Diario Diane

28 tablets (21 + 7) 21 tablets + 7 placebos free for tablets daily
Active ingredient:
     Cyproterone acetate (2 mg per piece)
     Ethinyl estradiol (0.035 mg per piece)
Other ingredients:
     calcium carbonate
     Iron (III) oxide hydroxide x Water
     Glycerol 85%
     Lactose 1-water
     Macrogol 6000

indication

    The drug belongs to the group of medicines that contain a combination of a progestational and estrogenic hormone, namely cyproterone acetate and ethinyl estradiol. A hormone is a substance that has a very specific effect on one or more organs in the body. The progestational hormone cyproterone acetate also has an anti-androgenic effect: It inhibits the influence of male hormones (androgens).
    Androgens are formed by both men and women, but in women in much smaller quantities. Acne, oily skin and excessive hair growth are the stimulating effect of androgens on the sebaceous glands (glands, sebum, an oily substance that secrete) and causes hair growth.
    The cyproterone acetate in the preparation inhibits the stimulatory effect of androgens.
    The use of this product therefore results in a reduction of the increased production of sebum. This reduces the greasiness of the skin, causes less pimples (blocked and / or inflamed oil glands). In addition to the onset of hair loss on the head (hair loss), which is the result of a hypersensitivity to male hormones, are reduced by the use of the product. Cyproterone acetate also acts against hirsutism (= excessive hair growth according to the male pattern: inflexible facial hair, on her stomach, arms and legs). In most cases here, the treatment effect will be visible only after a few months.
    The medicinal oily skin (seborrhea) or mild forms unnaturally increased body hair (hirsutism light) is used to treat acne (pimples), used in women of childbearing age, if a doctor thinks that a treatment with hormones is required.
    Anti-Baby to a regular menstrual pattern and acting contraceptive, just like a - a result of the combination of cyproterone acetate with estrogen or the "female" hormone ethinylestradiol leads the preparation - if you know exactly the tablets, take as described in this information? pill '. Contraceptive pills that contain an estrogen and a progestin are called combination preparations.
    Contraceptive pills are very reliable. If they are taken correctly (without a dose is forgotten), the probability of becoming pregnant is very low.
    The product is intended primarily for girls and women with acne, seborrhea, hirsutism, and not primarily for use as a "pill" (oral contraceptive).

contraindication

    The drug should not be taken
        If you are pregnant or breastfeeding.
        If you are allergic (hypersensitive) to the active substances or any of the excipients of the preparation. An allergy can be recognized by itching, rash or swollen face.
        If you have liver problems or jaundice or had.
        If you have blood clots (thrombi) in your veins or had (venous thrombosis or pulmonary embolism).
        If you have symptoms or had to be (caused by a blood clot) by a clogged artery caused, such as Stroke (brain) or heart attack.
        If you had a migraine with visual disturbances (for example, partial or Sehausfall see black dots), a language disorder or weakness or loss of sensation in a part of your body.
        If you have symptoms or have had, which may be a sign of a heart attack (for example, angina, severe chest pain) or stroke (for example, transient ischemic attack [TIA], a mild stroke with no lasting damage).
        If you develop risk factors for arterial thrombosis are present.
        If you have an inflammation of the pancreas (pancreatitis) or had in the past.
        If you have a (benign or malignant) tumor in the liver or have had in the past.
        If present you develop severe or multiple risk factors for venous or arterial thrombosis, this may also constitute a contraindication.
        If you develop hormone-dependent malignant cancers of the reproductive organs, the breast or liver are present or is suspected.
        If not clarified vaginal bleeding.
    The preparation must not be used to treat men.

dosage

    Take the medicine exactly as your doctor has told you. You should check with your doctor or pharmacist if you are unsure.
    The drug acts contraceptive. If you are taking this medicine, you should therefore not also taking a hormonal contraceptive.
    Unless otherwise prescribed by your doctor, the usual dose
        Take the tablets at the same time every day, preferably in the evening, with some liquid.
        Each blister strip contains 21 tablets. Start with a tablet on the right day of the week. If you, for example, start on a Wednesday, start with a tablet, which is marked with? Mi ". After taking the first tablet you take each day one tablet according to the direction of the arrow. Once you have taken all 21 tablets of the pack, followed by 7 days at where you no tablets or a placebo daily no. 22-28 of the pack, taking. During these 7 tablet-free or placebo daily should start your period. this so-called "withdrawal bleeding" usually starts on the 2nd or 3rd day of tablet-free interval.
        Start your following strip on the 8th day after your last tablet, even if you have bleeding. Taking the tablets of a new blister strip begins on the same day as the previous blister and also your circulation every month will occur almost on the same days.
        If you are taking the drug as prescribed, there is a contraceptive protection during the 7-day break.
    The beginning of your first blister
        You take in (the) last month (s) no contraceptive? Pill "
            Take the first tablet on the 1st day of your cycle (this is the first day of your period). If you start on the first day of your period with taking the drug, the contraceptive protection begins immediately. If you prefer to start on day 2 to day 5 of your period, you should extra during the first 7 days contraceptive measures apply (such as a condom).
        Changing from another combined Pill
            You can start taking the preparation the day after the last tablet of the previous "pill" (ie without interruption between packs).
            If your previous "pill" also drug-free tablets contained, you should take the product directly after the active tablets of your previous "pill". (If you are not sure which tablets are the active ingredient-containing, ask your doctor or pharmacist).
            If you take your previous "pill" correctly, you can also start later, but never later than the day following the usual tablet-free interval of your previous "pill" (or after the last day of the active ingredient-free tablets of your previous "pill").
        Change from a vaginal ring or a contraceptive patch
            If you use a vaginal ring or a contraceptive patch, you should best start to the day with the intake of the preparation, where the ring or the patch was removed, but in any case no later than the day on which a used new ring or a new patch should be applied.
        Change from the minipill
            You can change from one day to the next to the preparation, but must then during the first 7 days additional contraceptive measures apply (such as a condom).
        Exchange of injectable contraceptives, implants or intrauterine hormone delivery
            Start with the intake of the preparation on the day when the next injection would be provided, or on the day on which the implant or the IUD should be changed with hormone release. During the first 7 days, you should but additional contraceptive measures apply (such as a condom).
        After birth
            If you are not breastfeeding, it is recommended that 21 to 28 days after birth to start taking. If you start later than 28 days after birth with the intake, you should also use a barrier method of contraception during the first 7 days. If you already had sexual intercourse must exclude pregnancy before you start taking the preparation, or the first menstrual period to wait.
        After a miscarriage or an abortion
            Follow your doctor's instructions.

    Duration of treatment
        Your doctor will tell you how long you should take the drug. The duration of treatment with the drug depends on the severity of symptoms (oily skin, acne or excessive hair growth). The treatment usually takes several months.
        It is recommended to stop the treatment with the drug 3 to 4 cycles (months) after the oily skin, acne or excessive hair growth have subsided, and take the drug not only contraception on. For reoccurring problems, weeks or months after treatment has ended, you can start with the preparation again.
        Please talk to your doctor so that your treatment is covered if:
            Your severe acne or seborrhea is not improved after at least 6 months of treatment
            Your hirsutism does not improve after a minimum of 12 months of treatment
        Please talk to your doctor or pharmacist if you have the impression that the effect of the drug is too strong or too weak.

    If you take more than you should
        If you take more of the drug than you should, this can lead to nausea, vomiting and vaginal bleeding. There are no observations of serious side effects after taking large quantities of the drug. If a child takes a large number of tablets, contact your doctor or pharmacist.
        If you take too many tablets, contact your doctor or pharmacist.

    If you forget to take
        1) If a tablet has not taken more than 12 hours late, the contraceptive protection should not be affected if you are taking the forgotten tablet immediately and continue taking the remaining tablets at the usual time.
        2) If a tablet was taken more than 12 hours late, the contraceptive effect can be mitigated. Forgetting several consecutive tablets can further reduce the contraceptive effect. The risk of inadequate conception protection is greatest when taking the tablets was forgotten at the beginning or at the end of the blister strip.
        Follow the instructions below:
            If you miss more than one tablet in the current blister pack
                Ask your doctor for advice.
            If you forget to take in the 1st week
                Take the last missed tablet immediately, even if this means taking 2 tablets at the same time. Assume the next tablet at the usual time, but you are using for the next 7 days, an additional method of contraception. If you had sexual intercourse in the week before the missed tablets, the possibility of pregnancy should be considered. Contact your doctor immediately.
            If you forget to take in the 2nd week
                Take the last missed tablet immediately, even if this means taking 2 tablets at the same time. Assume the next tablet at the usual time. The contraceptive protection is not impaired; You must apply no additional contraceptive measures.
            If you forget to take in the 3rd week
                You have two options:
                    1) Take the forgotten tablet immediately, even if this means taking 2 tablets at the same time. Assume the next tablet at the usual time. Start with the following strip the next day without a break. You probably will not get a period before you have finished taking the second blister. While taking the second blister strip but can spotting or bleeding.
                    2) Do not take any more tablets from the fractured blister and start taking pills for a 7-day tablet-free interval (note that the "forgotten" have to include day!). If you start on your usual day want, you can start even after a less than 7-day tablet-free interval.
                If you follow one of these two proposals, the contraceptive protection will remain with you.
        If you forgot tablets and occurs during the first normal tablet-free interval no bleeding, the possibility of pregnancy should be considered. Contact your doctor before you start a new blister strip.

    What should you do if you become sick or get severe diarrhea?
        If you within 3 - vomit 4 hours after tablet intake or have severe diarrhea, the active ingredients may not be fully absorbed by the body. The effect is comparable to the forgotten in a tablet. Take as soon as possible after vomiting or diarrhea an extra tablet from a new blister strip, preferably within 12 hours after your normal administration time. If this is not possible or when 12 hours have passed already, follow the instructions under the section "If you forget to take".

    What should you do if you want to move your period?
        You can move your period (withdrawal bleed) if you proceed with the taking of a new blister of the preparation without a tablet-free interval. You can take all the tablets of the second blister strip or earlier stop taking. While taking the second blister spotting can (drop of blood or blood stains) or bleeding. After the usual tablet-free interval of 7 days, you start taking a new blister strip.

    What should you do if you want the first day of your period?
        If you take the tablets according to the instructions, your period / withdrawal bleeding should always begin virtually on the same day of the week. If you want to change this day, you can use the normal tablet-free interval between two blister strips shorten (never lengthen). If your period as usually starts on Friday and you want to change this on Tuesday (3 days earlier), you should start taking from the new blister strip three days earlier than usual. If the tablet-free interval greatly shortened (for example, 3 days or less), it may be that you have no withdrawal bleeding during this tablet-free interval. It can spotting (drops of blood or blood stains) or bleeding.

    What should you do if you have unexpected bleeding?
        As with all "pills", during the first months of sometimes unexpected bleeding (spotting or bleeding). It is possible that you need sanitary napkins.
        Take the tablets on. Irregular blood loss usually stops once your body becomes used to the preparation (after 3 blister strips). Should this take longer, deteriorate or start again, you should contact your doctor.

    What should you do if your period is late?
        If you have taken all the tablets correctly, were not sick and have not taken any other medicines, it is very unlikely that you are pregnant. You can then continue with the next blister.
        But if the period twice fail, it may be that you are pregnant. Contact your doctor immediately. Begin any new blister of the medicine until your doctor has determined that you are not pregnant.

    If you stop taking?
        If you stop taking the preparation, the problems on whose behalf you started taking this medicine can come back.
        You can stop taking the drug at any time. A few days after you have finished the tablets, you will probably get a withdrawal bleeding as the tablet-free interval. This depends on the number of tablets that have taken you before you have finished taking.
        If you do not wish to become pregnant, ask your doctor about other reliable contraceptive measures.
        If you stop taking your tablets because you want to have a baby, wait at best, until you have a normal period before trying to become pregnant (this is not to be equated with a withdrawal bleeding as you get after taking the last tablet ). You can then calculate easier when the birth takes place.

    If you have any further questions on the use of this product, ask your doctor or pharmacist.

patient instructions

    Take special care with taking the drug is necessary
        If you smoke.
        (Diabetes) If you are diabetic.
        If you are overweight.
        If you have high blood pressure.
        If you have a heart valve defects or certain cardiac arrhythmias.
        If you have a phlebitis (phlebitis).
        If you have varicose veins.
        If anyone ever had in your family a thrombosis, a heart attack or a stroke.
        If you suffer from migraines. If you experience after taking this medicine, the migraine attacks occur more frequently than previously or if the attacks are severe, this may be a sign of stroke. More frequent or severe migraine attacks can therefore be a reason for immediate discontinuation of the drug.
        If you suffer from seizures (epilepsy).
        If you or your immediate family have elevated blood lipids (cholesterol or triglycerides).
        If someone in your family has had breast cancer.
        If present in your liver dysfunction or gallbladder.
        If you suffer from Crohn's disease or ulcerative colitis (inflammatory bowel disease).
        If you develop a systemic lupus erythematosus is present (disease that affects the skin).
        If you suffer from haemolytic uraemic syndrome (disease of the blood, which can lead to kidney failure).
        If you have an inherited form of deafness is present (otosclerosis).
        If you have a chloasma or have ever had (yellowish-brown pigment spots, especially on the face, also known as pregnancy patches). In this case, you should avoid direct sunlight or ultraviolet light (for example in the solarium).
        If you suffer from a hereditary angioedema (seizures with transient swelling or itching of the skin and / or mucous membranes, often as allergic reaction). Occupied estrogens (female sex hormones) can cause or exacerbate symptoms of angioedema. You must contact your doctor immediately if you experience symptoms of angioedema occur such as Swelling of the face, tongue and / or throat and / or if you get swallowing or hives together with difficulty breathing.
    Under certain circumstances it may be necessary additional control during use of the combined pill. If one of the risk factors described above to your home, tell your doctor before you start taking this medicine. He will explain the degree of risk.
    If any of these conditions deteriorate or during administration of the product to you first occurs, please contact your doctor.
    The preparation and thrombosis
        Venous thrombosis
            Thrombosis a blood clot is present, which can block a blood vessel. The clot may form in the veins (venous thrombosis). A pulmonary embolism is also a form of venous thrombosis, in which separates a blood clot and reaches and blocks the artery of the lung.
            The preparation contains two hormones: the progestin hormone cyproterone acetate and the estrogen hormone ethinyl estradiol and must be taken for 21 consecutive days of a cycle ( "month") 28 days The drug works then like a combined "anti-baby. pill '(combined pill).
            The risk of developing venous thrombosis is higher in women taking a combined pill or the preparation, than in non-users.
            The increased risk of the occurrence of venous thrombosis but is lower than the risk during pregnancy: an estimated 60-thrombosis cases per 100,000 pregnancies.
            The increased risk of thrombosis is the first year of taking a combined pill or drug at its highest.
            In women taking a combined pill with low estrogen content (<50 micrograms ethinyl estradiol), occur up to 40 cases per 100,000 woman-thrombosis years. In women who do not take the "pill", it comes per 100,000 woman-years for 5 - 10 thrombosis cases.
            There is some evidence that the risk for the occurrence of venous thrombosis in women who take the drug, is greater than in women, the other combined pills with low estrogen content (<50 micrograms ethinyl estradiol) are taking.
            These thrombotic disease cure is not always completely: a venous thrombosis or pulmonary embolism runs within 1 - 2% of the cases fatal.
            For women who take the drug, it is likely that among them women are having an innate increased cardiovascular risk, such as in conjunction with polycystic ovary syndrome. In the polycystic ovary syndrome is a disorder of the egg maturation, which is also often comes to a hair growth.
            Certain factors may increase the risk of venous thrombosis:
                Older
                A positive family history of venous thrombosis or pulmonary embolism in a young age.
                If you have an operation has been performed or you can not move as usual (for example bandage for treatment of varicose veins of the legs), the risk of developing a deep venous thrombosis may be temporarily increased. The intake of the preparation increases the risk further. Ask for advice on how you have to behave your doctor. He may advise you to stop taking the drug for several weeks before surgery or the time of bed rest. He will also tell you when you can start taking the preparation again. This is generally two weeks after complete mobilization of the case.
                overweight
                Superficial phlebitis (phlebitis) and varicose veins (varicose veins), although it is not quite clear whether these diseases actually increase the risk of thrombosis or not.
        Arterial thrombosis
            Rare Also blood clots in an artery (arterial thrombosis), for example, in the blood vessels of the heart (this leads to a heart attack) or the brain (this leads to a stroke) form.
            Certain factors may increase the risk of arterial thrombosis. If yours is present one of the following factors, you should not take the drug:
                Diabetes mellitus (diabetes) with vascular changes
                high and uncontrolled blood pressure
                high blood lipids (cholesterol or triglycerides)
                If you are at risk is increasing of blood clots, such as with APC resistance, antithrombin III deficiency, protein C deficiency, protein S deficiency, hyperhomocysteinemia and antiphospholipid antibodies.
            Other factors that may increase the risk of arterial thrombosis are:
                Older
                Smoke. If you are taking the drug or other combined pill, stop smoking, especially if you are older than 35 years.
                overweight
                If a member of your immediate family circle had a heart attack or stroke at a young age.
                If you have a heart valve defects or certain cardiac arrhythmias.
                migraine

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