THREE RB Table 21 table

THREE RB Table 21 table
€ 36.00
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The combined contraceptive pill, to which it applies and Tri-RB contain hormones that are like those produced by your body (estrogen and progestogen). These hormones. You prevent the occurrence of pregnancy in the same way that your body produces hormones keep you from getting pregnant again when you are already pregnant.

THREE-RB Table 21 table
 

How your body prepares for pregnancy occurs (menstrual cycle).

Usually when you can occurs conception (fertilization) from the moment you start to have a monthly period (usually happens during puberty) until the periods stop (menopause). Each menstrual cycle consists of about 28 days. Around the middle of this period, one egg is released from one of your ovaries and falls in the so called. Oviduct. This is called ovulation. The egg moves downward in the fallopian tube toward the uterus. When you have sexual intercourse, the penis of your partner throw millions of sperm that fall in your vagina. Some of these sperm movement upward in the uterus and reach the fallopian tube. If one of the two fallopian tubes at this time is one of the egg and sperm reach it may result in pregnancy. This is called fertilization (conception).
This fertilized egg attaches to the uterine lining and for nine months becomes ripe. As the egg is viable for two days, and viability of sperm is pet'dni, this means that if you have intercourse within five days before ovulation and after some time, it may occur pregnancy. If fertilization occurs, you will lose the egg at the end of the menstrual cycle along with part of the uterine lining. This is called withdrawal bleeding (menstruation).
 

What is the role of natural hormones?

 
Your menstrual cycle is controlled by two hormones produced by your ovaries: estrogen and progesterone (or called. Progestogen). Your estrogen levels rise during the first half of your menstrual cycle, which leads to swelling of the lining of the uterus, ie to prepare it for implantation of the egg if fertilization. The effect of progesterone occurs at a later stage of your menstrual cycle, leading to changes in the endometrium associated with the upcoming pregnancy.
If pregnancy does not occur, then the amount of these hormones will be less, which will lead to failure of the uterine lining. As noted above dropping of the uterine lining leave your body at the onset of withdrawal bleeding. If pregnancy occurs, your ovaries and placenta (through her fetus attaches to the uterine wall and thus receives nutrients) produce progesterone and estrogen to prevent further release of eggs. This means that while you are pregnant your body do not cause ovulation and menstruation.
 

How do the tablets?

 
The combined contraceptive pill, to which it applies and Tri-RB contain hormones that are like those produced by your body (estrogen and progestogen). These hormones. You prevent the occurrence of pregnancy in the same way that your body produces hormones keep you from getting pregnant again when you are already pregnant.
 
The combined contraceptive pill protects you from pregnancy in three ways.
 
1. Is the ability to prevent the release of an egg to be fertilized by sperm.
 
2. Mucus found in the cervix thicken, making it harder for sperm surmountable.
 
3. Uterine lining does not swell enough to allow it to implant an egg and grow.
 

 WHAT THREE-RB AND WHAT IT IS USED FOR?

 
Three-RB combined oral contraceptive, a member of medications, often called "tablet". Rigevidon contains two types of hormones: estrogen, ethinyl estradiol and progestogen levonorgestrel. Three-phase RB is contraceptive. This means that there are three levels of hormones in each pack, which reflects changing levels in your normal menstrual cycle. These hormones prevent the release of an egg from the ovary each month (ovulation). They also lead to thickening of secretions (mucus) in your cervix (cervix) it became difficult to overcome barrier to the sperm can not reach the egg, and also change the uterine lining, making it more immune to mature egg.
Medical research and extensive experience have shown that proper intake Pill is effective and reversible form of contraception. Remember, the combined oral contraceptive pill, as is the Tri-RB will not protect you from sexually transmitted diseases (such as AIDS). Only condoms can protect you in these cases.
 

 BEFORE YOU TAKE THREE-RB

 
Do not take Tri-RB:
 
You should not take Tri-RB if you have any of the conditions listed below. If you suffer from any of these conditions should. tell your doctor. Your doctor may decide that the Tri-RB is not suitable for you and advise you to use another method of 'contraception.
 
Tell your doctor if:
 
 have had a disease that affects blood circulation known as thrombosis (eg blood clots in blood vessels in the legs, lungs, heart, brain, eyes or other organs of your body);
  you have a history of heart attack or angina (severe chest pain) or stroke (eg, sudden weakness or numbness occurring on one side of your body);
  You or your close relatives have suffered from diseases that increase the risk of blood clots (see also section "tablet and the development of thrombosis");
  diabetes with accompanying changes in blood vessels "have or have ever had a vision;
  have high blood pressure (hypertension);
  have or have had liver disease;
  have or have had a liver tumor
 suffer from breast cancer and other malignancies, such as ovarian cancer, cancer of the cervix or uterine cancer;
  you have abnormal vaginal bleeding;
  have or have 'suffered from migraine;
 're allergic or allergic reaction to any component of the Tri-RB;
  you are pregnant or think you might be pregnant.
 
If any of these occur while taking Tri-RB, stop taking the tablets and tell your doctor immediately. In the meantime use another method of contraception such as a condom or diaphragm with spermicide.
 
Special warnings and precautions for use of Tri-RB:
 
Periodic medical examinations
 
Before you start taking Tri-RB, your doctor should do a detailed medical history and ask you questions that concern you and your close relatives. Your doctor will measure your blood pressure and make sure that you are not pregnant. You can also examine you. Once you start taking Tri-RB will meet again with your doctor for regular review. This will happen when you go back to your doctor to prescribe more tablets.
 
Tell your doctor immediately if ...
 
get some of the following, while taking Tri-RB. Also, do not take 'more tablets until you talk to your doctor. In the meantime use another method of contraception such as a condom or diaphragm with spermicide.
  If you get a migraine for the first time or if the migraine, which deteriorate or suffer migraine attacks become more frequent than before.
  If you have symptoms of blood clots. (See also section "tablet and the development of thrombosis"). Such symptoms include:
 poduvane.na unusual pain or leg;
  sudden severe pain in the chest that can extend your left hand: o acute shortness of breath or difficulty breathing, sudden cough oh no apparent reason, oh unusually severe or prolonged headache o sharp changes in the visual field (such as loss of
blurred vision or eye) o impaired speech or other speech difficulties, o dizziness (vertigo);
 
dizziness fainting or fainting; o sudden weakness or numbness on one side of your body, oh difficulty in movement (known as motor disorders), or
  severe pain in the abdomen (known as "acute abdomen").
  If you have had surgery or immobilization (have not been able to move as usual). You should stop taking Tri-RB at least four weeks prior to planned surgery (eg abdominal surgery) or surgery to the lower limbs. Also, if you are immobile for long periods of time (eg if you come to bed after the accident or surgery, or if you put plaster after fracture of lower limb). Your doctor will advise you when to take Tri-RB again.
  If you are pregnant.
 
Tell your doctor before taking Tri-RB if ...
 
know that you are suffering from any of the following conditions. In these cases, you should inform your doctor as these conditions may worsen while taking the tablets. -If any of the following conditions worsen or appear for the first time, inform your doctor as soon as possible. Your doctor can. make you stop taking Tri-RB and recommend "to use another method of contraception.
  If you or a member of your family suffer from high levels of fats (lipids) in the blood, called hypertriglyceridemia, as this disorder may increase the risk of developing a disease affecting the pancreas, called pancreatitis.
  If you suffer from:
 high blood pressure (hypertension);
  yellowing of the skin (jaundice);
  affecting the whole body itching (pruritus);
  gallstones;
  inherited disease called porphyria;
 
 
  systemic lupus erythematosus - SLE (an inflammatory disease that can affect most of the body including the skin, joints and internal organs) O blood disease called hemolytic - uremic syndrome - HUS (a condition in which blood clots cause renal failure);
  movement disorders called chorea of Sydenham;
  rash known as herpes gestationis, o hereditary form of deafness known as otosclerosis;
  impaired liver function;
  diabetes;
  depression;
  Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease) o brownish spots on the face and body (chloasma) that fade if not expose your skin to sunlight and do not use sunlamps and the solarium.
 

Tablet and thrombosis

 
Some studies make assumptions that the risk of developing certain disorders of blood circulation is slightly higher in women using combined tablet compared with women who did not use them. This can lead to the development of thrombosis. Thrombosis is called a condition in which a blood clot may block a blood vessel. Blood clots can form in a vein (venous thrombosis) or artery (arterial thrombosis). Most clots can be recovered without permanent sequelae. However, thrombosis can cause severe permanent disability or even cause death, that is extremely rare.
Blood clots sometimes form in the deep veins of the legs (deep vein thrombosis). If this blood clot becomes dislodged from where it was formed, it can cause blockage of the arteries in the lungs, causing a "pulmonary embolism". '
Very rarely, blood clots can also form in the blood vessels, the heart (causing a heart attack), or the brain (causing a stroke).
In extremely rare cases, blood clots can form in other places such as liver, intestines, kidneys and eyes. Blood clots can form whether or not taking the contraceptive pill. This can also happen if you become pregnant. The risk is higher in women taking the contraceptive pill as opposed to women who are not taking such pills, but not higher, than during pregnancy. Thrombosis is more likely in the first year of intake of any combined contraceptive pill. In healthy women who are not pregnant and do not take the Pill, there are about 5 to 10 cases of thrombosis of every 100,000 women each year.
Patients applying tablets low estrogen seen about 40 cases of thrombosis of every 100,000 women each year. In pregnant women, there are approximately 60 cases of thrombosis of every 100,000 pregnancies each year.
Symptoms characteristic of blood clots are listed in "Tell your doctor immediately if ...".
If you notice signs of a thrombosis, stop taking the tablets and contact your doctor immediately. Meanwhile, use another method of contraception, such as condoms or a diaphragm with spermicide.
 
You should also remember that some conditions may increase the risk of thrombosis. These include:
  age (the risk of developing heart attack or stroke increases with age);
  smoking (with intensive smoking and with age the risk of thrombosis is increased). When using the contraceptive pill, stop smoking, especially if you are older than 35 years;
  If your relatives suffer from a disease caused by a blood clot, a heart attack or stroke.
  overweight (obese);
  disorders of blood fat (lipid) metabolism, or very rare blood disease;
  High blood pressure (hypertension);
  heart valve disorder or a certain heart rhythm disorders;
  recent birth (if you have an increased risk of thrombosis immediately after birth)
  diabetes;
  systemic lupus erythematosus - SLE (an inflammatory disease - can affect a significant part of the body including the skin, joints and internal organs);
  blood disorder called hemolitichnr uremic syndrome - HUS (a disorder in which blood clots cause renal failure);
  Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease);
 If you get a migraine for the first time, or, if you are. Suffered from migraines before, but migraine worsen or become more frequent
  major surgery, surgery of the lower limbs, or inability to regular physical activity.
 
The risk to develop deep vein thrombosis is temporarily increased after it had surgery or in cases where the usual you. Physical activity is discouraged (eg, if one or both lower limbs are cast or splinting). If you are taking the Pill, the risk may be higher. Tell your doctor that you are taking the contraceptive pill long before in a hospital or undergo surgery. Your doctor can make you stop taking the Pill several weeks before or after surgery. If there is not enough time to do this, your doctor may recommend medication that can reduce the risk of thrombosis. Your doctor will also advise you when to resume taking the Pill immediately after your full recovery. ______
before;
 
Tablet and malignancies
 
Some studies have found that there may be an increased risk of developing cancer of the cervix, if you use the Pill for a long time. This increased risk may be due to taking the Pill and might be due to the effect of sexual behavior or other circumstances.
Every woman is at risk for developing breast cancer, regardless of whether or not using the contraceptive pill. Breast cancer is rare in women under the age of 40 years. Breast cancer is found slightly more often in women who use the Pill than in women of the same age who were not taking these tablets. If you stop taking the Pill, it will lower your. Risk, so 10 years after discontinuation of the pill, the risk that you may be diagnosed with breast cancer is the same as for women who have never taken the Pill. Breast cancer seems less likely for the worse if diagnosed in women who take the Pill than in women who were not taking these tablets.
Rarely, the use of the Pill has led to the development of liver diseases such as jaundice and benign liver tumors. Very rarely, the intake of contraceptive pills is associated with some forms of malignant liver tumors (liver cancer) in long term use. Yaernodrobnite tumors may lead to life-threatening intra-abdominal hemorrhage (bleeding in the abdominal cavity). So, if you experience pain in the upper abdomen, the cause of which is unclear, contact your doctor. Also, if your skin becomes yellow (jaundice), you should tell your doctor.
 
Pregnancy
 
If you suspect you may be pregnant, stop taking Tri-RB and tell your doctor about it. As your doctor, use other methods of contraception such as condoms or a diaphragm with spermicide.
 

Breastfeeding

 
 
Ask your doctor or pharmacist before taking Tri-RB. Three-RB should not be taken during breastfeeding.
 

Driving and using machines:

 
Three-RB has no or negligible influence on the ability to drive and use machines.
 
 
Important information about some of the ingredients of Tri-RB:
 
If you have been notified by your doctor that you have an intolerance to some sugars, consult your doctor before taking this medicine produkt.Priem other medicines with Tri-RB:
 
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even those who are without a prescription.
Some medicines can interfere with the action of the Tri-RB. If you are taking any other medicines while using Tri-RB, tell your doctor (or dentist, if you are prescribed antibiotics). Your doctor (or dentist) can advise you whether to take additional contraceptive precautions and for how long. Medications that sometimes may prevent the proper operation of the Tri-RB are:
  antibiotics (such as ampicillin, tetracycline and rifampicin);
  medicines used to treat epilepsy or other illnesses, such as primidone, carbamazepine, oxcarbazepine, topiramate, barbiturates, or hydantoins (eg phenobarbitone)
  ritonavir (medicines used to treat infections HTV);
  griseofulvin (a medicine used to treat fungal infections);
  plant-based tools commonly known as St John's Wort (hypericum perforatum).
 
You may need to use other methods of contraception such as condoms, while taking the above medications and over the next seven days afterwards. Your doctor may advise you to use these additional measures po. longer.
If you are taking antibiotics, always contact your doctor for advice on additional precautions. Always note that taking combined contraceptive pill when you prescribe any medication.
Means plant-based St John's Wort (Hypericum perforatum) may impede the normal operation of oral contraceptives and therefore should not be taken concomitantly. If you already take money plant-based St John's Wort, stop taking them and contact your doctor at the next visit.
 
Before your blood tests are conducted
 
Tell your doctor or employee of the medical laboratory that taking the Pill because oral contraceptives can affect the results of some tests.
 
 

 HOW TO TAKE THREE-RB

 
This package is made in a way that reminds you to take your tablets.
 
Start your first pack
 
 
Take the first tablet on the first day of your cycle. The first day of your cycle is the day when the bleeding starts.
If you start taking 2-5 days of your cycle, you should also use other methods of contraception, such as condoms, during the first seven taking the pills, which only applies to the first blister pack. You can take the tablets at any time of day, but taking all the tablets must always be at the same time each day. You yourself find the easiest way to remind taking pills, as the last thing you do at night or first thing the next morning. Take the tablets each day in the order listed until the finish all 21 tablet pack. Once you have taken all 21 tablets, stop taking seven days. You'll probably get some bleeding during those seven days. You do not have to use other forms of contraception during the seven day break, if you're taking 21 pills correctly and start time next blister pack.
 
 
Next blister
 
After a seven day break starting next pack. Do this whether bleeding continues or not. You will always start a new pack on the same day of the week.
Substitution of another combined hormonal contraceptive (combined oral tablets, suspension or transdermal patch) with Tri-RB
Taking Tri-RB should start the day after taking the last active tablet of the previous pack contraceptives (or after removal of transdermal patch or helix), and no later than the day following the usual period without administration of tablets (ie 's placebo period, a period without use of the patch or helix) occurring in the implementation of previous contraceptive.
 
 
Replace the contraceptive pill containing only progestogen with Tri-RB
 
You can stop taking the contraceptive pill containing only progestogen at any time to start taking Tri-RB the next day at the correct time. In these cases you must take extra precautions (eg condoms or spermicidal creams) in sex performed during the first 7 days of tablet.
Replace the contraceptive injection or implant Tri-RB If you received an injection or implant progestogen hormone, you can start taking Tri-RB in the day to be the next injection, or the day in which the implant is removed. However, you must use other methods of contraception (eg condoms or spermicidal creams) in sex performed during the first 7 days of tablet.
 
 
Start taking after childbirth, miscarriage or abortion
 
After birth, abortion or miscarriage, your doctor should advise you about taking the Pill. You can start taking Tri-RB immediately after a miscarriage or an abortion during the first three months of pregnancy. In these cases there is no need to take additional contraceptive measures.
If you have experienced childbirth or abortion in the second trimester, you may start taking Tri-RB 21-28 days after birth or after suffering miscarriage. If you are breastfeeding, intake of combined contraceptive pills are not recommended as they may reduce milk supply. Alternative contraception (such as condoms) should be used during the first 7 days of tablet. If you have had unprotected sex, you should not start taking Tri-RB until you get withdrawal bleeding or until you are sure you are not pregnant. If you have any questions about the start of the Tri-RB postpartum or after abortion, ask your doctor or pharmacist.
 
What to do if you forget to take a tablet?
 
If you forget to take a tablet please follow these instructions.
If the moment is to be adopted tablet are 'covered less than 12 hours.
Your contraceptive protection should not be affected if you take the missed tablet immediately and continue, taking the next tablet at the usual time. This means that you may need to take two tablets on the same day.
If the moment is supposed to be the tablet is more than 12 hours, or if you miss more than one tablet.
If it is more than 12 hours from the time you had the contraceptive pill to be taken, or if you miss more than one tablet, your contraceptive protection may be reduced, which means that you need to take extra precautions. The greater the number of tablets you forget to take, the greater the risk you contraceptive protection will be reduced. In this case, follow the instructions on daily practice:
What to do if you missed tablets in the first week?
You should take the last missed tablet as soon as you remember, even if it means that you have to take two tablets at the same time. Further, you should continue taking
tablets at the usual time. You. Use both barrier method eg. condoms for the next 7 days. In case of sexual intercourse during the previous seven days, should be excluded any possibility of pregnancy. The more tablets are missed especially if it happens around the usual period in which no tablets, the greater is the risk of pregnancy.
 
What to do if you miss taking a tablet every second week?
 
You should take the last missed tablet as soon as you remember, even if it means that you have to take two tablets at the same time. Further, you should continue taking the pill at the usual time. Provided that the tablets have been taken correctly during the 7-day period to the first missed tablet, there is no need to use additional contraceptive measures. However, if it is not, or if I missed more than a tablet, you need to use an additional contraceptive method for 7 days.
What to do if you missed tablets in the third week?
You should take the last missed tablet as soon as you remember, even if it means that you have to take two tablets at the same-time. Further, you should continue taking the pill at the usual time. In this case you should start the next pack immediately after taking the last tablet of the current pack, ie no space between the two containers in which no tablets. You should not expect the occurrence of withdrawal bleeding by the end of the second blister pack, but _mozheda. appears spotting or breakthrough bleeding while taking the pill.
You too can stop taking this tablet blister. In this case, you must comply with the period in which no tablets, up to 7 days including the days that you forgot to take the pill and then continue taking the pills from the next pack.
If you forget to take a tablet and do not get withdrawal bleeding during the first free tablet space, must take into account possible pregnancy.
 
What to do if you suffer from an upset stomach?
 
If vomiting or diarrhea, the contraceptive pill may not be effective. Continue to take, but you may not be protected by the first day of vomiting or diarrhea. Use another method of contraception such as a condom in sexual intercourse performed during the stomach upset and for the next seven days
 
How to delay or modify the onset of withdrawal bleeding?
 
If you wish to delay or modify the onset of withdrawal bleeding, you should ask your doctor for advice.
 
REASONS TO TAKE stopped immediately THREE-RB
 
If you experience any of the conditions listed below while taking Tri-RB, stop taking the tablets and tell your doctor immediately. Meanwhile, use other non-hormonal method of contraception such. condoms.
  Emergence of a migraine for the first time, or increased frequency of seizures or worsening of an existing migraine
 unusual headaches or increased frequency of headaches
  Sudden changes in vision or difficulty speaking
If you wish to delay or modify the onset of withdrawal bleeding, you should ask your doctor for advice.
 
What to do if you take more tablets Tri-RB:
 
If you take more tablets Tri-RB than you should, it is unlikely to harm you, but you may feel sick, you get sick or vaginal bleeding. If you experience any of these symptoms, you should tell your doctor, who can advise you what to do if necessary.
 

 POSSIBLE SIDE EFFECTS

 
Like all medicines, Tri-RB can have side effects.
Women who were taking contraceptive pills reported adverse reactions are listed below.
  Feeling sick or being sick
  Change in weight or fluid retention (edema).
  Changes in sex desire (libido)
  Depressive moods
  Headache
  Tightness in the chest
 Brownish spots on the face and body, similar to those that occur during pregnancy (chloasma).
  Irregular bleeding or bleeding fallen
  Bleeding or spotting between menstrual bleeding for the first "few months, but they" usually stop once the body adjust to the Tri-RB (but if bleeding or spotting continues, becomes more pronounced and occurs again, contact your doctor) ;
  Changes in vaginal secretions;
  Skin changes such as acne, rashes
  Unusual pain or swelling in the lower limbs, severe chest pain or sudden shortness of breath, pain or a feeling of heaviness in the chest, persistent cough or coughing up blood.
  numbness in one arm or leg 
Yellowing of the skin (jaundice)
  Profound increase in blood pressure
  Changes in blood lipids (fats)
  Pregnancy
  Definitely deterioration, which was more pronounced during the preceding pregnancy or taking the contraceptive pill in the past.
  Severe stomach bolka.Ako feel any side effects not listed in this leaflet, please tell your doctor or pharmacist.
 

 HOW TO STORE THREE-RB

 
Keep out of reach of children. 
This medicinal product does not require any special storage conditions. 
Do not use after the expiry date stated on the packaging.
Each pack blisterka tablet contains the following active ingredients:
 
6 pink tablets: Each tablet contains 50 micrograms of levonorgestrel and 30
micrograms ethinylestradiol
 
5 white tablets: Each tablet contains 75 micrograms of levonorgestrel and 40 micrograms of ethinylestradiol
10 yellow tablets: Each tablet contains 125 micrograms of levonorgestrel and 30 micrograms ethinylestradiol
 
The ingredients are:
 
Pink tablets:
 
Core: colloidal anhydrous silica, magnesium stearate, talc, corn starch, lactose monohydrate;
 
Coverage: croscarmellose sodium, povidone Compulsory Social Security Code; Macrogol; copovidone, calcium carbonate, sucrose, red iron oxide (E172), titanium dioxide (E171).
 
White tablets:
 
Core: colloidal anhydrous silica, magnesium stearate, talc, corn starch, lactose monohydrate;
 
Coverage: croscarmellose sodium, povidone Compulsory Social Security Code; Macrogol; copovidone, calcium carbonate, sucrose, titanium dioxide (E171).
 
 
 
Yellow tablets:
 
Core: colloidal anhydrous silica, magnesium stearate, talc, corn starch, lactose monohydrate;
 
Coverage: croscarmellose sodium, povidone Compulsory Social Security Code; Macrogol; copovidone, calcium carbonate, sucrose, yellow iron oxide (E172), titanium dioxide (E171).
 
 
 
Appearance of the tablets:
 
Pink, bright, biconvex round tablets.
 
White, bright, biconvex round tablets.
 
With ocher, bright, biconvex round tablets.
 
 
 
Packaging Data: Aluminum PVC / PVDC blister.
Each blister contains 21 tablets (6 tablets pink, 5 white tablets and 10 yellow tablets).
Packaging: 3x21 coated tablets

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