What to do if you forgot to take your birth control pill?

Instructions for use of Novinet

The effectiveness of the drug is due to the content of synthetic estrogenic and progestin components, which are more effective compared to natural sex hormones. The advantage of the drug is the absence of beneficial metabolic effects on lipid and carbohydrate metabolism, increasing the concentration of lipoproteins. In addition, judging by the reviews, the drug is well tolerated and has minimal side effects, but this requires the use of the medication strictly according to the instructions.

Composition and release form

The drug is available in only one form - film-coated tablets. They are light yellow in color, have a biconvex shape and are marked on both sides: on one - P9, on the other - RG. The composition of Novinet is reflected in more detail in the table:

Ethinyl estradiol – 20 mcg, desogestrel – 150 mcg.

α-tocopherol, quinoline yellow dye, potato starch, stearic acid, povidone, magnesium stearate, lactose monohydrate, colloidal silicon dioxide.

Film coating substances

Macrogol 600, hypromellose, propylene glycol.

Pharmacodynamics and pharmacokinetics

The active components in the drug prevent ovulation. This property is due to the prevention of the release of hormones: follitropin and luteotropin. The effect is enhanced by increasing the viscosity of cervical mucus. This makes it more difficult for sperm to penetrate the uterine cavity. The risk of estrogen-dependent side effects is minimized, since the concentration of the estrogen component in the drug is very low.

The second active component, called desogestrel, is a second generation gestagen. It normalizes lipid profiles, ensures cholesterol balance, and has a positive effect on metabolism. As a result of the combined action of desogestrel and ethinyl estradiol:

• skin condition improves;
• blood loss is reduced;
• the likelihood of gynecological pathologies, including tumors, decreases;
• the menstrual cycle is normalized.

Absorption of active substances occurs in the proximal small intestine. Their advantage is that they are absorbed quickly and almost completely. Desogestrel has 3-keto-desogestrel as its main metabolic product. The activity of its other metabolites is practically zero. The bioavailability of desogestrel is 62-81%, and ethinyl estradiol - 60%. The degree of protein binding is high for both substances. Their maximum concentration is reached 1-1.5 hours after administration. Other characteristics of the pharmacokinetics of the contraceptive:

• The half-life of desogestrel is 30 hours, and that of ethinyl estradiol is 24 hours;
• a tenth of the dose taken is found in the breast milk of a nursing woman;
• ethinyl estradiol is able to accumulate in adipose tissue, and its metabolic products are eliminated in bile (60%) and urine (40%);
• Metabolic products of desogestrel are excreted by the kidneys.

Indications for use

The main indication for the use of Novinet is protection against unwanted pregnancy. This drug is considered the first-line contraceptive of choice. Additionally, the medicine can be used for:

• premenstrual syndrome;
• dysmenorrhea;
• fibroids;
• functional disorders of the menstrual cycle.

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Mini-pill

They contain the hormone progestin, making them suitable for use during breastfeeding. Among the advantages of such products, one can note good preventive properties against cancer and various inflammations of the genital area. They have absolutely no effect on blood pressure, and also do not impair the quality of breast milk. After taking the mini-pill, the mucus in the walls of the cervix thickens, so that sperm are reliably blocked and neutralized.

Unfortunately, they also have a number of disadvantages. For example, it is extremely important to follow the admission rules. Sometimes they cause side effects such as headaches, stomach pain, and insomnia. Constant use of such drugs causes weakness. Mini-pills are contraindicated for seizures, hepatitis and cirrhosis of the liver.

How to take Novinet

Novinet contraceptive pills are indicated for oral use. They are taken orally with plenty of liquid. The course must be started no later than the 5th day of the menstrual cycle. When the pill is taken on days 2-5, then in the first week it is necessary to use additional methods of contraception. No absences or breaks are allowed for three weeks. You must take the tablet at the same time every day. Conditions for taking the contraceptive:

• a week break is taken from 22 to 28 days of the menstrual cycle;
• on the 29th day the course is resumed, even if the bleeding has not stopped (a new pack will be required, the start of the new course falls on the same day of the week);
• if more than 5 days have passed since the start of menstrual bleeding, then the start of the course should be postponed until the next cycle;
• with strict adherence to the dosage regimen, the contraceptive effect is observed in the period from 22 to 29 days of the cycle.

If you miss a pill, you may experience spotting or ovulation. This is explained by the minimal concentration of estrogen in Novinet. In this case, it is necessary to take additional contraceptive measures before starting a new cycle. With vomiting and diarrhea, the effectiveness of the contraceptive is reduced. If they go away within 12 hours, then you need to take another tablet. Then continue the standard scheme. If vomiting or diarrhea lasts longer, then it is necessary to use additional methods of contraception throughout the illness and for another week after.

Novinet after childbirth or abortion

If a woman is not breastfeeding, she can take a contraceptive from the first day of her first spontaneous menstruation. Before starting the course, you must consult a doctor. In most cases, additional contraceptive measures are not required. Use of contraception in different conditions:

• if there was sexual intercourse after childbirth, then you need to start taking the pills during the next menstruation;
• when the use of a contraceptive occurred later than 3 weeks after birth, additional protective measures must be used in the first week;
• after spontaneous termination of pregnancy or induced abortion, the contraceptive should be taken immediately, without using other means of contraception.

What to do if you forgot to take your birth control pill?

When a woman misses taking a birth control pill, this can lead to an unplanned pregnancy if emergency measures are not taken. The work of the ovaries, which had been suppressed for a long time, resumes, and ovulation occurs. But the likelihood of conception depends on the type of hormonal drug, the number and number of doses missed.

Violation of the regimen for taking COCs

The composition of combined oral contraceptives is an estrogen and a progestogen component. Monophasic drugs contain the same amount of hormones in each dose. Two-phase ones have 2 types of components, and three-phase ones have 3 varieties. For ease of control, the package is marked with day numbers and an arrow, which allows you to monitor the correct intake.

Contraceptives are produced in different quantities - 21, 28 pieces, therefore they differ in the mode of administration, the rules of action if they forgot to take the contraceptive pill on time.

Important! Biphasic contraceptives contain high doses of hormones that exceed therapeutic doses and cause many side effects. Therefore they are no longer used.

They start drinking COCs from the first day of the cycle, 1 pc. daily, the instructions recommend doing this at the same time. It takes 7 days for the contraceptive effect to form. You cannot move your appointment time to a later date. If a woman has not taken the contraceptive pill from the first day, she must use an additional condom or spermicide for 1 week.

The peculiarity of oral contraceptives is that if they are used on time, after the end of the package, the contraceptive effect lasts 7 days.

Failure at 21 tablets

Oral contraceptives containing 21 tablets contain hormones. Such drugs include:

• Novinet;
• Midiana;
• Logest;
• Belara;
• Janine;
• Yarina;
• Silhouette;
• Diana is 35.

Rigevidon stands out separately; it is produced in 21 and 28 pieces. Each of the drugs contains an estrogen and a progestogen component, but they can be of different types. This provides additional therapeutic effects.

If a woman forgot to take Regulon or a similar drug, what to do depends on the number and number of days missed. A safe break in time is up to 12 hours. If you forget to take a birth control pill, you need to take it immediately, and then take the next one at the usual time.

When you miss 1 hormonal contraceptive pill for more than 12 hours, they act according to the following scheme:

• in the 1st week of use - take 2 doses of contraceptive from the package at the same time, then take them according to the usual regimen, but until the end of the cycle, use additional condoms, caps, spermicides or interrupted sexual intercourse;
• skipping the 2nd week of admission - take 2 doses, then follow the usual order. If a woman does not take a contraceptive pill once on time, then there is no need to protect herself with a condom or other means;
• a dose was missed in the 3rd week of the cycle - drink the forgotten one and continue taking it as usual until the end of the package.

If COCs numbered 15 to 21 are missed, the next pack is started immediately after the last tablet from the current pack. Bloody discharge is unlikely; sometimes, due to a decrease in estrogen concentration, it may smear in the middle of the cycle.

When a woman missed 2 contraceptives at week 3, you don’t have to start the next pack, but wait another 5 days. During this period, your period will appear; on the 7th day after the missed dose, buy and drink a new package, even if bleeding continues.

You have finished taking the COC, and after 2-3 days the withdrawal bleeding has not started, you cannot start a new pack. You need to take a pregnancy test.

Failure at 28 tablets

Preparations with 28 tablets have differences in composition. In Jess and Jess Plus, the first 24 contain hormones, then 4 are non-hormonal. In Jess they are pacifiers, they contain lactose and microcellulose. In Jess Plus they are vitamin-rich and contain calcium compounds. The active ingredients in Chloe and Dimia are 21 tablets, the remaining 7 are placebo.

If you forgot to take an inactive contraceptive pill, they are ignored and a new pack is started on the day when it should be done according to calculations. Active components should not be omitted for more than 24 hours.

If no more than a day has passed since the woman forgot to take the Jess tablet, she should take it as soon as possible, and take the next one as usual. When more than a day has passed, the closer the end of the package is to getting pregnant, the higher the chance of getting pregnant. Unprotected sexual intercourse increases the likelihood of pregnancy within a week, so barrier methods are used for 7 days after skipping.

Sometimes a woman can take two Jess tablets in one day. It is not dangerous if it is not repeated regularly. Otherwise, there is a possibility of spotting. To avoid consequences, you need to use a Clyk dispenser.

Failure to take COCs based on natural estrogens

The only drug containing estradiol valerate, a natural estrogen, is Qlaira. This is a three-phase contraceptive that is recommended for older women. The components are painted in 5 colors, each type has a special composition.

If a woman misses a white pill, she needs to throw away the rest so as not to get confused again. A placebo component that does not contain hormones. They can be neglected.

When you forget to take a hormonal pill before 12 o'clock, you need to take it urgently and continue to drink it on time. Protection against pregnancy is not reduced. If more than 12 hours have passed, refer to the number on the pack and proceed according to the following scheme:

• from 1 to 17 - urgently drink the missed drink, the subsequent days as usual, use barrier contraception for 9 days;
• Numbers 18-24 – throw away the packaging and start drinking a new one in order, use contraceptives for 9 days;
• from 25 to 26 - take the missed dose, then the next dose; additional contraception is not needed.

When a woman misses 3 birth control pills, she needs to wait until bleeding starts before starting to take them again. Menstruation has not started - this is a delay, pregnancy is likely.

Violation of the mini-pill regimen

Preparations from the mini-pill group do not contain estrogens; the active ingredient is gestagens. Examples of medicines are:

• Lactinet;
• Charosetta;
• Model-MAM.

They are taken daily, 1 piece at the same time. You cannot take a break of less than 24 hours or extend it beyond 36 hours. If you missed a mini-pill and less than 12 hours have passed, you need to take the forgotten one before it’s too late, and then drink the rest as usual.

If you miss 12 hours or more, the contraceptive effect is reduced. They drink mini-pills as always, but use a condom for 7 days.

There is a risk of becoming pregnant for those who have been taking the drug for a little more than a week and have had sex without a condom in the previous 7 days. In this case, you need to consult a doctor.

Emergency contraception

Emergency medications are used in exceptional cases during unprotected sexual intercourse, when there is a high risk of pregnancy. Progestogen-containing drugs are used:

• Escapelle;
• Postinor;
• Eskinor-F;
• Model-911.

They are drunk no later than 72 hours after unprotected sex, but the maximum contraceptive effect is observed when the drug is used within 12 hours. Before the onset of menstruation, barrier methods of contraception are used.

When time is lost, it is necessary to use condoms and wait for the start of menstruation. The risk of becoming pregnant is highest if unprotected sexual intercourse occurs within 7-10 days after the start of menstruation. If more than 20 days have passed since the beginning of menstruation, the likelihood of pregnancy is practically absent.

Doctors' recommendations

For optimal regulation of hormonal levels and contraceptive action, doctors recommend drinking hormonal drugs in the morning at about 8-9 hours. The supply of active substances will coincide with the body’s circadian rhythms and will be as physiological as possible. This will avoid combination with alcohol, which is often drunk in the evening.

COCs are the most reliable method of protection against unwanted pregnancy if used correctly. It is necessary to monitor their intake, and if menstruation is delayed, consult a doctor.

Source: https://ProKontraceptivi.ru/pill/narushenie-shemy-priema/

special instructions

The drug does not have a protective effect against AIDS and sexually transmitted diseases. After suffering from viral hepatitis, it is necessary to wait until the indicators of the functional state of the liver return to normal. Only after this can you take a contraceptive. It is impossible to start the course earlier than six months after illness. When providing contraception, it is necessary to take into account that the contraceptive effect of pills is reduced if:

• diarrhea or vomiting;
• skipping a pill;
• simultaneous use of drugs that reduce the effect of combined oral contraceptives.

The effectiveness becomes lower when a woman develops spotting, irregular and breakthrough discharge after several cycles of taking the medicine. Contraception in this case is ensured by using one course of not one, but two packs of medication at once until the last one runs out. If after the second cycle acyclic discharge persists or withdrawal bleeding has not begun, then resumption of use is possible only after excluding possible pregnancy.

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Types and composition

They contain artificially synthesized substances - analogues of the hormones progestin and estrogen. Their action is aimed at inhibiting ovulation in women, so that fertilization does not occur. As a rule, they are quite well tolerated by patients. However, in some cases, contraceptives can cause side effects. Today there is a huge selection of such drugs that can satisfy any taste. All are divided into emergency drugs, mini-pills and combination drugs.

During pregnancy

Pregnancy is an absolute contraindication to the use of this medication. Combined oral contraceptives can suppress lactation. In addition, some of the active components pass into breast milk. For this reason, during lactation such a drug is not the drug of choice. Taking a contraceptive is possible starting from the sixth month of breastfeeding.

Due to the use of Novinet before pregnancy, the risk of developing various fetal defects does not increase. If the contraceptive is taken unintentionally in the early stages, teratogenic or mutagenic effects are not observed. Taking Novinet also does not affect the sex of the fetus. It is worth noting that the potential risks associated with taking hormonal drugs significantly outweigh their benefits. If pregnancy has been established or is suspected, the hormonal drug should be discontinued.

The drug "Escapelle"

This is perhaps the most well-known oral contraceptive that can be used in emergency situations. One tablet contains the active component levonorgestrel. In addition, it also contains additional substances: magnesium stearate, colloidal dioxide, lactose and starch. It is not recommended to use this remedy for severe liver dysfunction. Unfortunately, it cannot always interfere with the process of conception. For example, if you forgot to take a birth control pill after sexual intercourse, and more than three days have passed, then using Escapelle is useless. Therefore, it should be consumed as early as possible.

If vomiting occurs in the first three hours after using the drug, you should drink it again. These oral contraceptives can also be used during menstruation and breastfeeding. The shelf life of the contraceptive is five years.

Drug interactions

If you combine a contraceptive with drugs that induce liver enzymes, the effectiveness of pregnancy protection is reduced. These medications include:

• Griseofulvin;
• barbiturates;
• Hydantoin;
• Carbamazepine;
• Rifampicin;
• Primidone;
• Oxcarbazepine;
• Felbamate;
• Topiramate.

These drugs increase the likelihood of bleeding. The maximum level of induction of the contraceptive is observed for 14-20 days, but can persist for a month after discontinuation of the drug. If there is a need to take Ampicillin or Tetracycline, then the use of additional contraceptive measures is required throughout the entire course and for another week after completion. In the case of Rifampicin, Novinet must be taken within 4 weeks after completion of treatment.

Because COCs reduce carbohydrate tolerance, the need for insulin or oral antidiabetic agents increases. The contraceptive should be used with caution with the following drugs:

• bromocriptine;
• beta-adrenergic receptor blockers;
• tricyclic antidepressants;
• hepatotoxic agents, including Dantrolene;
• coumarin and indanedione anticoagulants.

Rules of use

Use "Regulon" for twenty-one days, that is, three weeks. If you forgot to take the Regulon birth control pill, what should you do? If the drug was not consumed in the period from the fifteenth to the twentieth day after the start of menstruation, then you should take two pieces at once and only then continue the course. When the drug is missed from the twentieth day, you should also take an expired contraceptive. However, in this case the break is no longer taken. Sometimes it happens that a woman forgets to take 2 birth control pills in a row. Be sure to take a double dose and continue the course.

This product is produced by a Hungarian pharmaceutical company. Its shelf life is three years at a temperature not exceeding thirty degrees.

Side effects of Novinet

If negative reactions occur after taking a contraceptive, the question of its further use is decided individually for each patient. Potential side effects include:

• amenorrhea;
• candidiasis;
• nausea;
• jaundice or itching associated with cholestasis;
• soreness and enlargement of the mammary glands;
• acyclic vaginal discharge;
• chloasma;
• ulcerative colitis;
• skin rashes;
• vomit;
• changes in the state of mucus in the vagina;
• depression;
• migraine;
• decreased libido;
• hypersensitivity reactions;
• headache;
• erythema nodosum or exudative;
• inflammatory processes in the vagina;
• fluid retention in the body;
• weight gain;
• eye sensitivity to contact lenses.

There are a number of particularly severe side effects in which taking the contraceptive requires immediate withdrawal. The list of such negative reactions includes:

• hypertension;
• GUS;
• porphyria;
• acute blockage of veins or arteries with blood clots;
• otosclerosis, hearing loss;
• myocardial infarction, stroke (extremely rare);
• Sydenham's chorea;
• exacerbation of Libman-Sachs disease.

Quick help

They contain only one hormone - progestin. The main advantage is that in case of conception, emergency contraception does not affect the development of the child. That is, the fetus remains safe and sound. In addition, they are good at resisting the process of conception itself and the penetration of sperm into the vagina.

Among the disadvantages are side effects, which are expressed in the form of nausea and vomiting. And also these drugs should be taken immediately after sexual intercourse and no later than one hundred and twenty hours later.

Contraindications

Before you start using this contraceptive, you must study the list of contraindications. It includes many diseases and special conditions of the body. Their list is as follows:

• otosclerosis;
• initial signs of thromboembolism;
• smoking;
• pregnancy, lactation;
• migraine with neurological signs;
• thrombosis;
• increased sensitivity to the composition;
• vaginal bleeding;
• pancreatitis;
• diabetes mellitus with vascular complications;
• tendency to thrombosis of veins or arteries;
• tumor lesions of the liver;
• hormone-dependent tumors;
• liver diseases;
• age from 35 years.

Glitches in the schedule

If you forgot to take a birth control pill, you should take two at once and continue the course again. If this happens in the first week after your period, then the risk of getting pregnant is usually minimal. Starting from the second week, skipping is extremely undesirable. In such cases, additional means of protection are used. For example, the best option would be to use a condom.

If your oral contraceptive has expired in the last week before your period begins, you can take two pills at the same time and continue the course of contraception again. If you forgot to take the Yarina birth control pill for two or three days? When a failure occurs for too long, gynecologists recommend putting away the used blister and starting to use a new one.

Novinet's analogs

Hormonal tablets Novinet have several analogues with a similar principle of action or composition. Even under this condition, you should not replace one medication with another. To choose an analogue, it is better to consult a gynecologist. As an alternative, he may suggest the following drugs:

1. Janine. The composition includes ethinyl estradiol. Its concentration in this drug is higher - 0.03 mg. The second active component is dienogest. It is a testosterone derivative that has antiandrogenic activity. Janine includes more hormones, so it is suitable for women with an excess of male hormones.
2. Marvelon. The basis of the medicine is desogestrel, so the medicine also belongs to the hormonal category. The main indication for its use is also the prevention of unwanted pregnancy. When taking it, intermenstrual bleeding from the vagina is not excluded.
3. Regulon. Includes the same active ingredients: ethinyl estradiol, desogestrel. Available in the form of film-coated tablets.
4. Mercilon. The drug has estrogen-progestogen and contraceptive properties. For this reason, it is additionally used for premenstrual syndrome, dysfunctional uterine bleeding, and dysmenorrhea.
5. Tri-Mercy. Another product based on desogesterl and ethinyl estradiol. The effect of the drug is also to increase the secretion of cervical mucus and inhibit ovulation. The medicine has a large list of contraindications, so you need to familiarize yourself with it before use.

Terms of use

Use it one piece per day. If you forgot to take your birth control pill, what should you do? If you have overdue taking Lactinet, but no more than half a day has passed, this, as a rule, does not reduce the effectiveness of the drug. When a woman does not use the drug for several days, but continues to be sexually active, the likelihood of conceiving a child increases markedly. Typically, experienced users do not do this, but such behavior, unfortunately, is not new among beginners.

What to do if you forgot to take your last birth control pill? Usually doctors advise using two norms at the same time and then continuing the course as if nothing had happened. In order to protect yourself from unwanted pregnancy, after a failure in the sequence of taking the drug, it is best to additionally use condoms for several days.

Novineta price

The cost of the drug depends on the number of tablets in the package and the markups of a particular pharmacy. It is worth remembering that to purchase a contraceptive you need a prescription from a doctor. Specific price examples are presented in the table:

Gynecologist about new regimens for taking COCs

• March 13, 2019
• 86909
• 63

We are used to looking for answers to most of the questions that concern us online. In a new series of materials, we ask exactly these questions: burning, unexpected or common ones - to professionals in a variety of fields.

We told you that regular ovulation and menstruation are not necessary for health (and can even be harmful), and hormonal contraception is a safe way to give the body a break from the menstrual cycle. At the same time, the regimen for using most contraceptive pills involves breaks in taking the active components. During these breaks, menstrual-like bleeding develops - it does not cause harm or benefit, and the scheme itself was invented so as not to “scare” women with the complete disappearance of bleeding.

Considering that withdrawal bleeding is associated with inconvenience, many people want to get rid of them completely - to do this, they can take traditional pills without taking breaks, or switch to a drug that includes long-term continuous use. True, no one gives guarantees that there will be no “menstruation” - spotting or so-called breakthrough bleeding may appear. Together with an expert, we will figure out how safe it is to take COCs without interruption and which options are more likely to relieve bleeding.

Combined products

Most often they are synthetic hormones estrogen and progesterone. Their action is based on the creation of thick mucus, which appears in the cervix at the moment when male sperm tries to penetrate the vagina. Thanks to the regulation of male and female hormones, the action of such drugs is quite effective. Manufacturers provide an almost 100% guarantee that pregnancy will not occur. In addition, combination drugs also have the following positive effects on overall health:

• In women, the menstrual cycle is regulated. He becomes less painful and anemic.
• Girls suffering from acne can also benefit from using similar medications.
• Combined agents reduce the risk of cysts.

The most common side effects include nausea and breast enlargement during menstruation. In addition, they sometimes cause an increase in blood pressure. It is also extremely undesirable for a woman to forget to take her birth control pill. What to do in this case, the instructions for using the selected product can tell you.