Alesse dosage regimen is selected individually, depending on drug’s type. More information can be obtained from your gynecologist. It is an effective contraceptive means. The main aim of which is to prevent unwanted pregnancy by suppressing ovulation. It becomes practically impossible for a fertilized egg to attach to the uterus.
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Dosage and Application
- Tablets should be taken orally, not chewing, washing down with small amounts of water. It is recommended to take this contraceptive at one and the same time, in the morning or evening.
- Usually, the drug should be taken from the 1st – 5th day of menstrual cycle (the 1st day of the cycle = 1st day of menstruation), and then daily for 21 days, according to package instructions. After a 7-day break, during which there is menstrual bleeding, a 21-day course of intake should be restarted (calendar package is containing Alesse 21 pills).
- If a package is comprised of 28 pills after the last pellet 28-day course should be started without interruption (4 weeks after receiving the first pill on the same day of the week).
- In menstruation absence before further intake, you should consult a physician.
- an admission for this scheme cannot be discontinued as long as it is desirable to prevent pregnancy.
- A certain time is required for contraceptive effect; a reliable contraceptive effect occurs only in the second cycle of a drug intake.
- After an abortion, the drug is recommended to be taken immediately or on the second day after surgery.
- After labor, a drug should be taken no earlier than the first menstruation day. However, in the first 2 weeks of menstrual cycle birth control can be unreliable, so it is also recommended to use a different (non-hormonal) contraception method. Continuing breastfeeding and contraceptive application are possible from the 6th month. Remembered estrogen and progestin are excreted in breast milk.
- If the patient has taken other oral contraceptive, then the drug should be started at 1 day of menstruation after previous drug discontinuation. If a patient took previously birth control pills daily for 28 days, it is better to start reception on the 1 day of menstruation. When using injectables contraceptives containing the only progestogen, Alesse should be taken on the day when the next injection should be done.
- In the case when there is a missed dose, you should as soon as possible take a missed pill (not later than 12 hours), otherwise, the contraceptive effect may be reduced. If it has been more than 36 hours – this is considered omission, the reliability of birth control in this cycle cannot be guaranteed.
- In these cases, in order to achieve a reliable contraceptive effect, use additional non-hormonal birth control methods. However, to avoid intermenstrual bleeding, the drug should be continued taking from already started packing. Missing one pill on the first or second week of the cycle implies the double dose intake the next day and then continue the regular intake.
- When skipping two pills in a row in the first or second week of the cycle, you must take 2 tablets within the next 2 days, then continue regular reception, use additional contraception until the end of the cycle. It is important to remember that risk of ovulation and/or bleeding is increased while missing a pill.
- When using three-phase medications, the uterus lining retains its transformability, so they can be given to young nulliparous women and middle-aged women.
- After the drug discontinuation, a gonadal function is quickly restored. Usually, the first menstrual cycle after stopping treatment is extended by one week. If within 2-3 months normal cycle is not restored, you should consult a physician.
The dosage used for therapeutic purposes is selected individually.
Overdose
There were observed cases of the overdose but their amount is too small.
Symptoms may include:
- nausea;
- vomiting;
- vaginal bleeding.
Cases of toxic effects because of the overdose are unknown.
Possible ways of treatment:
- gastric lavage;
- symptomatic therapy if necessary.
- There is no specific antidote.