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CATEGORY : WOMENS HEALTH
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Home > Categories > Health and Beauty > Womens Health > View Advice  

Query from: Dilrukshi, Sri Lanka, 07/04/08
Topic: WOMENS HEALTH      Submitted on: Ammas.com
Subject: Advice on Use of Femilon Pills

I started the pill only a month ago.

Rate = 2 (Rated by 4 Council Members)
[ This query closed ]
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Response from: Geetha Gopakumar,   
Council Member on Ammas.com
Source: http://www.rx-market.net/…
Familon is a brand name of an Oral Contraceptive Pill. These OCs are prescribed for the prevention of pregnancy. When taken as directed, OCs fail in less than 1 in every 200 users over the first year of use. OCs also are prescribed to treat mid-cycle pain which some women experience with ovulation. OCs, while regulating the menstrual cycle, reduce menstrual cramps and heavy bleeding, and, because of the reduced bleeding, they may prevent the anemia that can develop in some women. Doctors sometimes prescribe higher doses of OCs for use as "morning after" pills to be taken up to 72 hours after unprotected intercourse to prevent fertilization and pregnancy.The combination OCs are called "monophasic," "biphasic," or "triphasic." Monophasic OCs deliver the same amount of estrogen and progestin every day. Biphasic OCs deliver the same amount of estrogen every day for the first 21 days of the cycle. During the first half of the cycle, the progestin/estrogen ratio is lower to allow the endometrium to thicken as it normally does. During the second half of the cycle, the progestin/estrogen ratio is higher to allow normal shedding of the lining of the uterus to occur. OCs also are prescribed to treat mid-cycle pain which some women experience with ovulation. OCs, while regulating the menstrual cycle, reduce menstrual cramps and heavy bleeding, and, because of the reduced bleeding, they may prevent the anemia that can develop in some women. Doctors sometimes prescribe higher doses of OCs for use as "morning after" pills to be taken up to 72 hours after unprotected intercourse to prevent fertilization and pregnancy.Many of the OCs come in easy to use dispensers in which the day of the week or a consecutive number (1, 2, 3, etc.) is written on the dispenser with a corresponding tablet for each day or number. For example, some Ortho-Novum dispensers are labeled "Sunday" next to the first tablet. Thus, the first tablet is to be taken on the first Sunday after menstruation begins (the first Sunday following the first day of a woman's period). If her period begins on Sunday, the first tablet should be taken on that day. For OCs that use consecutive numbers, the first tablet (#1) is taken on the first day of the menstrual period (the first day of bleeding). Tablet #2 is taken on the second day, and so on. Still other packages instruct women to begin on day 5 of the cycle. For such products, women count from day 1 of their menstrual cycle (day 1 is the first day of bleeding). On the fifth day, the first tablet is taken. Tablets then are taken daily.

OCs are packaged as 21-day or 28-day units. For 21-day packages, tablets are taken daily for 21 days. This is followed by a 7-day period during which no OCs are taken. Then the cycle repeats. For the 28-day units, tablets containing medication are taken for 21 consecutive days, followed by a seven-day period during which placebo tablets (containing no medication) are taken.Women just starting to take OCs should use additional contraception for the first 7 days of use because pregnancy may occur during this period of time.

If women forget to take tablets, pregnancy may result. If a single tablet is forgotten, it should be taken as soon as it is realized that it is forgotten. If more than one tablet is forgotten, the instructions that come with the packaging should be consulted, or a physician or pharmacist should be called.Estrogens can inhibit the metabolism (elimination) of cyclosporine, resulting in increased cyclosporine blood levels. Such increased blood levels can result in kidney and/or liver damage. If this combination cannot be avoided, cyclosporine concentrations can be monitored, and the dose of cyclosporine can be adjusted to assure that its blood levels do not become elevated.

Estrogens appear to increase the risk of liver disease in patients receiving dantrolene through an unknown mechanism. Women over 35 years of age and those with a history of liver disease are especially at risk. Estrogens increase the liver's ability to manufacture clotting factors. Because of this, patients receiving warfarin (Coumadin) need to be monitored for loss of anticoagulant (blood thinning) effect if an estrogen is begun. A number of medications, including some antibiotics, can decrease the blood levels of OC hormones that would otherwise have been achieved during OC use, but an actual decrease in the effectiveness of the OC has not been convincingly proven. Nonetheless, because of this theoretical possibility, some physicians recommend back-up contraceptive methods during antibiotic use. Carbamazepine (Tegretol), phenobarbital, phenytoin (Dilantin), primidone (Mysoline), rifampin (Rifadin), rifabutin (Mycobutin), and ritonavir (Norvir) each increase the elimination of estrogens. OCs with higher concentrations of estrogen or alternative forms of contraception may be necessary in women using those medications.

Missed dose—Follow your doctor's orders or the directions on the label if you miss a dose of this medicine. The following information includes only some of the ways to handle missed doses. Your health care professional may want you to stop taking the medicine and use other birth control methods for the rest of the month until you have your menstrual period. Then your health care professional can tell you how to begin taking your medicine again.

For monophasic, biphasic, or triphasic cycles :

* If you miss the first tablet of a new cycle—Take the missed tablet as soon as you remember and take the next tablet at the usual time. You may take 2 tablets in one day. Then continue your regular dosing schedule. Also, use another birth control method until you have taken seven days of your tablets after the last missed dose. * If you miss 1 tablet during the cycle—Take the missed tablet as soon as you remember. Take the next tablet at the usual time. You may take 2 tablets in one day. Then continue your regular dosing schedule. If you miss 2 tablets in a row in the first or second week—Take 2 tablets on the day that you remember and 2 tablets the next day. Then continue taking 1 tablet a day. Also use another birth control method until you begin a new cycle. If you miss 2 tablets in a row in the third week; or If you miss 3 or more tablets in a row at any time during the cycle— o Using a Day-1 start: Throw out your current cycle and begin taking a new cycle. Also, use another birth control method until you have taken seven days of your tablets after the last missed dose. You may not have a menstrual period this month. But if you miss two menstrual periods in a row, call your health care professional.If you miss any of the last seven (inactive) tablets of a twenty-eight-day cycle, there is no danger of pregnancy However, the first tablet (active) of the next month's cycle must be taken on the regularly scheduled day, in spite of any missed doses, if pregnancy is to be avoided. The active and inactive tablets are colored differently.

Rate = 1.5 (Rated by 2 Council Members)

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Response from: CS P,   
Council Member on Ammas.com
Source: http://www.doctorndtv.com/FAQ/detai…
Femilon contains two hormones: desogestrel and ethinylestradiol. Some of its side effects are: intermenstrual bleeding, post-medication amenorrhoea, changes in cervical secretions, increase in the size of fibroids, aggravation of endometriosis and certain vaginal infections

Rate = 1.5 (Rated by 3 Council Members)

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Response from: NEERAJA NAVEEN,   
Registered Member on Ask Agent
Source: This information comes from my own knowledge.
When starting for the first time or changing from other methods of contraception to hormonal method or one brand to another there are a number of ways to start oral contraceptives. We most commonly start on day of menses, one pill each day, regularly at a particular time of day preferably after dinner or in the morning with your breakfast.

If you forget to take your pills take immediately as soon as you remember.

If you forget to take for more than 12 hours, take immediately or use additional back up method of contraception for another week.

If you forget to take two or more pills, you must use another birth control (back up method) for the remaining days of your cycle.

With packets of 21 pills, you take 1 pill every night for 3 weeks. After 1-week pill free interval, you start the next packet.

For everyday version, after the last week of placebo (do not contain hormones) pills you start immediately with a new packet (no gap).

At times, for a woman, there may be no menstrual bleeding while using birth control pills.

If you miss one menstrual period and have taken the tablets exactly as directed, continue as usual with your next cycle.

If you have not taken them correctly and miss a period you should be evaluated for pregnancy.

If two consecutive menstrual periods are missed you should be evaluated for pregnancy. It is not a health hazard to miss your menstrual period when you are on birth control pills.

Some drugs such as antibiotics, anti-convulsants, anti-tuberculous drugs can interfere in the effectively of birth control pills. Confirm the same with the Health Care Provider. You may need to use an additional form of birth control while you are taking antibiotics.

Side Effects

Occasionally experience side effects, which are usually temporary and may disappear in the first three to four cycles. We encourage you to remain on the pill for at least three cycles so that we can evaluate how you are adjusting. If symptoms persist longer than three months, consult your medical practitioner who may be able to solve the problem by changing the type of pill you are taking.

Some women experience slight nausea, which may be relieved by taking the pill along with a snack just before going to sleep or with a meal. Breakthrough bleeding (bleeding in between the menses): If this bleeding is heavier than light flow or lasts more than a few days, you should contact your practitioner. Your breasts may enlarge or become somewhat tender. Complications

If you have special health problems, such as fibrous growths of the uterus, heart or kidney disease, depression, diabetes, thyroid disease, migraine headaches, or epilepsy, you should inform your practitioner of these or any other problems. If you have a history of blood clots anywhere in your body, cancer of the breast or uterus, or liver disease, you may not be able to use the pill. Important:

Most women taking oral contraceptive have few or no problems. But do call your practitioner if you notice any of the following symptoms:

A- abdominal pain (severe) C - chest pain (severe), shortness of breath, or coughing up blood H- headaches (severe) E -eye problems like blurred vision, flashing lights S -severe leg pain (calf or thigh)

Benefits:

This includes a reduced incidence of benign ovarian cysts, ectopic pregnancy, pelvic inflammatory disease, anaemia, rheumatoid arthritis, and most importantly, endometrial cancer and ovarian cancer.

Most successful means of contraception if used properly. The failure rate is less than 1%. It is of great social advantage for working and educated women as withdrawal bleeding is predictable. One can postpone the same safely by taking more pills continually for even one month or so. Cures painful menses and the mid cycle ovulation pain. Oral contraception decreases the amount of bleeding and can be used in women having heavy and prolonged regular menses. Oral contraception protects against ovarian and endometrial cancer. The effect lasts for many years. Benign breast diseases, functional ovarian cyst, fibroid of the uterus are reduced in pill users. Oral contraception protects against ectopic pregnancy, pelvic inflammatory diseases, anaemia and malnutrition, endometriosis, hirsutism, acne and oily skin. http://www.planababy.com/CONTRACEPT…

u can see above matter given by one advisor of ammas in the ammas previous pages.see the answers for u'r question of ammas previous question of the one which is same as u asked :

http://www.ammas.com/ar/home.cfm?r=…

u can see below matter in http://www.doctorndtv.com/FAQ/detai…

Femilon is the brand name of an oral contraceptive pill. It contains two hormones: desogestrel and ethinylestradiol. Some of its side effects are: intermenstrual bleeding, post-medication amenorrhoea, changes in cervical secretions, increase in the size of fibroids, aggravation of endometriosis and certain vaginal infections(e.g.candidiasis).I suggest you consult a good gynaecologist to exclude the possibility of any disorder, whether or not related to the use of Femilon.

Use F. Femilon o/21 days. In path start from 1st day period, Next path – give a gap of 1 week and restart the next path

Rate = 2 (Rated by 3 Council Members)

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