Esteretta 3 mg+15 mg 28 pcs

Esteretta® is a CHC containing the progestogen drospirenone and the estrogen estrol.

The drug is used as a contraceptive for oral administration to protect against unwanted pregnancy.

Progestogen suppresses ovulation mainly through a central feedback mechanism, which leads to a decrease in the pituitary gland’s secretion of luteinizing hormone (LH). Drospirenone has pharmacological effects similar to those of the natural human hormone progesterone. Estrogen is also involved in providing contraceptive action by suppressing the production of follicle-stimulating hormone (FSH), but its main effect as part of CHC is to compensate for the effect of progestogen on the endometrium and ensure sufficient control of the bleeding cycle while taking the drug. Estetrol is identical in composition to the natural hormone that is produced during pregnancy by the human fetal liver.

Manufacturer

Composition

Indications

Use during pregnancy and breastfeeding

Contraindications

Side effects

Like all medicines, Esteretta ® can cause side effects, although not everyone gets them.

If you experience any adverse reaction, especially if it is severe or persistent, or a change in your health that you think may be related to Esteretta ® , tell your doctor.

An increased risk of blood clots in the veins and arteries (VTE and ATE) is typical for all women taking CHCs.

Your risk of thrombosis may be higher if you have other conditions that increase your risk (see section 2 for details about conditions that increase your risk of thrombosis and symptoms of thrombosis).

In rare cases, the formation of a blood clot can lead to the development of the following conditions:

Interaction

When and how to take Esteretta®

Each blister pack of Esteretta ® contains 28 tablets: 24 light pink tablets with hormones (numbers 1-24), and 4 white placebo tablets without hormones (numbers 25-28).

Each time you start taking pills from a new blister, start with pill number 1 (the light pink hormone pill) located in the upper left corner of the blister (see “Start”). From the supplied adhesive labels with the names of the days of the week, select the strip in which the gray column begins with the day of the week on which you will start taking the pills. For example, if you take your first pill on Wednesday, choose the sticker that says “Wed.” Stick the strip onto the part of the package limited by the line, first aligning the “ð” symbol on the label with the similar symbol on the blister pack. After this, each day of the week on the label will correspond to a row of tablets. This will allow you to make sure that you took the pill on a specific day.

Take one tablet daily at approximately the same time with a small amount of water.

Follow the direction of the arrows on the blister so that you take all the light pink hormone pills first, followed by the white placebo pills.

Within 4 days of taking the white placebo tablets, you should begin to experience menstrual-like bleeding (called withdrawal bleeding). Withdrawal bleeding usually begins 2-4 days after taking the last light pink hormone pill, and may not stop until you start taking the next hormone pill pack.

Taking hormone tablets from the next blister should be started immediately, i.e. the day after taking the last placebo tablet from the previous blister, even if your withdrawal bleeding has not stopped yet. This means that you will always start taking pills from a new blister on the same day of the week, and that your withdrawal bleeding will occur on approximately the same days of the week each month.

Some women may not experience withdrawal bleeding every month while taking the white placebo pills. If you take Esteretta ® every day exactly as directed, there is little chance of pregnancy (see also section 3

“If you are 1 or more menstrual cycles late”).

Starting the first package of Esteretta ®

If you have not taken hormonal contraceptives in the previous month

Start taking Esteretta ® on the first day of your menstrual cycle (i.e., the first day of menstrual bleeding). If you start taking Esteretta ® on the first day, you will be immediately protected from pregnancy. In this case, there is no need to use additional methods of contraception.

You can also start taking the drug on days 2–5 of your cycle, in which case you must additionally use barrier methods of contraception (for example, condoms) during the first 7 days of taking Esteretta ® .

When switching from another combined hormonal contraceptive (combined oral contraceptive (COC), vaginal ring, or transdermal patch)

You can start taking Esteretta ® the day after you take the last tablet from the package of your previous oral contraceptive that you are currently taking (there is no need to take a break after stopping). If your previous oral contraceptive also included placebo pills, you can start taking Esteretta ® the day after you take your last hormone pill (check with your doctor if you have any doubts). You can also start taking Esteretta ® later, but no later than the next day after the end of the planned break in taking the previous contraceptive (or taking the last placebo tablet from the previous package). If you are using a vaginal ring or transdermal patch, it is advisable to start taking Esteretta ® on the day the ring or patch is removed. You can start taking the drug later, but no later than the day when the next patch is to be applied or a new ring is inserted. If these recommendations are followed, there is no need to use additional methods of contraception.

When switching from progestogen-only pills (“mini-pills”)

You can stop taking the minipill any day and start taking Esteretta ® the next day. In this case, it is recommended to additionally use barrier methods of contraception (for example, condoms) during the first 7 days of taking Esteretta ® .

When switching from progestogen-only contraceptives (injectables, implants, or progestogen-releasing intrauterine system [IUD])

Taking Esteretta ® should be started on the day of the next scheduled injection or on the day of removal of the IUD. In these cases, it is recommended to additionally use barrier contraceptive methods (for example, condoms) during the first 7 days of taking Esteretta ® .

After childbirth

After the baby is born, you can start taking Esteretta ® 21-28 days after birth (provided that the baby is not breastfed). If you start taking the drug later than 28 days after birth, you must additionally use barrier methods of contraception (for example, condoms) during the first 7 days of taking Esteretta ® . If you have sexual intercourse before starting to take Esteretta ®, you must make sure that you are not pregnant before starting to take the drug, or wait until menstrual bleeding begins.

After a miscarriage or abortion Follow your doctor’s instructions. Route and (or) method of administration

The drug is intended for oral administration.

Take 1 tablet daily, with or without food, in the order directed on the package, at approximately the same time of day, with a small amount of water.

If you are unsure when and how to start taking Esteretta ® , consult your doctor.

If you take more Esteretta ® tablets than you should

If you take several tablets at once, you may experience nausea, vomiting, or vaginal bleeding. If you have these symptoms, you should consult a doctor, who will inform you about the necessary measures.

If you forget to take Esteretta ®

The following recommendations only apply to situations where you have missed a dose.

light pink pills with hormones.

If you miss 1 light pink tablet with hormones from days 1 to 7 (see diagram)

Take the last light pink hormone pill you missed as soon as you remember (even if that means taking 2 pills at the same time), and continue taking the pills at your usual time. It is necessary to additionally use barrier methods of contraception, such as condoms, until you take 7 tablets for 7 days in a row. If you had unprotected sex in the week before you missed a pill, there is a possibility that you may become or have already become pregnant. In this case, contact your doctor immediately.

If you miss 1 light pink hormone tablet between days 8 and 17 (see diagram) Take the last missed light pink hormone tablet as soon as you remember (even if this means taking 2 tablets at the same time) and continue taking the pills at the usual time. If you took the pills correctly for 7 days before missing the pill, the contraceptive effect of the drug is not reduced and you do not need to use additional methods of contraception. However, if you have missed more than 1 tablet, you must use additional barrier methods of contraception, such as condoms, until you have taken 7 tablets for 7 consecutive days. If you miss 1 light pink hormone pill between days 18 and 24 (see diagram) The risk of pregnancy is especially high if you miss taking a hormone pill that is in a blister pack close to the white placebo pills. You can reduce this risk by changing your pill regimen.

You can choose one of the following options. If you took the pills correctly for 7 days before missing the pill, the contraceptive effect of the drug is not reduced and you do not need to use additional methods of contraception. Otherwise, you need to stick to the first option and use additional barrier methods of contraception (for example, condoms) until you take 7 tablets for 7 days in a row.

If you can’t remember how many hormone pills you missed, follow the first option, use a barrier method such as a condom as an extra precaution until you have taken the pills correctly for 7 days in a row, and contact your doctor (as you may You were not protected from pregnancy).

If you forgot to take the light pink hormone pills from the blister, and you did not get your period while taking white placebo pills from the same blister, the possibility of pregnancy cannot be ruled out. Consult your doctor before taking tablets from the next blister pack.

Skipping white placebo pills

The last 4 tablets in the fourth row are placebo tablets and do not contain hormones. If you forget to take one of these pills, it will not affect the contraceptive effect of the drug. Throw away the white placebo tablet(s) that you forgot to take and continue taking the drug at your usual time.

If you miss more than 1 light pink hormone pill

Follow your doctor’s recommendations.

Active substance