Genera tablets 21 tablets

Qualitative and quantitative composition of Gynera grains:

Genera contraceptive tablets 0.03 mg / 0.075 mg, package of 21 film-coated tablets, each film-coated tablet contains 0.03 mg ethinylestradiol, 0.075 mg gestodene, 36 mg as an excipient lactose.

How to start taking Gynera pills for the first time:

The first loan of Gynera pills is taken on the first day of the menstrual cycle

How to take Genera pills:

Combined oral contraceptives, when taken correctly, have a failure rate of approximately 11% per year. The failure rate may increase if they are not taken correctly or if one is forgotten. The tablets should be taken in the order directed on taking them each day at the same time. Almost with some liquid, one tablet is taken daily for 21 consecutive days, then it is stopped for a week, during which the menstrual cycle will come, and after 7 days the new strip will start.

Contraindications for taking Genera pills:

It should not be used in the presence of any of the conditions listed below:

– Having a history of venous or arterial thromboembolism (such as deep venous thrombosis, pulmonary embolism, and myocardial infarction).

History of thrombosis (eg, transient ischemic attack, angina pectoris).

The presence of a severe or multiple risk factor for venous or arterial thrombosis may also constitute a contraindication

- Sickle cell anemia

History of migraine with focal neurological symptoms

Diabetes mellitus with vascular involvement

Pancreatitis or a history of it if associated with severe hypertriglyceridemia

Severe liver disease as long as liver function values ​​have not returned to normal

History of worsening otosclerosis during pregnancy

Presence or history of liver tumors (benign or malignant)

Known or suspected malignancies (eg, genital organs or breasts).

Undiagnosed vaginal bleeding

Known or suspected pregnancy

- Hypersensitivity to the active substances or to any of the excipients 4.4

Reasons to stop taking Gynera pills:

1. The first occurrence of, or worsening of, a headache or becomes an unusually frequent or frequent headache

Unusually severe headache.

2. Sudden disturbances in vision, hearing or other sensory perception disturbances.

3. The first signs or symptoms of thromboembolic thrombophlebitis (such as unusual pain in or swelling of the leg(s), stabbing pains on breathing or coughing without apparent cause), feeling of pain and tightness in the chest.

4. The appearance of jaundice, hepatitis, and itching in the whole body.

5. An increase in epileptic seizures

6. High blood pressure

7. The emergence of severe depression

8. Severe upper abdominal pain or an enlarged liver

9. Pregnancy is a reason to stop immediately because it has been suggested by some investigations that oral contraceptives taken in early pregnancy may slightly increase the risk of fetal abnormalities. Other investigations have failed to support these findings.

Medical Examination / Consultation:

Women should be evaluated before starting oral contraceptives (and at regular intervals thereafter), and include each woman's personal and family medical history. A physical examination should be guided by this and the contraindications and warnings for this product. The frequency and nature of these assessments should be based on relevant guidelines, but should include blood pressure measurement, breast, abdominal and pelvic examination including cervical cytology.

The following conditions require close medical supervision while taking Gynera:

Diabetes mellitus, or a tendency towards diabetes mellitus (such as unexplained glucocorticoids), high blood pressure, varicose veins, history of phlebitis, otosclerosis, multiple sclerosis, epilepsy, porphyria, tetany, liver disease, kidney failure, family history of clotting disorders, obesity Family history of breast cancer, benign breast disease, depression, systemic lupus erythematosus, uterine fibroids, intolerance to contact lenses, migraines, gallbladder stones, cardiovascular disease, melasma, asthma or any disease that is likely to worsen during pregnancy

Side effects that have been reported in Gynera users but not everyone:

eye disorders

Gastrointestinal disorders

Nausea and stomachache

pain

Vomiting and diarrhea

Immune system disorders

hypersensitivity

Weight gain or weight loss

Metabolism and nutrition

disorders

fluid retention

Nervous system disorders

headache

Psychological disorders

depressed mood

Decreased libido or increased libido

Reproductive system and breast disorders

breast pain

breast tenderness

Breast enlargement

vaginal secretions

Breast emptying

Skin and subcutaneous tissue disorders

Studies and research

Epidemiological studies have suggested an association between the use of combined oral contraceptives and an increased risk of arterial disease, thrombotic disease, and venous thromboembolism such as myocardial infarction, deep vein thrombosis, pulmonary embolism, and cerebrovascular accident. These events occur rarely, and the risk of VTE is highest during the first year of life. the use . This increased risk is present after initiation of use. The study indicates that this increased risk is present mainly during the first 3 months of use. Generally, the risk of venous thromboembolism (VTE) at higher doses of estrogen has been reported. Thrombosis in other blood vessels, such as the liver, has also been reported. mesenteric, renal, cerebral or retinal veins and arteries