Marvelon - is a means of contraception, which are active ingredients desogestrel and ethinyl estradiol - natural analogues of the hormones estrogen and progesterone. Marvelon suppresses ovulation, increases the viscosity of cervical mucus and changes the structure of the upper layer of the uterine lining, so the chance of pregnancy is minimized.

In addition to the active compounds, the composition of many drugs include other components which enhance the shelf life of drugs, improve its absorption, and perform other functions. As part marvelona such additional components are:

• Aerosil;
• D1-alpha-tocopherol;
• Potato starch;
• Povidone;
• Stearic acid.

If you are allergic to desogestrel, ethinyl estradiol or any additional components marvelona, ​​this drug is contraindicated to you.

How to take Marvelon

If you are just starting marvelona reception, the very first tablet should be taken on a day when you start menstruating. Then take a pill for 21 days, at the same time. At what time of day you will take marvelon does not matter, but for many women it is easier not to forget the pill, if they do it in the morning as soon as wake up or just before bedtime. Of course, this mode of administration is effective only if you go to bed and wake up at about the same time.

When the pills run out in the same package, you should stop taking Marvelon for seven days and then start taking pills from a new package. If during the seven days you have not begun menstruation, but you are sure to never forget to take a tablet, the likelihood that you are pregnant, is extremely low. The absence of menstruation for several months - a fairly common consequence of the use marvelona; This causes some concern among women, but in reality is a violation of the menstrual cycle Violation of the menstrual cycle: types and causes   It is not harmful to health.

Efficiency marvelona decreased if you are late with taking the pill for twelve hours or more, if you are taking medications that can interact marvelon (of which we discuss below), and if you have severe diarrhea or vomiting - they can interfere with the normal absorption components of the drug. If this occurs during the course of the last seven days of receiving marvelona, ​​start a new course without making a seven-day break. In other cases, consult your doctor.

If you accidentally took two tablets marvelona row, watch out for their well-being over the next three to four hours, and seek medical attention if symptoms such as nausea, vomiting, dizziness, or severe malaise.

Contraindications and precautions

Marvelon is contraindicated, or it is recommended to take with caution if the patient has the following health problems:

• Allergy or hypersensitivity to any components of marvelona;
• Inflammatory bowel diseases such as Crohn's disease or ulcerative colitis Ulcerative colitis ;
• Estrogen dependent tumors;
• Bleeding disorders;
• Diabetes;
• Galactose intolerance;
• Glucose-galactose malabsorption;
• Chloasma;
• Lactose intolerance;
• High blood pressure;
• Irregular menstrual cycles;
• Hypertriglyceridemia family history;
• Depression;
• Liver problems;
• Migraines or severe headaches;
• Systemic lupus erythematosus;
• Serious violations related to the work of the cardiovascular system, such as a heart attack, angina, stroke, deep vein thrombosis or pulmonary embolism;
• Sickle-cell anemia.

Marvelon is also not recommended for women smokers, those who suffer from obesity, varicose veins, thrombophlebitis, who recently suffered an injury or surgery, women older than 35 years who have given birth less than eight weeks ago, and nursing.

Before you assign patient marvelon, the doctor can perform a number of diagnostic procedures to make sure that this drug is it really fits. After some time after the start of marvelona often carried out additional tests to make sure that the patient tolerates the drug.

Drug Interactions

The following drugs can significantly reduce the effectiveness marvelona carbamazepine, ciclosporin, felbamate, griseofulvin, lamotrigine, oxcarbazepine, phenytoin, primidone, rifampicin, ritonavir, topiramate, tricyclic antidepressants, barbiturates, penicillins, tetracyclines, activators of liver enzymes. In addition, marvelon should not take St. John's wort at the same time.

Side effects

Approximately one out of 100 women marvelon cause the following side effects:

• Bolez6ennost chest;
• The weakening of sexual desire;
• The change in weight;
• Depression;
• Discharge from the nipple;
• Swelling;
• Headaches (if the headache becomes very severe or accompanied by symptoms such as a sudden loss of vision, weakness, dizziness, numbness of one side of the body, seek medical advice immediately);
• High blood pressure;
• Irregular vaginal bleeding;
• Nausea;
• Skin rash Rash: Classification - primary and secondary elements ;
• Vomiting (if you vomit within three hours after taking Marvelon, you will need to use additional contraception for the next few days).

In very rare cases, side effects can be marvelona: chloasma, formation of gallstones, pancreatitis, thrombosis.

In addition, marvelon may affect the results of blood tests, so if you pass any examination, be sure to inform your doctor that taking this drug.

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