Ginette-35 can be used for oral contraception in women who require anti-androgen therapy. Cyproterone acetate can be employed along with ethinyl oestradiol to the control over idiopathic hirsutism.
For the treatments for severe acne, especially androgen-dependent acne accompanied by inflammation, seborrhoea or the formation of nodes.
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Before commencing with Ginette-35, a proper medical (including gynaecological) examination carried out and also the patient's history carefully evaluated. Regular medical examinations are recommended during use. Pregnancy should be excluded.
Disorders of the clotting system and family history of thrombo-embolic diseases, especially at a young age, needs to be excluded.
Androgen-producing tumours or even an adrenal enzyme defect must be ruled out before prescribing Ginette-35 for that treatments for hirsutism.
Additional contraceptive precautions ought to be taken to the first two weeks from the first cycle or if a tablet is accidentally missed.
Spotting may occur and can usually stop spontaneously.
The patient is required to talk her doctor if prolonged and persistent bleeding occurs.
The tablet must be taken roughly simultaneously every day, not exceeding one day, for maximum effectiveness. The tablet might be taken which has a meal to lessen nausea.
Missed doses: Take as quickly as possible, that is certainly next 12 hours in the latest, and not when it's nearly time to the next dose. Do not double doses. Take the next tablet on the usual time to prevent withdrawal bleeding. Additional non-hormonal contraceptive precaution needs to be taken.
In the case of diarrhoea or vomiting, additional non-hormonal contraception ought to be utilized in order to stop pregnancy.
First cycle: The patient should take the first tablet for the first day in the cycle (day one in the cycle being the first day with the menstrual bleeding). Thereafter, one tablet needs to be taken daily, following the sequence with the arrows, simultaneously, until all the tablets happen to be taken. The first tablet should be obtained from the silver section (in the calender pack), commencing with all the appropriate day as indicated around the strip.
Subsequent cycles: A new pack needs to be started the very next day after completing the last pack, again beginning the right day inside the silver section with the strip. This method needs to be followed provided that the contraception is desired.
For the treatment of androgen-dependent acne: Dosage regarding contraception.
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Store Ginette-35 below 86 degrees F (30 degrees C). Store from heat, moisture, and lightweight. Do not store in the bathroom. Keep Ginette-35 out in the reach of kids and away from pets.
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Woman who use oral contraceptives must be strongly advised to never smoke. Smoking increases the risk of myocardial infarction.
Women smoking more than 15 cigarettes daily have at the very least a 20% increased chance of serious cardiovascular side-effects. This risk also increases as we grow older and it is quite marked ladies over 35 years of age.
Not to be utilized in kids and men.
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Do not use if:
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Oral contraceptives must not be utilized during known or suspected pregnancy as it might cause severe problems for the foetus.
A combination oral contraceptive should not be prescribed from a recent evacuation of a hydatidiform mole until urine and plasma gonadotropin concentrations have returned to normalcy.
Hypersensitivity to your in the ingredients.
Known or suspected breast cancer.
Patients with liver diseases or malignant or wasting diseases.
It really should not be given to patients having a good thrombo-embolic disorders. This may include myocardial infarction, pulmonary embolism, venous thrombosis and stroke.
Contra-indicated in patients with severe chronic depression and sickle-cell anaemia.
Oral contraceptives are contra-indicated in patients with oestrogen-dependent neoplasms, functional ovarian cysts, the Dubin-Johnson or Rotor syndromes, disorders of lipid metabolism, markedly impaired liver function, cerebrovascular insufficiency, heart disease, thrombophlebitis, deteriorating otosclerosis, a history of pruritus during previous pregnancy, undiagnosed vaginal bleeding, herpes, recurrent cholestatic jaundice or porphyria.
Patients with classical migraine should avoid using a combination oral contraceptive.
Relative contra-indications (these patient would require medical supervision):
Diabetes mellitus, tetany, hypertension, epilepsy, chorea, multiple sclerosis, renal dysfunction, asthma, mental depression, varicose veins, cardiac dysfunction, gallbladder disease, patients who wear contacts and obese patients, and other conditions influenced by fluid retention. The risk benefits ought to be considered in patients with endometriosis and uterine fibroids. It is recommended that the using Ginette-35 be discontinued if any of the following symptoms occur:
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