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Zhanin - instructions for use, reviews, analogs and forms of release (tablets and pills) of the contraceptive drug. Side effects (bleeding, pain) and pregnancy on the background of taking medication »Page 2

Zhanin - instructions for use, reviews, analogs and forms of release (tablets and pills) of the contraceptive drug. Side effects (bleeding, pain) and pregnancy on the background of taking the medicine

In this article, you can read the instructions for using the contraceptive drug Janine. Comments of visitors of the site - consumers of this medicine, as well as opinions of doctors of specialists on the use of Zhanin in their practice are presented. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Zhanin with available structural analogues. Use for contraception in healthy women.Side effects (bleeding, pain), as well as with pregnancy on the background of taking the drug.

 

Janine - low-dose monophasic oral combined estrogen-gestagen contraceptive drug.

 

The contraceptive effect of Jeanine is carried out by means of complementary mechanisms, the most important of which are suppression of ovulation and a change in the viscosity of cervical mucus, as a result of which it becomes impenetrable to spermatozoa.

 

When properly applied, the Perl index (the indicator reflecting the number of pregnancies in 100 women taking the contraceptive during the year) is less than 1. When missing tablets or improperly applied, the Pearl index may increase.

 

The gestagenic component of Jeanine - dienogest - has anti-androgenic activity, which is confirmed by the results of several clinical studies. In addition, dienogest improves the lipid profile of the blood (increases the number of high-density lipoproteins).

 

In women taking combined oral contraceptives, the menstrual cycle becomes more regular, less painful menstruation is observed, the intensity and duration of bleeding decreases,resulting in a reduced risk of developing iron deficiency anemia. In addition, there is evidence of a reduced risk of developing endometrial cancer and ovarian cancer.

 

Pharmacokinetics

 

After ingestion, dienogest is quickly and completely absorbed from the digestive tract. Dienogest is almost completely metabolized. An insignificant part of the dienogest is excreted by the kidneys in the unmodified state. Metabolites are excreted in urine and bile in a ratio of about 3: 1.

 

After ingestion, ethinylestradiol is rapidly and completely absorbed. Unchanged from the body is not excreted. Metabolites of ethinyl estradiol are excreted in urine and bile in a ratio of 4: 6.

 

Indications for admission

  • contraception.

 

Forms of release

 

Dragee 2 mg + 30 μg (in the form of tablets are not available).

 

Instructions for use and dosing regimen

 

Dragee should be taken orally in the order given on the package, every day at about the same time, with a small amount of water. Zhanin should take 1 tablet a day continuously for 21 days. The admission of each next package begins after a 7-day break, during which withdrawal bleeding (menstrual-like bleeding) is observed.It usually starts on the 2nd-3rd day after the last dragee has been taken and may not end before the start of the new package.

 

The beginning of reception of Zhanin

 

In the absence of taking any hormonal contraceptives in the previous month, the intake of Janine begins on the 1st day of the menstrual cycle (ie, on the 1st day of menstrual bleeding). It is allowed to start taking the menstrual cycle on the 2nd-5th day, but in this case it is recommended to use the barrier method of contraception during the first 7 days of taking the pills from the first package.

 

When switching from combined oral contraceptives, vaginal rings, transdermal patches, the administration of Jeanine should be started the day after the last active pills were taken from the previous package, but, in no case, no later than the next day after the usual 7-day break in admission (for preparations , containing 21 dragees) or after taking the last inactive dragee (for preparations containing 28 dragees in a package). When moving from the vaginal ring, the transdermal patch, it is preferable to start taking Jeanine on the day of removal of the ring or patch, but no later than the day when a new ring is to be inserted or a new patch is stuck.

 

When switching from contraceptives containing only gestagens ("mini-pili", injection forms, implant) or with the progestogen-releasing progestogen (Mirena), a woman can switch from a mini-drink to Janine any day (without interruption), with implant or intrauterine contraceptive with gestagen - on the day of its removal, from the injection contraceptive - on the day the next injection is to be made. In all cases, it is necessary to use an additional barrier method of contraception during the first 7 days of taking the pills.

 

After an abortion in the first trimester of pregnancy, a woman can start taking the drug immediately. In this case, the woman does not need additional methods of contraception.

 

After childbirth or abortion in the 2nd trimester of pregnancy, it is recommended to start taking the drug on the 21-28th day after childbirth or abortion in the second trimester of pregnancy. If the reception is started later, it is necessary to use an additional barrier method of contraception during the first 7 days of taking the pills. However, if a woman already had a sex life, pregnancy should be excluded before taking Jeanine or it is necessary to wait for the first menstruation.

 

Acceptance of missed pills

 

If the delay in taking the dragee is less than 12 hours, the contraceptive protection does not decrease. Missed pills woman should take as soon as possible, the next dragee is taken at the usual time.

 

If the delay in taking the dragee is more than 12 hours, the contraceptive protection may be reduced.

 

In this case, you can follow the following two basic rules:

  • the drug should never be interrupted for more than 7 days;
  • to achieve adequate suppression of the hypothalamic-pituitary-ovarian system, 7 days of continuous reception of the dragees are required.

 

Accordingly, if the delay in the intake of active dragees was more than 12 hours (the interval from the moment of reception of the last active dragee is more than 36 hours), one can recommend the following:

 

The first week of taking the drug

 

It is necessary to take the last missed pills as soon as possible, as soon as a woman remembers this (even if you need to take two pills at the same time). The next dragee is taken at the usual time. In addition, a barrier method of contraception (for example, a condom) should be used for the next 7 days. If sexual intercourse took place within a week before skipping the dragees, the probability of pregnancy should be taken into account.The more pills are missed, and the closer they are to the break in the intake of active substances, the greater the probability of pregnancy.

 

The second week of taking the drug

 

It is necessary to take the last missed pills as soon as possible, as soon as a woman remembers this (even if you need to take two pills at the same time). The next dragee is taken at the usual time. Provided that the woman took the dragee correctly for 7 days preceding the first missed pellet, there is no need to use additional contraceptive measures. Otherwise, as well as when two or more pills are missed, barrier methods of contraception (for example, a condom) should be used additionally within 7 days.

 

The third week of taking the drug

 

The risk of pregnancy is increased because of the upcoming interruption in taking pills. A woman should strictly adhere to one of the following two options. If, during the 7 days preceding the first missed pellet, all pills were taken correctly, there is no need to use additional contraceptive methods.

  1. It is necessary to take the last missed pills as soon as possible, as soon as a woman remembers this (even,if you need to take two pills at the same time). The next dragee is taken at the usual time, until the dragee runs out of the current packaging. The next package should be started immediately without interruption. Withdrawal bleeding is unlikely until the end of the second pack, but may occur spotting and breakthrough bleeding during the tablet-taking.
  2. A woman can also interrupt the taking of a dragee from the current package. Then, she should take a break for 7 days, including the day of skipping the dragees and then start taking a new package.

 

If a woman missed taking the pills, and then during a break in admission she does not have a withdrawal bleeding, it is necessary to exclude pregnancy.

 

Recommendations in case of vomiting and diarrhea

 

If a woman has vomiting or diarrhea within up to 4 hours after taking active dragees, absorption may not be complete and additional contraceptive measures should be taken. In these cases, you should focus on recommendations when skipping the dragee.

 

Changing the day of the beginning of the menstrual cycle

 

To delay the onset of menstruation, a woman should continue taking the pills from a new package of Jeanine immediately after all the pills are taken from the previous one, without taking a break.Dragee from this new package can be taken for as long as the woman wishes (until the packaging is finished). Against the background of taking the drug from the second package, a woman may have spotting or breakthrough uterine bleeding. Renew the reception of Jeanine from the new package follows the usual 7-day break.

 

To postpone the day of the onset of menstruation on the next day of the week, the woman should shorten the nearest break in taking the dragees for as many days as she wants. The shorter the interval, the higher the risk that it will not have withdrawal bleeding, and thereafter will be spotting spot bleeding and breakthrough bleeding during the second package (just like when it wants to delay the onset of menstruation).

 

Additional information for specific patient categories

 

For children and adolescents, the drug Jeanine is shown only after the onset of menarche.

 

After the onset of menopause, the preparation Jeanine is not shown.

 

The drug Jeanine is contraindicated in women with severe liver disease, until the liver function indicators are normalized.

 

Side effects

  • vaginitis;
  • salpingoophoritis (adnexitis);
  • urinary tract infections;
  • cystitis;
  • mastitis;
  • cervicitis;
  • fungal infections;
  • candidiasis;
  • herpetic damage to the oral cavity;
  • viral infections;
  • uterine myoma;
  • anorexia;
  • anemia;
  • gastritis;
  • enteritis;
  • dyspepsia;
  • eczema;
  • psoriasis;
  • hyperhidrosis;
  • myalgia;
  • pain in the limbs;
  • dysplasia of the cervix;
  • cysts of the uterine appendages;
  • pain in the appendages of the uterus;
  • pain in the chest;
  • peripheral edema;
  • influenza-like symptoms;
  • fatigue;
  • asthenia;
  • bad feeling;
  • headache;
  • dizziness;
  • migraine.

 

Contraindications

 

Janine should not be used in the presence of any of the conditions / diseases listed below. If any of these conditions develop for the first time against the background of its administration, the drug should be immediately withdrawn.

  • presence of thromboses (venous and arterial) at present or in the anamnesis (for example, deep vein thrombosis, pulmonary embolism, myocardial infarction, cerebrovascular disorders);
  • presence at present or in anamnesis of conditions preceding thrombosis (eg, transient ischemic attacks, angina pectoris);
  • diabetes mellitus with vascular complications;
  • present or previous history of migraine with focal neurological symptoms;
  • presence of severe or multiple risk factors for venous or arterial thrombosis (including complicated heart valve disease, atrial fibrillation, cerebral vascular disease or coronary arteries of the heart, uncontrolled hypertension, serious surgical intervention with prolonged immobilization, smoking over the age of 35 years);
  • liver failure and severe liver disease (before normalization of liver tests);
  • presence at present or in anamnesis of pancreatitis with severe hypertriglyceridemia;
  • the presence, at present or in the anamnesis, of benign or malignant liver tumors;
  • identified hormone-dependent malignant diseases of genital organs or mammary glands or suspected of them;
  • vaginal bleeding of unknown origin;
  • pregnancy or suspected of it;
  • the period of breastfeeding;
  • hypersensitivity to the components of the drug.

 

Application in pregnancy and lactation

 

Janine is not prescribed during pregnancy and during breastfeeding.

 

If the pregnancy is detected during the reception of Jeanine, the drug should be immediately canceled. However, extensive epidemiological studies have not revealed an increased risk of developmental defects in children born to women who received sex hormones before pregnancy or teratogenicity when sex hormones were mistaken for early pregnancy.

 

Taking combined oral contraceptives can reduce the amount of breast milk and change its composition, therefore, their use is contraindicated in lactation. A small amount of sex steroids and / or their metabolites can be excreted with milk.

 

special instructions

 

Before starting or resuming the use of the drug, it is necessary to familiarize yourself with the history of life, the family history of the woman, to conduct a thorough medical examination (including measurement of blood pressure, heart rate, body mass index) and gynecological examination, including breast examination and cytology of cervical scraping Pap test), to exclude pregnancy. The volume of additional studies and the frequency of follow-up visits are determined individually.Usually, follow-up examinations should be conducted at least once a year.

 

A woman should be informed that Janine does not protect against HIV infection (AIDS) and other sexually transmitted diseases.

 

In women with hypertriglyceridemia (or the presence of this condition in a family history), an increased risk of developing pancreatitis while taking combined oral contraceptives.

 

Although a small increase in blood pressure has been reported in many women taking combined oral contraceptives, clinically relevant increases have been rare. Nevertheless, if a persistent, clinically significant increase in blood pressure develops during the intake of combined oral contraceptives, these drugs should be discontinued and the treatment of hypertension should begin. Reception of combined oral contraceptives can be continued if normal blood pressure values ​​are achieved with the help of antihypertensive therapy.

 

Although combined oral contraceptives may affect insulin resistance and glucose tolerance,There is no need to change the therapeutic regimen in diabetic patients using low-dose combined oral contraceptives (less than 50 μg ethinylestradiol). Nevertheless, women with diabetes should be carefully observed during the intake of combined oral contraceptives.

 

The effectiveness of combined oral contraceptive drugs can be reduced by missing dragees, with vomiting and diarrhea, or as a result of drug interactions.

 

Effects on the menstrual cycle

 

On the background of taking combined oral contraceptives, irregular bleeding (spotting bleeding or breakthrough bleeding) can occur, especially during the first months of use. Therefore, any irregular bleeding should be assessed only after an adaptation period of approximately three cycles. If irregular bleeding recurs or develops after previous regular cycles, a thorough examination should be conducted to exclude malignant neoplasms or pregnancy.

 

Some women during the break in taking a dragee may not develop withdrawal bleeding. If combined oral contraceptives are taken as directed, it is unlikely that a woman is pregnant. However, if previously combined oral contraceptives were not taken regularly or if there are no consecutive two bleeding cancellations, pregnancy should be excluded before continuing with the drug.

 

Impact on laboratory test scores

 

Admission of combined oral contraceptives may affect the results of some laboratory tests, including liver, kidney, thyroid, adrenal, transport protein levels in the plasma, carbohydrate metabolism, coagulation and fibrinolysis parameters. Changes usually do not go beyond the limits of normal values.

 

Impact on the ability to drive vehicles and manage mechanisms

 

Not found.

 

Drug Interactions

 

The interaction of oral contraceptives with other drugs can lead to breakthrough bleeding and / or a decrease in contraceptive reliability.

 

According to separate studies, some antibiotics (for example, penicillins and tetracycline) can reduce the intestinal hepatic circulation of estrogens, thereby lowering the concentration of ethinylestradiol.

 

During the intake of any of the above medicines, a woman should additionally use the barrier method of contraception (for example, a condom).

 

Dienogest is a substrate of cytochrome P450 (CYP) 3A4. Known CYP3A4 inhibitors, such as azole antifungals (eg, ketoconazole), cimetidine, verapamil, macrolides (eg erythromycin), diltiazem, antidepressants and grapefruit juice, can increase plasma dienogest levels.

 

During the reception of antibiotics (with the exception of rifampicin and griseofulvin) and within 7 days after their withdrawal, the barrier method of contraception should be used additionally. If the period of use of the barrier method of protection ends later than the dragee in the package, you need to go to the next packing of Zhanin without the usual break in taking the pills.

 

Oral combined contraceptives may affect the metabolism of other drugs, leading to an increase (eg, cyclosporine) or a decrease (for example, lamotrigine) in their concentrations in plasma and tissues.

 

Analogues of the drug Jeanine

 

Structural analogs for the active substance:

  • Silhouettes

Similar medicines:

Other medicines:

Reviews (190):
Administrators
admin
Olga, Something I still do not understand your question. Or you have problems from taking Zhanin or not. If there is, then you need to cancel. Drink in this case is not necessary. If you need rest, but no pobochki no, then what's the point then to cancel. If you have bleeding profuse or prolonged, perhaps they are caused by taking a contraceptive, so you are shown its withdrawal and the appointment of Etamsylate.
Guests
Olga
Problems there is I wrote above a pain in a bottom of a stomach or belly monthly already 16 days of a breast. I need a rest, but there is a pobachka. Bleeding is not very abundant but lasting. Yesterday I called another very good doctor, he said that I drank two tablets for a couple of days to end these discharges and then continued to drink back one by one. Personally, my desire is to stop drinking them altogether, as there is a lot of discomfort. But my question is, how bad will health be if I stop drinking altogether. Those.now it's bad, but maybe as I understand it and read it even worse or everything will be okay with you.
Administrators
admin
Olga, My advice to you or find a good doctor or stop taking a drug that does not suit you. Because of the rest to ruin my health, this is the height of my understanding. And after taking any contraceptive, the menstrual cycle may malfunction, and even more, it can then be repeated through the cycle (if it continues to fail, it is pathology or disease and it's not the drugs). From the abolition of contraceptives, no one was dying, but they were born completely.
Guests
Kate
Hello. A gynecologist prescribed jade for treating the ovaries. Will it help and is it used for treatment ???
Administrators
admin
Kate, For treatment of cysts of the ovaries, the preparation of Jeanine is used. If this hormonal drug is prescribed to you by a doctor from something else, it is better to ask him about it.
Guests
Kate
She did not say anything really, that they at me in itself such as though in a hole. Thank you.
Administrators
admin
Kate, "In the hole" probably all there is a cyst, which your doctor meant. So accept, and do not worry. Very many help hormonal drugs get rid of cysts without surgery.
Guests
Kate
many thanks!!!!
Guests
Inna
I drank janine long enough, still consider it a very good product, left problems with the skin, my abdomen ceased to hurt, my menstruation became less abundant.
Unfortunately, Inna selling drugs not through the pharmacy network is prohibited, so the second part of your comment had to be deleted.
admin
Guests
Irina
Zhanin was appointed to treat the indometrioid cyst.
The doctor said that instead of Janine it would be better to drink Byzan. The worse Jeanine is in the composition they have the same active ingredient dienogest 2gr., The difference in price is very high.
Administrators
admin
Irina, Your doctor should know that in the preparation of Zhanin, in addition to dienogest 2 mg, there is also ethinyl estradiol 30 μg and the last component is not in Byzantium (therefore this medicine is cheaper). So the question of replacing the drug for treating the cyst remains on the doctor's conscience, but I would have such a comparison of supposedly analogous confused.
Guests
Hope 8866
Good evening, tell me to appoint a regulon, silhouette or belar. I will not drink Belar, I do not like contraindications. To regulate the monthly. After birth, not regular, although until before it was the same. Have told or said hormonal failure. If the silhouette and the zhane are the same, then is it better to drink zhanin? Or regulon? I'm going to drink OK for the first time. Prompt yet, in the first day I will buy a tablet, monthly will stop? And start in a 7-day break? Thank you)))
Administrators
admin
Hope 8866, Cool, but you have a doctor. Assign three drugs to choose from. It's even worse online advice. I so understand the competent expert sees your sores, indications for purpose or appointment and contraindications.For him it's not oral contraceptives, but first of all medications, each with its own set of hormones. So either look for a new doctor, or seek the truth in the appointment from the former.

Monthly stops when the medicine works, for this you need to know what to block the monthly. Within 7 days from the start of treatment it is necessary to use barrier means of contraception, while contraceptive will work. The bleeding cancellation will begin when there is a break in taking the contraceptive.

And no one has appointed you to Jeanine, so ask the question next time to specific medications from your treatment regimen. You can use the search on the site.
Guests
Kate
Good afternoon! A few years ago, a long time was diagnosed with endometriosis of the appendages, tried homeopathic treatment - it did not help. Have registered Zhanin. Saw courses for six months with interruptions for 1-3 months. It was nice. Bleeding decreased, pain too. After a half-year break, Jeanine's reception was again started. This time with cytology, leukocytosis was revealed, the chest began to ache very much. The drug was canceled and the condition deteriorated noticeably. We are looking for a replacement with a doctor.But in general, Zhanin is pleased and sorry to part with it. Everything is very individual. Do not be ill, girls.
Guests
Masha
Hello! 3 years. After the end of the first two packs, the monthly packs came on the third day. On Sunday I finished the third package, it's already Saturday, and there are no monthly ones. What can be? Test case, negative.
Administrators
admin
Masha, Sometimes there may be cycle failures and cancellation bleeding does not occur. It is better in this case to turn to a gynecologist and be examined, as pregnancy tests are not always sensitive. If everything is in order, then the contraceptive taking regimen is followed and after the instruction set, the next packing starts, even if there was no withdrawal bleeding.
Guests
Nastya
1,5 years ago I was given laparoscopy, then six months of an artificial climax and then a gynecologist promised a pregnancy. In the summer I went to another doctor, who was advised in my hometown, told the whole situation,I was recommended to drink Zhanin 3 months without a 7 day break (for the treatment of endometriosis), then a month break and if there is no pregnancy - again, taking 3 months without a break. Has consulted with the gynecologist who did or made a laparoscopy, has told or said, that he not the supporter OK, but I can try the given scheme or plan. At first I did not drink OK, but after unpleasant, painful menstruation I took up the package ... In the middle of the second package there appeared precipitous discharge and pain in the lower abdomen (pain was always with me for a month, but only for 1 day). Allocations at the moment (day 3) are weakened, but pain remains, albeit not very large, but noticeable. With what it can be connected? Pregnancy is excluded, because for 4 years of planning, it never came ...
Administrators
admin
Nastya, To preserve reproductive health, it is worth looking at any of the gynecologists mentioned in the question, to be looked at, since pregnancy is possible. If it is not, then most likely, doctors will tell you to take the drug further, since such bleeding is possible at the initial stages of taking contraceptives, then it must pass by yourself.

The truth of this scheme of taking the drug Jeanine without a proper break, I have not met, I always adhere to this question instructions, but two specialist doctors looked at and allowed such a scheme, I have no reason not to trust their opinion. There is also the possibility that bleeding could occur due to dysregulation and drug regimens.
Guests
Svetlana Evdokimova
Creepy drug. With the third pack began headaches, nausea and pain in the stomach. For some reason I started the fourth and now I do not know how to throw it on 10 tablets. Nausea before vomiting and terrible feeling ... And half of the first pack was a daub, not even a daub, but bleeding ...
Guests
Anna Ivanova
Hello! The doctor prescribed the drug Jeanine for the treatment of cysts. I drank 1 pill at night, and in the morning it became bad - severe dizziness, weakness, nausea, almost vomiting, abdominal pain. Prior to this drug, hormone tablets were drunk (Yarina, Three - Mercy), but there were no side effects. As the state of health is bad, it canceled the drug, because I only drank 1 tablet. The attending physician said that it is better not to cancel.Tell me, please, did I do the right thing, that I stopped taking it?
Administrators
admin
Anna Ivanova, I would cancel and go back to the same Yarina, to which you do not have a reaction, why poison the patient. Maybe the doctor in a share with the manufacturers of Zhanin, this in our reality is very likely. I would consult with another gynecologist.
Guests
Anna Ivanova
Thanks for your reply! I stopped taking pills, tell me the bleeding is possible after 1 tablet, and what will be the consequences? Regarding the treatment of cysts, another doctor advises not to resort to such strong drugs, said it is possible to start with cyclodinone. Tell me please?
Administrators
admin
Anna Ivanova, About bleeding - this is possible at the beginning of treatment, usually without consequences, but if it continues not only 1 day, but constantly - it is better to consult your gynecologist on this matter. About Cyclodinone I will not say, I have not tried, but I completely admit the treatment of hormonal cysts at the first stage with oral contraceptives.
Guests
Tatyana
Good afternoon! Prompt, please, I drink zhanin for a long time, yesterday has mixed and has drunk two tablets successively. How can I continue to drink this package now? And how to start the next one? Thank you in advance!
Administrators
admin
Tatyana, Continue in the same rhythm of 1 tablet a day. As the packing ends the standard 7 day break, and then start the next packing. Look after yourself a couple of days so that the extra pill does not cause side effects. If they are, then you need to visit a gynecologist.
Guests
Alexandra
Hello. I need your help, because to the doctor it is written down only in 2 weeks. I've been drinking Janine for 1,5 years, I have a son of 7 years, I want to have a daughter with my husband. Zhanin ceased to take after the end of the plate, on Tuesday should have been monthly, came only on Thursday, as a result, 1.5 days were very, very lean. On the 14th day severe pain began in the pelvic area, it is impossible to press the uterus, the appendages also. Now the 18th day of the cycle, the pain does not pass. Last week there was no pain, I was at the doctor on ultrasound, they said it was fine, the blood passed, the analysis is also good.The doctor prescribed vitamins for pregnancy planning. Tell me, please, why there were such pains. For the answer I will be very grateful to you! Thank you!
Administrators
admin
AlexandraThe nature of pain is similar to inflammation. I would have called an ambulance if you were in your place, and in the receiver the doctors on urgent appointed to you tests and repeated ultrasound. Most likely, your condition is not associated with the use of Jeanine.
Guests
Olga
Hello, please help! January 29 had to drink postinor (as written in the instructions), 5 days later on the 6th day. February 4 began on a monthly basis and I started to drink Janine (21.00 pm drank the first pill) the first day and generally my first oral contraceptive + used the candle of Benatex 5 minutes before sexual intercourse, the same evening was unprotected with ejaculation in me. Tell me, what will be the probability of pregnancy? Also I hope it is not necessary to accept again emergency tablets of type postinora?
Administrators
admin
Olga, Something I did not understand a little from the story, that is, the sexual act occurred against the background of going monthly? Then the chance to get pregnant decreases. Postinor already drink is useless, since time is probably already lost. It remains only to take Zhanin, as expected, no longer risk, at least within the next 7 days of taking the contraceptive Zhanin and wait for the beginning of the next menstruation. Now there is a variant 50 for 50 pregnancies or will come or will not come, you can not foresee.
Guests
Evgenia
Good afternoon! I take zhenin more than a year. Always all according to the scheme, bleeding cancellations have always been on schedule. The last PA was 3 packs back on the last pill. Monthly came on time 3 day after. The next package accidentally started earlier for 1 day. By the end of the package for 4 tablets to the end of the plate began to smear, finished the packaging to the end. She continued to lubricate, then came monthly. The new packaging started in a 7-day break - now the same story, for 4 tablets to the end of the plate - again smears brown. I made a test just in case - negative. Do not tell me why it smears at the end of the plate reception twice in a row?
Visitors
Galla
Hello! A month ago, I had scraping due to a stiff pregnancy, the monthly ones came 26 days after that. On the 5th day of menstruation, the gynecologist appointed avelox + Janine, there was no inflammation or complications after the operation, ultrasound is good. On the 3rd day of taking the tablets, I vomited, at 5 again and even more. Indeed, it is not clear on which particular drug, but it began an hour after the Avelox. My doctor said to cancel everything, I do not take the pill for 4 days, but on the 2nd day of the abolition, my periods have started again, but they are so abundant, which has not happened for a long time, they have been going for 3 days already. Is this normal? It turns out that they came the second time in two weeks: the first on schedule, the second after the cancellation 6 days after the end of the first. I do not understand why to put on hormones, if everything has arrived on time and so, the more I read about the mass of adverse reactions in women.
Administrators
admin
Evgenia, Probably some kind of cycle failure. Most likely not because of pregnancy. Maybe something with the hormones was not that. Address to the gynecologist as it smears already the second cycle and an occasion for the reference to the doctor for inspection has ripened.

Galla, Literally above was a similar situation, read there described the algorithm of action in this situation. If it was not you (a very similar problem), you still need to see a doctor, since the cases are different.

On your question, probably, did not go Avelox, since the reaction was noted after its use, so it's right that they canceled. And the cycle can be postmodified for the first time, if the second consecutive cycle is not restored, then it is definitely necessary to go to the gynecologist for a consultation
Visitors
natalagua
Zhanin took the appointment of a doctor for many years (more than 8 years) after the operation, during which I removed 2 tubes and one ovary. On the second ovary, a cyst periodically appears (twice resected the remaining ovary). Question: is there a cheaper analogue for cheaper?
Administrators
admin
natalagua, You can talk with a doctor and replace the product Siluet, like I look at pharmacies this tool is cheaper, and the composition of it is the same. You may also need other hormonal contraceptives,For the treatment of ovarian cysts still use Yarin and other means, but these questions also require agreement with the doctor.
Guests
Olga
I was removed from the polyp and the doctor appointed Janine. But my chest began to hurt.
Guests
Alexandra
Hello. I've been drinking juveniles for six years. From Zhanin last year, reduces legs, migraines in a seven-day break, weakness. The doctor advised to switch to Silhouette or Lindineth.
Guests
lena gerova
I drank 3 packs of Zhanin with interruptions 21-7. There are no monthly. I am 40 years old.
Guests
Christina
Hello, I've been drinking zhaneen for 2 years already, everything is fine, I have a question. I drink the second year - is it normal for health? Do not you need to take a break? There was no pregnancy, a year later, I'm worried about the future, I'm afraid not to get pregnant in a year. Thank you!
Administrators
admin
ChristinaIf during the time of taking the drug there were no side effects (any changes need to be told to the gynecologist who prescribed the contraceptive), then there will be no harm to health and subsequent pregnancy.Once a year, only it is necessary to show the gynecologist, let him assign you a standard diagnostic minimum (general and biochemical blood, urine) in order to assess the effect of the hormone drug Zhanin on the body. Otherwise, there is no opposition and you can take the medicine for a long time.
Visitors
Svetlana44
Tell me, please, is it important in principle on which day of the cycle to begin using the drug Jeanine in the treatment of endometriosis on the 1 st or 5 th day?
Administrators
admin
Svetlana44, Not later than the 5th day of the cycle. That is, it is best to start taking the drug Jeanine for the treatment of endometriosis on the first day of the cycle, but you can also on day 2-5, there is no fundamental difference.
Visitors
missis.m-o
Good evening! Tell me, please, the gynecologist prescribed to me Zhanin, for the treatment of endometriosis, but also I drink the main disease Cyclosporin, in the section "interaction with other drugs" I'm not entirely clear, I can not drink Janine? Dosage of Ciclosporin 200 mg. per day. Thank you.
Administrators
admin
missis.m-o, It may be necessary to correct the dose of Ciclosporin taken in the direction of its decrease, with the joint use of Zhanin. I would have consulted with a doctor who prescribed Cyclosporine before starting such a combined treatment, perhaps you do not even have this combination, since the underlying disease is not indicated in the question.
Visitors
missis.m-o
Thanks for the quick response. The main diagnosis of Aplastic anemia, there were very severe uterine bleeding, after the blood counts were restored (or less), I was "cleaned" and prescribed Janine, for the treatment of endometriosis, and anemia arose after a severe toxic hepatitis with an autoimmune component, the liver is now beginning to come in norm, tablets in general without the need for any or what I do not drink. Even I do not know from whom to consult ((((roofing felts in a hematologist, toli at a gastroenterologist, the liver from Cyclosporine again suffers.) Perhaps there is some drug that I can ?!

In the analogue of Jeanine, Siluet in the instruction, not a word is said about Cyclosporin, is it possible in my case reception Siluet?
Administrators
admin
missis.m-o, Your case will immediately tell, complex, to disassemble it completely online. Yes, Jeanine's analogue Siluet has no direct indication of Cyclosporine, but even here and there this effect is mediated through the liver, due to competition for the enzymes that are responsible for the cleavage of these drugs as the last link in the metabolism. So implicitly this effect of interaction will be in this analogue of Zhanin.

You need to visit a hematologist without fail, as for Cyclosporin it is responsible for it and adjust the dosage, if that, too, this specialist should. The gastroenterologist is advisable, since with your problems with the liver, too, it will be superfluous to check with this specialist, given that both Cyclosporine and hormonal contraceptives affect the liver, and if it is weakened, the effect can be very negative. Before taking a gastroenterologist, it would be good to pass a biochemical blood test with the determination of liver indicators and enzymes and undergo ultrasound of the liver.
Visitors
VERONIKA1803
Hello, I have such a question.To me 21 year, pregnancies were not: in June to me have made a laparoscopy - the diagnosis of an endometriosis of the left ovary. After the operation, I was prescribed a supplement to the desired pregnancy. I drank 3 packs, but I do not want to take this drug anymore. In the near future I do not plan pregnancy, but the prospect of taking such a medicine for many years makes me very uneasy. I understand that the drug I was prescribed for medical purposes + contraception. I am afraid only of the repeated occurrence of endometriosis, but I have no confidence in this drug either. Tell me, please, can I stop taking this medication now (I have just a week-long break in admission)?
Administrators
admin
VERONIKA1803, No you can not. Without the recommendation of a gynecologist who is watching you. Endometriosis is a bad disease that does not respond well to treatment. If after the operation with the treatment, first of all (suppresses the growth of the endometrioid cells), you were prescribed Jeanin's drug, then you can not cancel it yourself until the treating doctor resolves it. Probably, before the pregnancy planning you will not be allowed to do this.If there are side effects, then another thing, in this case, most likely, will pick up another drug.
Visitors
Mirika
I take Janine the 2nd month, there were spotting, and before the break 6 more pills. Is this the norm?
Administrators
admin
Mirika, Go to a gynecologist better. Because it is impossible to understand the nature of your bloody secretions remotely. Maybe this is a pregnant pregnancy, stress, hormonal failure. The causes of early bleeding can be many. Hormonal contraceptives are designed for this purpose, so as not to suppress completely the female hormonal sphere, so they can give such failures. Sometimes this is normal and passes into the next phase of the cycle (it happens that patients do not have time to see a doctor and the problem does not repeat the next cycle).
Guests
galena
After unprotected sexual intercourse I drank a zhanin tablet that lasts for 72 hours. Can I get pregnant after this time? There was an ectopic pregnancy.
Administrators
admin
galenaThe probability of such an outcome is possible. For contraception after unprotected intercourse, it is more reasonable to use postcoital contraceptives like Postinor or Escapel. From Jeanine in your situation, the sense is not enough and the time, most likely, is already lost, so now it remains only to hope and wait for the next monthly.
Visitors
devochka
I am 36 years old. I regularly take Zhanin for 3.5 years on the recommendation of a doctor. There was hyperplasia of the endometrium, cleaned and then assigned. In recent months, I experience sleep disturbance, insomnia, touchiness, tearfulness (it is only necessary to think about something not very pleasant, not just what to say - tears hail, and so on several times a day). I understand that my nerves are completely loose. There are no reasons for this, the usual way of life. With her husband on the verge of divorce, tk. he can no longer tolerate such my condition, and in fact more recently thought of the child. Please tell me, is it possible that these are the consequences of taking Jeanine? Were there any cases in practice when patients with the same complaints normalized the condition after the drug was discontinued? Thank you in advance for your help.

Marina 23, I ask you to share the experience, could you return to the usual state after the drug was discontinued? I have a similar problem. I thank you in advance and wish you good health.
Administrators
admin
devochkaOf course, to say for sure that your problems are not related to Zhanin, I can not, because the hormones and nerves in women in one place are collected, I'm from medical experience proceed. But since you describe the problem, it is more likely that the more variants of blaming not the medicine, but the heavy psychoemotional background and psychological state, so I would recommend two options: the first one - we do not think about canceling Zhanin and immediately go to the psychologist, we share all the problems and get recommendations, including pharmacological in the fine-tuning of the psychological background, the second - we try to cancel Zhanin throughout the cycle (after having talked with a gynecologist, I think he should allow this) and monitor the condition. If the problem is in the preparation, then its cancellation should lead to a positive shift, then the situation either needs to be canceled or replaced with another, similar or similar without a side effect,if you are shown on endometriosis hormonal medications.
Visitors
SVETLANA71
Hello. I am 44 years old. I have been taking Zhanin for a long time - about 10 years. The doctor has appointed or nominated in the medical purposes, I had an endometriosis and a mastopathy. Zhanin helped me to cope with this disease and I also got rid of chest pains. Tried to stop taking Zhanin, pain was coming back. Therefore after a break in half a year has returned to reception Zhanina under advice or council of the doctor. Now I have a serious problem. They found the formation of the antral part of the stomach. I do not know whether this is connected with the reception of Zhanin or not. Now I have an operation on my stomach, and I do not know whether to start taking the next package or taking a break. I did not have time to go to the gynecologist, and the reception should already begin tomorrow. Can you please tell me what to do?
Administrators
admin
SVETLANA71If you choose between chest pain and education in the stomach, then everything that relates to tumors is a priority, so before the proceedings about what is growing in the stomach I would cancel Janine.Usually in such cases and with surgical treatment, hormonal contraceptives are also canceled for a while. Subsequently, you can talk with an oncologist or a surgeon, from whom you will be observed or consulted to understand whether you can continue treatment with Zhanin after the operation or not.
Guests
Tatyana
I took Janine for a long time, but basically I wanted to have a second child. I knew that sometimes this problem occurs after taking contraceptives. I was advised for a while with a contraceptive to drink vitamins to increase the chances of conceiving a child. I became pregnant on the second cycle of attempts. During application at me the face complexion somehow has improved, and in general the status of an organism has improved, as it seemed to me.
Guests
Pea
I took the janin for a long time - more than two years (I perfectly fit these pills). A month drank with Lavit tablets, because I read that there can be a problem with conception after abolition of contraceptives with such a long reception. And there is still folic acid in the composition - killed two birds with one stone at a time (folk, then all the doctors advise beforehand to start drinking).Now the baby is waiting, everything turned out a month after the cancellation)))
Guests
Galina
Can I take alcohol while taking zhenin tablets?
Administrators
admin
Galina, No special negative effects should occur, but the load on the liver increases, so I would be careful not to mix drugs and alcohol. This is not the product without which the body can not do.
Visitors
Nariel
Hello, tell me how to be. In the evening, menstruation began (as I thought), the next morning Jeanin began to take her meals, but by lunchtime it became clear that this was either a cycle failure or something else, the spotting was over. Continue taking the drug or not, or wait for the beginning of real menstruation and have already started taking the first day. And how then to be with a blister where one tablet is missing? Discard and start a new one?
Administrators
admin
Nariel, Continue taking Zhanin the way it should be for 21 days, do not pay attention to the failure, if you have already started taking the contraceptive.After the withdrawal of the drug in due time, withdrawal bleeding should begin. If it does not come after the end of the course of admission, it makes sense to see a doctor.
Guests
Olga
Hello. Drink janin (polyp in the uterus) from April 14 without a break, only the first month there were excretions, then ceased. Now I read that you need to take a break for 63 days for 7 days. I have more than 63 days ...
Administrators
admin
Olga, Contact the gynecologist so that he corrects the further treatment regimen taking into account the possible violation of the regimen of the preparation of the drug Jeanine.
Guests
Olga
She took Zhanin 3 months after scraping endometriosis. There was a problem with conception. When I drank the last 3 packs, went, as usual menstruation. But the following were no longer))) I became pregnant))) The pregnancy was excellent, even there was no toxicosis, although it is more likely from my mother, she also never suffered this during pregnancy. The treatment was successful.
Visitors
gale80
Hello! I missed 2, and as many as 4 tablets! The first week. What is better now? Can I take more than 2 tablets at once? Or is it better to interrupt this package and skip one cycle?
Guests
Tatyana
Hello! I take Zhanin the 4th month, on the 8th day the daub went off, and then everything is stronger and stronger. Today is the 14th day of taking Zhanin and I have heavy bleeding and severe pain in the lower abdomen. Swelling began under the eyes, and the legs swelled. I want to quit drinking these OK, they have so many pobochek, horror. I became very irritable and nervous.
Administrators
admin
gale80, Take further as prescribed by the instruction - 1 tablet per day. Within a week (7 days) use barrier means of contraception (condom, etc.). After a week of such restrictions, provided that the contraceptive is taken regularly, there will be no more specific features in the use of the drug. At the end of the cycle, you should have 4 Zhanin's jelly beans in the blister and they will have to be thrown away, so as not to get confused in subsequent medications.
Visitors
max3286
Hello! I accept the janin for the 4th month. After taking 8-9 tablets, there was no protected PA, can I get pregnant?
Administrators
admin
max3286If you take Zhanin according to a scheme recommended by a doctor or instruction, without missing tablets (except for the 7-day break), the probability of getting pregnant is close to zero.
Visitors
max3286
I last had a break not 7, but 8. This somehow affect the fact that there was a PA not protected?
Administrators
admin
max3286, Any omissions or abnormalities in the intake of oral contraceptives from the instructions increase the risk of becoming pregnant. If everything has already happened, just wait for the next monthly (bleeding cancellation in the instructions for the reception of Zhanin), and then you will know everything, now we are already able to influence this without harm to health.
Guests
Alexandra
Have appointed to drink zhane from acne.Can there be a very negative effect on the gynecologist in gynecology?
Administrators
admin
Alexandra, Pregnancy will not occur while taking Jeanine, because it is a hormonal contraceptive. And other side effects are described in the instructions. Start taking and see, everything here is individual for a particular patient.
Guests
Olesya
Zhanin has been prescribed for the purpose of treating acne, but I have been taking it for the second month and the pimples do not pass.
Administrators
admin
The visitor question of the Directory Olga L moved to the required section:
Good afternoon! I have a question, make a 7-day break in the reception or continue taking Janine, tk. began allocation, similar to the monthly.
The situation is as follows: I took 36 Zhanin tablet according to the scheme (63-7-63 scheme is assigned, now the first circle). The last week there were spotting (not more than one daily napkin). Today, the blood and discomfort in the lower abdomen (very similar discharge and condition as in the last days of men without COC) have gone. The blood is brown and more of an oiling character (for 8 hours it was replaced by 4 daily).I can not get an appointment with a gynecologist in the near future - I'm outside the city. I do not understand, is this a breakthrough bleeding? And what should I do, take a break for 7 days or continue drinking? Thank you very much for your answer!
Olga L, According to the description, I would have made a 7-day break, but possible nuances. The treatment plan for Janine is therapeutic, not contraceptive, in which every 21 days of admission is a 7-day break, and 63-7-63 is another. Remotely we will not disassemble your bleeding and your diagnosis is unknown, maybe something is hanging on this side, it is necessary to look. If possible, it is better to see a doctor for a full-time consultation.
Visitors
Sveta_k9617
Hello. I drink pills Jeanine 4 months, before this 2 months drank Chloe. With each new packaging, the first day is nauseous, is that normal? All the rest suits. And another question, I missed one pill in a new pack (that is, the first day of a new pack), the next day I drank it. Through what time it is possible not to be protected? And anyway, is it possible to get pregnant with taking Jeanon's hormone tablets?
Administrators
admin
Sveta_k9617, Nausea is abnormal, but if only 1 day and transfer is normal, then this symptom can be ignored. If you missed the intake of the first pills Zhanina, you need to use barrier contraceptives (condoms) for 7 consecutive days. And the rest is a normal oral contraceptive, not worse than others. If taken correctly and without omissions, the guarantee of protection against unwanted pregnancy is almost 100%.
Guests
Angela Merkel
Often I hear that the jade is expensive to drink, etc. People, but you did not think that for such money, even a normal ointment from acne can not buy? I was prescribed some kind of a solanutre, so it costs twice as much as a jadean, despite the fact that I bought and smeared it, I could not see it - my face burned afterwards. And here is the therapeutic effect, and the normalization of the hormonal background, and a clean face. And you want that such a medicine costs 100 rubles?
Guests
Tori
For a long time she took Janine - a good drug. I did not notice any side effects. If anything, the doctor appointed me.

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