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Ginette-35 can be used for oral contraception in women who require anti-androgen therapy. Cyproterone acetate can be utilized along with ethinyl oestradiol to the control over idiopathic hirsutism.
For the treatment of acne that is severe, especially androgen-dependent acne together with inflammation, seborrhoea or even the formation of nodes.
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Before commencing with Ginette-35, an appropriate medical (including gynaecological) examination should be done and the patient's track record carefully evaluated. Regular medical examinations are recommended during use. Pregnancy must be excluded.
Disorders with the clotting system and ancestors and family history of thrombo-embolic diseases, especially with a young age, ought to be excluded.
Androgen-producing tumours or perhaps an adrenal enzyme defect should be ruled out before prescribing Ginette-35 to the treatment of hirsutism.
Additional contraceptive precautions needs to be taken for your first 2 weeks of the first cycle or if a tablet is accidentally missed.
Spotting may occur and can usually stop spontaneously.
The patient is recommended to see her doctor if prolonged and persistent bleeding occurs.
The tablet ought to be taken roughly concurrently every day, not exceeding 24 hours, for max effectiveness. The tablet might be taken with a meal to lessen nausea.
Missed doses: Take as quickly as possible, that is yearly 12 hours on the latest, but not if it is nearly time to the next dose. Do not double doses. Take the next tablet on the usual time for it to prevent withdrawal bleeding. Additional non-hormonal contraceptive precaution ought to be taken.
In the case of diarrhoea or vomiting, additional non-hormonal contraception ought to be employed in order to avoid pregnancy.
First cycle: The patient should consider the first tablet for the first day with the cycle (day one from the cycle being day one with the menstrual bleeding). Thereafter, one tablet must be taken daily, following the sequence with the arrows, as well, until all the tablets happen to be taken. The first tablet should be extracted from the silver section (of the calender pack), commencing with the appropriate day as indicated for the strip.
Subsequent cycles: A new pack needs to be started in the morning after completing the last pack, once again beginning with the correct day inside the silver section with the strip. This method needs to be followed provided that the contraception is desired.
For the treatments for androgen-dependent acne: Dosage in terms of contraception.
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Store Ginette-35 below 86 degrees F (30 degrees C). Store away from heat, moisture, and lightweight. Do not store inside bathroom. Keep Ginette-35 out with the reach of kids and far from pets.
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Woman who use oral contraceptives must be strongly advised not to smoke. Smoking enhances the probability of myocardial infarction.
Women smoking over 15 cigarettes per day have a minimum of a 20% increased chance of serious cardiovascular side-effects. This risk also increases as we grow old and it is quite marked in women over 35 years.
Not to provide in children and men.
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Oral contraceptives must not be used during known or suspected pregnancy as it can cause severe harm to the foetus.
A combination oral contraceptive mustn't be prescribed from a recent evacuation of the hydatidiform mole until urine and plasma gonadotropin concentrations have returned to normalcy.
Hypersensitivity to your from the ingredients.
Known or suspected breast cancer.
Patients with liver diseases or malignant or wasting diseases.
It mustn't be given to patients with a history of thrombo-embolic disorders. This may include myocardial infarction, pulmonary embolism, venous thrombosis and stroke.
Contra-indicated in patients with severe chronic depression and sickle-cell anaemia.
Oral contraceptives are contra-indicated in patients with oestrogen-dependent neoplasms, functional ovarian cysts, the Dubin-Johnson or Rotor syndromes, disorders of lipid metabolism, markedly impaired liver function, cerebrovascular insufficiency, coronary heart, thrombophlebitis, deteriorating otosclerosis, a good pruritus during previous pregnancy, undiagnosed vaginal bleeding, herpes, recurrent cholestatic jaundice or porphyria.
Patients with classical migraine should not use a combination oral contraceptive.
Relative contra-indications (these patient would require medical supervision):
Diabetes mellitus, tetany, hypertension, epilepsy, chorea, multiple sclerosis, renal dysfunction, asthma, mental depression, spider veins, cardiac dysfunction, gallbladder disease, patients who wear contacts and obese patients, or another conditions affected by fluid retention. The risk benefits ought to be considered in patients with endometriosis and uterine fibroids. It is advised the usage of Ginette-35 be discontinued if any from the following symptoms occur:
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