of estrogen, if you skip a medication, the possibility of unwanted pregnancy increases, so the use of additional methods is recommended.

Drug interactions

Medicines such as Hydantoin, Primidon, Rifampicin, Carbamazepine, Oxcarbazepine, Topiramate, Griseofulvin, Felbamate, reduce the effect of oral contraceptives and increase the risk of breakthrough bleeding.

Tetracycline and Ampicillin reduce the effectiveness of Novinet tablets. If combined use is necessary, it is recommended to use additionally barrier method contraception during the entire course of treatment and for a week after discontinuation of the medication.

Analogues of the drug "Novinet"

Structural analogues according to active ingredients: drugs "Mersilon", "Marvelon", "Regulon", "Tri-Mercy".

Contraindications to the use of the drug

Despite the fact that Novinet birth control pills are considered an effective contraceptive medication, they cannot be used by all women. For example, if a woman has arterial or venous thrombosis, then the drug "Novinet" is strictly contraindicated for her. The same rule should be followed by those females who have an ischemic attack or angina pectoris. Migraine with neurological focal symptoms is also a contraindication to the use of this medication. If there has been an embolism of the pulmonary vascular artery, a heart attack, thrombosis of the veins of the leg, or a stroke, then Novinet should also not be used. In the presence of diabetes mellitus The use of this contraceptive is also unacceptable, as it may lead to undesirable consequences. This medication should not be used for dyslipidemia, pancreatitis, serious illnesses liver.

The medication is strictly prohibited for jaundice, Dubin-Johnson syndrome, Gilbert syndrome, and cholelithiasis. If a woman suspects pregnancy, then it is best to refrain from using the drug. Under no circumstances should you take pills in the area of the mammary glands or genitals. tumor formations. During lactation this medication is also prohibited. If, as a result of the examination, female representatives were found to be highly sensitive to any component of the drug, then this medication should be replaced with some other one.

Using this medicine may cause many side effects. To minimize the risk of their development, you can use special dietary supplements (biologically active additives), approved for use in parallel with this drug.

Novinet tablets: side effects

When using the drug, side effects are rare, and, as a rule, they mostly disappear during further use of the medication. Adverse vascular reactions (phlebitis, pressure changes, redness and hot flashes), the risk of heart attack, thrombosis, myocardial and pulmonary artery thromboembolism, and increased blood pressure are still present. If symptoms of such complications occur, use of Novinet should be stopped immediately.

Side effects in rare cases include vomiting, nausea, dry mouth and heartburn. It is possible that the appearance tumor diseases malignant or benign origin with long-term use of the medication. The development of breast cancer and hormone-dependent tumors has sometimes occurred when taking the drug Novinet.

Side effects from using the drug, as a rule, quickly disappear after stopping taking the tablets. Often women are concerned about amenorrhea or bleeding after discontinuing Novinet itself. Discharge may also be a consequence of taking the drug; in addition, the composition and nature of vaginal mucus may change, and candidiasis may form. genitourinary organs. If the history is burdened with fibroids and endometriosis of the uterus, they can also recur and increase in size. On the part of the mammary glands, there is tension, soreness, and an increase in size. Allergic skin reactions such as erythema nodosum, chloasma or generalized itching may also occur. All this manifests itself with prolonged use of Novinet tablets.

Side effects when taking the drug also occur, such as insomnia, drowsiness, headache, dizziness, weakness and sweating, migraine, depression, mood lability, hearing loss, and vision loss. So, on the part of the organs of vision, there may be swelling of the eyelids, flickering of ripples before the eyes, conjunctivitis, changes in the sensitivity of the eye cornea (especially when using contact lenses).

Changes in metabolism occur, characterized by an increase in body weight due to a decrease in tolerance to carbohydrates and fluid retention in the body. Due to the estrogen component contained in the tablets, laboratory blood parameters may change. May also change biochemical parameters kidney, liver, thyroid, fibrinolysis and blood clotting indicators. Available data that the frequency, type and severity of side effects are not related to the total dose, daily dose values and duration of use are erroneous.

conclusions

Summarizing the results of long-term clinical and laboratory studies, we can conclude that the drug "Novinet" is an acceptable and applicable means of contraception, not only due to its high therapeutic activity, but also excellent tolerability by patients.