Gildess 1/20 is an oral contraceptive, containing 2 types of female hormones, ethinyl estradiol and norethisterone, that are used to prevent ovulation and pregnancy.
Contents:
Indications for use
Gildess 1/20 has the following indications for use:
- hormonal contraception;
- stimulation or delay of menstruation;
- infertility due to functional disorders;
- hypoplasia of the uterus;
- functional disorders of the menstrual cycle;
- dysmenorrhea.
Mechanism of action
A contraceptive action is provided by the active ingredients ethinylestradiol and norethisterone.
Long-term use helps to reduce the secretion of FSH and LH, resulting in suppressed ovulation. At the same time, the drug prevents the attachment of a fertilized egg, increases the viscosity of the vaginal secretions, which makes it impossible for sperm to enter the uterus.
Dosage and mode of application
The schedule for taking the drug for contraception is similar to the schedule for taking other hormonal contraceptives. You can take the first tablet on the first day of your period (menstruation) or can be a Sunday-starter. Take 1 tablet per day for 21 days in a row, followed by a 7-day break, during which typical menstrual bleeding occurs. When switching from Gildess 1/20 to another hormonal drug, the first tablet should be taken on the 1st day of the menstrual cycle.
Overdose
Cases of drug overdose are not described.
Side effects
Gildess 1/20 may increase the risk of blood clots, high blood pressure. Nausea, vomiting, headaches, migraine attacks may occur. The drug can cause impaired carbohydrate and fat metabolism, weight gain, disorders of thyroid function, decreased sexual activity, reduced milk flow, uterine bleeding, impaired liver function, gallstones, and the development of jaundice. The contraceptive can also reduce the content of vitamins B2, B6.
Contraindications
The absolute contraindications for using Gildess 1/20 include:
- a tendency to form blood clots,
- impaired blood circulation,
- acute and chronic hepatitis,
- cirrhosis of the liver,
- impaired enzyme activity (enzymopathy),
- anemia,
- high blood fat (hyperlipidemia),
- pregnancy,
- cancer of the uterus and appendages,
- various malignant and benign tumors,
- diabetes,
- psychosis,
- psychopathy,
- hypertension.
The drug is contraindicated for use in children under 16 years of age, with individual intolerance. It is undesirable to use the contraceptive in epilepsy, multiple sclerosis, hearing loss, migraine, skin diseases (hyperpigmentation). Stop taking birth control pills if you have a sharp pain in the extremities, spasm of the calf muscles, swelling of the lower leg, severe headache and severe migraine.
Interactions
The effectiveness of Gildess 1/20 may decrease with the simultaneous use of narcotic drugs, analgesics, tranquilizers, anticonvulsants, some antibiotics and other drugs that affect the activity of microsomal oxidation enzymes. The contraceptive may decrease the effectiveness of insulin or oral hypoglycemic drugs.
Pregnancy and breastfeeding
Gildess 1/20 is contraindicated in pregnancy and during the breastfeeding period.
What if I miss a pill?
You missed 1 tablet:
- take the tablet as soon as possible;
- take the next tablet at the usual time.
You missed 2 tablets in week 1 or week 2:
- take 2 tablets as soon as possible;
- take 2 tablets the next day;
- use another method of contraception for 7 days.
You missed 2 tablets in a row (week 3):
Sunday-Start Regimen:
- take 1 tablet per day until Sunday;
- throw out remaining tablets;
- start a new pack immediately (on Sunday);
- use another method of contraception for 7 days.
Day-1 Start Regimen:
- throw out remaining tablets;
- start a new pack that same day;
- use another method of contraception for 7 days.
You missed 3 or more tablets in a row:
Sunday-Start Regimen:
- take 1 tablet per day until Sunday;
- throw out remaining tablets;
- start a new pack immediately (Sunday).
- use another method of contraception for 7 days.
Day-1 Start Regimen:
- throw out remaining tablets;
- start a new pack that same day;
- use another method of contraception for 7 days.
The possibility of conception increases with missing tablets. The possibility of spotting or bleeding also increases, especially when 2 or more tablets are missed in a row.
Precautions
One package of Gildess 1/20 is intended for use during one menstrual cycle (“calendar” package).
Prior to using the drug and also every six months, medical examinations should be conducted, including gynecological monitoring, examination of the mammary glands, liver function, monitoring of blood pressure and cholesterol level in the blood, urine test.
To ensure constant hormone levels in the blood plasma, the interval between taking tablets should not exceed 36 hours, it should be maintained at an average level of 22-26 hours.
When treating gynecological disorders, the dose of the medication is selected individually in each case depending on the indications.
With extreme caution and under strict indications, the contraceptive should be used in diabetes mellitus, hypertension, varicose veins, phlebitis, otosclerosis, multiple sclerosis, epilepsy, liver disease, endometriosis, Sydenham disease.
Gildess 1/20 should not be used by women exposed to heavy loads on the vocal cords (professional speakers, lecturers, etc.). While taking birth control pills, correction of the dosage regimen of hypoglycemic drugs may be required.
The use of oral hormonal contraceptives increases the risk of developing thromboembolic diseases, which is exacerbated by the presence of cardiovascular risk factors (smoking, increased blood pressure, bleeding disorders and lipid metabolism, overweight). Considering the risk of developing myocardial infarction, stroke, women over the age of 30 should either refrain from smoking or use other methods of birth control, especially if there are additional risk factors.
The effectiveness of the tablets can be reduced by regular excessive alcohol consumption.