MILIGEST. 21 tablets

WHAT MILIGEST AND WHAT IT IS USED FOR?
Miligest is a three-phase combined oral contraceptive containing synthetic follicular and luteal hormone and is used to prevent unwanted pregnancy.
The active ingredients are bright orange. Phase I. coated tablets:
Each tablet contains 0.03 mg ethinylestradiol and 0.05 mg gestodene.
White. Phase II. coated tablets:
Each tablet contains 0.04 mg ethinylestradiol and 0.07 mg gestodene.
Light green. Phase III. coated tablets: Each tablet contains 0.03 mg ethinylestradiol and 0.10 mg
The other ingredients are:
Bright orange. Phase I. coated tablets:
Sodium calcium edetate, magnesium stearate, colloidal silicon dioxide, povidone, corn starch, lactose monohydrate (37.18 mg), yellow iron oxide (E172), titanium dioxide (E171), macrogol 6000, talc, calcium carbonate, sucrose.
White, Phase II. coated tablets:
Sodium calcium edetate, magnesium stearate, colloidal silicon dioxide, povidone, corn starch, lactose monohydrate (37.15 mg), titanium dioxide (E171), macrogol 6000, talc, calcium carbonate, sucrose.
Light green. Phase III coated tablets:
Sodium calcium edetate, magnesium stearate, colloidal silicon dioxide, povidone, corn starch, lactose monohydrate (37.13 mg), AC 3199 Sepispers green (coloring components indigo carmine E132, quinoline yellow E 104 Titanium dioxide E171), titanium dioxide E171, macrogol 6000, talc, calcium carbonate, sucrose.
 
Each package of three-phase contraceptive containing coated tablets with different hormone content - in line with variations of hormone levels during the normal menstrual cycle. The primary action of the hormones contained in Miligest tablets is the inhibition of ovulation. Moreover, changes in the quality of the cervical mucus (which becomes a barrier to sperm) and the endometrium (which becomes intractable for implantation), which also contribute to the contraceptive effect.
 
Before you start taking oral contraception Miligest must undergo a medical and gynecological examination to exclude diseases that can cause a risk when using oral contraceptives.
During use of the drug should be regular medical pregledi.Peroralnite contraceptives have many advantages over other methods of contraception:
• oral contraception is a reliable method, the effect of which is terminated after discontinuation of therapy;
• menstrual cycle is regular, but also the strength and duration of bleeding may decrease;
• menstrual pain may decrease or disappear;
• therapy with oral contraceptives can reduce the incidence of anemia due to excessive menstrual bleeding, ectopic pregnancy (called ectopic pregnancy) as andsome diseases of the uterus, ovaries and breasts.
 
 
2. BEFORE YOU TAKE MILIGEST:
 
Do not take Miligest if:
• You or your close relatives have had a disease that affects blood circulation known as thrombosis (eg. Blood clots in the blood vessels of the legs, lungs, heart, brain, eyes or in some other organs of your body); You or your close relatives have suffered from diseases that increase the risk of blood clots;
• have suffered from a heart attack or angina (severe chest pain) or stroke (eg. Sudden occurrence of weakness or numbness on one side of your body);
• suffer from severe diabetes with changes in the blood vessels;
• you have high blood pressure (hypertension);
• suffer from dyslipoproteinaemia (presence of abnormal concentrations of lipoproteins in the blood);
• are pregnant or think you might be pregnant;
• suffer or have suffered from liver disease;
• suffer or have suffered from cancer of the liver;
• suffer from breast cancer or other malignancies, such as ovarian cancer, cervical or uterine cancer;
• you have unusual vaginal bleeding;
• suffer or have suffered from migraine;
• suffer or have suffered from gestational herpes;
• you are allergic (hypersensitive) to ethinylestradiol or gestodene, or any of the other ingredients of Miligest;
Please tell your doctor if you have any of these conditions or any other diseases. If while taking Miligest occur any of the above, discontinue its use immediately and consult your doctor.
 
 
If you are taking other medicines
Some medicines may reduce the contraceptive effect of Miligest. These include anti-epileptics, tranquilizers, antibiotics, medicines to treat fungal, viral infections and tuberculosis, as well as herbal products containing St. John's wort (St. John 'wort). Interactions can occur with drugs recently adopted or which shall be adopted later. Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even those who are without medical predpisanie.V case of blood tests should tell your doctor that you are taking an oral contraceptive, as the use of the product may affect the results of some laboratory tests.
 
Pregnancy, lactation:
Miligest should not be taken during pregnancy.
Since the active ingredients can pass into breast milk and reduce the amount of breast milk, the use of Miligest not preprachva during lactation.
 
Driving and using machines:
Miligest not adversely affect the ability to drive and use machines.
 
Important information about some of the ingredients Miligest
If you have an intolerance to milk sugar (lactose) or sucrose should keep in mind that this product also contains lactose and sucrose. If your doctor has told you that you suffer from rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galaktazna malabsorption, you should not take this medicine.
Miligest be taken with caution in the presence of the risk of heart disease and blood vessels (cardiovascular disease) and thrombosis (smoking, age over 35, family history of thrombosis, obesity, moderate impairment of fat metabolism, mild hypertension, valvular heart disease, cardiac arrhythmia). Patients with diabetes or data in the past for depression should be under regular medical examination.
Pill should not be adopted in case of infectious hepatitis and until the results of laboratory tests are not revert to normal stoynosti.Provedeni clinical studies have shown that women taking oral contraceptives are at increased risk of clot formation in the blood vessels (vascular obstruction ). This complication can have serious consequences, such as deep vein thrombosis, heart attack or stroke. These complications are sometimes fatal and return to normal is not palno.V rare cases, malignant liver disease can develop during long-term use of oral contraceptives. The use of such hormonal agents may be also associated with the formation of benign tumors of the liver.
All women are at risk of developing breast cancer - whether used or not used oral contraceptives. Breast cancer is not common under the age of 40; However, the risk increases with age.
The risk for developing breast cancer is slightly higher in women using oral contraception, unlike women of the same age who are not using oral contraceptives. In women given oral contraception breast cancer is diagnosed at an earlier stage compared with women not using oral contraceptives. Although this has not been proven causal link between use of oral contraceptives and the development of breast cancer.
Some studies have reported an increased incidence of cancer of the cervix with continued use of contraceptives. The degree of increase, however, is actually due to oral contraceptives is still unknown.
 
 
3. HOW TO TAKE MILIGEST?
It is understood by one coated tablet per day, preferably at the same time, starting from the first day of the menstrual cycle for 21 days. Should pause of 7 days period when no tablets are taken, and during which withdrawal bleeding occurs. Taking the next pack of 21 tablets should begin on the 8th day (even if the bleeding has not stopped). Thus, the intake of each successive carton Miligest starts always on the same day of the week, as started in the first container. The strength of vaginal bleeding may be reduced, but this is normal.
 
First cycle of administration
Wait until the next menstruation. During this time, it is recommended that the use of other methods of contraception (eg. Condoms, pessaries, spermicides). Taking Miligest coated tablets should begin on the first day of the menstrual cycle.
 
Substituting another oral contraceptive
All tablets from the previous package must be completed, and then be paused. Start taking Miligest coated tablets on the first day of withdrawal bleeding that occurs during this period. You can go from mini-tablets to Miligest on any day, but during the first 7 days of the adoption of Miligest need to use additional contraceptive measures.
 
Use after abortion in the first quarter
After an abortion in the first quarter, the use of oral contraception can start immediately, as prescribed by the physician. In these cases, additional contraceptive measures are not neobhodimi.Upotreba after delivery or abortion in the second quarter Taking Miligest coated tablets may start 28 days after abortion in the second trimester or childbirth if not breastfeeding. During the first 7 days of tablet should use additional contraceptive metod.Ako you had sexual intercourse after childbirth or abortion should be ruled out pregnancy before taking Miligest, or may start using Miligest, when the next menstrual cycle .
 
If you forget to take a tablet Miligest:
Do not take a double dose to replace a forgotten individual dose.
If you forget to take your tablet at the usual time should accept it in the next 12 hours.
Take the next tablet at the usual time.
If you delay taking the tablet Miligest exceed 12 hours, contraceptive protection may be reduced. In this case, do not take the forgotten tablet (tablets), and continue to take the tablets at the usual time. Additional contraceptive methods should be used during the subsequent 7-day period. In a forgotten tablet (s) in the last seven days of taking Miligest, the subsequent period, which did not take tablets should be ignored and the reception of the next pack should be started the day after the last tablet of this blister. In this case, bleeding is not expected to finish before the next pack; although this may occur spotting and breakthrough bleeding. Consult your doctor if you are at the end of the second pack not occur menstrual bleeding.
Vomiting in the first 3-4 hours after administration of the tablet can reduce the absorption of the active ingredients. In such cases, the instructions as for a missed tablet.
 
If you take a large quantity of tablets required:
Taking higher doses of oral contraceptives is associated with severe consequences. Possible signs of overdose may include nausea and vomiting, as well as slight vaginal bleeding in young girls. If you take a large number of tablets Miligest than prescribed, immediately consult your doctor or pharmacist.
 
 
4. POSSIBLE SIDE EFFECTS
Like all medicines, Miligest can have side effects.
Improper bleeding (spotting or breakthrough bleeding) is very common in the early months of contraception Miligest.
During oral contraception can cause the following side effects;
• a change in vaginal discharge or vaginal candidiasis
• depressive moods
• headache
• inflammation of the eyes when wearing contact lenses
• feeling faint or diarrhea
• diseases of the liver and gall bladder (hepatitis, yellowing of the skin)
• diseases of the skin such as rash, chloasma (pigmented spots on the face and body)
• breast tenderness, changes in sexual desire (libido), bleeding disorders
• malaise, unusual tiredness
• weight changes
• increase in blood pressure
 
 
• Formation of blood clots in blood vessels (deep vein thrombosis, pulmonary embolism, myocardial infarction and stroke). Intensive smoking is associated with an increased risk of thrombosis, especially in women over the age of 35 years, which is why you should tell your doctor if you smoke. Some potentially predisposing factors for thrombosis are as data on coagulation disorders, hypertension, atherosclerosis, diabetes and obesity patlogichno.
• benign or malignant liver tumors. Rupture of these lesions may cause life-threatening and sometimes fatal abdominal hemorrhage presenting with unusual tension and constant pain in the abdomen. In such cases, the application of urgent medical treatment.
If you experience these or any other unusual symptoms, you should tell your doctor.
 
Immediately discontinue Miligest n Seek medical help if any of the following complications:
 
• Any signs of thrombosis (chest pain radiating to the left arm; unusually intense pain in the legs, weakness or numbness in any part of the body, shortness of breath, unusual cough (especially with bloody sputum); dizziness or fainting; visual disturbances hearing, speech, sensory loss; first occurrence or worsening of migraine; unusually intensive, repetitive or continuous headache);
• jaundice;
• palpable lump in the breast;
• Sudden severe abdominal pain;
• unusually heavy vaginal bleeding or a lack of menstruation in two consecutive cycles;
• long-term immobilization or 4 weeks before elective surgery;
• suspected pregnancy;
• increase in blood pressure;
• convulsions.
 
 
5. HOW TO STORE MILIGEST?
Keep out of the reach and sight of children. Do not store above 25 ° C.
Do not use after the expiry date stated on the packaging.