How to take Yarina birth control pills correctly?

What is Yarina Plus

The drug Yarina Plus is a monophasic contraceptive drug intended for oral use. Taking the medication helps prevent unwanted pregnancy and improve a woman’s condition with various hormonal disorders. The active substances of the drug can cause significant harm to health, so its use is prohibited without the recommendation of a doctor.

Drug effectiveness criteria

Yarina and Yarina Plus are contraceptives with a unique composition. To date, these are the only drugs that have undergone large-scale randomized trials and proven to be effective. It is known that the combination of ethinyl estradiol + drospirenone reliably protects against unwanted pregnancy, controls the menstrual cycle and relieves premenstrual syndrome.

Yarina FDA not only as a contraceptive, but also for the treatment of acne. that drospirenone in combination with ethinyl estradiol effectively copes with the symptoms of mild to moderate acne. The antiandrogenic effect of drugs is used in dermatology.

Yarina is a drug recommended for the treatment of certain gynecological diseases. The contraceptive is successful in the treatment of conditions associated with hyperandrogenism and excess hair growth, and some forms of infertility.

Compound

The Yarina Plus blister contains active and auxiliary tablets. The main active component of vitamin pills is micronized calcium levomefolate. In the instructions for use, the composition of the first type of pill is presented with the following substances:

• ethinyl estradiol;
• drospirenone;
• calcium levomefolate;
• lactose monohydrate:
• microcrystalline cellulose;
• magnesium stearate;
• sodium croscarmellose;
• hyprolose.

pharmachologic effect

According to its properties, Yarina’s drug belongs to combination drugs that perform a contraceptive function. The mechanism of its action is to stop the ovulation process, increasing the level of viscosity of the cervical secretion. Taking oral contraceptives helps establish regular menstruation, prevents non-cyclic bleeding, and reduces the risk of ovarian and endometrial cancer.

Yarina Plus helps reduce the profuseness, pain and duration of menstruation. This factor helps reduce the risk of developing anemia. One of the components of the drug is drospirenone, which reduces the likelihood of peripheral edema, fights acne, regulates oily hair and skin, and eliminates seborrhea.

When the substance is used correctly, the Pearl index is very low, but can increase if a dose is missed. Absorption of the substance occurs after 1-2 hours; food does not affect its bioavailability. Metabolism occurs intensively, the concentration of drospirenone inside the blood plasma has two phases of decrease. Decomposition products are excreted by the kidneys and gastrointestinal tract.

The presence of calcium levomefolate (a biologically active form of folic acid) helps to satisfy the need for folates if the patient's medical history indicates their insufficient concentration in the blood plasma. If a woman becomes pregnant immediately after stopping taking the contraceptive, this substance will help reduce the risk of neural tube defects in the unborn child. The component is excreted through the kidneys and intestines.

Instructions for use

The correct use of Yarina Plus helps to achieve the desired effect - the attached instructions for use instruct you to take the tablets orally with water. Every day at the same time you need to swallow one pill in the order indicated on the package. The pack contains active and auxiliary tablets. Bleeding may occur on days 2-3 of taking inactive pills. An important rule on how to take Yarina Plus is that you should start taking tablets from the next pack immediately after finishing the previous one.

Composition of tablets and packaging

Yarina is a monophasic oral contraceptive.
This means that all tablets in the package contain the same dose of hormones. One tablet of Yarina contains 30 mcg (0.03 mg) of ethinyl estradiol and 3 mg of Drospirenone. One package contains one blister (plate) of Yarina for use for one month.

ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.

Analogs

Preparations Midiana and Yarina Plus contain the same dose of hormones as Yarina.

Advantages of Yarina

Oral contraceptives (OC) Yarina have an antiandrogenic effect. This means that they block the action of male sex hormones (androgens) in a woman’s body. It is known that androgens are a common cause of oily facial skin and acne. Therefore, Yarina can have a cosmetic effect - eliminate or at least weaken acne (blackheads).

In addition, Yarina helps relieve pain during menstruation, as well as reduce the manifestations of premenstrual syndrome (PMS). Yarin tablets do not retain water in the body, so taking them does not increase a woman’s weight.

Yarina can be used as a treatment for endometriosis, adenomyosis, uterine fibroids, polycystic ovary syndrome and some other gynecological diseases.

Rules for receiving Yarina

• If you are taking Yarina for the first time: the first tablet should be taken on the first day of menstruation (this day is considered the first day of the menstrual cycle). Your period may stop when you start taking the pills due to the effects of hormones. It's not scary.
• You can start taking the pills on the 3-5th day of your period, but in this case you need to use additional contraception (for example, a condom) for another week after starting to take the pills.
• It is advisable to take the tablets at approximately the same hour every day.
• It is recommended to take the tablets in the order indicated on the blister. But, if you mixed something up and started taking the tablets out of order, then nothing bad will happen, since all Yarin tablets contain the same dose of hormones.
• After finishing the blister (when you have finished 21 tablets), you should take a 7-day break, during which you do not need to take tablets. During the 7-day break, you may begin to menstruate.
• Taking the first tablet from the next blister should be started on the 8th day after a 7-day break, regardless of menstruation (even if it has not yet begun or has not yet ended).

Do I need to use protection during the 7-day break?

During the week-long break between packs, there is no need to use additional contraceptives, since the contraceptive effect remains at a high level.

But this is only true for those cases when the woman took the pills from the previous package without skipping and according to the rules. If you missed one or more tablets in the third week of taking Yarina, or if the effect of the tablets could be reduced for another reason (vomiting, diarrhea, taking medications, etc.), then it is recommended not to take a 7-day break at all.

How to switch to Yarina from other birth control pills?

If you have been taking other birth control pills and now want to switch to Yarina, follow these rules:

• If the blister of previous birth control pills contained 28 tablets, then taking the first Yarin tablet should be started the day after the end of 28 tablets of the previous OC.
• If the package of previous OCs contained 21 tablets, then taking the first Yarin tablet can be started the day after the blister of previous birth control pills ends, or on the 8th day after a seven-day break.

How to switch to OK Yarina from a vaginal ring or hormonal patch?

The first tablet of Yarin should be taken on the day when you remove the vaginal ring or remove the hormonal patch, or on the day when you need to attach a new patch, or put the vaginal ring back on.

How to switch to Yarin from an intrauterine device (IUD)?

When switching to Yarina birth control pills from an intrauterine device, take the first pill on the day the device is removed. For 7 days after starting to take Yarin, use additional contraception (for example, condoms).

How to start taking Yarin after an abortion?

If the pregnancy was terminated at less than 12 weeks, the first Yarin tablet can be taken on the day of the abortion.

If you are more than 12 weeks pregnant, then you can start taking Yarina 21-28 days after the abortion. To avoid unwanted pregnancy, in this case, use a condom for another week after you start taking birth control pills. If you had unprotected sexual intercourse before starting to take OK, then you should not take Yarina until you are sure that you are not pregnant.

How to start taking Yarina after childbirth?

You can start taking Yarina 21 or 28 days after birth. If you start taking the pills later, you need to take additional protection for another 7 days. If you had unprotected sex before starting to take birth control pills, you can start taking the pills only after you have ruled out a possible pregnancy.

Can I take Yarina if I am breastfeeding?

It is not recommended to take Yarin tablets if you are breastfeeding. For nursing mothers, there are special birth control pills that do not pass into breast milk (Laktinet, Charozetta, Norkolut, etc.)

What should I do if I missed Yarina’s pill?

If the delay in taking the Yarin tablet is less than 12 hours (that is, less than 36 hours have passed since taking the last tablet), then the contraceptive effect of the tablets is not reduced. Take the missed pill as soon as you remember. In this case, there is no need to take additional protection.

If the delay in taking the dose was more than 12 hours, then look at which tablet was missed:

• From 1 to 7 tablets: you need to take the missed tablet as soon as you remember, even if this means taking 2 tablets at the same time. Use additional contraception (such as a condom) for the next 7 days.
• From 8 to 14 tablets: you need to take the missed tablet as soon as you remember, even if this means taking 2 tablets at the same time. If you took the pills according to the rules for the previous 7 days (before skipping), you don’t have to use additional contraception. In any other case, it is recommended to take additional protection for another week after release.
• From 15 to 21 tablets: take the missed Yarina tablet as soon as you remember, even if this means taking 2 tablets at the same time. After this, continue taking the tablets as usual, and after finishing the blister, immediately start the next blister (without taking a 7-day break). If you took all your pills on time for the previous 7 days before missing the pill, then there is no need for additional contraception. Otherwise, use protection for another 7 days after missing it.

What should I do if I missed several Yarina tablets?

If you missed 2 Yarina tablets in a row, pay attention to which tablets you missed. If these are tablets of the first or second week of taking (from 1 to 14), then take 2 tablets as soon as you remember about the omission and 2 more tablets the next day. Then take one tablet per day as usual until the pack runs out. Use additional contraception for another 7 days after resuming taking the pills.

If you missed two tablets in a row in the 3rd week of taking it (from 15 to 21), then there are two options: 1. continue taking Yarina, one tablet per day until the package runs out and then, without taking a 7-day break, start new packaging. At the same time, use additional contraception for another 7 days after the missed period. 2. throw away the current (unfinished) package and start taking a new package with the first tablet (one tablet per day, as usual). In this case, you need to use additional contraception for another 7 days after the missed date.

If you miss 3 Yarina tablets in a row, throw away the current pack of tablets and start a new pack with the first tablet. Use additional contraception for another 7 days. You will have an increased risk of pregnancy, so if your period does not come during the next break, contact your gynecologist.

If you are not sure what to do in your situation, use additional contraception until you talk to your doctor. In any case, if you miss two or more tablets, be sure to use additional protection (using condoms) for at least 7 days.

1-2 days after missing the pills, you may experience spotting or breakthrough bleeding, similar to your period. This is not dangerous and is associated with Yarina’s passes. Continue taking the pills according to the instructions and the discharge will stop.

Bloody discharge when taking Yarina

Some women experience spotting brown discharge while taking Yarina. Such discharge is normal if you started taking Yarina several months ago, if the discharge appears in the middle of the package or continues for several days after the end of menstrual-like bleeding.

However, in some situations, spotting may indicate a decrease in the effect of Yarina and even some diseases. You can read more about this in the article: About spotting while taking OK.

What reduces the contraceptive effect of Yarina?

The contraceptive effect of Yarina can be reduced by vomiting, diarrhea, taking large doses of alcohol, or taking certain medications. Read more about this here:

• Is the effect of OCs reduced when taking other medications?
• Does the contraceptive effect persist when drinking alcohol?
• What should I do if I vomit after taking the pill?
• What should I do if I have diarrhea?

How to delay menstruation with the help of Yarin?

If you need to delay your period, then after finishing one package of Yarin, start a new blister the next day without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but slight spotting may appear approximately in the middle of the next package.

Please note: you can postpone your period only if you took Yarin at least one month before unwanted menstruation.

Do I need to take long breaks from taking Yarina?

If you have been taking Yarina for more than 6-12 months, you may be wondering if you should take a break for a few months. You can read about how useful such breaks are by following the link: Is it necessary to take long breaks from taking birth control pills?

What to do if you don’t have your period during a 7-day break from taking Yarin?

Carefully remember whether you took all the pills correctly last month.

• If you followed the basic rules for taking Yarin tablets, did not skip or were more than 12 hours late in taking them, then do not worry. After completing the 7-day break, you can start taking a new blister. If you don’t have your period during the next 7-day break, then contact your gynecologist to rule out a possible pregnancy. For other possible reasons for a delay, read the article 10 reasons for a delay in menstruation.
• If in the past month you had errors in taking pills (missing, being late), then stop taking Yarina pills until you are sure that you are not pregnant.

What should I do if I become pregnant while taking Yarina?

Pregnancy when taking Yarin tablets correctly is extremely rare. It is more likely that pregnancy occurred as a result of mistakes that you made in the previous month.

So, what to do if the test unexpectedly shows 2 stripes? First of all, stop taking the pills and contact your gynecologist.

Taking Yarina in the early stages of pregnancy cannot harm the health of your unborn child, so you can leave the pregnancy without fear. In this case, start taking folic acid as soon as possible.

Yarina's appointment before surgery

If you are undergoing a planned operation, then taking Yarin tablets should be stopped a month (4 weeks) before surgery. This will reduce the risk of blood clots in the vessels. If the operation is required urgently, be sure to tell the surgeon that you are taking birth control pills. In this case, the doctor will take additional measures to prevent blood clots (with the help of medications).

You will be able to start taking Yarin 2 weeks after you are able to walk independently after surgery.

How often should you visit a gynecologist while taking Yarin?

Even if nothing bothers you, you need to visit a gynecologist for preventative care at least once a year.

When to start drinking Yarina

An important aspect of how to drink Yarina Plus is the correct start date for use. If the patient has not used contraceptives containing hormones in the past month, the first tablet of the medication should be taken on day 1 of the menstrual cycle. When the drug modification Yarina Plus begins to work, there is no need to supplement protection with barrier methods of contraception. The effect occurs immediately. It is permissible to start taking the medicine on the 2-5th day of the start of menstruation. In this case, you will need to use barrier contraceptives for a period of 7 days.

Skipping a pill

If you forgot to take one tablet, then your further actions will directly depend on how much time has passed since the hour when you should have taken the missed tablet:

If no more than 12 hours have passed , then take the drug as quickly as possible. The next pill will need to be taken as usual, without interrupting anything.

If more than 12 hours have passed , then take the pill immediately (you will take the rest according to the usual schedule, without changing anything). If you miss more than 12 hours during the week, use additional means of protection. You will also need to rule out pregnancy.

If you miss more than one tablet (2 or 3) , you may experience withdrawal bleeding. You need to take the pill as soon as possible (you cannot take a break in the middle of the pack!) and rule out pregnancy. Use additional contraception for a week.

ATTENTION! Vomiting or diarrhea less than 5 hours after taking the pill is equivalent to missing it. In this case, proceed as if you missed a pill.

Drug interactions

When combining the Yarina contraceptive with sleeping pills, St. John's wort, Rifampicin, Carbamazepine, Griseofulvin, it is necessary to additionally use barrier methods of protection. These medications increase the clearance of hormones by accelerating the induction of liver enzymes. HIV and hepatitis C protease inhibitors can have a clinically significant effect on the concentration of estrogens and progesterones, therefore such drugs are not recommended to be used simultaneously with Yarina Plus.

Most antibiotics can reduce ethinyl estradiol levels. If antibacterial drugs are used together with a contraceptive, additional external methods should be used to prevent unwanted pregnancy. Such measures must be carried out during the course of antibiotics and for a week after completion of treatment. Yarina can affect the metabolism of antiepileptic drugs, so their combined use is not recommended.

Side effects

If contraindications are ignored or the drug is used incorrectly, side effects may occur that affect the body's systems. These consequences are manifested by the following symptoms:

• The immune system reacts by creating an allergy.
• The nervous system and mental health may include migraines, headaches, changes in the strength of sexual desire, and frequent mood swings.
• The effect on the heart and blood vessels manifests itself in the form of a decrease or increase in blood pressure, and in rare cases, thromboembolism.
• From the digestive tract, fluid retention in the body, a sharp change in body weight, nausea, diarrhea, vomiting, and abdominal pain may be observed.
• Taking the medicine may affect the mammary glands and genitals of a woman by the appearance of vaginal discharge (leucorrhoea), pain in the breast area, breast enlargement, absence or pain of menstrual-like bleeding, and bleeding outside the cycle.
• The following consequences appear on the skin: urticaria, erythema multiforme and nodosum, acne, itching, eczema.
• A side effect for the respiratory system is the development of bronchial asthma.
• Damage to the sensory organs is expressed in hypoacusia and allergies to contact lenses.

Severe side effects have been observed in women taking these combination contraceptives. Using the drug may cause the following consequences:

• arterial and venous thromboembolic disorders;
• hyperkalemia;
• changes in the process of glucose absorption;
• impaired liver function, cholestasis, jaundice;
• angioedema;
• hypertriglyceridemia.

Possible complications from Yarina’s hormones

Most patients do not experience undesirable consequences from using the tablets.

Dangerous conditions

However, it is important to know the first symptoms of the most dangerous conditions:

• swelling of the leg, pain when walking, redness, bluish discoloration of the skin of the lower limb (thrombosis of the veins of the lower leg);
• frequent, difficult breathing, coughing attack, sputum with blood, chest pain that becomes stronger when inhaling, anxiety, dizziness (thromboembolism of the pulmonary artery);
• sudden weakness in a limb or half of the body, disturbance of consciousness, speech, understanding of spoken words, vision, coordination of movements, unsteadiness, fainting (stroke);
• convulsions;
• pain, pressure, compression behind the sternum, radiating to the back, under the left shoulder blade or arm, cold sweat, interruptions in rhythm (heart attack).

When they appear, urgent medical attention is needed.

Other complications

While taking pills, the following are also possible:

• allergic reactions;
• change in sexual desire;
• depression, mood swings, irritability;
• headache, migraine;
• hearing loss, tinnitus;
• increased blood pressure, less commonly hypotension;
• nausea, diarrhea;
• itching, skin rashes;
• bloody issues.

Itching and rash on the skin

Side effects from the mammary glands

On the part of the mammary glands, their enlargement, soreness, engorgement, and discharge from the nipples are noted. The tendency to fungal infections of the vagina (candidiasis) may increase, and body weight changes. Many of these manifestations are not necessarily caused by taking Yarin. In order to correctly make a diagnosis and decide whether to continue treatment, a medical consultation is necessary. Therefore, if any unusual symptoms appear, it is recommended to consult a gynecologist.

Contraindications

Using contraceptives can have profound effects on the body. Therefore, some categories of women should not use the drug Yarina Plus - the instructions for use establish the following contraindications:

• hypersensitivity to the components of the drug;
• prethrombotic conditions (ischemia, angina);
• migraines accompanied by neurological symptoms;
• hereditary or acquired predisposition to the formation of venous or arterial blood clots (deficiency of protein C, S, antithrombin), cerebrovasculitis, damage to the walls of blood vessels with a violation of their integrity, thromboembolism;
• hepatitis, liver failure;
• tumors of unknown etiology, hormone-dependent neoplasms;
• pregnancy and lactation;
• severe or acute renal failure;
• pancreatitis;
• diabetes mellitus with vascular complications;
• liver tumors;
• bleeding from the vagina of unknown origin.

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How to take it correctly

Contraception should be used with extreme caution, so it is better not to self-medicate, but to consult a doctor

In order to know how to take Yarina Plus, the instructions for use should be studied with special care. This will help avoid side effects. This remedy is prescribed only by a gynecologist. Before this, the woman undertakes to undergo examination.

Each blister contains 21 tablets. Each cell has its own number, which allows you to monitor the use of the medicine for 3 weeks. The instructions say that 1 tablet is taken on the first day of menstruation. Then you need to take 1 piece. within 21 days. Then you need to take a 7-day break. The medicine is washed down with a small amount of cooled boiling water. You should not chew the tablets.

During the pause, hormones enter the female body. This contributes to the rejection of the mucous membrane in the uterine cavity. The result is bleeding that resembles menstruation. After 1 week, even if bleeding is still present, you need to start taking the tablets from the 2nd package. The start can be postponed by 2-5 days. For 7 days you need to protect yourself with barrier contraceptives.

special instructions

The instructions indicate that the use of Yarina increases the risk of deep vein thrombosis of the lower extremities. Arterial thromboembolism can lead to stroke and myocardial infarction. If the patient experiences prolonged, intense and frequent migraines, use of the drug should be stopped immediately. Hyperkalemia may occur during use of the drug. This reaction is typical for women with kidney dysfunction and high levels of potassium inside the body.

If a persistent increase in blood pressure is observed when using the medication, use of the drug should be stopped. You can resume use if the indicators return to normal under the influence of hypertension therapy. Pancreatitis may occur in patients suffering from hypertriglyceridemia. A decrease in the effectiveness of the medication can occur if the instructions for use are violated, due to drug interactions, vomiting and diarrhea.

During the period of contraceptive use, non-cyclic vaginal bleeding is possible. Doctors will evaluate the discharge after completing the adaptation period of 3 cycles. Before prescribing the drug, specialists collect the patient’s medical history, conduct a gynecological examination, cytological examination of the cervix, and exclude pregnancy.

Urgent refusal required

The woman urgently needs to give up Yarin against the background:

• severe pain in the lower abdomen;
• sudden swelling of one or both legs at once;
• severe dizziness;
• sudden fainting;
• double vision;
• partial loss of vision;
• complete loss of vision;
• severe, prolonged headaches;
• sudden shortness of breath;
• pain in the chest, radiating to the left upper limb;
• unusual cough;
• myocardial infarction.

It is important to remember that this contraceptive is not able to protect a woman from HIV infection or any other sexually transmitted pathology

Pregnancy and lactation

According to the instructions, Yarina Plus tablets are prohibited from use during pregnancy and breastfeeding. If conception occurs while using the drug, its immediate discontinuation is necessary. There have been no specific studies revealing the negative impact of the medication on the process of gestation and its health. Contraception cannot be used during lactation. Its use may lead to a decrease in the amount of milk in the mother and a change in its composition. During lactation, sex hormones can enter the child’s body and affect his health.

general information

Yarin tablets are an oral monophasic low-dose contraceptive with an androgenic effect. According to the description, the action of the hormones contained in the composition is aimed at suppressing ovulation. The viscosity of cervical mucus, increasing, does not allow sperm to penetrate into the uterine cavity. The use of this contraceptive helps regulate the cycle and normalize menstruation. Soreness decreases, bleeding decreases. Against this background, the risk of progression of iron deficiency anemia is reduced. The hormones present in this contraceptive contribute to changes in the endometrium. If fertilization does occur, then the risk that the fertilized egg will be implanted into the uterine wall disappears.

There are different opinions about this drug. Some women believe that with regular use of this drug, its effectiveness is quite high. If the scheme is disrupted, then the help of the tablets will not be so powerful.

Analogs

The drug Yarina Plus has several medications that are similar in composition and action. Medicines from the COC group are prescribed to prevent unwanted pregnancy. You can buy them only with a doctor's prescription. Analogs of Yarina include the following drugs:

• Jess Plus;
• Midiana;
• Vidora Micro;
• Modell Pro;
• Diecyclen;
• Gestarella;
• Bonade.

Yarina or Yarina Plus

The drug Yarina and its modified version Plus belong to the group of oral contraceptives. The medications have a similar composition - their active ingredients are ethinyl estradiol and drospirenone in concentrations of 30 mcg and 3 mcg. However, there are differences between the means. Yarina Plus additionally contains calcium levomefolate. The modified version is preferable for women with folic acid deficiency.

Indications for use

Before you buy Yarina at the pharmacy, you should consult your gynecologist. Hormonal medications should only be prescribed by a specialist. Before writing a prescription, a qualified physician must conduct an examination and order tests to determine the appropriate contraceptive.

This drug is mainly prescribed for:

• Preventing unwanted pregnancy;
• Normalization of the menstrual cycle.

In addition to its main indications, the drug has other positive effects.

• Prevents the development of anemia (menstruation becomes not as heavy as before);
• Relieves pain during menstruation;
• Removes fluid from the body (relieves swelling);
• Improves the condition of the skin (relieves acne) and hair (prevents the formation of seborrhea).