GESTODETTE 21 tablets

WHAT IS GESTODETTE AND WHAT TO USE
Gestodette coated tablets (called as Gestodet) is an oral contraceptive containing a combination of two female sex hormones. It can be used to prevent unwanted pregnancy.
Both hormones are etinilestradiol (has an effect similar to estrogen) and gestodene (has an effect similar to natural lutealen hormone, progesterone). Because of the product contained in the two types of hormones, it belongs to the Group of so-called. "combined" products, as the tablets are identical to the "start" tablets.
Oral contraceptives are highly effective means of family planning. If taken precisely in accordance with the instructions (without skipping pills), they provide almost complete protection from unwanted pregnancy.

2. What you need to know BEFORE YOU TAKE GESTODETTE
In this patient information leaflet we describe several scenarios in which you must stop taking the Gestodet or his potential contraception wall weakens. In these cases you do not need to have a genital contact or need to use the nehormonalen method (such as condoms) or other barrier method for contraception. Do not use the temperature measurement method or rit″mniâ method, since oral contraceptives do these methods unreliable.
As with other combined oral contraceptives, the adoption of Gestodet does not protect against HIV infection (AIDS) or other sexually transmitted infections.

Don't use GESTODETTE
If you suffer from any of the States listed below, tell your doctor before you start taking Gestodet. Your doctor may advise you to use a different type of hormonal pills or other contraceptive method nehormonalen. If:
you are allergic to etinilestradiol, gestodene or any of the other ingredients of this medication (listed in point 6);
you have or have had blood circulation disorders, thrombosis; the blood clot represents a blood clot, which can cover a blood vessel of the legs (e.g. deep vein thrombosis), the lungs (pulmonary embolism), heart disease (heart attack) or in other organs (see oral contraceptives and thrombosis); or if your family has ever had a case of deep vein thrombosis or pulmonary embolism with unexplained origin;
you have or have had arterial disorders, such as stroke (blood clot or bleeding);
you have or have had conditions that are prodromalni for myocardial infarction (firming chest pain spreading to the neck) or stroke (ischemic attack tranzitorni, the so-called. Representing TIA stroke without permanent consequences);
in the history of the disease you have migraines with focal neurological symptoms;
you have diabetes mellitus with vascular disabilities;
you have or have had inflammation of the pancreas with high levels of certain blood lipids;
you have severe liver disease or active prior to such data with liver laboratory parameters, which are not yet normalized;
you have proven the sex organs or tumors of the breast or have doubt about such;
you have active liver tumor (benign or malignant) or prior to such data;
you notice vaginal bleeding of obscure origin;
you are or may be pregnant.
If, at the time of taking the Gestodet pops up any of the above conditions, shall immediately cease use of the tablets and contact your doctor. In the meantime, use a non-hormonal contraceptive methods.

Warnings and precautions
Under certain conditions the combined contraceptives may be adopted only under strict medical supervision. Talk to your doctor before you start taking Gestodet:
If you smoke;
If you suffer from diabetes mellitus;
If you are overweight (a body mass index above 30 kg/m2);
If you have high blood pressure;
If you have a heart valve defect or rhythm disturbances;
If you have inflamed veins (superficial thrombophlebitis);
If you have varicose veins;
If one of your loved ones have had a thrombosis, heart attack or stroke;
If you suffer from migraines;
If you suffer from epilepsy;
If you or any of your loved ones has high levels of cholesterol or triglycerides (fatty substances in the blood);
If you have liver disease or complaints related to bile;
If you have inflammatory bowel disease (Crohn's disease or ulcerative colitis);
If you suffer from diseminirano an autoimmune disorder of the immune system (SLE-Systemic Lupus Erythematosus);
If you are suffering from a rare blood disorder in combination with kidney disease (HUS-haemolytic uraemic syndrome);
If you suffer from sickle cell anemia;
If you are suffering from disease, occurred during pregnancy or during use of hormones (e.g. hearing loss; a disease in which the red blood pigment is produced and in which, among other symptoms, there is increased skin sensitivity to light (Porphyria); the bubble in the late stages of rash pregnancy
Other drugs and Gestodet
Inform your doctor or pharmacist if you are taking, you have recently taken or may take other medications.

Some medicines can decrease the effectiveness of combined oral contraceptives. Such medications can be for example:
drugs used for the treatment of epilepsy (e.g. primidone, phenytoin, barbiturates, carbamazepine, okskarbazepin, topiramate and felbamat);
drugs used for the treatment of tuberculosis (e.g. rifampicin);
medications against HIV infection (e.g., ritonavir);
antibiotics used to treat some infections (eg. Penicillins, tetracycline, grizeofulvin);
the herb St. John's wort (Hypericum perforatum), used primarily for the treatment of depression.
Inform your doctor, who writes Gestodet, for all other medications you use.
Tell your doctors that you given other medications, and also the dentists and pharmacists that use Gestodet. They will inform you if you need to apply other non-hormonal methods of contraception and how long do I have to use them.

Pregnancy, lactation and fertility
If you are pregnant or breastfeeding, or you suspect that you may be pregnant or planning pregnancy, should not take Gestodet. If you suspect that you may be pregnant during using Gestodet, call your doctor immediately.
The use of combined oral contraceptives during lactation can lead to a reduction of the quantity of milk and given to a change in its composition. It is not recommended the use of Gestodet in women who are breastfeeding.

Driving and operating machinery
Gestodet has no effect on driving and work with machines.

When should you call your doctor?
Your doctor will tells you when to visit for regular checks, while taking the tablets, in most cases the frequency should be once a year.

Contact your doctor immediately if any of the following:
If you notice any changes in health (especially those described in this leaflet), or if the conditions mentioned here occur when one of your loved ones;
If you change a lump in the breast;
If you need to use other medications;
before the planned major surgery or immobilization (consult your doctor at least 4 weeks before);
If you have unusual vaginal bleeding heavily;
If you omit to take one or more pills in the first week or you have had sexual contact in the previous 7 days;
If two consecutive months you do not menstruate or you suspect that you are pregnant (do not start the next Pack Gestodet not until the doctor finds that it is safe).
Stop taking the Gestodet and contact your doctor immediately if you notice the following symptoms and conditions that are doubtful for thrombosis:
suddenly occurred, prolonged cough;
sudden severe pain in the chest, spreading or not to the left hand;
suddenly arisen shortness of breath;
abnormally heavy and prolonged headache or migrenozen attack, covering one side of the head;
suddenly arisen partial or complete loss of vision, or double vision;
slurred speech or difficulty in pronouncing of words;
sudden change occured in the hearing, taste or olfactory perceptions;
dizziness or collapse with or without focal epileptic seizures;
sudden weakness or numbness of the highlighted one side or part of the body;
sharp pain in the abdomen;
acute pain or swelling of the leg (s).
These conditions are described in more detail in other sections of this leaflet.

This product contains lactose and sucrose. If you know that you have a hypersensitivity to certain types of sugars, ask your doctor before you start taking Gestodet.
HOW TO TAKE GESTODETTE
Always take this medicine exactly as your doctor has told you. If you are unsure of something, ask your doctor or pharmacist.
Each pack contains 21 Gestodet or 3x21 coated tablets. The day of the week in which you must be accepted to the specified tablet blister pack.
You should aim to take the tablet at the same time every day, with a little liquid, if necessary. Take one tablet every day by following the direction of the arrows until you finish the Pack. Next 7 days will not take the tablets. During the 7-day period, when not taking pills, it is normal to get bleeding that usually begins 2-3 days after the last Tablet intake.
Start a new package Gestodet on the 8th day after the final adoption of the tablet. Even if the bleeding continues, you must start the new Pack Gestodet. Each new package will begin on the same day of the week as the previous one, and so you will be easy to remember when to start a new, even more so, your monthly cycle will always be in the same days every month.
If you follow the instructions, the tablets will protect you from unwanted pregnancy from the first day of reception.

Starting the first Pack GESTODETTE
When the last month hasn't been used hormonal contraceptive:
Take one tablet coated every day, starting from the first day of the menstrual cycle. To help you keep track of the number of doses, take a Tablet from the socket marked with the corresponding day of the week.
When you change other combined contraceptive preparation with Gestodet:
The first wrapped the tablet should be taken on the first day immediately following the last Tablet intake (without the period). If your previous contraceptive tablets contain inactive (no hormones) coated tablets, the adoption of Gestodet should start after taking the last active (containing hormones) coated tablet. If you're not sure which coated tablets are active, ask your doctor or pharmacist.

When you are replacing the monokomponenten product containing only progesterone (minitabletki):
Women who take minitabletki, containing only progesterone may at any time replace them with Gestodet and take it the next day (at the usual time). In this case, you must use another contraceptive method (e.g. barrier) within the first 7 days of reception of the tablets.

If you have used an injection of contraceptive implant or intrauterinna system containing levonorgestrel (IUS):
Women using implants or intrauterinni systems with levonorgestrel can start taking the pills the day you remove the implant or intrauterinnata system (IUS). Women administering injections, can start the adoption of tablets-clad in the day, when it should be applied to the next shot. In all these cases, you should use other contraceptive method (e.g. barrier) within the first 7 days of reception of the tablets.

After you have given birth:
If you have just given birth is possible for the doctor to advise you to start taking Gestodet after your first normal menstrual period. However, in some cases it is possible to start using hormonal contraception and earlier, ask your doctor about it. If you take Gestodet don't have to breastfeed, unless your doctor has instructed you otherwise.

After abortion or pregnancy loss:
Follow the instructions of your doctor.

Ask your doctor or pharmacist if you consider that the Gestodet is too strong or weak for you.
If you have taken more tablets GESTODETTE
Not seen serious damage as a result of an overdose of Gestodet. An overdose can cause nausea, vomiting, and bleeding in young girls in the tablets. If you believe that a child is likely to come from a couple of tablets-clad, immediately contact your doctor.

If you want to stop taking the Gestodet
You can stop taking the Gestodet at any time. If you do not want to become pregnant, talk to your doctor about other reliable contraceptive methods.

If you have any further questions related to the use of this medicine, ask your doctor or pharmacist.

If you forgot to pick up GESTODETTE
If you take the forgotten coated tablet within 12 hours, no need for additional safeguards; the product must be adopted as soon as possible and the next tablets should be taken at the usual time. Kontraceptivnata efficiency of Gestodet will not be reduced.

If it's been more than 12 hours, kontraceptivnata reliability of the tablet will be reduced. The risk of unwanted pregnancy is extremely high, if you forget to take your tablet at the beginning or at the end of the Pack. In this case, you must follow the rules given below.
If you forgot to pick up a wrapped tablet in first week: you should get the latest lost wrapped tablet, even if you have to take two pills in one day, and then have to keep taking tablets-clad in normal time. It is necessary to use additional contraceptive methods (e.g. condom) within the next seven days. However, if you have already had sexual intercourse in the previous seven days, could not exclude the possibility of pregnancy. In this case, notify your doctor immediately;
If you forgot to pick up a wrapped tablet in the second week: you should get the latest lost wrapped tablet, even if you have to take two pills in one day, and then have to keep taking tablets-clad in normal time. If you have taken it regularly-clad tablets in the previous 7 days. no need to use additional contraceptive methods;
If you forgot to take a Tablet coated during the third week: consider the following versions, no need to use additional contraceptive methods, provided that you have taken the tablets on a regular basis in the previous 7 days.
You have two choices:
1. you need to get the latest lost wrapped tablet, even if you have to take two pills in one day, and then have to keep taking tablets-clad in normal time. The next pack should start immediately after the completion of the Pack right now, i.e. between packages must be a space. You'll have no menstrual period until the end of the second Pack, but you can get the spotting or bleeding in marking the days of the reception of the tablets.
2. the second possibility is to stop taking the tablets from the packaging that you're currently using, not to take tablets for a period of seven days (must be counted and the days you missed Tablet), and then to continue with the new package. If you want to start the new packaging in the normal day of the week, the interval without intake of tablets may be shorter than 7 days!
If you forgot to pick up more than one coated tablet: consult with your doctor. Remember that in this case there is no effective contraception.
If at the time of the package are omitted a few tablets and didn't get the expected bleeding in the first period, in which the tablets are not accepted, there is a great chance to pregnancy has occurred. It is recommended that you contact your doctor before starting a new intake package Gestodet.

In the case of gastro-intestinal disorders
If within 3-4 hours after taking the Tablet starts vomiting or severe diarrhea, the Tablet may not be well absorbed from the gastrointestinal tract. The situation is similar to that if you forgot to take a tablet. In this case, as soon as possible should adopt a Tablet, if possible within 12 hours. If it's been more than 12 hours, to be followed the rules given in the section "If you forgot to pick up the Gestodet" for the adoption of the missed tablets.

Delay of menses
You can postpone your period, if you start a new pack immediately Gestodet without a break after finishing the previous package. Menstruation may be delayed until the completion of the second Pack, or if necessary, in a short time. During the use of the second package, you may have spotting or bleeding during marking taking the tablets. After the completion of the second package must go 7 days without the intake of tablets and then the use of Gestodet can be resumed.

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