Ripevidon is a contraceptive pill that contains a low dose of hormones, and can be used as a method of contraception and treatment of certain gynecological diseases.
CAUTION: The drug has contraindications. Do not start the use of this drug without first consulting a doctor.
The composition of the tablets and packaging
Ripevidon belongs to the group of monophasic contraceptive pills. This means that all the pills in the package contain the same dose of hormones. One tablet of Rigavidone contains 30 micrograms of ethinyl estradiol and 150 micrograms of levonorgestrel. In one blister (plate) of Rigevidon there are 21 tablets calculated for 21 days of administration.
Rigavidon 21 + 7 contains 28 tablets in one blister (plate). White pills have the same dosage of hormones as regular Rigevidon (30 mcg of ethinyl estradiol and 150 mcg of levonorgestrel), and the reddish-brown pills do not contain hormones, being essentially placebo pills or pacifiers.
The advantages of Rigavidon
Contraceptive pills Ripevidon have a reliable contraceptive effect, and if properly administered, provide high protection against unwanted pregnancy. The contraceptive effect of Rigevidon is due to the temporary suppression of ovulation in the ovaries and an increase in the viscosity of mucus in the cervical canal.
Reception of Rigevidon for 3 months in a row and more contributes to the normalization of the menstrual cycle, the reduction of the pain of menstruation and the reduction of blood loss during menstruation. While taking OK, Ripevidon reduces the risk of developing mastopathy, endometriosis, ovarian cancer, uterine cancer and some other gynecological diseases.
The effect of the drug is reversible. Already in the first months after discontinuation of Rigevidon, the woman again becomes capable of conception.
If you have not used any hormonal contraceptives in the past month.
It is recommended to begin reception of Rigevidon on the first day of the menstrual cycle (on the first day of the month). After the start of taking the pills, menstruation may become more scarce, or they may stop altogether. This is normal. It is also possible that the monthly will not stop, but on the contrary, will drag on for 7-10 days or more. This is also normal.
Drink Rigavidone one tablet per day for 21 consecutive days. After the pills in the blister run out, take a 7-day break. In the 7-day break, you may begin your period. Regardless of whether you have finished your period, always start a new pack of Rigevidon on the 8th day after the weekly break.
If you are taking Rigevidon 21 + 7, then start taking the drug with white pills and take one white pill for 21 days. After the white tablets are over, begin to take the reddish-brown tablets. While taking the last seven pills, you may experience periods. Despite the monthly, continue to drink pills every day. After the end of the blister (taking the last reddish-brown pill), start a new package the next day, without interruption.
When is the contraceptive effect?
The contraceptive effect of Rigevidon comes immediately, if you started to take pills on the first day of your period. In this case, you can not use additional methods of protection against pregnancy.
If you took the first pill of Rigievidon from 2 to 5 days of menstruation, then you need to use condoms for another 7 days after you start taking the pills. The contraceptive effect comes after taking the eighth pill.
Will the contraceptive effect last for a week?
If you took the pill correctly in the previous month (without gaps and without factors that reduce the effect of OK), then Rigevidon’s contraceptive effect persists between packs and you do not need to use additional contraceptive methods.
If you had omissions, or the effect of the pills could be reduced for other reasons (diarrhea, vomiting, drinking large doses of alcohol, medication), see the instructions in the appropriate paragraphs.
How to switch to Rigavidone with other birth control pills?
If previous birth control pills contained 21 pills in a blister:
It is possible to begin reception of Rigievidon the next day after the last tablet of the previous OK was taken
on the eighth day after the end of the previous ok
If previous birth control pills contained 28 pills in a blister:
You can start taking Rigavidone one day after the last active pill, or
the day after 28 pills previous ok
If you did not have time to start taking Rigevidon within the specified time, then you should wait for the next menstruation and drink the first pill on the first day of your period. To avoid unwanted pregnancy, you should use condoms or other methods of contraception before taking the pills.
How to switch to rigevidon from a vaginal ring or from a hormonal patch?
When switching to Rigevidon from the vaginal ring, the first pill needs to be drunk on the day the ring is removed, or on the day when it was necessary to install a new ring.
When switching to Rigevidon from a hormonal patch, the first tablet of the drug should be drunk on the day the patch is removed, or on the day when it would be necessary to put a new patch on.
How to switch to Rigevidon from the intrauterine device (IUD)?
Take the first pill of Rigavidone on the day the intrauterine device is removed. The contraceptive effect will come only after 7 days of taking Ripevidon, so up to the eighth pill use condoms or other methods of contraception.
If you did not have time to start taking Rigevidon in time, then wait for the next menstruation and take the first pill of the drug on the first day of menstruation. Before starting reception of Rigevidon, use other methods of protection against pregnancy.
What should I do if I am confused with the method of receiving Rigevidon
If there are 21 tablets in your pack of Rigavidon, then nothing terrible will happen. All pills in the package have the same dose of hormones, so the body "will not notice" the difference. Continue to drink Rigavidon further as usual: one tablet per day until the end of the package.
If you are taking the drug Rigavidone 21 + 7 (that is, the pack of Riigavidon contains 28 tablets), then pay attention to which tablets you confused. If instead of one white pill you took another white pill, then nothing terrible will happen, as all white pills contain the same dose of hormones. If instead of a white pill, you accidentally took a reddish-brown one, then Rigevidon's contraceptive effect can be reduced. In this case, you need to do the same as when you skip a tablet (depending on its number).
What to do when skipping the pills Rigavidon?
If you forgot to take the next pill of Rigevidon, count how many hours have passed since the last pill you took. If after taking the last pill less than 36 hours have passed, the contraceptive effect of the pills will not decrease. Drink the missed pill as soon as possible and continue taking the pills as usual.
If after taking the last pill more than 36 hours have passed, the contraceptive effect of the pills may decrease. In this case, your further actions depend on the number of the missed tablet:
From 1 to 7 tablets (the first week of admission) : Take the missed pill as soon as possible, even if you have to take two pills at the same time. Another 7 days after skipping the contraceptive effect of the pills will be reduced, so in case of sexual intercourse, use condoms or other methods of contraception.
From 8 to 14 tablets (second week of admission) : Take the missed pill as soon as possible, even if you have to take 2 pills at once. The contraceptive effect of the pills will not decrease if you have taken the pill according to the rules in the previous 7 days before the release. That is, if you have not made a pass for the last week, then you do not need to use condoms or other additional methods of contraception. If in the last week you did pass, then you need to use additional contraception within 7 days after the pass.
15 to 21 tablets (third week of intake) : Take the missed pills of Rigavidon as soon as you remember to skip, even if you have to take two tablets at the same time. Then continue to drink tablets as usual until the end of the package. To keep the contraceptive effect of the pills on, and you do not have an unwanted pregnancy, you should skip the 7-day break. This means that after the end of the package, you need to start the next package of Rigavidon the next day (without a break).
You do not need to use additional contraceptives unless you have had other passes in the previous 7 days before the pass. If during the last week you have already made passes, then you should use condoms for another 7 days after the pass.
If your pack of Rigavidon contains 28 tablets, then the instructions remain the same for the first and second week of administration (see above). The changes relate to the third week of taking the pills:
From 15 to 21 tablets: Take the missed pill of Rigievidon as soon as you remember to skip, even if you have to take two tablets at the same time. Then continue to drink tablets as usual up to 21 tablets (up to the last white pill). Then throw away the package with the remaining pills of red-brown color and start taking a new package the next day after taking the last 21 tablets. You do not need to use additional contraceptives unless you have had other passes in the previous 7 days before the pass. If during the last week you have already made passes, then you should use condoms for another 7 days after the pass.
From 22 to 28 tablets: these are inactive pills, so skipping will not reduce the contraceptive effect. Throw away the missed pill and continue to drink pills further as usual.
What if I missed a few tablets of Rigavidonone?
When skipping two tablets of Rigavidon in a row contraceptive effect can be reduced. To avoid unwanted pregnancy, you should act according to the instructions.
Pay attention to the numbers of missed pills. If these are tablets of the first or second week of administration (from 1 to 14), then take 2 tablets as soon as you remember the pass and 2 more tablets the next day. Then take one tablet of Rigavidon per day until the end of the package. Use condoms for another 7 days after skipping.
If the missed pills belong to the third week of administration (from 15 to 21), then you should discard the current pill package and start taking the new package from the first active (white) pill. New packaging should be drunk to the end and only then take a 7-day break. If you had no other passes in the previous 7 days before the release, then you do not need to use condoms or other additional methods of contraception.
When skipping 3 tablets of Rigevidon in a row, discard the current pill pack and start a new pack with the first active (white) pill. For another 7 days, use additional contraceptives. If you had unprotected sexual intercourse during a pass or shortly before the pass, the risk of pregnancy will be increased. In this case, you should do a pregnancy test 3.5 weeks after the last unprotected intercourse, or have a blood test for hCG 11 days after the last unprotected intercourse.
If you are not sure what to do in your situation, use additional contraceptives (for example, condoms) until you consult a gynecologist.
What to do if during the reception of Rigevidon there was spotting or menstruation?
While taking the drug Rigividon or Rigividon 21 + 7, you may receive bleeding of varying degrees of abundance (scanty spotting or discharge, similar to menstruation).
Especially often the bleeding occurs in the first 3 months of taking Rigevidon. As a rule, it is not dangerous, does not speak about pregnancy and does not require an urgent visit to a doctor.
Despite this discharge, keep taking your pills as usual. Do not stop taking the pills on your own, without consulting your doctor, as this can increase bleeding.
If you didn’t have gaps in taking the pills, the contraceptive effect persists despite this discharge, so you can continue to live sexually without fear of getting pregnant.
If bleeding results from skipping one or more pills, continue taking Rigevidon despite this bleeding. Use additional contraceptives, since as a result of the omission of pills, the contraceptive effect of Ripevidon could be reduced.
Sometimes bleeding when taking Rigevidon can talk about diseases. Read more about this in the article: On the bloody discharge when taking OK.
How to postpone the monthly using Rigewidon?
You can remove unwanted menstruation with the help of the tablets Rigevidon.
To postpone the monthly, finish the current packaging of Ripevidon to the end and then, without taking a break, start the new packaging the next day. The second package must be drunk to the end and only then take a break.
Due to skipping a 7-day break, you may experience a spotting in the middle of the second pack. It is not dangerous and does not require urgent treatment to the doctor. Despite these secretions, continue taking the pills as usual until the end of the pack.
If there are 28 tablets in your package, then in order to postpone unwanted menstruation, you should finish the active white tablets (up to and including 21 tablets) and then throw away the remaining red-brown (inactive) tablets. The day after taking the last active pill, start a new pack. The second package must be finished to the end (including inactive tablets).
What to do, if during the break of Rigavidon the monthly periods did not come?
When taking pills, Rigavidone may not come during the 7-day break. As a rule, it is not dangerous, but it requires increased attention from you.
If you do not have monthly, remember if you had any gaps in the previous month. If there were no passes, you can continue taking the pills after the break, even if the monthly ones do not come. But if the month is not in the next break (after a month), then you should do a pregnancy test and consult a gynecologist. For other possible reasons for the delay, see article 10 of the reasons for the delay in menstruation.
If last month you had omissions, or there were other possible reasons for reducing the contraceptive effect (diarrhea, vomiting, alcohol or drugs), then you should take a pregnancy test and consult a gynecologist. Until pregnancy is excluded, you should not start taking new packaging of Rigevidon.
What should I do if I have a pregnancy while taking Rigevidon?
The drug Ripevidon provides a high degree of protection against unwanted pregnancy, but this protection can not be considered one hundred percent. Within one year of taking Rigevidon tablets, one in 2,000 women becomes pregnant.
As a rule, pregnancy becomes a consequence of skipping pills or other factors that reduce the contraceptive effect (see the next paragraph). However, pregnancy can occur even in the case of an ideal pill.
If you have a pregnancy while taking Rigievidon, stop taking the pills immediately and consult a gynecologist. Since this drug does not cause developmental defects in the embryo, pregnancy can be left, despite the fact of taking birth control pills.
In what cases may the effect of rigevidon decrease?
The effectiveness of contraception can be reduced in the following cases:
- When skipping one or more pills
- As a result of digestive disorders (vomiting, diarrhea)
- When drinking large amounts of alcohol
- When taking certain drugs (some antibiotics, phenobarbital, drugs for epilepsy, drugs, the content of St. John's wort, etc.)
How to cancel reception Rigavidon?
If you do not need contraception, or if you are planning a pregnancy, you should stop taking Rigiewidon birth control pills.
In order to avoid the side effects of the cancellation and quickly restore your own menstrual cycle, listen to the following tips from gynecologists:
Never give up taking pills in the middle of a package. Even if you decide to get pregnant as soon as possible, finish the current packaging to the end and then refuse to take the pills.
Having finished the current packaging of tablets to the end, just do not start a new packaging.
Учтите, что уже после приема последней таблетки Ригевидон, противозачаточный эффект таблеток пропадает. То есть, вы можете забеременеть уже в первые 7 дней после отмены таблеток. Если вы пока не планируете беременность, начните использовать другие средства контрацепции сразу после окончания приема таблеток.
How to get pregnant after taking Rigevidon?
If you want to get pregnant, start taking folic acid at least 1 month (and even better 3 months) before planning pregnancy.
Please note that pregnancy may begin as early as the first month after withdrawal of the tablets Rigevidon. Nevertheless, gynecologists recommend to begin attempts to conceive no earlier than 3 months after the withdrawal of the tablets.
"Rigevidon" affects the central nervous system and female genitals, like all other drugs from the hormonal contraceptive series. Namely:
- levonorgestrel - inhibits the growth and maturation of the new follicle, as a result of which ovulation cannot occur,
- ethinyl estradiol - affects the cervical mucus, thickening it and thereby creating a mechanical obstacle to the promotion of sperm.
The main purpose of "Rigavidon" is contraception. But in parallel, it can have a therapeutic effect, so it is often prescribed after surgery, after abortion, to stabilize the hormonal levels. "Rigevidon" has the following properties:
- reduces the likelihood of recurring ectopic pregnancy
- reduces the frequency of formation of functional ovarian cysts,
- to prevent stagnation of venous blood in the small pelvis,
- The drug has iron in the composition of pill-tablets.
Based on the principles of the means are established indications for the use of "Rigevidon". Namely:
- after surgery for ectopic pregnancy,
- during surgical removal of ovarian cysts,
- after successful conservative treatment of functional ovarian cysts,
- with endometriosis as the main treatment,
- for contraception
- after abortion, miscarriage, childbirth,
- for the prevention of anemia with a propensity for heavy periods,
- may be used to stop bleeding, especially in adolescent girls.
Instructions for use "Rigevidon"
Contraceptive pills "Rigevidon" should be taken according to the standard instructions for oral contraceptives. Cases of overdose for medication are not written. Admission rules are as follows:
- from the first day of menstruation,
- at the same strictly fixed time
- within 21 days with a seven-day break (or 28 without a break in the “21 + 7” package).
Depending on the clinical situation, the regimen of "Rigevidon" may differ slightly.
- After similar drugs. If the girl decided to switch to the drug from other oral contraceptives, the reception of "Rigevidon" should be started immediately after the end of the old pills.
- After patches, rings. If previously, for the purpose of contraception, transdermal patches or a vaginal ring were used, “Rigevidon” should be started on the day of removal of the previous method of protection.
- After pregnancy. If an interruption (for example, after an abortion or miscarriage) occurs at an early date, the start of taking the drug should be on the same day or the next. If a woman decides to take "Rigevidon" after childbirth, this can be done already on the 28th day, taking into account the fact that lactation is not supported, as the drug actively penetrates into breast milk. After miscarriages for long periods (after 16 weeks), the first pill should be drunk on day 28, if necessary, earlier.
If violated the scheme
In the case when one tablet is missed, it is necessary to determine how much time has passed. Further actions are based on this:
- up to 36 hours - in this case, you must take the missed pill, and the next drink at the usual time,
- more than 36 hours - in this case it does not make sense to take the missed pill, you only need to drink the next one according to the schedule, but in the next week you should use additional methods of contraception, for example, a condom.
What could be the consequences
Side effects at "Rigavidon" are not bright, usually take place on the second or third package. The main ones include the following:
- excessive fatigue
- weight gain of 1-2 kg
- reduction of sexual desire for a partner
- liver enzymes may increase in analyzes
- sometimes there is dryness of the genitals, a tendency to thrush.
If a woman decides to take "Rigevidon" without interruption for several years, it is necessary to regularly monitor the indicators of general and biochemical blood tests to prevent serious complications.
Who is prohibited to receive
"Rigevidon" is not a completely safe drug. He has a list of contraindications. The main ones include the following:
- disruption of the liver and biliary tract,
- severe hypertension,
- with ever recorded migraine attacks,
- with jaundice, itching of pregnant women in a history of a woman,
- with epilepsy and mental illness,
- with thrombosis and thrombophlebitis in a woman and even her close relatives.
What will be monthly and when to wait for them
Not always after taking “Rigividon”, menstruation comes on time and there are no failures. The body needs time to get used to the intake of sex hormones from the outside in a constant amount. After all, they usually stand out in a pulsed mode and the readings are significantly different even during the day.
The next menstrual discharge normal should appear after the cancellation of active pills, while taking dummies. But this is not always the case, and this is allowed. Most often, various violations occur in the first two or three months of oral contraceptives. The following deviations are possible.
- The beginning of the month is still active tablets. In this case, you must continue to receive until the end of the package, or with the beginning of a heavy discharge, make a seven-day break with soothers.
- Delay after the whole package. Sometimes in the first two or three months while taking dummies, spotting may be absent, there is nothing pathological about this, but to check you should be examined by a doctor and pregnancy must be excluded (especially if there is nausea, engorgement of the mammary glands).
- Spotting throughout the cycle. While the body gets used to the new regime, brownish, slimy discharges may periodically appear.
- Instead of menstrual scanty allocation. Very often, when hormonal drugs are taken, menstruation becomes very scarce and sometimes only daubs are presented, this is normal.
- Bleeding on any day of the cycle. In this case, it is better to immediately consult a doctor for the purpose of treatment or discontinuation of the drug, in parallel, you can take any hemostatic drugs (Etamzilat, Ditsinon, Vikasol, Ascorutin, Tranexam).
Reviews of practitioners confirm that all unwanted symptoms pass on the second package, and sometimes they are completely absent.
There are full analogues of the drug on the hormonal composition and the dose of active substances, but all the options without the addition of iron in pacifiers, for example, "Mikoginon".
Of the common drugs with a similar composition, but with a different dose, the following can be distinguished:
"Rigevidon" refers to monophasic low-dose oral contraceptives. It is suitable for young girls without pronounced signs of premenstrual syndrome. Reviews of "Ripevidon" confirm its good tolerability and effectiveness when used according to indications and according to the hormonal status of the woman.
Feedback and results
I saw it 2 times (with a break). Good dear doctors told me that, although it is quite “old”, it is quite good. My feeling on it is quite decent (I tried others a lot - it didn't fit). But 2 months ago, my gynecologist prescribed Klayru for me. For comparison: rigevidon somewhere around 100 p. for a month, Klayra - 1000. And now, after 2 months of taking this Klayra, I realized that there is a better rigevidon — earlier my stomach swelled, now there is no puffiness at all, I notice that I dropped somewhere 2 kg, gathered on rigevidon (For me, this is not a problem, I'm skinny, you can and a couple of kg).
I have been taking Regivedon for 10 years, interrupted only for the period of pregnancy and lactation (four years ago), and I do a break for a couple of months once a year. Now again on it. Besides the fact that the chest aches and increases during the period of cancellation (a month and a half), there were no side effects. At the very beginning, when I consulted a gynecologist, the doctor advised me to “check” the liver and quit smoking once every six months or a year, since a large load on the heart together with OK. And that's it .. Once in three years I am being examined - no problems have been identified. But, as I read the comments about "Rigevidon", my hair stands on end, and everywhere - what am I accepting. )))))) It is possible that everything is individual, but, I think (as an experienced “user” of “Rigevidon”))), that most of them are fattening, health problems associated with a lifestyle that is unbecoming for a person, and so on. blamed on "Rigavidon" - it is easier for them to justify themselves, to justify their own laziness, hence all the "horrors" about side effects.
Lisa 01, http://www.woman.ru/health/medley7/thread/4383567/
I was prescribed when a cyst was found. Took 2 months, as weighed 44-45 kg at 166 growth, and weigh. As side effects: acne on the cheeks, first on one, then on the other, skin and hair are sore. I used to have acne one-two before menstruation, and my skin is thin and dry. During the 7-day break between courses of Rigevidon, the face is completely cleansed by itself. But my periods are much easier: I used to roll on the floor from wild pains, eat a pack of Pentalgin. Now 2 pills (one for the first day), monthly 3 days, not a week, and like a bucket, as before. I even live quietly in the first days of menstruation: I went to the university, ate, walked. but usually lay a vegetable, did not eat (toxicosis) ...
Severus Snape, http://www.woman.ru/health/medley7/thread/4383567/
I accept 6 years, before that I tried Novinet and Lindinet 20, there were no side effects: nausea and lack of libido. Regividon does not cause any personal problems for me, the price is very convenient. With the figure, nothing has changed. Although I try to maintain it anyway, without much effort. Although doctors say it is too strong for me, I decided to listen to the body.
Ovum fallopian tubes moving to the uterus. During intercourse, millions of sperm enter the vagina. Some of them travel through the uterus to the fallopian tubes. Having met an egg on its way, they fertilize it, and pregnancy begins. This is called conception.
A fertilized egg is attached to the uterus and after nine months of development a baby is born. Since the life of the egg is up to two days, and the sperm cells remain viable for five days, you can become pregnant five days before the onset of ovulation and a few days after. If the sperm does not fertilize the egg, it will come out at the end of the menstrual cycle along with the functional layer that lined the uterus in preparation for pregnancy. This is called menstruation.
What is the function of natural hormones?
Your menstrual cycle is controlled by two sex hormones produced by the ovaries: estrogen and progesterone (or progestogen). The level of estrogen increases in the first half of the menstrual cycle, stimulating the uterus to create a dense functional layer, ready to accept an egg in the case of conception. Progesterone begins to act later and changes the functional layer of the uterus so as to prepare it for pregnancy.
If the pregnancy has not come, the level of hormones produced is reduced, as a result of which the functional layer of the uterus is rejected. As mentioned above, the functional layer of the uterus comes out during menstruation. If pregnancy occurs, the ovaries and placenta (with which the baby attaches to the wall of the uterus and gets nutrition) continue to produce progesterone and estrogen to prevent the development of new eggs. This means that during pregnancy, neither ovulation nor menstruation occur.
What is the function of the drug?
Combination birth control pills, such as Rigevidon 21 + 7, contain hormones similar to those produced by your body (estrogen and progesterone). These hormones help prevent the onset of pregnancy in exactly the same way as natural hormones that prevent re-conception after pregnancy.
Combined birth control pills protect against pregnancy in three ways.
1. Preventing the release of the egg and its fertilization with sperm.
2. Thickening cervical mucus, as a result of which sperm is more difficult to penetrate it.
3. Without allowing the functional layer of the uterus to thicken enough to accept the egg.
WHAT IS A PREPARATION?
Remember that combined oral contraceptives such as Rigevidon 21 + 7 do not protect against sexually transmitted infections (eg, AIDS). This can only be achieved by using condoms.
It is not recommended to apply Rigevidon in the cases listed below. If any of the following apply to you, be sure to inform your doctor. The doctor may come to the conclusion that Ripevidon 21 + 7 does not suit you and will advise another method of contraception.
Tell your doctor if:
- you have had blood circulation problems or thrombosis (eg, blood clots in the legs, lungs, heart, brain, retina, or other part of the body)
- you had a heart attack or angina (acute chest pain) or strokes (sudden weakness or tingling in the half of the body),
- You or your family members are prone to blood clots,
- You have diabetes, which caused a change in blood vessels,
- have you ever had eye disease,
- you have high blood pressure (hypertension),
- have you ever had liver disease
- have you ever had a liver tumor
- you have breast cancer or another type of cancer, such as ovaries, cervix or uterus,
- you have unusual vaginal bleeding,
- have you ever had a migraine
- you are allergic to one of the ingredients of rigevidon,
- You are pregnant or assume you are pregnant.
If you notice any of the above conditions while taking Rigievidon, stop taking the pills and consult a doctor immediately. In the meantime, use another method of contraception, such as condoms.
Be careful when taking Riigewidon:
Before prescribing Rigevidon, a doctor should evaluate your state of health, you need to answer a series of questions about yourself and about your family members. Your doctor should measure your blood pressure and make sure that you are not pregnant. After starting reception of Rigevidon, you must regularly undergo a medical examination.
Tell your doctor right away.
- about the appearance of the following symptoms while taking Rigevidon 21 + 7. Stop taking the drug before consulting a doctor. In the meantime, use another method of contraception, such as condoms.
- About the first emerged migraine or, if you suffer from migraines, about their strengthening or increasing.
- About the upcoming surgery or immobilization (i.e., you will not be able to lead an active lifestyle). It is necessary to stop taking Rigevidon 21 + 7 no less than four weeks before the planned major surgery (eg, stomach surgery), or if you are to have surgery on the legs. Also, if you are restricted in movement for a long time (for example, you are prescribed bed rest after an accident or operation, or at a broken leg). The decision to resume reception of Rigividon 21 + 7 must be made by a doctor.
- About pregnancy.
- About the symptoms of blood clots. These symptoms include:
- unusual pain or swelling of the legs,
- sudden sharp chest pains that may spread to the left arm,
- unexpected lack of air or difficulty breathing,
- unexpected cough for no apparent reason
- unusual strong or prolonged headaches,
- unexpected changes in vision (loss of vision or deterioration of vision),
- unintelligible speech or other difficulties affecting your speech,
- overtigo (dizziness),
- dizziness, loss of consciousness or seizures,
- unexpected weakness or numbness of one of the body parts,
- difficulty in movement (dysmotility), or
- acute pain in the abdominal cavity (acute abdomen).
Notify the doctor before taking rigevidon.
- if you know that you have any of the following diseases. You need to report them to your doctor, because worsening may occur while taking the drug. If deterioration has occurred, or you have noticed these symptoms for the first time, inform your doctor as soon as possible. The doctor may cancel taking Rigevidon 21 + 7 and suggest another method of contraception.
- If you or your family members have elevated blood lipids, or hypertriglyceridemia, as this disorder may increase the risk of pancreatic disease, the so-called pancreatitis.
- If you suffer from
- yellowing of the skin (jaundice),
- scratching the whole body (itching),
- a hereditary disease called porphyria,
- Systemic lupus erythematosus (an inflammatory disease affecting numerous areas of the body, including the skin, joints and internal organs),
- blood diseases called hemolytic-uremic syndrome (a disease in which the resulting blood clots lead to renal failure),
- нарушений движения под названием хорея Сиденгама,
- сыпи, известной как герпес беременных,
- наследственной формы глухоты под названием отосклероз,
- нарушений функций печени,
- Crohn's disease, or ulcerative colitis (chronic inflammatory bowel disease),
- yellow pigment spots on the face and body (chloasma), which disappear if you avoid direct sunlight or a visit to the solarium.
Pregnancy and lactation
If pregnancy is suspected, stop taking Rigevidon 21 + 7 and immediately consult a doctor. At this time, use other methods of contraception, such as a condom.
Talk to your doctor or pharmacist before taking Rigevidon 21 + 7. Rygevedon 21 + 7 should not be used during lactation.
Dosage and administration
Take the first pill on the first day of menstruation.
If you start taking for 2-5 days of menstruation, then you need to use an additional method of contraception, for example, a condom during the first seven days of taking the pills, but this applies only to the first package.
You can take pills at any time, but it is advisable to do it at about the same time every day. It may be easier for you to take pills at bedtime or in the morning after bedtime. Take the white pills from the package every day in the indicated order for 21 days. After that, take 7 reddish-brown tablets, while taking which, menstrual-like bleeding occurs. After that, without interruption, you should proceed to receive the following package containing 21 tablets of white color, then 7 tablets of reddish - brown color.
Thus, each cycle of administration begins on the same day of the week.
The composition of tablets of different colors is not the same. Therefore, the beginning and the correct sequence of administration — first, 21 white tablets, then 7 reddish-brown tablets — are indicated on the package by numbers and arrows.
There is no need to use other forms of contraception while taking iron pills, provided that you have correctly taken 21 white pills and will start the next pack in time.
Transition to Rigavidon 21 + 7 after another combined hormonal contraceptive (combined contraceptive pill, vaginal ring, transdermal patch)
It is necessary to start taking Rigevidon 21 + 7 on the day after the last hormone therapy, but no later than on the day following the usual interruption in the use of hormones of the previously taken combined hormonal contraceptive.
Transition to Rigavidonone 21 + 7 after administration of tablets containing progesterone only
You can stop taking progesterone-only pills at any time and start taking Rigevidon 21 + 7 the next day in the same way. In this case, be sure to use additional contraceptives (for example, condoms) during the first 7 days of taking the pills.
Transition to Rigavidone 21 + 7 after injection contraceptives or implants
If you have been injected or hormone progesterone implanted, you can start taking Rigevidon 21 + 7 on the day of the next injection, or on the day the implant was removed. However, be sure to use additional contraceptives (such as condoms) during the first 7 days of taking pills.
Taking the drug after childbirth, miscarriage, or abortion
After childbirth, abortion or miscarriage, consult with your doctor about the possibility of taking birth control pills.
You can start taking Rigavidon 21 + 7 immediately after a miscarriage or abortion, if it happened during the first three months of pregnancy. There is no need to use additional methods of contraception. If childbirth or abortion occurred in the second trimester of pregnancy, you can start taking Rigevidon 21 + 7 21-28 days after giving birth or abortion. If you are breastfeeding, taking birth control pills is contraindicated, as this can reduce milk production. Alternative methods of contraception (such as condoms) should always be used during the first 7 days of taking pills. In the case of unprotected intercourse, you should not start taking Rigevidon 21 + 7 before the onset of menstruation, or until you are sure that you have not become pregnant. If you have any questions regarding admission
Rigevidon 21 + 7 after the birth of a child or abortion, consult with your doctor or pharmacist.
What to do if you miss taking birth control pills?
If you miss taking the pills, follow the instructions below.
If you missed birth control pills for less than 12 hours.
Reliability of contraception will not decrease if you immediately take the missed pill, and you will take the following pills as usual. It may turn out that you need to take two tablets in one day.
If you missed the pill for more than 12 hours, or missed the drug more than once.
If you missed a pill for more than 12 hours, or missed a few pills, then contraceptive effectiveness may decrease, so you may need additional protection. The more pills you missed, the more contraceptive effectiveness decreases. In this case, follow the instructions below:
What should I do if you miss taking the pill during the first week?
You must take the last missed pill as soon as you remember it, even if you have to take 2 pills at the same time. Then continue to take the pills in the usual way. You should also use a barrier method of contraception, such as a condom, for the next 7 days. If sexual intercourse occurred during the previous 7 days, then pregnancy may occur. The more you miss the pills, and the closer the break in taking the pills, the higher the risk of pregnancy.
What should I do if you miss taking pills during the second week?
You must take the last missed pill as soon as you remember it, even if you have to take 2 pills at the same time. Then continue to take the pills in the usual way. If you have taken the pills correctly in the previous 7 days, there is no need to use additional contraceptives. However, if this is not the case, or you missed more than 1 tablet, you should use an additional method of contraception over the next 7 days.
What should you do if you miss taking the pill during the third week?
You must take the last missed pill as soon as you remember it, even if you have to take 2 pills at the same time. Then continue to take the pills in the usual way. You need to start the next package immediately after taking the last tablet from this package, i.e. no break between packs. The probability of bleeding is unlikely until the second package ends, but there may be spotting or minor bleeding on the days of taking the pills.
Alternatively, you can stop taking the pills from this package. In this case, you should take a 7-day break in taking the pills, including those days when you missed taking the pills, and then proceed to the next pack. If you miss a pill, and you don’t have bleeding during a break in the pill, there is a possibility of pregnancy.
What to do with an upset stomach?
If you are sick or have diarrhea, contraceptives may not be effective. Continue taking them, but remember that with the onset of vomiting or diarrhea, the effectiveness of your contraception has decreased. For upset stomach and for the next seven days, use other contraceptives, such as condoms.
What to do if you want to delay or change the day of the beginning of menstruation?
If you want to delay or change the day of the onset of menstruation, consult your doctor.