Features of taking a contraceptive drug
Considering the principle of influence of lidinet 20, it is worth highlighting the main directions:
- obstruction of egg maturation and impossibility of ovulation;
- increased viscosity of cervical mucus, which prevents sperm from reaching the fallopian tube;
- a change in the endometrium that prevents the fertilized egg from attaching to the uterus.
You can get pregnant after Lindinet 20
However, it is possible to get pregnant after Lindinent 20. To prevent this from happening, the girl must strictly adhere to the rules of the instructions:
- do not miss the appointment date;
- try to observe the frequency of intake;
- the first tablet from days 1 to 5 of the cycle;
- total time: strictly 21 days;
- break of 7 days;
- reception according to a similar scheme for the next package.
If you miss a dose, if more than 12 hours pass, you can get pregnant after Lindinent 20.
In such a situation, it is worth protecting yourself with additional protection, since the effect of the drug is noticeably reduced. The same fate awaits if vomiting or diarrhea occurs if 3-4 hours have not passed after taking the pill. The question of how taking the drug will affect the health of the unborn child, if conception does occur, worries many representatives of the fair sex. Experts agree that all oral contraceptives do not have a negative effect on the fetus and its development. But taking the drug must be stopped as soon as the “interesting situation” is confirmed.
If a woman decides that the time has come to become a mother, the problem becomes how long it should take after taking Lindinent 20, when can you get pregnant, and how long does it take for normal ovarian function to be restored. She should remember not to stop taking the pills at any time. Before canceling, you must finish all the pills of the course, otherwise the hormonal balance will be disrupted.
When using contraceptives for up to 6 months, conception is possible immediately after stopping the drug, although the ovulation process is normally able to recover after three cycles.
If you use this remedy for a long time, for many years, you will be able to get pregnant after stopping Lindinent 20 no sooner than a year later, since in this case there was a long-term suppression of sexual function and, according to doctors, it takes about 12 months to restore it.
- finish all the tablets from the package;
- start taking folic acid;
- after 3 months, begin performing acts on the calculated day of ovulation and the day before.
In the question of multiple pregnancy, is it possible to get pregnant after Lindinent 20 twins, the answer is yes. This happens because the ovary, which has finally “broken free,” begins to work with redoubled force and can release several mature eggs per cycle.
Just as taking oral contraceptives does not provide a complete guarantee of protection from fertilization, how long it will take to get pregnant after Lindinent 20 can only be said tentatively. Recovery of the body occurs on an individual basis and directly depends on the duration of taking the drug, the woman’s health, her lifestyle and many other factors affecting the renewal of ovarian function.
An unplanned pregnancy can be a serious problem for every woman. The need to interrupt it causes serious harm to the body and can pose a threat to subsequent childbearing. Modern medicine offers many ways to prevent pregnancy. However, in the future, the desire to have a child raises many questions about how to quickly prepare the body for the fetus after taking contraceptives.
Pregnancy can be prevented in many ways, each with varying degrees of reliability. Here are some of them:
Methods of preventing pregnancy.
Pregnancy can be prevented in many ways, each with varying degrees of reliability. Here are some of them:
- Coitus interruptus method.
- The calendar method is based on calculating the most dangerous period for conception and excluding sexual contact during this period.
- Methods using additional means include barrier methods: condoms (male and female), vaginal caps.
- Oral contraceptives, that is, tablets with a certain content of hormonal substances.
- The use of spermicidal lubricants that contain substances that destroy sperm. These products are applied before sexual intercourse.
- Douching with an acidic solution after sexual intercourse.
- Emergency means of preventing pregnancy, containing a loading dose of hormonal agents. They are used after sexual intercourse; when taken, they cause severe hormonal disruption in the body.
Classification of oral contraceptives.
Contraceptive pills may contain one or more types of hormones. To prescribe the right type of remedy, you need to know whether the woman has given birth or not, and whether there are problems with the menstrual cycle. All such remedies, to one degree or another, help improve the body’s hormonal levels.
Combined hormonal contraceptives are divided into mono-, bi- and triphasic.
- Monophasic drugs, regardless of the phase of the cycle, have the same concentration of hormones in their composition.
- Biphasic ones must be taken in the second half of the cycle, since they contain a higher content of hormonal substances.
- Three-phase contraceptives have different levels of hormones, increasing and decreasing as they are needed in the body.
Compound
Composition of Lindinet 20 (1 tablet):
- ethinyl estradiol – 0.02 mg;
- gestodene – 0.075 mg;
- sodium calcium edetate – 0.065 mg;
- Magnesium stearate – 0.2 mg;
- colloidal silicon dioxide – 0.275 mg;
- povidone – 1.7 mg;
- corn starch – 15.5 mg;
- lactose monohydrate – 37.165 mg.
Composition of Lindinet 30 (1 tablet):
- ethinyl estradiol – 0.03 mg;
- gestodene – 0.075 mg;
- sodium calcium edetate – 0.065 mg;
- Magnesium stearate – 0.2 mg;
- colloidal silicon dioxide – 0.275 mg;
- povidone – 1.7 mg;
- corn starch – 15.5 mg;
- lactose monohydrate – 37.165 mg.
Both pharmaceutical forms are supplied in the form of tablets, the shell of which has the following components:
- sucrose – 19.66 mg;
- calcium carbonate – 8.231 mg;
- macrogol 6000 – 2.23 mg;
- titanium dioxide – 0.46465 mg;
- povidone – 0.171 mg;
- yellow quinoline dye (D+S yellow No. 10 – E 104) – 0.00135 mg.
Action of Lindinet 20.
Lindinet 20 is a monophasic drug; it contains substances of estrogenic and progestin nature of the same concentration in all tablets. These are ethinyl estradiol and gestodene, which are active enough so that their dosage in the drug is minimal. There is Lindinet with a higher concentration of the active substance, Lindinet 30
Many women are afraid of side effects after discontinuation and while taking pills in the form of metabolic disorders and the appearance of excess weight. It is believed that the greater the concentration of the active substance, the greater the likelihood of their manifestation.
Moreover, taking the drug Lindinet reduces the likelihood of cervical cancer, maintaining the effect even after discontinuation of the drug.
The drug acts in several directions. For pregnancy to occur, several factors must be present:
- The egg matures and exits into the fallopian tube for fertilization.
- The mucous membrane of the uterus is ready for implantation of the fetus; favorable conditions have been created in the uterine cavity in order to receive and bear the fetus.
When taken, the effect of the drug Lindinet 20 is aimed at both of these factors: obstruction of egg formation, decreased activity of the fallopian tubes and impaired elasticity of the uterine mucosa. The combination of several mechanisms of action of the drug allows for higher efficiency.
Indications for use
The main indication for use is the prevention of unwanted pregnancy. This drug belongs to the group of oral contraceptives. Lindinet 20 hormones contain estrogen (in the form of ethinyl estradiol) and progesterone (gestodene). They have a triple effect on the reproductive system:
- inhibit the ovulation process,
- increase the viscosity of mucus in the cervix, thereby preventing sperm from moving towards the egg,
- affect the mucous membrane of the uterus, making it impossible for a fertilized egg to attach to it.
Pills are prescribed not only as a contraceptive. They are also used to correct hormonal imbalances.
Lindinet 20 for endometriosis
Endometriosis is a disease in which tissue similar in functionality and structure to the endometrium grows outside the uterus. The condition normalizes without specific treatment in about a third of cases. This occurs as a result of the immune system, which recognizes excess tissue and destroys it.
In most cases, endometriosis requires treatment. Doctors often prescribe contraceptives (Lindinet 20 is one of them) to normalize hormonal levels in the body.
The treatment regimen is as follows:
- A six-month course of oral contraceptive is prescribed.
- If there are positive dynamics, it is extended for another 3-6 months.
After using the contraceptive, the patient should experience no menstrual pain. With continued treatment, the lesions of endometriosis decrease in size.
Lindinet 20 for menopause
After menopause, a woman still has a small chance of becoming pregnant
Since most women do not plan to have children at this age, the issue of contraception should be given attention
Important! According to researchers, oral contraception during menopause reduces the likelihood of diseases of the thyroid gland and cardiovascular system, and also prevents the leaching of calcium from the body. Before you start taking hormonal medications during perimenopause, you should consult your doctor.
He will prescribe diagnostic measures to obtain a complete picture of the condition
Before you start taking hormonal medications during perimenopause, you should consult your doctor. He will prescribe diagnostic measures to obtain a complete picture of the condition.
Contraindications for taking Lindinet.
Any contraceptive is prescribed by a doctor, taking into account the woman’s condition, age and other parameters. At the appointment, it is clarified whether there are any contraindications for prescribing the medication.
Lindinet is contraindicated in a number of conditions, these include:
Lindinet 20 is prescribed with caution in the presence of cholelithiasis and epilepsy. If any new symptoms appear while taking the drug that indicate contraindications, you should consult a doctor for advice.
There are also certain behavioral features when taking pills. It is necessary to undergo an ultrasound examination of the uterus and fallopian tubes twice a year, take a blood test for glucose and monitor for side effects of the drug.
Reviews about Lindinet
Reviews about Lindinet 20 can be found in antenatal clinics, on pharmaceutical or other thematic forums, and almost everywhere hormonal contraceptive pills receive good responses, because oral contraceptives really effectively help solve this issue. Of course, some women complain that weight increases unreasonably when following the dosage regimen and correct dosages of the contraceptive, but side effects are not common, especially since hormonal levels are one of the most unstable balances in the body.
Birth control pills, in addition to their main purpose, are also used as a therapeutic agent for functional disorders of the menstrual cycle and some other gynecological pathologies, and even cope with this task perfectly. Reviews about Lindinet 30 on forums fully confirm the advisability of conservative treatment with this form of pharmaceutical drug, because the dosage of active components in it is slightly higher.
Reviews from doctors on Lindinet 20, as well as for the more concentrated form of the drug, have a positive advantage, because thanks to the carefully developed pharmaceutical formula and regimen for taking the oral contraceptive, you can easily achieve the desired effects for a long time. Of course, qualified specialists are overshadowed by the fact that women allow themselves to independently change the forms, and sometimes dosages, of the drug based on the fact that side effects are observed, but this does not always lead to catastrophic consequences.
However, experienced pharmacists and gynecologists recommend seeking additional advice in advance if side effects begin to bother you during a conservative course of taking Lindinet 20 or 30 or any other types of discomfort that arise during drug treatment.
Pregnancy after taking Lindinet 20.
Pregnancy while taking Lindinet 20 is practically impossible, and for some time afterwards it is also not recommended.
When planning pregnancy, you must stop taking pills 3 months before pregnancy. If the intake cycle has begun, then you need to finish the package to the end. To speed up the preparation process, start taking folic acid (Vitamin B9). After discontinuation of the drug Lindinet 20, pregnancy can occur within a period of 1 to 6 months. Therefore, do not panic if this does not happen in a short time. But at the same time, after 6 months it is necessary to undergo examination by a gynecologist for infertility and possible problems.
After completing the Lindinet 20 course, pregnancy occurs without problems. It is an erroneous statement that the body is weakened after discontinuation of the drug, and the uterus undergoes negative effects. Lindinet 20 does not affect reproductive function. On the contrary, it is often possible to immediately observe the conception of twins, since several eggs capable of fertilization are formed simultaneously. This effect is due to the inhibition of ovulation by oral contraceptives.
Analogs
Level 4 ATC code matches:
Ovidon
Rigevidon
Non-Ovlon
Mercilon
Yarina Plus
Yarina
Miniziston 20 fem
Novinet
Microgynon
Janine
Cyclo-Proginova
Regulon
Logest
Midiana
Belara
Femoden
Jess Plus
Jess
Zoely
Among pharmaceutical drugs similar to Lindinet, several groups of contraceptives should be distinguished:
- Lindinet 20 analogues with identical ATX code and composition of active ingredients: Logest , Model Tin , Femoden ;
- analogues with the same level 4 ATX code: Angeleta , Vidora , Dayla , Naadin , Novinet .
Lindinet 20 or Logest - which is better?
Like Lindinet, Logest belongs to the group of combined oral hormonal contraceptives. The pharmaceutical preparation contains the same active ingredients in identical quantities, that is, 1 contraceptive tablet contains 0.02 mg ethinyl estradiol and 0.075 mg gestodene. The only significant difference between medicines is the country of production, and, accordingly, the price indicator.
Since Lindinet is produced in Hungary, its cost in pharmacy kiosks is much lower than that of the drug produced jointly by French and German pharmacists, but this in no way indicates the effectiveness of the former, therefore the choice of a contraceptive should be entrusted to a qualified specialist, because he is based on individual indicators of hormonal balance and some other medical aspects.
Which is better: Novinet or Lindinet 20?
Novinet is a monophasic oral contraceptive, which, in addition to ethinyl estradiol, contains the synthetic progestogen desogestrel , which somewhat changes the mechanism of action of the contraceptive drug. Like all artificial pharmaceutical components of this nature, desogestrel has a high affinity for progesterone receptors located in the hypothalamic-pituitary region, on which its effects are based. In sufficiently small quantities, it is able to “turn on” the negative feedback mechanism, which results in a sharp inhibition of the release and production of gonadotropins and a complete blocking of ovulation.
Since Novinet includes such a potent pharmaceutical component as one of the active ingredients, its price is accordingly almost twice as high as that of Lindinet. However, with certain individual indications or contraindications, a woman does not have the opportunity to use a cheaper contraceptive, which makes it possible to include Novinet in a conservative course of contraception.
Is it possible to become pregnant while taking the drug?
Sometimes pregnancy can occur directly during a course of Lindinet 20. This happens if the rules for taking the drug are violated.
If you suspect pregnancy, you should stop taking the pills. During the development of the fetus, at the same time as taking the pills, a violation of the formation of internal organs may occur.
The rules for taking pills are as follows: you need to take the pills at the same time. The difference between doses should not exceed 12 hours. If this happens, you must take the next tablet as prescribed, at the appointed time.
In order for the effect of Lindinet 20 to be permanent, it is necessary to create a certain concentration in the body. Taking pills in the first month should be supplemented by combining them with barrier contraceptives. After these activities, you can hope for a guaranteed result.
The first course must be started in the first 5 days of the cycle, then after the end of the package, menstruation occurs within 7 days. Regardless of whether this happens or not, the next course of treatment begins on the 28th day.
Many modern women competently approach the issue of protection from unwanted pregnancy, using microdosed combined oral contraceptives (COCs). One of these drugs is Lindinet 20.
Pharmacodynamics and pharmacokinetics
Pharmacokinetic abilities of gestodene
After oral administration, the active component is absorbed quite quickly and almost completely from the gastrointestinal tract, because its bioavailability is about 99%, and the maximum concentration of 2-4 ng/ml is observed after 1 hour.
In the bloodstream, gestodene binds to albumin and specific globulin SHBG , only 1-2% of the amount of the active component remains in free form. The pharmacokinetics of gestodene largely depends on the level of SHBG and the concentration of estradiol, because the amount of the selective transporter increases 3 times under the influence of the sex hormone. Constant use of oral contraceptives also contributes to the active saturation of gestodene; with daily use, the concentration increases by 3-4 times.
The active component undergoes the main stages of biochemical transformation in the liver, after which only in the form of metabolites is excreted in the urine (60%) and feces (40%). The half-life of the active component is biphasic and takes about 1 day, since the average plasma clearance ranges from 0.8 to 1 ml/million/kg.
Pharmacokinetic properties of ethinyl estradiol
The second active component has slightly lower absorption rates - due to presystemic conjugation and primary metabolism, the absolute bioavailability of the pharmacological component from the digestive tube is only 60%, and the maximum concentration of 30-80 pg/ml is achieved after 1-2 hours.
On the distribution side, ethinyl estradiol, on the contrary, outperforms gestodene, because 98.5% of the active substance binds to nonspecific albumin. Also, the active component induces an increase in SHBG levels, which has a beneficial effect on the overall effectiveness of the oral contraceptive. A constant average level of ethinyl estradiol is established by 3-4 days after the start of the therapeutic course, and it is 20% higher than after a single dose of Lindinet tablet.
Biotransformation of the active substance occurs in the liver and is aromatic hydroxylation with the formation of methylated and hydroxylated metabolic products in free form or in the form of conjugates with sulfates or glucuronides. Metabolic clearance from blood plasma ranges from 5-13 ml.
Ethinyl estradiol is excreted only in the form of metabolic products with urine and bile in a ratio of 2:3. The half-life, like that of gestodene, is biphasic and is about 1 day.
Consequences of taking
The action of all COCs is based on:
- inhibition in the ovaries and, as a result, absence;
- increasing the viscosity of cervical mucus, which prevents sperm from penetrating into the uterus.
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Thus, a double effect of protection against unwanted pregnancy is achieved. Moreover, after discontinuation of the drug, restoration of reproductive function and the onset of pregnancy is possible both in the first month and after six months.
When taking Lindinet 20 for a long time, you must:
- be examined by a gynecologist once every six months;
- take a blood test for sugar and liver enzymes;
- If side effects occur (migraine, headache, muscle pain), inform your doctor and decide on the advisability of further use, replacing it or refusing to use it.
Side effects
Adverse effects of treatment requiring immediate discontinuation of pharmaceutical therapy:
- From the cardiovascular system: arterial hypertension, myocardial infarction , stroke , deep vein thrombosis of the lower extremities, pulmonary embolism , venous or arterial thromboembolism of the hepatic, mesenteric, retinal or renal vessels.
- From the senses: hearing loss caused by otosclerosis .
- Other: porphyria , hemolytic-uremic syndrome, exacerbations of reactive systemic lupus erythematosus , Sydenham's chorea .
Side effects, after the appearance of which the advisability of further use of the drug is decided on an individual basis:
- From the reproductive system: acyclic bleeding from the vagina of unknown etiology, amenorrhea , colpocytological changes in vaginal mucus, inflammatory diseases, vaginal candidiasis , pain, enlarged mammary glands, galactorrhea .
- From the central nervous system: hearing loss, depression , migraines , mood lability.
- Dermatological reactions: nodular or exudative erythema , unclear rash, chloasma, increased alopecia .
- From the digestive system: epigastric pain, nausea and vomiting, Crohn's disease , ulcerative colitis , jaundice and the itching that is caused by it, cholelithiasis , liver adenoma, hepatitis.
- From the side of metabolic processes: fluid retention in the body, decreased tolerance to carbohydrates, increased levels of triglycerides or blood glucose, increased body weight.
- Other allergic reactions.
Pregnancy while taking Lindinet 20
There is a possibility of becoming pregnant while taking Lindinet 20. This situation can occur in the following cases:
- Frequent errors in taking the drug
. If a pill is missed and more than 12 hours have passed, the contraceptive effect may be reduced. - In the first month of taking the drug,
it is necessary to use additional mechanical means of contraception (condom). - Concomitant use with antibiotics, painkillers and medications for diarrhea and vomiting
may lead to a decrease in the effectiveness of COCs.
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Do not be afraid if pregnancy occurs while taking the drug; it is noted that it does not have negative consequences for the fetus. However, as soon as you find out that you are pregnant, the drug must be discontinued.
Some women, fearful of becoming pregnant while taking birth control pills, prefer another method of contraception. And in vain. This method of protection is considered the most reliable of all known. You cannot use hormonal medications on your own. This distinguishes them from the available condoms, suppositories, creams and the like. To get a prescription for a suitable drug and find out about its effectiveness, you need to consult a doctor.
Millions of women use birth control pills. If you take the pills correctly, they will be 99% effective and protect against unplanned pregnancy. The hormones included in the drugs can act on a woman’s reproductive system in two ways:
- increase the level of your own estrogen in the body, due to which the production of follicle-stimulating hormone will be suppressed and, as a result, ovulation will be blocked;
- thicken cervical mucus, which will prevent the penetration of sperm into the uterine cavity and the egg.
The active substance and its concentration in one pill vary. There are minophasic, biphasic and triphasic contraceptives. Medicines can be high-dose, containing 35-40 mcg of active ingredient or more, medium and low-dose. Monophasic agents are recommended for young nulliparous patients with a stable cycle. Women who have given birth are usually prescribed biphasic or triphasic. Mini-pills are suitable for nursing mothers and patients with reduced fertility.
Composition of tablets and packaging
Lindinet 20 is a monophasic drug: all tablets in the package contain the same dose of hormones.
One Lindinet 20 tablet contains 20 mcg (0.02 mg) of ethinyl estradiol and 75 mcg of gestodene. One cardboard package contains 1 or 3 blisters (plates). One blister contains 21 tablets, the dose is designed for three weeks.
ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.
Analogs
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 when taking these tablets.
Taking Lindinet 20 for 3 months or more restores the regular menstrual cycle (if it is disrupted), reduces the manifestations of premenstrual syndrome (PMS) and pain during menstruation. Regular use of Lindinet 20 significantly reduces the risk of developing mastopathy, ovarian cancer, uterine cancer, endometriosis and other women's diseases.
Rules for taking Lindinet 20
- If you are just starting to take Lindinet 20, then you should take the first tablet from the blister from the 1st to the 5th day of menstruation. As a result of taking the first tablets from the package, your period may stop. This is not scary and is due to the effect of hormones on the body. During the first 14 days of taking the pills, it is recommended to use additional contraception.
- It is advisable to take the tablets at approximately the same hour every day.
- It is advisable to take the tablets in the order indicated on the blister. But, if by mistake you start taking the tablets 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 any tablets. During this week's break, you may get your period.
- During the 7-day break, you do not need to use additional contraception. This only applies if you start taking the pills again after the week-long break.
- You should start taking the first tablet from the next blister on the 8th day after a seven-day break. It doesn’t matter whether your period has already started or ended.
When will the contraceptive effect of Lindinet 20 occur?
The 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, you must use additional contraception.
Do I need to use protection during a week-long break from Lindinet 20?
If you took the previous package of Lindinet 20 according to the rules and without omissions, then during the 7-day break you do not need to use additional contraception. Additional contraception is also not required at the beginning of the next pack.
How to switch to Lindinet 20 from other OK?
If the previous OC package contained 28 tablets, then the first Lindinet 20 tablet should be taken the next day after the end of the tablets from the previous package.
If the package of the previous OCs contained 21 tablets, then you can start taking the tablets the day after the end of the previous OCs, or on the 8th day after a 7-day break.
Additional contraception must be used for 14 days after starting Lindinet 20.
How to switch to Lindinet 20 from a vaginal ring or hormonal patch?
The first Lindinet 20 tablet should be taken 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 same day as the new patch or insert the vaginal ring again.
How to switch to Lindinet 20 from an intrauterine device (IUD)?
The first Lindinet 20 tablet should be taken on the day of removal of the intrauterine device. It is recommended to use additional contraception for another week after starting birth control pills 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 you can take the first Lindinet 20 tablet 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 pregnancy stage 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 taking the pills is started later than the recommended period, then it is recommended to use additional contraception for another week after starting to take 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 starting to take birth control pills, you should not start taking Lindinet 20 until you are sure that you are not pregnant. If treatment is started later than the specified period (21-28 days), it is recommended to use additional contraception for 7 days after starting to take the pills.
Can I take Lindinet 20 if I am breastfeeding?
Lindinet 20 is not recommended for use if you are breastfeeding. For contraception in this case, it is better to use progestin birth control pills (Laktinet, Charozetta, Norkolut, etc.)
What to do if you miss a Lindinet 20 tablet?
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 remains. Take the missed pill as quickly as possible. There is no need to use additional contraception.
If you are more than 12 hours late, the effectiveness of the pills is reduced. Your actions in this case depend on the number of the missed pill:
- 1 to 7 tablets: Take the missed tablet as soon as possible, even if you have to take 2 tablets at the same time. Use additional contraception (such as a condom) for the next week 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 have not missed any appointments in the past week, you may not need to use additional contraception. Otherwise, it is recommended to take additional protection for another week after release to avoid unwanted pregnancy.
- 15 to 21 tablets: Take the missed Lindinet 20 tablet as soon as you remember, even if this means taking 2 tablets at the same time. Then continue taking the tablets as usual, and when you finish the pack, immediately start the next one. This way you skip the week between packs. If you took all Lindinet 20 tablets on time during the previous 7 days before the missed period, then there is no need for additional contraception. Otherwise, it is recommended to use additional contraception for 7 days after the missed date.
What should I do if I missed several Lindinet 20 tablets?
If you miss 2 Lindinet 20 tablets in a row, pay attention to which tablets you missed. If these are tablets for 1 or 2 weeks of use (from 1 to 14), then take 2 tablets as soon as you remember about the omission and 2 more tablets the next day. Then take one tablet per day as usual until the pack runs out. Use additional contraception for another 7 days after resuming taking the pills.
If you missed two tablets in a row in the 3rd week of taking it (from 15 to 21), then there are two options: 1. continue taking Lindinet 20, one tablet per day until the package runs out and then, without taking a 7-day break , start new packaging. At the same time, use additional contraception for another 7 days after the missed period. 2. throw away the current (unfinished) package and start taking a new package with the first tablet (one tablet per day, as usual). In this case, you need to use additional contraception for another 7 days after the missed date.
If you miss 3 Lindinet 20 tablets in a row, throw away the current pack of tablets and start a new pack with the first tablet. Use additional contraception for another 7 days. You will have an increased risk of pregnancy, so if your period does not come during the next break, contact your gynecologist.
If you are not sure what to do in your situation, use additional contraception until you talk to your doctor. In any case, if you miss two or more tablets, be sure to use additional protection (using condoms) for at least 7 days.
1-2 days after missing the pills, you may experience spotting or breakthrough bleeding, similar to your period. This is not dangerous and is associated with missing Lindinet 20. Continue taking 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 package of Lindinet 20, start a new blister the next day without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but slight spotting may appear approximately in the middle of the next package.
Please note: you can postpone your periods only if you took Lindinet 20 at least one month before the postponed menstruation.
Bloody discharge when 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 to take Lindinet 20, as well as in the middle of the package), but sometimes it can indicate that the contraceptive effect of the drug is reduced. For more information about the causes of spotting while taking Lindinet 20, read the article: About bloody 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, or taking certain medications. Read more about this here:
- Is the effect of OCs reduced when taking other medications?
- Does the contraceptive effect persist when drinking alcohol?
- What should I do if I vomit after taking the pill?
- What should I do if I have diarrhea?
What to do if you don’t have your period during a seven-day break from taking Lindinet 20?
There are two options: either you are pregnant, or this is a simple glitch and your period will appear next month. If in the past month you have missed taking pills and then had unprotected sex, then you need to stop taking Lindinet 20 and 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 menstruation has not started. If you don’t have your period during the next break, contact your gynecologist. For other possible reasons for a delay, read the article 10 reasons for a delay in menstruation.
What should I do if I become pregnant while taking Lindinet 20?
If the pregnancy test shows 2 lines, stop taking the pills and consult a doctor. Taking Lindinet 20 in the early stages of pregnancy does not affect the development of the fetus, so there is no need to have an abortion due to taking birth control pills. If you plan to continue your pregnancy, start taking folic acid as soon as possible.
Taking Lindinet 20 before surgery
Taking Lindinet 20 should be stopped 4 weeks before the upcoming surgery. If the operation is urgent, tell your doctor that you are taking birth control pills.
2 weeks after you can walk independently after surgery, you can start taking Lindinet 20.
How often should you visit a gynecologist while taking Lindinet 20?
Once a year, even if nothing bothers you.
Is it possible to conceive a child with oral contraceptives?
The probability of pregnancy when taking contraceptives tends to zero. However, there is an exception to every rule. If medications are used incorrectly, there is a high probability that they will not work as expected. If contraceptives are prescribed by a doctor taking into account the individual characteristics of a woman’s body, then fertilization is unlikely due to their use. As you know, conception requires 3 conditions:
- ovulation;
- the ability of sperm to penetrate the egg;
- good thickness of the endometrium to accept the fertilized egg.
When using oral contraceptives, ovulation is blocked, the cervical mucus becomes viscous and does not allow sperm to pass through, and the endometrium does not reach a size suitable for pregnancy. However, all drugs are different, so generalizations cannot be made.
With Diana-35
When taking Diane-35, a woman’s body receives ethinyl estradiol, which increases estrogen levels, and cyproterone acetate, which enhances the effect of the first substance and has an antiandrogenic effect. It is not possible to become pregnant while taking this contraceptive if you follow the instructions. The drug not only provides reliable protection against unwanted conception, but also has a positive effect on the condition of the skin and hair, and treats diseases caused by increased levels of androgens.
With Belara
The active ingredients of Belara are ethinyl stradiol and chlormadinone acetate. The contraceptive suppresses FSH, LH, testosterone in a woman’s body, blocking follicle maturation and increasing the viscosity of cervical mucus. The medication is a reliable means of protection against unwanted pregnancy from the first cycle of its use. Conception while using COCs is impossible.
With Klaira
Klaira is classified as a three-phase combined oral contraceptive. It contains natural rather than synthetic estrogen, which reduces the likelihood of adverse reactions. Statistics show that out of 100 women taking the medication for a year, no more than 1 becomes pregnant. This drug is a highly effective contraceptive.
When taking birth control pills Yarina
When using Yarina, ethinyl estradiol and drospirenone enter the woman’s body. The contraceptive is low-dose, monophasic. When used, the menstrual cycle is normalized and premenstrual syndrome is eliminated. Thanks to the inhibition of ovulation, the cycle can be regulated, and you don’t have to worry about accidental pregnancy. It is important to use the tablets regularly. If you miss one pill, take Yarina immediately.
When taking Lindinet 20
Pregnancy while taking Lindinet 20 is just as unlikely as when using its analogues. This drug has a contraceptive effect and helps in the treatment of diseases caused by increased levels of androgens. By taking Lindinet regularly, you don't have to worry about getting pregnant. The active components of the drug not only suppress ovulation, but also minimize the likelihood of side effects, in particular, weight gain.
With other oral contraceptives
Modern pharmacology offers a lot of different drugs that can be used to prevent unwanted pregnancy. Those that contain more active substance are more effective. These are: Trizeston, Non-ovlon, Triquilar. They are used to treat medical conditions or when other contraceptives are unable to control the cycle.
Low-dose products are considered the most popular. They protect well against unwanted pregnancy and are prescribed to women of different ages, including those who have given birth. The most commonly recommended use is Janine, Marvelon, Silhouette, Chloe. Regulon and Regvidon are considered popular - monophasic pills. Novinet tablets are prescribed as an alternative. This medication is popular due to its low price. Taking Novinet, you won’t be able to get pregnant, but at the same time you can save on expensive OCs. In addition to Novinet, Regvidon is considered an inexpensive contraceptive.
Lactinet contains minimal doses of hormones, so it can be used even during breastfeeding. Such drugs are prescribed to women with reduced fertility. Among patients taking Lactinet, the Pearl index was 0.4. This means that this product is much more effective than its analogues.
Escapelle is an emergency contraceptive. It is used one-time when an unprotected act has taken place. The medication causes changes in the endometrium, which prevents the cell from implanting, and also suppresses ovulation. Pregnancy will not occur against this background, if it has not already occurred. Once implantation has taken place, the medicine is ineffective.
Contraindications and restrictions
The drug is not indicated for girls before puberty and women after menopause. Contraindications to taking Lindinet 20 are the following chronic pathologies or diseases in the anamnesis:
- hypersensitivity to individual components of the drug or combination of hormones from the composition;
- a clear predisposition or existing circumstances that provoke the formation of thrombosis;
- unstable blood pressure readings;
- cardiac ischemia;
- frequent migraines with neurological symptoms;
- thrombotic or thromboembolic damage to veins and arteries;
- thromboembolic damage to veins in immediate family members;
- surgery that causes prolonged immobility of the patient;
- damage to small vessels against the background of developing diabetes mellitus of all types;
- a condition of inflammation of the pancreas, when the level of triglycerides in the blood is significantly elevated;
- the formation of fatty deposits on the walls of blood vessels - dyslipidemic syndrome;
- diseases or severe inflammation of the liver and kidneys;
- yellow skin due to taking steroid drugs;
- cholelithiasis;
- progressive genetic disease - pigmentary hepatosis;
- neoplasms on the liver;
- damage to the capsule of the inner ear;
- hormone-sensitive neoplasms on the organs of the reproductive system or mammary glands;
- bleeding from the vagina;
- prolonged smoking;
- pregnancy and postpartum period;
- lactation period.
In the following situations, according to reviews from doctors, Lindinet 20 and analogues are allowed to be taken, but only if precautions are taken and under the supervision of the treating gynecologist:
- the patient's age is more than 35 years;
- conditions that provoke the occurrence of thrombotic lesions of the veins;
- overweight or obesity;
- migraine;
- hypertension;
- diabetes mellitus if vascular damage is excluded;
- ulcerative lesions of the colon;
- hereditary angioedema;
- liver and kidney diseases;
- diseases that worsened during pregnancy or from taking hormonal medications;
- suffered severe trauma;
- phlebeurysm;
- pathological processes of heart valves;
- changes in biochemical blood test parameters;
- sudden onset of seizures;
- heart rhythm disturbances;
- prolonged immobility of the patient;
- extensive surgery;
- Libman-Sachs disease (lupus erythematosus);
- cardiac ischemia;
- severe depression;
- Crohn's disease;
- hereditary disorder of the structure of hemoglobin protein;
- increased levels of triglycerides in the patient’s blood;
- atypical hemolytic-uremic syndrome;
- a short period of time after childbirth.
Factors that reduce the effect of birth control pills
When vomiting, the effect of OCs decreases
It is not possible to get pregnant while taking birth control pills. This rule works when medications are used correctly. However, in certain situations the risk of conception increases and pregnancy is possible. All factors that reduce the effect of the tablets are described in the instructions. If they occur, it is recommended to follow the algorithm from the annotation or use additional contraceptives in this cycle.
- If you forgot to take your birth control pill, but 12 hours have not yet passed, you should take it immediately. The next pill is used at the usual time. The quality of contraception does not decrease.
- If the break between tablets is more than 36 hours, then you still need to take OK. The next pill is taken as planned. The quality of contraception decreases, it is necessary to use additional means.
- If vomiting begins while taking birth control pills, and 4 hours have not passed since using the drug, then you need to take another dose. Otherwise, the effectiveness of the contraceptive is reduced.
- Taking some antibiotics may reduce the effectiveness of the contraceptive. Each case should be considered individually and, if necessary, additional means should be used.
- When one tablet is missed for more than a day, there is a risk of menstrual-like bleeding. You should consult your doctor about the possibility of continuing to use the tablets or take a break for 7 days.
Important! The quality and effectiveness of oral contraceptives may be reduced if the product used is expired.
Lindineta price, where to buy
The price of Lindinet 20 in pharmacies in the Russian Federation averages 300-350 rubles. How much a stronger form of a pharmaceutical drug costs should be found out individually, since it is prescribed much less frequently.
The cost of Lindinet 20 in Ukrainian pharmacies ranges from 150 to 200 hryvnia, and the price of Lindinet 30 starts at 170 hryvnia.
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Lindinet 30 tablets p.p.o.
21 pcs. JSC Gedeon Rikhp 622 rub. order - Lindinet 20 tablets p.p.o. 63 pcs. JSC Gedeon Rikhp
RUB 1,387 order
- Lindinet 20 tablets p.p.o. 21 pcs. JSC Gedeon Rikhp
RUR 515 order
Pharmacy Dialogue
- Lindinet 20 (tab. No. 21x3) Gedeon-Richter
RUB 1,406 order
- Lindinet 20 (tab. No. 21) Gedeon-Richter
600 rub. order
- Lindinet 30 (tab. No. 21)Gedeon-Richter
601 rub. order
Europharm* 4% discount using promo code medside11
- Lindinet 20 21 tablOAO Gedeon Richter
RUR 699 order
- Lindinet 20 63 tablOAO Gedeon Richter
1650 rub. order
- Lindinet 30 21 tabl JSC Gedeon Richter
RUR 699 order
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Pharmacy24
- Lindinet 20 mg No. 63 tablets VAT "Gedeon Richter", Ugorshchina
452 UAH. order
PaniPharmacy
- Lindinet 20 tablets Lindinet 20 tablets. p/o No. 63 Hungary, Gedeon Richter
540 UAH. order
- Lindinet 20 tablets Lindinet 20 tablets. p/o No. 21 Hungary, Gedeon Richter
164 UAH order
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Is the Nuvaring ring safe?
Pregnancy will not occur with the Nuvaring ring. This vaginal product works in a similar way to oral contraceptives. The only difference is that it is inserted into the vagina once every 3 weeks, and the tablets are taken daily. The ring produces hormones that suppress ovulation. Based on the Pearl index values, we can conclude that it is no worse than tablets. The advantage of this drug is that its effectiveness does not decrease in case of vomiting and diarrhea. However, you can still get pregnant with Nuvaring. Unexpected conception occurs if the ring was accidentally removed without the woman noticing. Therefore, it is recommended to regularly check its presence in the vagina.
What is Lindinet 30?
Let's start with the fact that Lindinet 30 birth control pills are a monophasic drug that not only prevents pregnancy, but also normalizes the menstrual cycle, has a beneficial effect on the mammary glands and helps improve the skin if a woman has problems with acne. Moreover, the use of Lindinet 30 minimizes the development of iron deficiency anemia
,
fibrous and ovarian cysts
,
dysmenorrhea
, as well as
ectopic pregnancy
. This contraceptive is produced in the form of tablets, which are coated with a light yellow coating. It is also very important to note that this drug is very quickly absorbed from the gastrointestinal tract. It is excreted from the body through urine and bile.
There are not many indications for the use of Lindinet 30. This drug is used only as a contraceptive.
How to recognize pregnancy
Signs of pregnancy do not disappear when taking birth control pills. If conception has taken place for some reason, then after a few weeks the woman will feel the first symptoms. The first thing that should alert you is the absence of menstruation. If bleeding does not start within a 7-day break, then you need to do a test.
In addition to the absence of critical days, symptoms of pregnancy when taking OCs may be the following: nausea, morning vomiting, distortion of taste, dizziness, nagging pain in the lower abdomen, increased sensitivity of the mammary glands.
How to take Lindinet 30 correctly?
Surely this question interests all women who decide to use his help. We explain that it is very important to start using this drug from the first to the fifth day of menstruation. Select a day and start taking one tablet of this contraceptive for twenty-one days. Try to take the drug at approximately the same time every day. After twenty-one days, take a break of seven days. After a week, open a new package of Lindinet and start drinking it according to the same regimen. If for any reason you were unable to take the Lindinet tablet on time, then try to take it as quickly as possible. Remember, if the time interval between taking two tablets is less than thirty-six hours, then the effect of the drug is not reduced in any way.
If you miss several tablets
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 and vaginal suppositories. If the package has just been started, then continue taking the drug according to the regimen, and after its completion, start a new one the next day, without a week's break. Remember to use additional contraception for the first two weeks.
Medicinal properties
A contraceptive based on ethinyl estradiol and gestodene inhibits the process of synthesis of gonadotropic hormones by the pituitary gland, which helps slow down the maturation of follicles.
The estrogen component of birth control pills is represented by ethinyl estradiol, which is one of the synthetic analogues of the hormone estradiol produced in the human body, which is actively involved in the regulation of menstrual function along with progesterone.
Gestodene is the second component of the contraceptive; it is classified as a derivative of 19-nortestosterone; in terms of its potency, it is significantly superior to both the natural hormone, progesterone, and its synthetic analogue, levonorgestrel. Due to the fact that the activity of this gestagenic component of Lindinet is quite high, it is used in low doses. Due to this, there is no significant effect on the metabolism of fats and carbohydrates, and its androgenic properties do not appear.
The action of the contraceptive is associated with the work of both central and peripheral mechanisms that inhibit the process of follicle maturation, thereby reducing the susceptibility of the endometrial uterine layer to the blastocyst itself. At the same time, the viscosity of the discharge (namely cervical mucus) increases, which significantly reduces the likelihood of conception.
If you drink Lindinet 20 constantly (as the description for the drug indicates), you can observe the therapeutic effect of the contraceptive - the circulatory cycle is normalized, and the risk of developing certain gynecological ailments, including cancer, is reduced.
Ethinyl estradiol is almost completely absorbed by the mucous membranes of the gastrointestinal tract. 1-2 after taking the tablets (according to the instructions), its highest concentration in the blood is observed. The bioavailability rate is 60%. Communication with albumin is 98.5%.
As a result of aromatic hydroxylation, the formation of methylated and hydroxylated metabolites occurs. The elimination process takes place with the participation of the renal system and intestines, the half-life is 24 hours. In this case, a stable level of ethinyl estradiol is recorded on days 3-4.
Gestodene also quickly undergoes the process of absorption in the gastrointestinal tract; the highest levels of this substance in the blood are achieved after 60 minutes. The bioavailability of the gestagenic component of the drug reaches 99%.
The amount of gestodene in the blood decreases slowly, the half-life of metabolic products is 24 hours. A stable level of gestodene is observed in the 2nd half of the MC.
Does the absence of menstruation during the break 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 on the safe side, 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 take a test or visit a gynecologist.
Oral contraceptives: frequently asked questions
If you have been using oral contraceptives for a long time, you are probably satisfied with their convenience and high reliability. However, you may have questions about the effects of these drugs on your health. So let's look at some of these questions.
Traditional combined oral contraceptives (COCs) modulate the normal 28-day menstrual cycle. On the first 21 days of your cycle, you take medications containing sex hormones. For the next 7 days you take placebo (pacifiers). While taking placebo, vaginal bleeding occurs, just like during a normal period.
When you use products that lengthen your menstrual cycle, you take hormone pills every day. Such a package may contain 84 active tablets and 7 placebo. you take the active ones for 84 days and then switch to placebo. At this time, vaginal bleeding occurs. Thus, the menstrual cycle is extended to 3 months. These drugs include the American Seasonique. Less common are drugs designed to take hormones daily for a whole year. During this time, you will not have the vaginal bleeding associated with normal periods. In the USA, one such drug is Lybrel. When you start taking these medications, you may experience some minor vaginal bleeding or spotting. These phenomena almost always go away with further use of the drug.
There is clinical data that proves the benefits of this regimen. Constant use of a hormonal drug prevents fluctuations in the level of hormones that are responsible for headaches, discomfort, bleeding, abdominal cramps and other phenomena inherent in menstruation.
the best position for getting pregnant A couple who is planning a new addition to the family takes into account a lot of nuances in order to conceive and give birth to a healthy baby. If a woman does not become pregnant within a certain time, then this may not be caused so much by some
Long-term use of such drugs is quite possible. To do this, you need to throw away the placebo, and after finishing
Source
Medicines that reduce the reliability of the drug
In exceptional cases, an unwanted pregnancy can occur even with proper use of the Lindinet 20 contraceptive. Reviews of the drug from such patients are usually negative, although the reason is usually not related to the quality and reliability of the product. Many medications can increase the risk of pregnancy, in particular all antidepressants and sedatives. Antibiotics seriously reduce the reliability of the Lindinet 20 contraceptive: ampicillins, tetracyclines, rifampicin. In addition, caution should be exercised when using products containing St. John's wort extract. If you are prescribed a course of treatment, use additional methods of contraception throughout the course and for a week after completion.
Instructions for use
Lindinet 20 and 30 tablets should be taken orally, one unit per day. It is advisable to stick to one time when using the drug. Treatment is continued for three weeks, then a break is taken for a week, after which the course is repeated. The medication must be used from the first day of menstruation. If you miss taking a medicine, you need to drink the untaken pill as quickly as possible.
How effective is a drug like Lindinet 30? Reviews of gynecologists about the mentioned medicine are presented in this article. It also discusses detailed instructions for this remedy, its indications, side effects, etc.