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Ginette.
   Structure.

Ginette 35 = Ethinylestradiol 0.035 mg, Cyproterone acetate BP 2 mg

   Usage.

Androgen-Dependent spots, especially those forms which are accompanied seborrhea either ignition or formation of units (spots papulopustulosa, spots nodulocystica), dependent Androgen-Dependent alopecia and moderate forms hirsutism.
Oral contraception in the women demanding therapy of anti-androgen and for treatment of attributes PCOS.

   Recommended dosage.

Before start Ginette 35, full gynaecological examination (including breasts and slander cytological cervix) should be executed and the case record of family carefully marked. Besides disorders clotting systems should be excluded if any members the family suffered from thromboembotic illnesses (eg. A deep vein thrombosis, a heart attack of a myocardium of impact) already at young age. Pregnancy should be excluded. If hirsutism only recently has appeared or has recently amplified up to the significant degree androgen-producing tumours or adrenal defect of enzyme should be excluded in the distinctive diagnosis.

Initial rate

First rate Ginette 35 is started in the first day of a cycle (the first day menstrual bleedings is counted up as day 1 of a cycle). The first the tablet should be taken from section of a starter of a calendar package selection of a corresponding tablet within that day of week (eg. "Monday" for on Monday). A tablet swallow the whole with a small amount of a liquid. Has no value during what time the tablet is taken from day, but as soon as the patient has chosen specific time, tablet should be taken so close as possible in same time every day. The tablet then is taken every day in the shown management arrows while the package is not empty.

If the patient uses hormonal contraceptive means, the doctor should solve when it should begin treatment. The same addresses to patients who have only had delivery or abortion.
The first cycle can be a little bit shorter than usually, whereas all the ambassador cycles with the last four weeks.
Additional, not hormonal method of contraception (with exception from a rhythm and temperature methods) it should be used during first 14 days of the first considered cycle.

The subsequent rates

After last tablet has been taken from the first package, a capture of a tablet continued from a new package on very next day. The first tablet should again be it is taken from section of a starter of the calendar package marked with corresponding day of week.

Length of use

The length of use depends on gravity of a clinical picture. In general, treatment should be executed more than some months. It recommends it Ginette 35 to be taken for at least others 3 - 4 cycles after signatures slept. There should be there weeks of recurrence or months after the termination of the treatment which have taken a tablet with Ginette 35 can be renewed.

   Warnings and Precautions.

Pregnancy; feeding by a breast; serious disorders of function of a liver; current cholestatic a jaundice; cause jaundice bile or constant itching during previous pregnancy; Dubin-Johnson a syndrome; a syndrome of the Rotor; previous or existing tumours of a liver; existence or previous thromboembolic process in arteries or veins and the states which contribute to such illnesses (for example. Disorders clotting system with the tendency to thrombosis, to some heart illnesses); a serious migraine or cerebrovascularlack; a cell of a sickle anemia; existence or considered a cancer of a breast or an environment of a uterus; not diagnosed a vaginal bleeding; a serious diabetes with vascular changes; disorders lipometabolism; a history of a herpes of pregnancy; otosclerosis with deterioration in previous pregnancies.

Strict medical supervision is required in patients with a diabetes or the tendency yo a diabetes, a high blood pressure, varicose veins, a history phlebitis, otosclerosis, a repeated sclerosis, epilepsy, prophyria, tetany, chorea younger; asthma, depression, or the states in which liquid detention occurs. the reasons for direct termination Ginette 35.

Occurrence for the first time migrainous headaches or more often occurrence of unusually serious headaches, sudden perceptual disorders (for example. Disorders of vision or curing), all over again signatures thrombophlebitis or thromboembolic attributes (for for example. Unusual pains or in inflating legs, striking a blow to pains at breath or cough for any obvious reason), a feeling of a pain and density in the breasts, expected actions (six weeks beforehand), immobilisationn (for example after accidents). In total they cases there can be the increased risk thrombosis. Further the reasons for the termination - the beginning of a jaundice, the beginning of the hepatites itching from the whole body, essential increase of a blood pressure, pregnancy.

Preventions

Ginette 35 - not for use in men also it should not be used in children.

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