Hormonal contraceptive "Silhouette": reviews, instruction on the use

Protect from unwanted pregnancy, eliminate the painful symptoms that accompany the premenstrual period, and improve the skin's contraceptive hormonal drug Silhouette. The recall of the woman's recall says that this is a reliable contraceptive. The main thing is not to miss taking pills.

Silhouette: composition

The main active components of the drug are ethinyl estradiol (0.03 mg) and dienogest (2 mg). Connecting, they give an antiandrogenic and contraceptive effect. Composition is supplemented with such ingredients as:

• Lactose monohydrate;
• corn starch;
• Hypromellose;
• talc;
• Potassium polacrilin;
• Magnesium stearate;
• Opadry II 85F18422 white (shell).

Form of the preparation

The drug "Silhouette" (reviews say that this tool helps to improve the condition of the skin and remove acne) is available in white tablets, which are enclosed in a blister pack of 21 pieces. Blisters are packed in a cardboard box of 1-3 pieces.

Pharmacological effects

"Silhouette" - a combined drug with a pronounced antiandrogenic effect. Here, ethinyl estradiol acts as an estrogen, and dienogest carries the functions of a progestogen.

The drug inhibits ovulation, affects the peristalsis of the fallopian tubes and endometrium, increases the viscosity of cervical mucus. Anti-androgenic effects are achieved by the close interaction of ethinylestradiol and dienogest, which reduces the concentration of androgens in the plasma.

It is proved that the drug, due to the active interaction of components, eliminates acne of varying severity, treats seborrhea.

The "Silhouette" contraceptive (reviews of some women say that the drug has not come up and has many side effects) to prevent ovulation should be taken in an amount of 1 mg / day.

Indications

"Silhouette" (recall of a woman's recall mark an increase in body weight as a result of regular intake of the drug) is recommended for admission as a contraceptive for preventing unwanted pregnancies. Also, the contraceptive has shown its effectiveness in the treatment of acne.

Contraindications

Combined contraceptive "Silhouette" (pill) fully justifies its purpose. But it can not be used or its reception should be stopped in cases of special sensitivity to the active and secondary components in its composition. Do not use the drug in the presence of arterial and venous diseases. The cause of the ban is thrombosis, myocardial infarction, thromboembolism of varying severity, cerebrovascular disorders of the ischemic and hemorrhagic apparatus.

Abstain from taking the drug should be in a state that precedes thrombosis. This is angina, damage to the heart valve and fibrillation atrium, bacterial endocarditis, surgery with prolonged immobilization.

It is not necessary to use a contraceptive in pancreatitis, porphyria, during jaundice and with congenital hyperbilirubinemia. You can not drink tablets with sickle cell anemia, diabetes, arterial hypertension, dyslipoproteinemia, with a predisposition to arterial thrombosis. Abstain from taking should be women smokers from 35 years.

Taboo is applied for liver diseases of various severity and malignant diseases of the genital organs and breast. Do not use medicine for bleeding from the vagina of an obscure nature. Reasons for the prohibition are migraine, epilepsy, lactase deficiency, pregnancy, the period of breastfeeding.

Attention to taking the drug should be treated with varicose veins, disruption of the cardiovascular system, obesity, low blood coagulability. To think about its use follows persons with arterial hypertension, uterine myoma, mastitis, multiple sclerosis, severe depression, ulcerative colitis, cerebral circulation disorder, heart failure, breast cancer, with vision problems, herpes.

Dose intake and way of consumption

Reception "Silhouette" should be daily for 21 days. Every day should drink one tablet. Dragee is used according to the days of the week, indicated on the blister. The new packaging is started after a one-week break, during which menstruation usually comes. Bleeding may not end up taking pills from a new pack, but despite this, you need to continue to take the pills.

The transition to this contraceptive from preparations containing only progesterone is carried out at any time. In the case of the first hormonal contraception, the drug "Silhouette" (tablets) is prescribed on the day of the onset of menstruation. When switching from other combined contraceptives, "Silhouette" is taken on the first day after a seven-day break. You can take the drug and the next day after taking the last pill from the old package.

Transition from implants to oral contraceptive takes place on the day of implant removal, and from injections - on the next day after the introduction of the last contraceptive injection.

After the abortion in the period from the first to the twelfth week of pregnancy the drug should be taken immediately, especially if there are no other methods of protection. After delivery or abortion in the second trimester, the contraceptive is prescribed on the 21-28th day. A later period of contraceptive use necessitates additional methods of protection for the next seven days. If there was a sexual intercourse in the "unprotected" moment, then before the consumption of tablets, you must completely exclude pregnancy and wait for the first menstrual cycle.

Missed tablets

To achieve a proper contraceptive effect, the use of Silhouette should be permanent. Delay in taking a pill for less than twelve hours does not reduce the effectiveness of contraception. The lady in this case must take the drug at the first opportunity. Delay of more than twelve hours significantly reduces contraceptive protection. In this case, it is necessary to take into account the following nuances:

• A break in taking hormonal tablets should not be more than seven days;
• The effect of hypothalamic-pituitary-ovarian regulation is achieved only with a daily seven-day medication.

In this situation, a lady needs to take a hormonal remedy at the first opportunity, even if two pills need to be drunk at the same time. The next tablet is used in the allotted time.

Additional contraceptive measures:

• Applied in the first week for the next seven days. If there was a sexual intercourse before the missed pill, then you need to exclude pregnancy.
• The second week is not used if the woman no longer violated the reception regime. In a situation where more than one tablet is missed, additional protection should be used for the next seven days.
• The third week is not applied if more than one tablet has not been missed. Here, the use of tablets from the current pack begins immediately without a one-week break. At this time, menstruation may not occur or bleeding may occur. You can go the other way and immediately stop taking the pills from the current pack, take a seven-day break and then switch to using the medicine from the new package.

Adverse events

Depending on what kind of contraceptive pill a woman drinks, these or other side effects appear. So, and during the reception of "Silhouette" can be observed anemia, tachycardia or myocardial infarction. Often there are headaches, nausea, vomiting, weight gain, back pain, depressed mood, chest pains and enlargement of the mammary glands. In some cases, migraine, excessive excitability, dizziness. There were rarely pains in the abdomen and a malfunction of the genitourinary system. Acne rash, eczema, dermatitis and other allergic manifestations were noted. Patients noted an increase in appetite and weight loss. In special situations, vaginitis, candidiasis of the vagina, varicose veins, arterial hypotension are manifested. There are fatigue, swelling, ovarian cysts, bleeding of different genesis, salpingitis, endometritis and cramps in the calf muscles.

Rarely disturbed are visual disturbances, tinnitus, sinusitis, bronchitis, diarrhea, dyspepsia, gastritis, cholelithiasis, fungal infections, oral cavity herpes, mastitis, vulvovaginal itching, fibrocystic breast dysplasia, insomnia, anorexia, decreased libido, apathy and aggressiveness.

special instructions

Before taking the contraceptive you need to conduct a full medical examination and completely eliminate pregnancy. Hormonal hormones "Silhouette" may not work as effectively in cases of missed medication, in disorders of the gastrointestinal tract and during concomitant treatment. Significantly reduces the effect of the drug St. John's wort.

In the first three months of taking the contraceptive, there may be bloody discharge from the vagina, which are associated with the period of adaptation. If this is the case, you should consult a gynecologist.

There may be a complete absence of a monthly medication from the old and the new packaging during the interval between doses. If a woman drinks pills without skipping receptions, then pregnancy should be excluded. If there are violations in taking the drug, then before you start a new pack, you should make sure of the absence of pregnancy.

The use of a combined contraceptive increases the likelihood of venous thromboembolism, especially in the first year of hormonal contraceptive use. This pattern is due to a combination of ethinyl estradiol and dienogest. About the onset of the disease, pain in the legs and chest with numbness of the left arm, shortness of breath, coughing attacks, prolonged headaches, partial loss of vision, diplopia, vague and indistinct speech, fainting and dizziness, weakness and partial numbness of the extremities, abdominal pain.

Drug use exacerbates migraine, increases the risk of cervical and breast cancer. Promotes the development of benign and malignant tumors. It increases blood pressure, provokes the development of pancreatitis, acute and chronic liver diseases, diabetes, chloasma, ulcerative colitis and Crohn's disease.

Admission of the drug may distort biochemical analysis, including indicators responsible for liver function, thyroid gland, kidney. As a rule, the changes are insignificant and fluctuate within the norm.

Term and conditions of storage

The preparation "Silhouette" should be stored in a cool place protected from direct sunlight at a temperature not exceeding 25 ° C. Shelf life of the drug is two years.

Preparation "Silhouette" (tablets): price

The contraceptive is produced in Hungary by JSC Gedeon Richter. It differs in its democratic value in comparison with its analogs combined agent "Silhouette" (tablets). The price may vary depending on the pharmacy network, but in general, packing No. 21 costs about 500-600 rubles, and pack 63 - about 1500-1600 rubles.

Reviews about the drug

What contraceptive pills to drink, each lady decides itself after consulting a gynecologist. Contraceptive "Silhouette" appeared on the market very recently, but already aroused the interest of many women. The drug is half cheaper than its counterparts. Also, the ladies noted that after taking the medication the hormonal background normalized, the libido was restored, the skin and hair condition improved. Monthly became less painful, the cycle stabilized.

The disadvantages of women include smearing discharge, weight gain, insomnia, headaches and nausea. Some have increased their breasts, which, after the drug was withdrawn, became the same size. Noted the ladies and soreness, numbness of the limbs, a special sensitivity of the breast, increased appetite, breakthrough brown discharge.

The body gets used to the drug for three months, so many disadvantages of the remedy are within the norm. Also, the remedy with good reception protects well from unwanted pregnancy. This is confirmed by numerous reviews.