Gildess 24 Fe is a microdose hormonal contraceptive prescribed to prevent an unwanted pregnancy. The pregnancy is prevented by means of ovulation suppression.
Contents:
Indications for use
Gildess 24 Fe is prescribed for an oral contraception. There are cases when this birth control may be used alternatively. They are:
- acne;
- menstruation control;
- dysmenorrhoea;
- amenorrhea.
Mechanism of action
Gildess 24 Fe is a combined oral contraceptive providing an effect on the suppression of gonadotropins. The key element of this birth control effect is an inhibition of ovulation. Other indications contribute to changes in the cervical mucus and the endometrium. The changes in the cervical mucus prevent the spermatozoa to enter the uterine cavity to fertilize the egg. The change in the endometrium prevents the attachment of egg to the fallopian tube.
Mode of application and dosage
The pill should be taken at one and the same time. The active pills are 24, latest 4 pills contain ferrous fumarate. The pill should be washed down with water. The menstruation starts at the moment of the placebo pills intake.
Contraindications
Gildess 24 Fe has the following contraindications which may signal of withdrawal of the preparation containing norethindrone and ethinyl estradiol:
- varicophlebitis or disorders related to thromboembolic dysfunctions which were previously diagnosed;
- disorders of the cerebrovascular system or coronary artery disease which have been prior or currently diagnosed;
- valvular heart disease complicated by thrombogenic complications;
- severe increased arterial blood pressure;
- diabetes accompanied by vascular interventions;
- headaches caused by focal neurological manifestations;
- surgery with a long-lasting immobilization;
- diagnosed or suggested breast carcinoma;
- personal history of breast cancer;
- carcinoma of the endometrium;
- diagnosed or suggested estrogen-dependent neoplasia;
- non-confirmed genital bleeding of unknown etiology;
- cholestatic jaundice during pregnancy;
- jaundice with before you start taking pills;
- hepatic adenomas or carcinomas;
- active hepatic disease;
- diagnosed or suggested pregnancy;
- hypersensitivity to any drug component.
Side effects
There are several cases of the side effects appear. Gildess 24 Fe has undergone clinical trials which confirm the following side effects:
- thrombophlebitis;
- pulmonary embolism;
- blood stroke;
- intracerebral hemorrhage;
- cerebral thrombosis;
- increased blood pressure;
- disease of gallbladder;
- hepatic adenoma;
- benign hepatic tumors.
The second group is related to the negative reactions likely to appear because of the application of this birth control drug:
- nausea;
- vomiting;
- Gastrointestinal dysfunctions;
- bleeding of a breakthrough character;
- spotting;
- menstruation changes;
- possible infertility after the drug withdrawal;
- edema;
- fluid retention;
- melasma/chloasma which may be manifested for a certain period of time;
- mammary glands conditions: enlargement, tenderness, pain, and secretion from the nipples;
- lost or gain of weight;
- possible reduction in lactation after labor;
- cholestatic jaundice;
- allergic itching;
- mood swings;
- depression;
- vaginitis;
- candidiasis;
- the discomfort of contact lenses;
- systemic lupus erythematosus and its worsening;
- the worsening of the condition with varicose veins.
Interactions
There are possible interactions with preparations that induce microsomal enzymes, as a result of which the clearance of sex hormones may increase. Women who undergo the therapy with such drugs in addition to the drug are advised to use a barrier method of contraception or choose a different non-hormonal method of contraception (if necessary, long-term use of inducer drugs).
Barrier contraceptive method should be used during the entire period of taking concomitant drugs, as well as within 28 days after their discontinuation. If the use of microsomal hepatic enzyme inducer drugs continues after the end of the active tablets in the package, you should start taking the tablets from the new package without taking the placebo tablets from the previous package.
What if I miss a dose?
If the delay in taking the drug was less than 24 hours, you cannot become pregnant. A woman should take the skipped pill as soon as possible and take the next pill at the common time.
If the delay in taking the pills is more than 24 hours, the contraceptive protection can be decreased. The risk to become pregnant becomes higher. Use additional contraceptives to control birth.
Gildess 24 Fe and pregnancy
Gildess 24 Fe is contraindicated during pregnancy and breastfeeding. The risk to damage the fetus is higher in those women who take birth control on the early stages of pregnancy.