Postinor. Reviews women's forums and the consequences, the advice of doctors and gynecologists. Should I take it?

Postinor - emergency contraception drug used disposable. Reviews and the possible consequences - the most common reason for not using it. Maximum efficiency of the preparation - 95%, provided that it was received in the first 24 hours. It has a powerful contraceptive, anti-estrogen and gestagenic effects on the body. Prescription.

Product characteristics, composition

The drug is available in tablet form. Levonorgestrel - the active substance, an artificial progestin (progesterone analogue, only synthetic).

As additional substances in the composition include:

• corn starch and potato starch;
• talc;
• magnesium stearate;
• silicon dioxide;
• lactose monohydrate.

pharmacodynamics

Normally, reception Postinor not affect the monthly cycle, namely, does not change the duration and nature of the discharge. However allowed sudden occurrence of bleeding between periods, and a small (5-7 days) their delay.

The efficiency of 95% is achieved at instantaneous reception tablets. If from the moment of coitus was a long time, the effectiveness of the drug will be reduced. The same drug will be useless if the egg has already implanted.

Pharmacokinetics

The drug is practically fully goes quickly into the bloodstream, reaching the maximum concentration in 1.5 hours. Then the content of active substance begins to decrease after 26 hours and begins half-life. Excretion via the genitourinary system and intestines.

Indications to receive funds

Postinor (reviews and the effects vary depending on the state of women's health) is used when there is in need of emergency contraception (unprotected coitus, unreliability used contraceptive method). Efficiency depends on the time during which it was adopted.

It is desirable that these were the first 24 hours after unprotected sexual contact.

The later the tablet, the less efficient is its action was adopted. If the egg implantation has already taken place, then take it makes no sense. Also plays a role in what interval cycle held intercourse - if before ovulation, that is, when the chances of getting pregnant are highest, the drug take effect.

Contraindications

Postinor shall not apply if:

• have an allergic reaction to one component of the drug;
• the patient is under 16 years of age;
• during pregnancy;
• during breastfeeding. If the drug is yet to be taken, the lactation should stop for a day after taking the pill;
• in the presence of severe liver diseases;
• in the case of lactose intolerance (consisting of lactose monohydrate there);
• in the presence of Crohn's disease;
• if you have problems with the gastrointestinal tract;
• liver diseases;
• if the patient is ill with jaundice.

Instructions for use, drug dosage

To achieve the desired effect only need two tablets taken strictly according to instructions. Within 12-72 hours, and one second after 12 hours. If vomiting occurs during the first three hours after dosing, the tablet should be taken again.

Postinor (feedback and consequences suggest that taking the drug can be any day, regardless of the cycle) is shown to receive only after prior exclusion of possible pregnancy (which is quite possible, if irregular menses), but not more than once during the cycle. Otherwise, it increases the risk of bleeding and bleeding.

Prior to the onset of menstruation is necessary to resort to the use of barrier contraceptives, such as condoms or cervical cap. Not recommended simultaneous with this drug preparations that contribute to the induction of enzymes in the liver, since in this case the active substance metabolism is accelerated.

For example, topiromat, amprenavir, tretinoin, lansoprazole, as well as formulations containing ampicillin, tetracycline, rifabutin and barbiturates, significantly reduce the effectiveness Postinor.

The drug affects the concentration of active substances in the blood, changing it, and accordingly and the effectiveness of drugs aimed at correcting blood sugar, anticoagulants, and corticosteroids. Increasing a risk of cyclosporin toxicity by suppressing the metabolism of medication containing levonorgestrel.

The reasons for the ineffectiveness of the drug

The reasons why the drug was ineffective, and unwanted pregnancies still occurred, only two:

• Tablets were drunk too late;
• Tablets were drunk when fertilization has already occurred.

Can I drink 2 tablets at the same time?

This depends on the amount of time elapsed after sexual contact. If 2-3 hours, it is better to drink tablets individually, as instructed. If more than 10 hours or no confidence that there will be an opportunity to take a second pill on time, you can drink two at once.

How is the termination of pregnancy after taking the drug?

The impact mechanism is as follows: entering the body, the active substance of the preparation and contribute to suppression of ovulation cause changes in the uterine endometrium, the implantation of the egg and prevent its removal from the body by the appearance of a heavy bleeding selections.

When should begin monthly after taking the pills?

Ideally, if there was no hormonal failure after taking the pills, the critical days should come on schedule. However, this situation is the exception rather than the rule, and in most cases the cycle still go astray (or one or the other way). But to say exactly when it will begin the critical days, it is impossible, so women just have to wait.

How to understand that the drug acted

Learn acted medication or not, ie, It prevents pregnancy or not, before the onset of menstruation there is no way. As for the rest, if the drug acted, it may cause headache, nausea, abdominal pain, bloody discharge from the vagina, cycle failure.

What happens if you do not follow instructions?

Failure to follow instructions is fraught with mild to very severe consequences. The severity depends on their general health of the woman.

light complications	severe complications
increased side effects	ovarian apoplexy
cycle crash	malfunction of the ovary
Body Mass set	malfunction of the thyroid gland
the deterioration of the skin	severe bleeding
hormonal disbalance	ectopic pregnancy (Postinor mechanism of action for the development of a pregnancy, yet little understood. The first symptoms may appear after a few weeks or even a few months. The first signs are: bleeding, worsening of general condition, vomiting, painful spasms in the abdomen, weakness. Rupture of the fallopian tube is fraught with internal bleeding and syncope, due to a sharp reduction in blood pressure)
heavy and prolonged periods	infertility

Side effects prescribed in the instructions

As can be as side effects:

• nausea;
• pain in the lower abdomen;
• menstrual disorders (monthly delay);
• vomiting;
• diarrhea;
• dizziness and headache;
• bloody vaginal discharge not related to menstruation;
• problem with the vascular system (an increase in blood clotting and thrombus formation);
• allergic reactions (edema, rash, urticaria, itching).

How to deal with the consequences of receiving Postinor

If the statement while receiving funds was observed, no significant impact on the sexual and reproductive system usually does not arise. When the circulatory system problems this drug is not recommended to receive, but if the reception is still held, the need to regularly give blood for analysis to determine the extent of clotting.

Increasing this figure is fraught with the formation of blood clotsThat eventually clog blood vessels, which leads to a deterioration in blood flow to organs and tissues and as a consequence, stroke, and in the worst case - instantaneous death.

If the survey showed an excessive thickening of the blood, it is necessary to immediately turn to the profile expert, who will prescribe blood-thinning drugs. Postinor (feedback and consequences for those who have serious health problems, may be severe) is forbidden for the reception in the presence of liver problems.

If reception can not be avoided, the patient must be ready to deterioration and exacerbation of disease.

With a strong overdose of a drug and the emergence of severe side effects is recommended gastric lavage. If excess dose slightly, but there are significant side effects, it is assigned symptomatic treatment, because antidote for this drug is not.

What if started bleeding after taking the pills?

Sometimes women are faced with a situation where the bleeding starts after taking emergency contraception. However, not every case is a hazard. Often the first menstruation is a stronger and more abundant than usual.

Norm is 80 ml. selections for the entire period of menstruation. A greater volume of discharge may be associated with an imbalance in hormones. This is a temporary phenomenon, about a month all back to normal. Note the duration of bleeding. Permissible when the duration of critical days increased by 2-3 days.

If a 5-6 day bleeding becomes weaker and does not cause discomfort, then there is no reason for concern. If exposure to the 6-7 day as strong and abundant, then you need to seek emergency medical care. If the bleeding continues for more than 10 days, regardless of whether it is strong or not, you need to consult a doctor.

First aid

Priority, with bleeding, is a visit to a gynecologist.

Before the arrival of the ambulance should take the following measures:

• lie down, legs at the same time should be higher than the level of the heart, and put a hot water bottle or a plastic bottle of cold water on his stomach.
• take a drug that stops the blood;
• It is shown as excessive drinking.

When you need to call an ambulance?

Call emergency medical care is needed in the following cases:

• Gasket change occurs every 1 hour or more;
• Gasket change occurs even at night;
• blood does not stop for more than 24 days;
• bleeding is so strong that prevents engage in simple things, such as going to work or to the gym;
• Blood clots are present;
• It appeared shortness of breath, lethargy, drowsiness - the first signs of anemia.

Compatible with alcohol

About the compatibility of the drug with alcohol manufacturer does not have any data. However, the woman taking care of your health, and so realizes that not only postinor and any other medication is not compatible with alcoholic beverages.

Of course, a glass of champagne and a special cup of beer will not harm, but if you drink something stronger, and in large numbers, the negative effects are not forced to wait long. You should also take into account the general condition of the woman and the presence of liver problems in particular.

The active ingredient of the drug, in the same way as alcohol, the liver appears, therefore, before taking two drugs at the same time, you should think carefully whether such a double burden body needs. Alcohol significantly increases the number of enzymes in the liver and other important active substances.

The result - accelerated metabolism, which leads to premature aging of the body.

It should be taken into account and the time that the rapid metabolism leads to faster biotransformirovaniyu active drug substance and will excreted. The result - reduced its effectiveness. That is, the body is exposed to large doses of hormones, but due to the rapid elimination from the body, they do not have the desired effect.

Side effects from the drug together with alcohol:

• Postinor and Drink cause vomiting. Reviews suggest that when combining it can last up to several hours. And this is not the most harmless consequences for the organism.
• Bleeding. The drug causes a rejection of the endometrium, which provokes bleeding, preventing pregnancy. Such a state is in itself dangerous, and can become critical when taking alcohol. After all, ethanol, included in its composition, at first rapidly dilates blood vessels, and then just as sharply narrows them.
• Risk. The instructions to the drug is clearly stated that this tool does not prevent pregnancy 100%, that is, even taking the pill, a woman may become pregnant, carry and give birth to a healthy baby completely, because levonorgestrel has no negative impact on the fertilized egg. Receiving the alcohol during pregnancy almost always entails negative consequences. And when combining the two substances can not give a general result foreseen.

Can I take at GW

The views of experts on this issue were divided into radically opposed. Some believe that it is not necessary to feed the infant after ingestion. t. To. LNG has the ability to penetrate into human breast milk. Others think that getting into grudnichka body with milk, the preparation can not hurt him, because concentration is too low.

Research in this field has shown that a small dose of the drug does pass into the breast milk, reaching a maximum concentration at 3 hours after administration, but a negative effect on the child not provides.

However, podiatrists advise yet secure and transfer to the baby bottle-feeding for 24 hours after taking the tablets. Mom at the same time should not forget to decant to maintain lactation.

Analogues of the drug, comparing the safety and complications

Drugs, the composition of which is the same active ingredient - levonorgestrel are Mikrolyut and eskapel. The content of active substance in Mikrolyute 0.03 mg, unlike Postinor, wherein its content is 0.75 mg. That is why Mikrolyut can be used systematically, as a contraceptive and postinor single use only in emergency cases.

Mikrolyut take every day, strictly in the same time, 1 tablet. Bean in a package are distributed according to the calendar scale. Blister is designed for 36 days. Contraindications are the same and Postinor and endometrial cancer or breast cancer, diabetes, vascular disease.

By the side effects added even depression, intolerance to contact lenses, change of vaginal secretion. Postinor (reviews and the consequences itemized in detail on the Internet) is a complete analog - eskapel. It has the same indications, contraindications and side effects.

Active matter content - 1.5 mg, however only take one tablet. Often those who use such contraception without a prescription, it is believed that eskapel safer Postinor. Although the impact of this particular drug on the woman's body is still very poorly understood.

Pros and cons

Or not to accept the drug, each woman chooses itself, and not always talking to your doctor. Reviews of it are freely available on the Internet and all of them are contradictory, so make decisions based only on the opinions of other people, it is not necessary.

It is important to be aware of the possible consequences and remember safety measures, as well as to take into account their state of health. Therefore, to say definitely worth taking the drug or not, can not.

Term and storage conditions

Store at a temperature of from 15 to 25 ° C. Shelf life from production date of 5 years. You may not use after the expiry date.

Postinor cost in pharmacies

The average price for postinor pharmacies in Ukraine - 186 UAH. 13 kopecks. The average price in pharmacies Russia - 350 rubles.

Gynecologists tips on reception of the drug

Gynecologists say that situations requiring emergency contraceptive care - unprotected sexual intercourse, condom broke or slipped off, there was a problem with the spiral, are not rare. Postinor medically recommended as the most reliable means of which entering the body, increases the viscosity of the cervical mucus that does not penetrate the sperm into the uterus.

Besides, drug tends to delay ovulation and change the properties of the uterine wallThat makes it impossible to attach the egg. Accepted gynecologists recommend strictly according to instructions, observing the dosage and timing of administration. Do not resort to emergency contraception more than 1 time in 6 months.

And also be used after reception of barrier contraceptives Postinor.

In general, subject to the instructions and all the recommendations, the drug is relatively safe, but doctors have focused on the fact that tolerance depends on the characteristics of the female organism, her general state of health and the presence of concomitant diseases.

Profiled experts agree that by this method of protection from unwanted pregnancy it is better not to use, but if it so happens that there is no alternative, it would be best postinor choice. However, before the application should check with your doctor about the consequences and read the reviews.

Videos about the drug and its effectiveness postinor

Description of the drug and its side effects:

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