OVIDON-RICHTER - abstract Gideon Richter


Contraindications

  • Diseases of the endocrine system;
  • Lipid metabolism disorders;
  • Thromboembolism, thrombosis;
  • Increased tendency to thrombosis;
  • Cerebrovascular diseases;
  • Severe organic heart disease;
  • Cardiac ischemia;
  • Arterial hypertension;
  • Decompensated diabetes mellitus;
  • Diseases of the liver and gall bladder;
  • Hepatitis, including a history;
  • Chronic hemolytic anemia;
  • Sickle cell anemia;
  • Anemia;
  • Tetany;
  • Malignant tumors;
  • Bleeding of unknown etiology;
  • Otosclerosis;
  • Dubin-Johnson syndrome;
  • Skin itching;
  • Porphyria;
  • History of pregnancy herpes;
  • Pregnancy and lactation;
  • Hypersensitivity to the components of the drug.

Oral tablets Ovidon (Ovidon)

Instructions for medical use of the drug

Description of pharmacological action

It inhibits ovulation, reversibly changes the normal course of the secretory phase of the menstrual cycle, causes temporary atrophic changes in the endometrium and disrupts its ability to implant a fertilized egg.

Indications for use

Contraception, dysmenorrhea, functional disorders of the menstrual cycle; pain syndrome that develops in the middle of the menstrual cycle.

Release form

pills; contour packaging 21, cardboard pack 1;

Pharmacodynamics

It inhibits ovulation, reversibly changes the normal course of the secretory phase of the menstrual cycle, causes temporary atrophic changes in the endometrium and disrupts its ability to implant a fertilized egg.

Contraindications for use

Hypersensitivity, liver and gall bladder diseases, endocrine system diseases, decompensated diabetes mellitus, lipid metabolism disorders, severe organic heart diseases, arterial hypertension, cerebrovascular diseases, increased tendency to thrombosis, sickle cell anemia, chronic hemolytic anemia, malignant tumors, tetany, pregnancy, lactation.

Side effects

Dyspepsia, mastalgia, changes in body weight, decreased glucose tolerance, changes in libido, vaginal bleeding, mood lability, fatigue, headaches, cramps in the calf muscles, skin rashes.

Directions for use and doses

Orally, for the purpose of contraception - 1 tablet in the evening. per day, starting from days 1–5 of menstruation, for 21 days. After a 7-day break (during which menstrual-like bleeding occurs), the next 21-day course begins. For medicinal purposes, the dose and treatment regimen are selected individually.

Interactions with other drugs

Inducers of microsomal oxidation (rifampicin, barbiturates, phenytoin, etc.), tetracyclines, sulfonamides, pyrazolone derivatives reduce the effect.

Precautions for use

Admission should be discontinued if pregnancy develops, if thrombosis, thromboembolism or thrombophlebitis occurs, cerebrovascular disorders, myocardial infarction, retinal vascular thrombosis, if visual acuity deteriorates, exophthalmos, diplopia, repeated persistent headaches, if any severe chronic disease develops. Particular attention is required when prescribing to women over 35 years of age.

Special instructions for use

Most indicated for predominant estrogenic phenotype. The contraceptive effect may be weakened if the interval between taking two tablets exceeds 36 hours.

Storage conditions

List B.: At a temperature of 15–30 °C.

Best before date

60 months

ATX classification:

G Genitourinary system and sex hormones

G03 Sex hormones and modulators of the reproductive system

G03A Systemic hormonal contraceptives

G03AA Progestogens and estrogens (fixed combinations)

G03AA07 Levonorgestrel and estrogen

Directions for use and dosage

Ovidone is taken orally after meals.

As a contraceptive, 1 tablet is prescribed daily for 21 days, starting from the 5th day of the menstrual cycle. It is recommended to take the drug in the evening, at approximately the same time. This is followed by a 7-day break, during which withdrawal bleeding occurs. On day 8, start taking the drug from a new package.

After an abortion, it is recommended to start using the drug on the day of surgery or the next day.

After childbirth, if the woman is not breastfeeding, you can start taking it after 21 days.

If you miss a pill:

  • If less than 36 hours have passed: you need to take the tablet as soon as possible, then take it as usual;
  • If more than 36 hours have passed: in the first or second week of the cycle, you should take 2 tablets at once, then take them as usual; in the third week of the cycle - for the next 2 days you should take 2 tablets, then continue taking the drug as usual, but without a 7-day break and additionally use a barrier method of contraception;
  • If you miss 2 tablets in a row in the first or second week of the cycle: you should take 2 tablets for the next 2 days, then continue taking the drug as usual, and additionally use a barrier method of contraception.

When prescribing Ovidon for medicinal purposes, the doctor selects the dosage regimen individually in each case.

Contraindications to hormonal emergency contraception

You cannot use emergency contraception with specialized medications if you have:

  • severe liver damage;
  • uterine bleeding in earlier periods;
  • migraines, attacks of severe uncontrollable headaches;
  • if you exceed the age threshold of 35 years;
  • long history of active smoking.

Taking emergency contraception has a number of possible side effects. These include dizziness, nausea and vomiting, pain in the mammary glands, head, lower abdomen, menstrual irregularities, and thrombosis. It is noted that all side effects should disappear within the first two days after taking the drug. Be that as it may, emergency contraception should only be used in rare cases of force majeure.

Side effects

  • Change in body weight;
  • Breast engorgement, soreness;
  • Bloody vaginal discharge;
  • Vaginal dryness;
  • Changes in libido;
  • Dyspepsia (nausea, vomiting, bloating);
  • Mood lability;
  • Decreased glucose tolerance;
  • Cramps in the calf muscles;
  • Headache;
  • Fatigue;
  • Depression;
  • Edema;
  • Skin reactions: rashes, acne, age spots, dry hair and skin, alopecia;
  • Allergic reactions;
  • Discomfort when wearing contact lenses;
  • Candidiasis, vaginal mycosis (rare);
  • Increased sugar levels;
  • Increased blood pressure;
  • Thrombophlebitis.

Emergency intrauterine contraception

The technology is based on the introduction of a special intrauterine device into the vaginal cavity in the first 5–7 days after sexual intercourse, during which there is a risk of unplanned pregnancy. The spiral blocks the implantation of a fertilized egg, while being more effective than the previous method.

However, this means of emergency contraception cannot be used if we are talking about a young nulliparous woman. In addition, there are a number of contraindications to its use, which a qualified doctor can recognize.

If you have unplanned sexual contact without the proper level of protection, contacting a specialist is the only correct option. Call Best Clinic Medical Center to make an appointment. Or create an online request for a call back from the operator by filling out a special form on the website.

special instructions

Before using Ovidon, it is recommended to consult a doctor for the purpose of conducting a gynecological and general medical examination, including examination of the mammary glands using mammography and palpation, cytological analysis of a cervical smear, laboratory testing of liver tests, blood pressure control, determination of sugar levels, hormone analysis .

In women who smoke (especially over the age of 35), the risk of developing cardiovascular complications increases, therefore, before starting to take Ovidon, as well as regularly during its use, medical supervision is necessary.

The drug should be discontinued immediately in the following cases: embolism (feeling of constriction in the chest, pain in the chest when breathing or coughing, unusual pain in the legs, bloating of the veins), thrombophlebitis, thromboembolism, thrombosis, cerebrovascular disorders, sudden hearing and/or vision impairment, exophthalmos, diplopia, new migraine-like headaches, repeated persistent headaches, cholestasis, jaundice, itching, hepatitis, increased frequency of epileptic attacks, porphyria, myocardial infarction, subsequent pregnancy, as well as the development of any severe chronic disease.

If elective surgery is necessary, the drug should be discontinued 6 weeks before surgery.

Patients with diabetes should be aware that Ovidon may alter glucose tolerance.

Diarrhea and vomiting help remove the drug from the body. If these symptoms persist throughout the day, you may need to take an additional tablet. For longer-lasting diarrhea and/or vomiting, it is necessary to temporarily use other methods of contraception.

Ovidon

Name: Ovidon (Ovydon) Pharmacological action: Contraceptive for oral (oral) use.

Indications for use: As a contraceptive. Also to eliminate a number of gynecological symptoms associated with the cycle, such as premenstrual tension, dysmenorrhea (menstrual cycle disorder), polymenorrhea (menstrual cycle disorder, characterized by long (more than 6 days/ and heavy menstruation), pain in the middle of the cycle, etc. .

Directions for use: As a contraceptive, 1 tablet is prescribed orally daily for 21 days, starting from the 5th day of the menstrual cycle. It is advisable to take the drug in the evening after meals (preferably at the same hour). After this course, a 7-day break is required, during which menstruation-type bleeding appears. The next 21-day course of taking the drug begins immediately after a 7-day break (even if bleeding did not occur during the break), preferably on the same day of the week. The risk of cardiovascular complications increases with smoking (especially after 35 years). Before starting to take the drug, as well as regularly during its use, consultation with a gynecologist is necessary. The drug should be stopped immediately if the following symptoms appear: early signs of phlebitis (inflammation of the vein wall), thrombosis (blockage of blood vessels with a blood clot), embolism (impaired vascular patency) - bloating of the veins, unusual pain in the legs, pain in the chest when breathing or coughing , feeling of tightness in the chest; new migraine-like headaches, sudden hearing and vision impairment, and movement disorders. The drug should be discontinued 6 weeks before planned surgery. The risk of thrombosis increases with high blood pressure. The drug is discontinued in case of hepatitis, jaundice, itching, cholestasis (stagnation of bile in the bile ducts), increased frequency of epilepsy attacks, primary or secondary appearance of porphyria (a disease associated with impaired porphyrin/pigment metabolism). When used simultaneously with barbiturates, rifampicin, ampicillin, griseofulvin, butadiene, and antiepileptic drugs, the effectiveness of the drug is reduced. When taking the drug during antidiabetic therapy, changes in glucose tolerance (glucose tolerance) are possible. Vomiting or diarrhea can lead to the removal of the drug from the body, so in cases where these symptoms disappear within 1 day, the tablet must be taken again. If these symptoms persist for a longer period, you should temporarily resort to other methods of preventing pregnancy.

Side effects: At the beginning of treatment, nausea, weight gain, and engorgement of the mammary glands are possible.

Contraindications: Tumors, tendency to thromboembolism (impaired vascular patency), otosclerosis (progressive hearing loss and tinnitus), liver cirrhosis, hepatitis.

Release form: Tablets in a package of 21 pieces.

Storage conditions: List B. In a dry place.

Composition: One tablet contains: 0.25 mg of levonorgestrel and 0.05 mg of ethylin estradiol.

Attention! The description of the drug " Ovidon " on this page is a simplified and expanded version of the official instructions for use. Before purchasing or using the drug, you should consult your doctor and read the instructions approved by the manufacturer. Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.

Drug interactions

The following medicines may reduce the effectiveness of Ovidone:

  • Inducers of microsomal oxidation (barbiturates, rifampicin, griseofulvin, ampicillin, etc.);
  • Antiepileptic drugs (carbamazepine, phenytoin);
  • Pyrazolone derivatives;
  • Phenobarbital derivatives;
  • Sulfonamides;
  • Tetracyclines;
  • Antidiabetic drugs;
  • Antidepressants;
  • Anticoagulants;
  • Broad-spectrum antibiotics;
  • Hepatotoxic drugs.

OVIDON-RICHTER - abstract Gideon Richter

Before starting to use the drug, it is necessary to conduct a general medical and gynecological examination (primarily measuring blood pressure, determining blood sugar levels, testing liver function, examining the mammary glands, cytological analysis of a cervical smear) to exclude risk-related diseases and pregnancy. Since the drug contains a high amount of estrogen, questioning the patient during a medical examination requires special attention, taking into account the history of previous illnesses. For women with a family history of thromboembolic diseases at a young age or bleeding disorders, the use of Ovidon is not allowed. Particular caution is required in the presence of diabetes mellitus, heart disease of non-ischemic etiology, hypertension, renal dysfunction, thrombophlebitis, otosclerosis, multiple sclerosis, epilepsy, mental illness accompanied by depression, chorea minor, intermittent porphyria, latent tetany, bronchial asthma. While taking the drug, medical supervision is required at least every 6 months. After viral hepatitis, the use of oral contraception is allowed no earlier than 6 months, provided that liver functions are normalized. Against the background of long-term (more than 8 years) continuous use of sex hormones, benign liver tumors were very rarely observed, and malignant tumors of the liver were extremely rare. If sharp pain appears in the upper abdomen, hepatomegaly and signs of intra-abdominal hemorrhage, a suspicion of a liver tumor may arise. In this case, the drug should be stopped until the cause is determined. If liver function is impaired while taking the drug, it is necessary to monitor the condition with a therapist every 2-3 months. In the absence of menstrual-like bleeding, continued use is allowed only after pregnancy has been ruled out. If intermenstrual bleeding occurs (rare due to the high estrogen content), especially in the first 2-3 months, you should continue taking Ovidon, since in most cases these bleeding stops spontaneously. If intermenstrual bleeding does not disappear or recurs, a medical examination is required to exclude pathology of the internal organs. In case of vomiting or diarrhea, taking the pills should be continued, but it is recommended to additionally use another, mechanical method of contraception. Among women taking oral contraceptives containing estrogens, the likelihood of developing thromboembolism of various locations may increase. This risk increases with age, mainly in smokers. In this regard, women over 30 years of age who are taking oral contraceptives are advised to completely stop smoking. If a woman is planning a pregnancy, the drug must be stopped at least three months before the expected date of conception.
You should stop taking Ovidon immediately:
  • in case of new or worsening migraine-like, unusually severe headache, sudden loss of consciousness, acute deterioration of vision, suspected thrombosis or cerebral infarction, sudden pain in the legs, especially the calf muscles;
  • with a sharp increase in arterial pressure, with the development of jaundice or hepatitis without jaundice, with the occurrence of generalized itching, with the occurrence or increase in epileptic seizures;
  • during a planned operation (6 weeks before surgery), during prolonged immobilization (for example, after injuries).
    STORAGE
    At a temperature of 15-30 C, out of the reach of children
    PACKAGE
    1 blister containing 21 tablets.
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