Diane Table 35
Diane Table 35
What is Diane 35?
Type of medicine
Each tablet contains a small amount of two different hormones. These are cyproterone acetate (a progestogen with anti-androgen properties) and ethinylestradiol (estrogen). Due to the small quantity of hormones Diane 35 is considered a product with a low concentration. The composition and properties of medicinal substances Diane 35 enables him to treat diseases caused or increased androgen production or increased sensitivity to them.
Treatment with Diane 35 leads - usually after 3-4 months of treatment - to health because of existing acne blemishes. Excess fat in the skin and hair usually disappears earlier. Dropping hair that often accompanies seborrhea suit. In women with mild hirsutism and in particular slightly increased facial hair expected results after a few months of use.
Due to the combination of both drugs Diane 35 has the properties of a combined contraceptive pill: if taken correctly (without missing tablets) the risk of pregnancy is very low. Therefore, concomitant use of hormonal contraceptives or other need. If you previously used hormonal contraceptives, it must be stopped.
Diane 35 may also occur for some positive health effects that are known to contraceptive "pill". Menstrual period can be shorter and lighter proceed. This results in reduced risk of anemia. Menstrual pain may be weaker or completely disappear.
What used Diane 35?
Diane 35 is used to treat androgen-dependent diseases in women, especially severe acne forms when it is accompanied by seborrhea or by inflammation or formation of nodes (acne papulopustular and nodulokistichno), androgenetic alopecia and mild forms of hirsutism.
Type of packaging
Diane 35 is available in blister packs containing 21 tablets as 3 x 21. Diane 35 tablets are packed in blister transparent PVC film and aluminum metal foil (hot pressed matte side). The tablets are biconvex, round diamertar 5 mm.
When you should not use Diane 35?
Do not take Diane 35 for the cases listed below.
If any of these occur to you, tell your doctor before using the product
If you have or have ever had circulatory problems. Typically, these disorders are associated with thrombosis. The formation of a blood clot is called thrombosis. It can occur in the blood vessels of the legs (deep vein thrombosis), lungs (pulmonary embolism), the heart (heart attack), brain (stroke) or other parts of the body (see "Diane 35 and thrombosis');
If you have had a stroke (caused by a blood clot or ruptured blood vessel in the brain);
If you suffer or have suffered from medical conditions that could be early signs of a heart attack (angina or chest pain) or stroke (such as transient ischemic attack or transient disorders of cerebral circulation);
If you have a history of migraine accompanied by visual symptoms, speech disorders, weakness or numbness in any part of your body;
If you have diabetes with vascular injuries;
If you have or have had pancreatitis (inflammation of the pancreas), accompanied by high levels of fatty substances;
If you have jaundice (yellowing of the skin) or severe liver disease;
If you have or had a tumor that grows under the influence of sex hormones (eg, breast or genitals);
If you have or have had a benign or malignant tumor of the liver;
If you get vaginal bleeding of unknown origin;
If you are pregnant or think you may be pregnant
If you are breastfeeding;
If you are allergic to ethinylestradiol, cyproterone acetate or any of the other ingredients of Diane 35.Ako any of these conditions appear for the first time while using Diane 35, stop taking immediately and consult your doctor. Meanwhile, use a non-hormonal contraceptive methods. See also the "General Comments".
Diane 35 should not be used by men.
What you should know before you start taking Diane 35?
This leaflet describes the different situations in which you must stop taking the Pill or reliability of tablets decreases. In such cases, you should not have sex or you should take extra non-hormonal contraceptive precautions, eg. use a condom or other barrier method. Do not use the method of measuring the temperature or the rhythm method. They are not reliable because the tablets affect the normal changes in temperature and cervical mucus during the menstrual cycle.
Diane 35 does not protect against HIV infection (AIDS) or any other infection, sexually transmitted.
Before you start taking Diane 35
If you meet any of the conditions listed below, you may need to be under close observation. Your doctor will explain everything. So before you start taking Diane 35, tell him if:
If you have diabetes you are overweight, have high blood pressure;
You have a defect in the heart valve or heart rhythm disorders, suffer from inflammation of the veins (superficial phlebitis), have varicose veins;
Someone in your immediate family has had thrombosis, heart attack or stroke, suffer from migraines, epileptic;
You or someone in your family have or have had high concentrations of cholesterol and triglycerides (fatty substances) in your blood, someone in your family has suffered from breast cancer, have liver disease or gallbladder disease;
Suffer from Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease);
If you have polycystic ovary syndrome (ovarian disease that causes infertility, sometimes combined with androgenic symptoms and increased risk of thrombosis);
Luius have systemic erythematosus (SLE; disease affecting the skin all over the body), you have haemolytic uraemic syndrome (HUS; bleeding disorder, which leads to acute renal failure) suffer from sickle-cell anemia;
In a condition that is manifested for the first time or worsened during pregnancy (eg hearing loss, a metabolic disease called porphyria, a skin disease called herpes gestationis, a neurological disease - chorea of Sydenham), have or have had chloasma (yellow brown pigmented spots on the skin, especially the face), in such cases, avoid excessive exposure to the sun or ultraviolet light;
You have hereditary angioedema, exogenous estrogens may provakirat or worsen symptoms of angioedema. You should see your doctor immediately, if you have symptoms of angioedema such as swollen face, tongue and / or larynx and / or difficulty swallowing or breathing rash.
If any of the above conditions appear for the first time, recur or worsen while taking the pill, you should contact your doctor. If you suffer from hirsutism, which occurred recently or got worse, your doctor should be informed promptly, in order to clarify prichinata.Opitat with estrogen / progestogen like Diane 35 is based on combined oral contraceptives. So following warnings apply to Diane 35.
Diane 35 and thrombosis
Thrombosis is a blood clot which may block a blood sad.Ponyakoga obtained thrombosis in the deep veins of the legs (deep vein thrombosis). If the clot away from the veins where it is formed, it may reach and block the arteries of the lungs, causing a so-called "pulmonary embolism". Deep venous thrombosis is rare. The risk of venous trombone is higher in the first year, when a woman starts for the first time use of any combined oral kontratseptiv.Venozna thromboembolism may occur in any case, whether or not taking contraceptive. Can also occur during pregnancy. The risk is higher in patients who use the Pill than in non-users, but not as high as during pregnancy.
Very rarely can get clots in the blood vessels of the heart (causing a heart attack) or the brain (causing a stroke)., In rare cases, blood clots can occur in the liver, intestines, kidneys and okoto.Mnogo rare thrombosis can cause permanent disability or even smart.Riskat ended with a heart attack or stroke increases with age and tobacco use. When you are taking contraceptive tablets to stop smoking, especially if you are over 35 godini.Ako while using the pill your blood pressure goes up, you have stop using it.
The risk of deep venous thrombosis is temporarily increased after surgery or immobilization (eg if. Leg you cast or splint). When women use the Pill (or Diane 35) This risk is higher. Tell your doctor that you are taking Diane 35 in advance if you expect to hospital admission or surgery. Your doctor may advise you to stop taking the tablets several weeks before surgery or during inactivity. It will also tell you when to start taking after vazstanovite.Ako notice possible signs of a thrombosis, stop taking Diane 35 and immediately consult your doctor (see "When to call your doctor?").
Diane 35 and cancer
Breast cancer has been diagnosed slightly more often in women who use the Pill than in women of the same age using tablets. This slight increase in the number of cases of breast cancer diagnoses gradually disappears during the 10 years after stopping use of the Pill. It is not known whether the differences are due to the pill. Perhaps due to the fact that women were examined more often, so that breast cancer can be detected in rano.Saobshtava for rare cases benign liver tumors and even more rarely - malignant liver tumors in women consuming pills. These tumors may lead to internal bleeding. Immediately contact your doctor if you have severe abdominal bolka.Nay most important risk factor for developing cancer of the cervix is repeated infection with human papilloma virus. Some studies have reported an increased risk of cervical cancer after prolonged use of the pill, but they are still controversy about the extent to which this finding may be due to other factors, eg. cervical screening and sexual behavior including use of barrier contraception.
Diane 35 and pregnant
Diane 35 should not be used in known or suspected pregnancy. If you are taking Diane 35 and suspect that you are pregnant, you should consult your doctor as soon as possible.
Diane 35 and lactation
The use of Diane 35 is not recommended during lactation. Diane 35 and shofiraneNe have effects on driving ability. Diane 35 and other medicinal drugs produktiNyakoi reduce the effectiveness of contraceptive tablets. These include products for epilepsy (eg primidone, phenytoin, barbiturates, carbamazepine, akskarbazepin, topiramate, felbamate), tuberculosis (napr.rifampitsin, rifabutin) and HIV infections (eg ritonavir, nevirapine), antibiotics (napr.penitsilini, tetracyclines - griseofulvin), applicable to certain infectious diseases, and plant product St. John's wort (primarily used to treat depression, mood). Diane 35 can also interact with other medications, eg. contained. cyclosporine or anti-epileptic lamotrigine. 7Molya, tell your doctor or pharmacist if you are taking or have recently taken any other medicines or herbal products, even if they are not prescription. Also tell any other doctor or dentist who prescribes another medicine you are using Diane 35. They will tell you whether you need to take additional contraceptive precautions and if so, for how long should I apply them.
When should you call your doctor?
When using Diane 35 Your doctor will tell you when to visit it again pregled.Svarzhete immediately with your doctor if:
you notice any changes in your health, especially those listed in this leaflet (see also "When you must not use Diane 35" and before you start taking Diane 35. "Remember and familial predisposition to disease);
groping a lump in your breast;
you are taking other medicines (see "Diane 35 and other drugs'");
Need to immobilization or surgery (consult your doctor at least four weeks in advance);
you have unusual vaginal bleeding heavily;
miss the first week of the pill and had intercourse in the previous period of 7 days:
Two consecutive month period have or suspect that you are pregnant _she start the next pack until your doctor].
Stop taking the pills immediately and see your doctor if you notice signs of thrombosis, myocardial infarction or stroke:
an unusual cough;
pain in the chest which may reach the left arm;
shortness of breath;
unusually severe or prolonged headache or migraine attack:;
partial or complete loss of vision or double vision;
unclear pronunciation of words or speech impaired;
sudden changes in auditory, olfactory and taste perception;
dizziness or fainting;
weakness or numbness in any part of the body;
severe pain in the abdomen
severe pain or swelling in the legs.
Conditions and symptoms mentioned above are described and explained in more detail in other paragraphs of this leaflet
How to use Diane 35?
Diane 35 should be taken regularly to be effective and to achieve the necessary contraceptive protection. The dosage of Diane 35 is similar to the usual dosage of the contraceptive pill. You should follow the same rules for adoption. Combined oral contraceptives, when taken properly, are effective in only about 1% per year. Intermittent administration of Diane 35 can cause breakthrough bleeding and prevent its therapeutic and contraceptive action.
When and how to take the tablets?
Diane 35 pack contains 21 tablets. The packaging over each tablet is marked the day of the week, which should be considered. Take a tablet every day at about the same time with some liquid. Follow the direction of the arrows until you use up all 21 tabletki.Sledvashtite end of 7 days will not take tablets. At this time you can get bleeding. It usually begins 2-3 days after the last tablet Diane 35. Start taking a new pack on the 8th day, even if the bleeding continues. This means that you will always start a new pack on the same day of the week and you will have bleeding almost at the same time each month.
Starting the first container Diane 35
When last month not used hormonal intake kontratseptiv.Zapochnete Diane 35 the first day of menstrual bleeding. Take a tablet marked with that day of the week. Eg. If your period starts on Friday, take the tablet marked Friday. Then follow the days in order. Can you take 2-5 days of the cycle, in which case you should use a barrier method (barrier) within 7 days of receiving tabletki.Kogato switch from other combined pills, vaginal ring or transdermal (contraceptive) patch. Can you take Diane 35 the day after you finish the previous package (without a break). If your current pack contains inactive tablets you can start with Diane 35 the day after using the last active tablet (if you are not sure who she is, ask your doctor or pharmacist). You can start and later, but not later than the day after the period in which they did not receive previous tablet (or the day after taking the last active tablet of your previous package). If you used a vaginal ring or transdermal patch, you should start taking Diane 35, preferably on the day of removal, no later than the day on which it should be another setting. If you follow these instructions, it is not necessary to use an additional contraceptive method.
When switching from tablets containing only progestogen (minipill)
You can stop taking the minipill any day and start taking Diane 35 the next day at the same time. However, use a barrier method (barrier) in the first 7 days of taking Diane 35 when you have intercourse