Siluet (silhouette) of the pill. Reviews of women, instructions for use, analogues

Siluet - contraceptive pills with antiandrogenic properties, which are often used to treat women and prevent unwanted pregnancies.

Reviews about the effect of the drug on the patient's body are different, which is associated with individual characteristics and assimilation. The drug is prescribed after a preliminary examination, which significantly reduces the risk of complications.

Release form and composition of the drug

The medication is sold in the form of tablets intended for oral administration. They are covered with a film sheath and packaged in plastic plates of 21 pieces. Such plates have a foil side, they are placed in small cardboard boxes of 3 pieces.

A description is attached to the plates, which details the nuances of taking the medication, and possible complications of therapy. The drug contains a component of dienogest and ethinyl estradiol. These substances have the main therapeutic effect.

Other substances in the composition:

• Hypromellose.
• Talc.
• Starch.
• Lactose.
• Magnesium stearate.

These substances have no therapeutic properties. The amount of dienogest in 1 tablet is 2 mg, ethinylestradiol - 0.03 mg.

Pharmacological properties

Siluet - pills, reviews of women about which may be different, with antiandrogenic and contraceptive properties. The drug helps to suppress the ovulation process, which prevents the onset of unwanted pregnancy.

The medicine also affects the hormonal background of the patient, normalizes it with a deficiency of certain hormones and improves the functioning of the reproductive system. This can significantly reduce the risk of complications associated with hormonal disorders.

The complex effect of the medication on the woman's body makes it possible to use it not only for the purpose of contraception.

Pharmacodynamics and pharmacokinetics

After taking the drug inside, the dissolution of the film shell occurs in the small intestine, the active substances spread through the systemic circulation. The drug affects the maturation of the egg, prevents its exit from the ovary and fertilization by the male cell.

Due to the presence of two active ingredients, a more pronounced therapeutic effect is provided.

The drug affects not only ovulation, but also some other processes in the reproductive system:

• It thickens mucus in the cervical canal, which prevents male cells from entering and merging with the female cell.
• Makes the inner layer of the uterus less conducive to the attachment of a fertilized egg. The tool stimulates the muscle layer, increases its tone, which leads to detachment of the ovum in the first few hours after attachment to the endometrium.
• The drug improves ovarian function, reduces the level of androgens in the blood. It helps to eliminate acne and acne caused by hormonal imbalance.
• Improves the condition of the scalp in patients who suffer from seborrhea and some other diseases.

The drug prevents the development of hormonal disorders, improves the condition of the reproductive system, which reduces the risk of complications during therapy. When taken orally, the tablet quickly dissolves in the small intestine and the active substances enter the bloodstream.

After 2-4 hours, the maximum concentration of ingredients is found in the blood. They spread throughout the body, do not accumulate in tissues. The bioavailability of ethinyl estradiol is 44%, but its effectiveness is quite high. The bioavailability index of dienogest is 96%.

A constant concentration of components in the body is achieved 4 days after the start of application. Most of the ingredients are processed in the liver. Within 1-2 hours, the concentration of the substance in the body gradually decreases. The period of processing and removal of components takes up to 1 day.

The evacuation of substances occurs through the kidneys, a small part is excreted with feces.

In patients with intestinal and liver pathologies, there is a deterioration in the absorption and processing of ingredients in the body. This does not diminish the effectiveness of therapy.

Indications for use

Siluet is a hormonal birth control pill that can be used to treat women with hormonal disorders. Feedback from patients confirms their effectiveness.

The main indications for its use:

• Amenorrhea as a result of hormonal imbalance in patients of reproductive age.
  
• The need to prevent the onset of unwanted pregnancy in patients of reproductive age.
• Acne and acne on the face, arising against the background of an increase in the level of androgens in the body.
• Hormonal disorders of various origins.

In some cases, the drug is used as part of the complex treatment of pathologies of the reproductive system.

Contraindications

The drug is not prescribed in case of revealing intolerance to the components in its composition or a tendency to such manifestations in the patient's history.

There are other barriers to therapy:

• Detection of thrombophlebitis and deep vein thrombosis of the lower extremities in the patient. The drug can aggravate the condition and lead to the rapid progression of the disease.
• Blood pathologies in different forms and at different stages of development.
• Exacerbation of chronic pancreatitis or primary detection of this disease in acute form.
• Internal bleeding.
• An uncontrolled form of arterial hypertension, in which it is difficult to normalize the indicators.
• Severe diabetes mellitus, in which the patient has vascular complications.
• Epilepsy with frequent seizures.
• Uterine bleeding of unspecified origin. The period of gestation and lactation.
• Liver pathologies of viral origin, in which the functioning of not only this organ, but also the gallbladder is disrupted.
• Acute and chronic severe kidney disorders, accompanied by disruption of the paired organ.
• Acute pathologies of the stomach and intestines. The drug is allowed to be used after the elimination of acute symptoms, for example, with gastritis, peptic ulcer, enteritis.

With hormone-dependent neoplasms, the drug is not used, which is associated with an increased risk of complications. Individually, the list of contraindications may increase, depending on the characteristics of the patient's body.

At what age can the drug be used?

Siluet - tablets (reviews of women about the drug allow a preliminary assessment of its effectiveness), prescribed only for patients over 18 years of age. The use is not recommended for minors, which is associated with an increased risk of complications.

Instructions for use, dosage

Tablet medicine is intended only for oral use after a preliminary diagnostic examination. The daily dosage is always 1 tablet. A feature of the use of the drug is the need to take it daily at the same time.

They start taking it depending on the day of the cycle, but the standard therapeutic regimen assumes the use of the first pill on the first day of the cycle. For 3 weeks, taking pills continues, after which a break is taken for 7 days and the use of pills from the next plate begins.

This method is considered standard and in most cases produces a therapeutic result. The duration of use depends on the specific purpose. When taken to prevent conception, therapy can last for several months or even years.

For therapeutic purposes, the medicine can be used from 1 to 6 months. In each case, the duration is determined individually.

With endometriosis

With such a violation, the medicine is usually taken for at least 3 months, that is, 3 plates will be needed for the course, which will be taken with a break of 1 week. The tablets begin to be used according to the standard scheme on day 1 of the cycle, and the daily rate is 1 piece.

Reception, as with other violations, is carried out at the same time. After 3 months of treatment, the doctor will prescribe the patient a second examination, which helps to assess the effectiveness of taking the pills. Often, the course is prolonged or another medication is selected.

With myoma

Treatment of fibroids with such a remedy is rarely carried out. In this case, the method does not differ from the standard one. The course begins on the 1st day of menstruation, continues from 2 to 6 months, depending on the patient's condition.

During the course, a woman should regularly visit a doctor, as well as undergo an ultrasound examination, which will assess the effectiveness of the use of a hormonal agent. In each case, the duration of therapy is determined individually.

With an ovarian cyst

Siluet - pills (reviews of women may be negative, which is not considered a reason for refusing to use by others patients), prescribed for an ovarian cyst only in the case when there are concomitant deviations from other organs small pelvis.

The treatment regimen is standard, as are the dosages, but the duration is determined depending on the progression of the pathology and the appearance of concomitant deviations.

On average, therapy lasts 3-6 months.

Side effects

The drug can provoke complications, even if all the doctor's recommendations are followed. If the instructions are violated, the risk of their appearance increases significantly.

Damage area	Most common complications
Nervous system	The drug can lead to the development of a depressive state, as well as apathy. Some women report sudden mood swings, headaches and drowsiness, decreased performance, and poor concentration. Throughout the entire therapeutic course, symptoms may persist. After cancellation, the condition returns to normal after a few days.
Respiratory system	Shortness of breath and asthma attacks may occur with the use of the drug. Some patients develop bronchitis and sinusitis if a history of any chronic respiratory disease is present.
Digestive tract	When using a pill, disorders of the digestive tract develop in rare cases. Some women report pain in the stomach and intestines, as well as upset stools or persistent constipation. Many people talk about poor appetite, nausea and intense thirst. Manifestations are expressed in an acute form if the patient suffers from any chronic disorders of the digestive tract.
Musculoskeletal system	Pain in muscles and joints is often manifested during therapy, especially in women with a history of chronic pathologies. The pain intensifies at night, and can cause a decrease in motor activity, as well as other disorders.
Genitourinary system	Inflammatory pathologies of the vaginal mucous membranes are often encountered during therapy. In the middle of the cycle, bleeding from the vagina often appears. Many women show signs of a fungal infection. There is an increase in urination and some other disorders of the pelvic organs. Only in some cases is there a violation of the menstrual cycle.
Leather	On the part of the skin, complications manifest themselves in the form of allergies. A rash appears on the body and limbs, accompanied by itching and burning. Allergies often lead to the development of other complications.

Negative reactions can manifest themselves in the form of hearing and vision impairment, as well as aggravation of the course of peripheral vascular pathologies. Sometimes patients develop symptoms characteristic of a cold or flu. Any negative reactions require refusal of therapy and a visit to the doctor.

Overdose

Cases of overdose with the drug when used in dosages prescribed by a specialized doctor have not been recorded. Despite this, experts warn about the impossibility of exceeding the daily norm or taking a large number of pills at once.

It is assumed that an overdose is accompanied by acute manifestations on the part of internal organs and systems, as well as a deterioration in the general condition.

In this case, there is:

• Strong headache;
• nausea;
• bouts of vomiting;
• upset stool.

In combination with nausea, diarrhea can provoke dehydration due to impaired absorption of fluid in the digestive path If negative reactions or signs of an overdose appear, the patient should refuse the tablet funds.

At the same time, it is considered mandatory to see a doctor, since the manifestations can be aggravated, often lead to acute urticaria or Quincke's edema. Such complications are considered dangerous not only for health, but also for the patient's life.

In case of a severe overdose, the patient receives help in a hospital. There is no standard scheme for every woman, since in each case it is determined depending on the symptoms. You can not ignore negative reactions or use funds without prescription.

special instructions

Siluet - pills (reviews of women may be negative, since complications may develop from the side organs and systems), assigned only to women who have no absolute contraindications for therapy.

When taking the tablets, you should consume a sufficient amount of water, which will improve the absorption of the components in the small intestine. Taking the pills should be done at the same time. This helps to achieve a constant stable level of hormonal components in the blood.

If the agent is used for a therapeutic purpose, the doctor regularly prescribes an examination. If there is no effect within 2-3 months, specialists select another medicine.

Drug interactions

The drug is not prescribed simultaneously with other hormonal agents with contraceptive properties, as this increases the development of complications from the reproductive system.

Do not use hormonal medicine simultaneously with ampicillin, rifampicin and some other antibacterial medicines. They reduce the effectiveness of therapy and can lead to the development of negative reactions.

A drug from the group of coagulants in combination with tablets can lead to the formation of blood clots.

You should not use any means simultaneously with hormonal drugs without a preliminary examination by a doctor. This is especially important if the patient is taking any medication on an ongoing basis.

Analogs

If it is impossible to use the medicine for any reason, it is allowed to use substitutes with similar properties.

The most popular analogues:

• Novinet has the same composition and has contraceptive properties. It is produced in tablet form, it is prescribed according to the standard scheme, it helps to prevent the onset of unwanted pregnancy. The drug is also prescribed for the treatment of acne and acne in patients with hormonal disorders.
  
• Jess - tablets with a slightly different composition, but with similar therapeutic properties. They are used not only to achieve a contraceptive effect, but also to normalize hormonal levels. The drug is taken without a break in 7 days, like the original, since there are 28 tablets in the plate. Of these, 7 pieces do not have therapeutic properties, but they help not to disrupt the regimen as a result of an interruption.

Today, there are many substitutes with similar properties, but doctors select them individually, depending on the characteristics of the patient's body.

Terms, conditions of sale and storage

The drug is dispensed in different pharmacies on a certified prescription form from a doctor. The maximum shelf life of the tablet preparation is 2 years.

During storage, it is worth excluding the ingress of moisture, direct sunlight on the tablets, and keep them away from children. After the expiration date, the medication is not allowed.

Price

The cost of a tablet medication is approximately 650-760 rubles. It depends on the amount of the product in the package.

Siluet is an effective contraceptive pill with pronounced therapeutic properties. The reviews of most women about the action of the medication are positive, but a negative opinion may be in patients suffering from intolerance to the components of the composition or other disorders.

Video about pills Siluet

Video about the use of Siluet tablets: