The drug Jess Plus - instructions for use, how to stop taking birth control pills

The contraceptive drug "Jess Plus" contains active and auxiliary tablets, the active components of which contribute not only to effective contraception, but also to the correction of certain disorders. If it is necessary to completely discontinue the medication or switch to another means of protection against unwanted pregnancy, you must strictly follow the instructions and recommendations of the supervising doctor. Abrupt or illiterate termination of drug use leads to the development of undesirable consequences and serious complications.

How to stop drinking Jess Plus

The use of hormonal contraceptive pills is currently the most popular and reliable method of contraception. Many women are prescribed the latest generation combination drug “Jess Plus”, which is well tolerated and allows not only to prevent unwanted pregnancy, but also to get rid of some endocrine system disorders.

Taking a contraceptive in accordance with the instructions usually does not raise any questions, but if it is necessary to cancel it, most patients experience difficulties and fear. Let's look at how to stop drinking Jess Plus without harm to your health, as well as the distinctive features, composition and methods of using the drug.

Terms of sale

As you know, the sale of medicines is now under special control, and getting any medicine without a prescription is quite difficult and, to be more precise, impossible.
As for purchasing contraceptives Jess, I must say that you can buy such a hormonal drug only with a prescription.

Therefore, if you have decided on this method of contraception, then you cannot do without the help of a doctor.

It is necessary to visit a doctor, consult with him and obtain an appropriate prescription in order to purchase a contraceptive.

When choosing contraceptives, take into account your individual health characteristics.

Description and composition

The package contains a blister with 28 tablets coated with a varnish film of different colors, a cardboard insert and stickers for keeping an appointment calendar.

The type and appearance of the components of the drug, as well as the active ingredients are shown in the table:

The active components of the contraceptive in combination act in two directions:

1. Suppress the transition of the menstrual cycle to the ovulatory phase, preventing the maturation of the egg.
2. They increase the viscosity of the cervical secretion, making it practically impenetrable to sperm and infection.

After administration, the active ingredients of the tablets are quickly absorbed. The maximum concentration of hormonal components in the blood is achieved after 1.5-2.0 hours. Metabolites of the main and auxiliary components are excreted through the kidneys and gastrointestinal tract within several days, the half-life is about 40 hours.

Benefits and indications

Drospirenone, which is part of the drug, prevents the formation of edema, and also has a pronounced antiandrogenic effect, that is, it inhibits many unpleasant symptoms associated with the increased production of male sex hormones.

The main component of additional tablets is calcium levomefolate, which is a more active and easily digestible analogue of folic acid. Taking it allows you to fully satisfy the female body's need for folate and significantly reduce the risk of complications during subsequent pregnancy.

Taking into account the listed advantages, the drug "Jess Plus" is recommended as a means of contraception for groups of patients with the following disorders:

• fluid retention in the body when using hormonal drugs;
• moderate acne and seborrhea;
• lack of folate;
• severe premenstrual syndrome.

Pharmacotherapeutic group and properties

According to the RLS website, Jess Plus belongs to a pharmacotherapeutic group called “Estrogen, gestagens; their homologs and antagonists in combinations.” This group is characterized by the presence of drugs based on hormonal components. The group includes a huge number of contraceptives, as well as about 36 substances, including ethinyl estradiol in combination with drospirenone and calcium levomefolate.

The effect of contraception is based on suppressing ovulation, as well as increasing the viscosity of uterine mucus secretion. In addition, the drug has a positive effect on the endometrium. It has the following properties:

1. Antiandrogenic effect. Helps reduce the production of androgens - hormones responsible for male sexual characteristics. When their number increases, changes occur in the female body - the timbre of the voice changes, the vegetation increases. In this case, antiandrogen drugs are prescribed.
2. Stable weight – the patient does not gain weight during treatment.
3. High contraceptive properties – protection against unwanted pregnancy.
4. Effective treatment of premenstrual pain.

The product has a good effect on PMS, eliminating pain and reducing the duration of discharge.

Contraindications

The Jess Plus contraceptive is strictly contraindicated in the following cases:

• hypersensitivity to the components of the hormonal drug;
• thromboembolism and thrombosis, as well as any previous conditions and predisposition;
• diabetes mellitus complicated by vascular disorders;
• any neoplasms, especially those localized in the pelvic area and mammary glands;
• kidney pathologies, including renal failure;
• dysfunction of the liver, gall bladder in severe acute or chronic form;
• migraine accompanied by neurological disorders;
• bleeding from the genital tract of unknown etiology;
• hereditary lactose intolerance.

In addition, the drug should not be used during pregnancy and breastfeeding. If a possible pregnancy is suspected, the prescribed COC should be discontinued immediately.

The components of the tablets significantly impair the taste and nutritional characteristics of breast milk and reduce its production. A small amount of active substances can penetrate into the mammary glands, but at the moment there is no reliable evidence of their harm to the child’s health.

The drug "Jess Plus" should be used with caution in case of high body mass index, high blood pressure, systemic lupus erythematosus, ulcerative colitis and some other diseases that are not absolute contraindications.

Alcohol and some medications, including most antibiotics, significantly reduce the activity of the active ingredients of the drug, so during the treatment process you should take care of additional barrier contraception.

Due to the wide list of contraindications, before starting to take a hormonal drug, each patient must undergo an examination to collect a family and hereditary history, including a biochemical blood test, coagulogram or hemostasiogram, cytological examination of the cervix, blood pressure measurement and other examinations as prescribed by the doctor.

During the entire period of use of contraceptives, regular medical examinations should be carried out at least once every 6 months.

Special instructions and precautions

There are some risk factors in which the use of tablets should be done with caution so that the drug does not serve as an impetus for the development of pathologies:

1. Venous thromboembolism - the risk of development is maximum in the first year of use if the patient has problems with the cardiovascular system.
2. The risk of developing thrombosis increases when taking a contraceptive and simultaneous smoking, obesity, after major operations, migraines, heart disease and arterial hypertension.
3. There is a slightly increased risk of breast tumors, which disappears within 10 years of taking combined oral contraceptives.

In addition to these factors, there is a risk of cervical cancer, but it is also insignificant. Jess Plus should be taken with caution in patients with renal failure and a history of pancreatitis.

Side effects

The most common side effects that occur while taking a contraceptive include:

• mood swings, depression;
• sleep disorders;
• headache and dizziness;
• increased blood pressure;
• nausea, lack of appetite;
• sensitivity of the mammary glands;
• absence or excessive intensity of menstrual bleeding;
• relapses of chronic inflammatory diseases of the female genital area.

The most serious side effect requiring immediate attention is thromboembolism and similar conditions.

Mode of application

According to the annotation, Jess Plus contraceptive pills are taken orally daily, maintaining the same time intervals. Simultaneous food intake does not affect the absorption of active substances. The product is swallowed without chewing or crushing, and washed down with several sips of clean water.

One package should be used twenty-eight days in advance (one tablet per day) in strict accordance with the labeling, starting with the first tablet containing hormonal components.

Despite the fact that all active ingredients contain identical concentrations of active substances, they should be drunk strictly in order. This will help avoid possible confusion and omissions. A new package begins the next day after the previous one is completed; breaks are not allowed.

You need to take COCs from the first day of your cycle. If the patient started using Jess Plus for the first time, without previously taking other hormonal contraceptives, the active components of the drug begin to act immediately, and additional protection is not required. It is allowed to delay the start of contraception until the fifth day of the cycle inclusive, but in the first week of taking the pills, a condom should be used during sexual intercourse.

Use after childbirth and abortion

If a pregnancy is terminated (spontaneous or surgical) in the first trimester, COCs must be taken immediately. In this case, you do not need to use additional mechanical means of protection against unwanted conception.

After an abortion in the second trimester or the birth of a child, the drug can be used starting from 21-28 days (in the absence of breastfeeding). It is recommended to use a condom during the first week.

Changing contraceptives

Let's look at how to switch from other contraceptives to Jess Plus: instructions and basic rules:

• When switching from external contraceptives (spiral, intravaginal ring or patch), the first pink tablet should be taken on the day the previous drug is removed.
• When switching from other hormonal drugs for oral administration, Jess Plus should be taken the next day after completing the packaging of the previous protective agent. If the package of previous OCs included 21 tablets, you can start taking the new drug on the eighth day after a week-long break.

You can switch to “Jess Plus” from its analogues (“Jess”, “Dimia”) at any time, since the composition and concentration of the active ingredients are completely identical. Regardless of the previous contraceptive, gynecologists recommend using additional mechanical means of protection in the first 7 days after the transition.

Skipping a drug

If a woman does not take the pale orange (inactive) pills within the allotted time, this will not affect the contraceptive effect of the drug, since the placebo does not contain hormones. Missed doses can be ignored. It is recommended to get rid of untaken tablets so as not to confuse them with active ones in the future.

Actions to take when missing hormonal (active) components of the drug depend on the day of administration and the time of delay:

In case of vomiting or intestinal upset within three to four hours after using a COC, you must follow the same rules as when skipping the drug. If your health does not improve over a long period of time, you should take care of additional barrier protection during sexual intercourse.

You should not voluntarily change the recommended scheme for using Jess Plus in case of delay or omission. If you try to make up for the resulting hormone deficiency by simultaneous use of three or more tablets, symptoms of overdose may occur (feeling worse, nausea, spotting). The drug should be taken under the constant supervision of a doctor.

Discharge when taking Jess Plus

Most patients report irregular periods while taking Jess Plus. As a rule, breakthrough bleeding or slight spotting brownish discharge occurs in the first 2-4 months after starting to use birth control pills. The presence of menstrual-like symptoms during this period is the norm and occurs as a result of hormonal changes in the body.

Withdrawal bleeding usually begins on the second or third day after starting the pale orange (inactive) tablets and lasts for several days. During the use of placebo, the function of the reproductive system is partially restored, resulting in symptoms of hormonal adaptation that are mistaken for menstruation.

If bleeding while taking Jess Plus does not stop for three or more cycles or becomes excessively abundant, you should immediately consult a doctor. In this case, the drug is discontinued and a comprehensive and thorough examination is carried out to exclude pregnancy, malignant tumors or other severe pathologies.

In 10-15% of patients, withdrawal bleeding does not develop. The absence of menstruation when taking Jess Plus for one or two cycles is normal. If discharge does not begin for a long time, you should stop taking the contraceptive to exclude possible conception.

To delay the onset of bleeding, you must skip the placebo and immediately start the next pack of the drug. If the active tablets in the second pack run out, the third pack cannot be started until the 4 remaining auxiliary tablets have been consumed.

Price, where to buy

It is impossible to give a 100% correct answer to the question “how much does Jess Plus cost?” the price of the drug varies depending on the place of purchase (city, pharmacy, etc.)

The average cost of a package of 28 pieces (per month) ranges from 915 to 1112 rubles. The average price for 84 tablets (pack for 3 months) is from 2678 to 2986 rubles. Again, these are just approximate prices.

You can buy Jess Plus in pharmacies. Hormonal pills are available by prescription.

Beware of fakes!

Analogues and comparisons of Jess and Jess Plus - read.

Withdrawal of the drug

The main reasons for the need to discontinue the drug can be divided into two groups:

1. Not directly related to the woman’s health status

• pregnancy planning;
• lack of sexual intercourse;
• fears of long-term use of hormonal contraceptives or other psychological factors.

2. Related to the patient’s well-being

• identification of diseases that are a contraindication to taking the drug;
• a sharp deterioration in health after starting to use COCs;
• pregnancy diagnosed while taking a hormonal remedy;
• switching to another contraceptive due to side effects.

Let's take a closer look at how to stop drinking Jess Plus tablets without harm to your health and the risk of dangerous complications.

Rules for canceling COCs

When the active components of the product stop entering the body, a significant hormonal imbalance occurs, which affects the general well-being of the woman.

In order for the cancellation of contraception to be painless, the following rules must be followed:

1. First consult with a gynecologist to identify possible contraindications and draw up an optimal dosage reduction regimen, taking into account the individual characteristics of the patient. This is especially important for women who use pills not only to protect against unwanted pregnancy, but also for the therapeutic correction of endocrine disorders. If COCs are not discontinued correctly, severe side effects may occur in this case, including serious hormonal imbalance.
2. Complete the started dosing cycle in accordance with your doctor’s recommendations.

Abrupt withdrawal of the drug

It is strictly not recommended to abruptly stop taking Jess Plus. In this case, serious complications may develop:

• breakthrough bleeding from the genital tract on the 2-3rd day of withdrawal;
• disruption of the menstrual cycle (amenorrhea, irregular menstrual periods, changes in the amount and nature of discharge);
• irritability, nervousness, sleep disturbances;
• pain and heaviness in the ovarian area;
• headaches, blood pressure surges;
• nausea, dyspepsia, loss of appetite, weight loss;
• decreased sex drive;
• general malaise.

However, emergency cessation of the use of birth control pills may occur in the event of the development or exacerbation of pathological conditions in which this type of contraception is unacceptable, as well as if any surgical intervention is necessary. Immediate treatment is allowed in case of a sharp deterioration in health of unknown origin before visiting a gynecologist or other specialist.

As a rule, severe side effects of COC withdrawal are observed when the patient neglects medical recommendations or voluntarily takes birth control pills without a gynecologist’s prescription.

Severe painful withdrawal symptoms are observed in women with any chronic pathologies and hormonal disorders.

The most dangerous complication of abrupt drug withdrawal is bleeding. If the discharge does not stop within 7-10 days or gets worse over time, you should immediately seek medical help.

Rehabilitation period

When the regular intake of the active components of contraceptives into the body stops, the gonadotropic function of the pituitary gland immediately resumes. This leads to a sharp increase in ovarian function, which results in some side effects. During this period, gynecologists recommend taking care of reliable contraception for those couples who are not planning to conceive.

Restoration of the reproductive system occurs in several stages:

1. The secretory and ovulatory phases of the cycle are normalized.
2. The uterine endometrium grows, compensating for the atrophic changes that occurred while taking the pills.
3. The viscosity and chemical composition of the mucous membranes of the vagina and cervical secretion changes.

The rehabilitation period lasts from several weeks to several months. During this time, most women experience irregular menstrual cycles, including amenorrhea.

In the future, the frequency of the onset of critical days may change compared to the period before the use of COCs. Typically, if a woman has suffered from irregular discharge before, the problem may return and get worse after stopping birth control pills.

If, while taking Jess Plus, the patient followed all the rules and recommendations of the doctor, restoration of the reproductive system proceeds without complications.

Contraindications for withdrawal

There is a group of patients who are not recommended to stop taking COCs without a good reason (contraindications or planning to conceive).

This includes the following conditions and disorders:

• menopause (the risk of osteoporosis increases);
• anemia (the volume of blood lost during menstruation increases);
• chronic infectious and inflammatory pathologies of the genital organs (a decrease in the viscosity of cervical mucus facilitates the access of bacteria to the cervix);
• increased production of male sex hormones (body hair growth sharply increases, skin condition worsens).

Cancellation before planning pregnancy

The summary for Jess Plus states that the patient can cancel the drug at any time. After stopping contraception in accordance with your doctor's recommendations, pregnancy can occur at any time. Due to ovarian hyperactivity in the first few weeks after withdrawal, the likelihood of fertilization increases sharply. Some gynecologists advise those couples who have problems conceiving to take advantage of this moment.

However, most experts recommend taking a break of 3-4 months so that the female reproductive system is fully restored and begins to work as usual. If conception occurs during the period of adaptation of the body after the cessation of the supply of hormones from the outside, the risk of miscarriage and the development of pregnancy complications increases.

Switching to other contraceptives

If you plan to change a contraceptive, you must adhere to the following rules:

• other oral contraceptives begin to be taken the next day after completing the packaging of the previous ones, while 4 auxiliary tablets are allowed not to be taken;
• a patch, implants or intravaginal rings are installed the next day after completing the course of taking active Jess Plus tablets;
• the intrauterine device is inserted on the 3-4th day of withdrawal bleeding after completion of COC use.

You can start taking a similar drug (“Jess”, “Dimia”) on any day of the menstrual cycle, since the composition and concentration of the active ingredients are identical. When switching to mechanical (condoms, caps) or chemical (spermicidal gels and creams), you should finish the started pack of COCs; you may not drink inactive tablets.

Drug interactions

If, simultaneously with the specified contraceptive, a girl takes drugs that induce microsomal liver enzymes, then it is necessary to use additional contraceptive measures - they should be used for the entire period of using Jess Plus. These drugs include barbiturates, phenytoin, and topiramate.

Another interaction is represented by the following provisions:

• HIV or hepatitis C protease inhibitors may increase or decrease the concentration of hormones in the blood plasma;
• some substances, for example, methotrexate, sulfasalazine, can reduce the concentration of levomefolate calcium in the blood;
• antifungal drugs from the azole group, as well as antibiotics from the macrolide group, reduce the clearance of the contraceptive.

These factors must be taken into account if a woman simultaneously takes Jess Plus and uses other medications to treat other diseases.

Compatibility of Jess Plus and alcohol

Alcoholic drinks have a strong effect on the liver, forcing it to work intensively. At this moment, the hormones that enter the bloodstream with the contraceptive are also affected. The concentration of hormones in the drug decreases, the woman remains unprotected from pregnancy.

Comment! At least 3 hours should pass between taking Jess Plus and alcohol.

If you cannot give up alcohol, you should choose a quality product and a moderate dosage.

Reviews about the drug

Svetlana: “For some time I took the drug Yarina with a higher content of similar hormones. After persistent side effects appeared, on the recommendation of a gynecologist, I switched to Jess Plus. The contraceptive helped normalize the menstrual cycle and improve skin condition.”

Elena: “Out of many hormonal drugs, I chose Jess Plus as the most gentle and at the same time effective. Its cancellation when planning pregnancy was easy, without severe bleeding and pain. Conception occurred a few weeks after the withdrawal.”

Natalya: “I couldn’t drink Jess because of heavy bleeding, pain in the lower abdomen and mood swings. I had to switch to other oral contraceptives.”

Read

Also:

• Pregnancy after Jess and Jess +
• Contraceptive pills Escapelle: instructions for use
• How to take Yarina birth control pills correctly?
• Midian birth control pills: instructions and contraindications
• Birth control pills Novinet: instructions for using the contraceptive
• The drug Candide - properties and contraindications, instructions for use

Reviews from women (before and after 30, 35, 40)

The questions “is it worth drinking Jess Plus”, “what are the pros and cons of Jess Plus” constantly appear on various women’s forums.

Reviews of hormonal contraceptives Jess Plus are both negative and positive:

“Jess Plus gave me acne. The skin has become very oily, mood swings, depression. You will have to go to an appointment with a gynecologist or dermatologist. I don’t want to take these contraceptives anymore.”

“I’ve been drinking Jess Plus for almost 8 months. At first, the side effects from them were quite severe, even to the point of breakthrough bleeding. Halfway through the second cycle, everything returned to normal.”

“They fit me perfectly. There were practically no side effects (it smeared a little for the first few days, but then everything went away). But the condition of the skin and hair improved (they stopped falling out). My breasts stopped hurting during PMS.”

“I don’t know who lost weight with Jess Plus. I didn't notice this. The weight jumped throughout the entire reception. I was prescribed this drug to treat fibroids. There was no effect. It’s good that there were no side effects after the withdrawal. Never ever".

“I took a lot of different pills. And Jess plus are the best for me. Taking any of the others caused thrush, but not Jess Plus. The only side effect was spotting for the first three months, but that went away.”

“I took Jess plus three months. After discontinuation, I easily became pregnant after the first cycle. By the way, Jess Plus’s acne went away and my face became clearer.”

“I gained 10 kilograms from Jess Plus, no less. Cellulite appeared. I was constantly suffering from constipation. A nightmare, of course. They also say that they make you lose weight. In addition, my hair began to grow all over my body, the shaggyness, so to speak, increased. The only plus is the enlargement of the mammary glands. Although with my breast asymmetry this is rather a minus.”

“I was prescribed Jess Plus for three months of treatment. I couldn’t drink them all alone! I felt nauseous, sick, my head was pounding, I lashed out at everyone for no reason or no reason. While taking it, constant drowsiness and depression occurred. The apogee of this orgy was profuse uterine bleeding. Perhaps they just weren't right for me. Girls, be careful! In my case, the consequences of Jess Plus were terrible.”