Expiration date: 07/2025
Structure and Composition:
Tablets. 1 tablet contains:
0.15 mg of desogestrel
0.03 mg ethinylestradiol
Excipients: potato starch povidone stearic acid, silica colloidal anhydrous tocopherol & alpha-lactose monohydrate
in blister 21 pcs. in the box 1, 3 or 6 blister.
Dosage and administration:
Inside, in the order indicated on the package, every day at about the same time, if necessary with a little water.
Take 1 table. per day for 21 days. Taking the pills from the next pack should be started 7 days after the end of the previous one. During these 7 days menstrualnopodobnoe bleeding occurs. Usually it begins 2-3 days after the last tablet and can not stop before receiving the next pack of pills.
How to start taking Marvelon medication if not used hormonal contraceptives during the last month
Receiving tablets should begin on day 1 of the menstrual cycle. You can start taking the drug for 2-5 days after the beginning of the menstrual cycle, but in this case it is recommended to use an additional (non-hormonal) method of contraception during the first 7 days of tablet-taking in the initial cycle.
Go with other combined oral contraceptives
Desirably Marvelon taking this medication on the day after the last tablet formulation previously used, containing hormones, or at least immediately after the tablet-free interval or after administration of the tablet containing no hormones.
Transition from formulations containing only a progestogen ( "mini-pill", injections, implants)
Women who take a "mini-pill" can go to the reception of the drug Marvelon any day: using an implant - on the day of its removal using the drug in injectable form - per day, introduce the next injection. In all cases, during the first 7 days of taking the drug Marvelon is recommended to use additional methods of contraception.
After the abortion I trimester
The woman may start taking the drug immediately. No need to use any additional methods of contraception.
After delivery or abortion in the II trimester
It is recommended to start taking the drug at 21 or 28 days after birth or abortion made in the II trimester of pregnancy. At the beginning of the drug at a later date recommended for the first 7 days of taking the drug Marvelon use barrier methods of contraception. In any case, if a woman after childbirth or abortion before you start taking the drug Marvelon were sex, pregnancy should be excluded before the start of drug administration or to wait until the first menstrual period.
Use of the drug is contraindicated during lactation.
In case of skipping the next dose
If administration delayed tablets once less than 12 hours, contraceptive reliability is not reduced. The woman should take the tablet as soon as she thought about it, and the next tablet at the usual time taken.
If administration delayed regular tablets over 12 hours, contraceptive reliability may be reduced. In this case, should be guided by the following rules:
1 Week
The woman should take the missed pill as soon as she thought about it, even if it means taking 2 tablets. simultaneously. Then, should continue to receive the usual way. Additionally, you should use the method of barrier contraception for the next 7 days. If a woman has had sexual intercourse within the preceding 7 days, the possibility of pregnancy should be considered. The more missed tablets and the closer a break in taking the drug at the time of sexual intercourse, the greater the risk of pregnancy.
2 week
The woman should take the missed pill as soon as she thought about it, even if it means taking 2 tablets. simultaneously. Then, should continue to receive the usual way. Provided that the woman is on the pill in time for the 7 days preceding the first missed dose is not necessary to use additional (non-hormonal) contraceptive methods. Otherwise, or if she missed more than 1 table., It is recommended to use additional methods of contraception for the next 7 days.
3 week
Contraceptive reliability may be reduced due to the subsequent break in taking the drug. This can be avoided by adapting the scheme of the drug. If you use either of the two following schemes, there is no need for additional measures of contraception, provided the woman taking pills in time for the 7 days preceding the first missed dose.
Otherwise it is recommended to use one of the following two schemes and additional measures of contraception for the next 7 days.
The woman should take the missed pill as soon as she thought about it, even if it means taking 2 tablets. simultaneously. Then, should continue to receive the usual way. New packaging should be started as soon as the current ends, ie should not make the break. The probability of occurrence of withdrawal bleeding until the end of the second pack is low, but some may experience spotting or profuse bleeding even during treatment.
It can be advised to discontinue the drug from the current package. Women should take a break from taking the drug Marvelon up to 7 days, including the days she forgot to take the pill, and then start a new pack.
At the admission to taking the drug and the subsequent absence of bleeding in the near break in the reception should take into account the possibility of pregnancy.
Advice in case of vomiting
If vomiting occurs within 3-4 hours after dosing, the absorption may be incomplete. In this case, you should use the recommendations for skipping the next dose. If a woman does not want to change their usual dosage regimen, it is necessary to take additional (s) tablet (s) from a different package.
How to change the term of the onset of menstruation
To delay menstruation, you should continue taking pills from a new package Marvelon drug without the usual break at the reception. Postpone menstruation can be for any period up to the end of the tablets of the second pack. During this period, the woman may experience spotting or heavy bleeding. The drug in the usual way should be resumed after a 7-day interval in reception.
In order to shift the flow of blood on the day of the week, different from that which is expected, subject to the usual dosage regimen can reduce the usual break in reception for as many days as necessary. The shorter the interval, the higher the risk of lack of menstruation during the break and the occurrence of abundant or spotting during the reception of the second package of the drug.
