What you need to know about the contraceptive Femoden?

Photo: pharmaconom.ru

Photo: pharma.bayer.ru

Photo: medistok.ru

Photo: lechusdoma.ru

Femoden is a monophasic combined contraceptive drug. Belongs to the group of sex hormones and modulators of the reproductive system - progestogens and estrogens of a fixed combination (G03AA10). Active ingredients: Ethinyl estradiol and Gestodene.

You need to know that the contraceptive protection of Femoden birth control pills is reduced when taking ampicillin and tetracycline antibiotics. The drug is available with a doctor's prescription!

Pharmacodynamics and pharmacokinetics

This medicine belongs to the drugs with a low dosage of hormones. It affects the hypothalamus-pituitary-ovarian system. Femoden suppresses the synthesis of hormones that stimulate follicle . It provokes inhibition of ovulation , and also activates changes in the secretion of cervical mucus.

The drug has no androgenic activity. It also reduces the susceptibility of the endometrium to blastocyst .

After oral administration , gestodene and ethinyl estradiol rapidly and completely absorbed . During the initial passage through the liver, gestodene is not broken down, but ethinyl estradiol , on the contrary, is largely metabolized . In this case, most of the latter binds to plasma proteins. It also passes into breast milk.

The bioavailability of the drug is 99%. Gestodene binds to globulin and albumin , which bind sex steroids . Like ethinyl estradiol , it is excreted from the body in the form of metabolites in urine and bile.

special instructions

Before starting to use Femoden, a woman is recommended to undergo a thorough general medical and gynecological examination (including examination of the mammary glands and cytological examination of cervical mucus) and exclude pregnancy. In addition, disorders of the blood coagulation system should be excluded.

Control examinations must be carried out at least once a year.

A woman should be warned that drugs like Femoden do not protect against HIV infection (AIDS) and other sexually transmitted diseases!

Contraindications

Femoden should not be used in case of negative reactions of the body to its components, tumors (including a history ), severe diabetes mellitus with complications of the vascular system with severe hypertriglyceridemia , migraine a history of focal neurological manifestations ), uterine bleeding of unknown origin, severe liver dysfunction, thromboembolism (including a history , as well as an increased risk of its development), pancreatitis with severe hypertriglyceridemia (including a history ), pregnancy .

Analogues substitutes

You can replace the contraceptive Femoden with the help of medications:

• Artitia is available in tablets. (Germany).
• Lindinet is produced in tablets. (Hungary).
• Logest is released in the form of tablets. (Germany, France).
• Modell Tin is produced in tablet form. (Ukraine).
• Tristin is available in tablets. (Hungary).

Photos of analogues:

Lindineth

Logest

Modell Tin

Side effects

Taking the medicine may cause:

• the appearance of chloasma ;
• nausea;
• weight change;
• hives;
• fluid retention;
• engorgement of the mammary glands;
• rash;
• nipple discharge;
• headache;
• change in vaginal secretion;
• change in libido;
• Quincke's edema;
• tachycardia;
• mood changes;
• painful sensations in the chest;
• vomiting;
• intolerance to contact lenses;
• anaphylaxis;
• migraine pain.

Instructions for use of Femoden (Method and dosage)

The instructions for Femoden indicate that the pills should be taken orally . This needs to be done daily, at approximately the same time. The dragees are washed down with some water. Take one piece for three weeks. After this, a seven-day break is taken and the pills are taken again. Bleeding usually begins 2 or 3 days after the break and may end before you need to switch to a new pack.

The instructions for use of Femoden indicate that if a woman has not previously taken any hormonal contraceptives, the medicine should be taken from the first day of the menstrual cycle or on days 2-5. In this case, it is advisable to additionally protect against pregnancy during the first week.

If you have previously taken other combined oral medications , it is recommended to take Femoden the day after taking the last medication, and in no case later than the next day after the usual one-week menstrual break .

The transition from drugs that contain only gestagens , or from gestagen-releasing intrauterine drugs can be done any day. In the case of an implant or intrauterine device - on the day of removal; when using a solution for internal administration - from the next day. In this case, it is necessary to additionally use barrier methods of protection during the first week.

If a woman had an abortion in the first trimester of pregnancy, she should take the drug immediately. No need for additional protection. If the abortion was done in the second trimester , as well as after childbirth, it is advisable to start taking Femoden after 3 or 4 weeks. If you start taking it later, other methods of protection are additionally needed, in addition, you should make sure that there is no pregnancy.

If Femoden is missed for less than 12 hours, the contraceptive is still effective. The medicine must be taken as quickly as possible. The next dosage is taken at the same time. And if the dose is overdue by more than 12 hours (but not longer than 7 days), the required dosage must be taken as soon as possible. Then the pills are taken at the usual time. Throughout the week, an additional method of protection against unwanted conception is used. It is also necessary to exclude the possibility of pregnancy.

If the drug is missed for more than 12 hours in the 3rd week of the course, the tablets should be taken as soon as possible. Then the reception continues at the usual time, and then the next package begins. Until it ends, withdrawal bleeding is unlikely. At the same time, spotting and some bleeding may occur while taking the medicine. In addition, you can take the required seven-day break when the first pack runs out. Only after that move on to the next one.

When you missed taking the drug, and then there was no bleeding during the usual seven-day period, you must definitely rule out an unwanted pregnancy.

If a woman has had cases of vomiting or diarrhea 4 hours or less after taking the medicine, additional barrier methods of protection are needed. In this case, it is also necessary to follow the recommendations of the instructions when skipping pills.

There are times when the menstrual cycle needs to be delayed. Then the drug is continued to be taken, without taking a seven-day break, for as long as needed until the second package runs out. There may be spotting or some minor bleeding. Upon completion of the second pack, a seven-day break must be taken.

Interactions of the drug Femoden

Interactions between oral contraceptives and other drugs may result in breakthrough bleeding and/or decreased contraceptive effectiveness. Hepatic metabolism: interactions may occur with drugs that induce microsomal enzymes, which may cause increased clearance of sex hormones (e.g. phenytoin, barbiturates, primidone, carbamazepine, rifampicin and possibly also oxcarbazepine, topiramate, felbamate, ritonavir, griseofulvin and drugs that contain Hypericum perforatum L. Interaction with the enterohepatic circulation: Some clinical studies suggest that the enterohepatic circulation of estrogens may be decreased when taking certain antibiotics that reduce ethinyl estradiol concentrations (for example, penicillin and tetracycline antibiotics).When using any of the above drugs, a woman should temporarily use the barrier method in addition to taking COCs or choose another method of contraception.When treating with drugs that induce microsomal enzymes, the barrier method should be used throughout the entire period of treatment with the corresponding drug and for another 28 days after stopping its use. When taking antibiotics (with the exception of rifampicin and griseofulvin), the barrier method must be used for another 7 days after their discontinuation. If the barrier method is still being used, and the tablets in the PDA package have already run out, taking the tablets from the next package should be started without the usual break. Oral contraceptives may affect the metabolism of other drugs. Taking this into account, the concentrations of active substances in blood plasma and tissues (for example, cyclosporine) may change. Note : To determine the potential for interaction with drugs that are prescribed concomitantly with COCs, it is necessary to read the instructions for the medical use of these drugs. Effect on laboratory results . Taking contraceptives may affect the results of certain laboratory tests, including biochemical parameters of liver, thyroid, adrenal and kidney function, parameters contained in blood plasma proteins (carriers), such as SHBG and lipid/lipoprotein fractions, parameters of carbohydrate metabolism, as well as coagulation and fibrinolysis parameters.

Femoden reviews

Reviews about Femoden on forums are very different. There are definitely no negative opinions. However, many women complain of side effects. Typically, weight gain, nausea, vomiting, and mood changes are reported. However, those who have found the drug suitable are satisfied.

Reviews from doctors about Femoden indicate that the drug can indeed have side effects. For some it just doesn't suit. However, it is often recommended for more than just pregnancy protection. So, it can be prescribed for inflammation of the endometrium against the background of anti-inflammatory therapy. In addition, in some cases, Femoden is taken before IVF IVF protocol before .

Indications for use

The main purpose of the drug Femoden is contraception.

Also, this hormone-based contraceptive is used before an IVF procedure, namely, with an ovarian cyst for its resorption. Only after this can a woman enter the protocol

In addition, the drug Femoden is used for endometriosis, like most oral hormonal contraceptives.

The pills help regulate the regularity of the menstrual cycle and reduce the amount of monthly bleeding.

Femoden price, where to buy

The price of Femoden in pharmacies is usually about 580 rubles.

• Online pharmacies in RussiaRussia
• Online pharmacies in UkraineUkraine

ZdravCity

• Femoden tablets p.p.o.
  75mcg+30mcg 21 pcs. Bayer Weimar GmbH/ Jenapharm GmbH RUB 863 order

Pharmacy Dialogue

• Femoden (table no. 21)Bayer

  RUR 781 order

• Femoden (tablet. No. 21)Jenapharm

  RUB 859 order

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Pharmacy24

• Femoden No. 21 tablets Bayer Pharma AG, Nimecchina/Bayer Weimar GmbH i Co.
  KG, Nimechchyna 163 UAH. order

Composition and release form

The manufacturer Bayer Schering AG produces the contraceptive Femoden in tablet form.

The concentration of gestodene in them is 0.075 mg, and ethinyl estradiol - 0.03 mg

In addition to these substances, additional components are used in the production of the drug.

The composition of the contraceptive contains:

1. Lactose monohydrate;
2. Corn starch;
3. Polividone;
4. Sodium calcium edetate;
5. Magnesium stearate;
6. Sucrose;
7. Povidone;
8. Macrogol;
9. Calcium carbonate;
10. Talc;
11. Mountain glycolic wax.