Dimia tabs 3mg + 0.02mg #84

Instruction for Dimia tablets

Reed more and buy Dimia on this page

Composition

Dimia is a drug that consists of two kinds of tablets. As part of one pill, coated with a white coating contains ethinyl estradiol (0.02 mg.), As well as drospirenone (3 mg.).
In addition, as auxiliary compounds in the formulation, there are such substances as: corn starch (16.6 mg), including pregelatinized (9.6 mg), magnesium stearate (0.8 mg) and alcohol copolymer polyvinyl (1.45 mg).
The drug shell contains a complex of compounds Opadry II 85G18490, which in turn includes substances such as talc, polyvinyl alcohol, titanium dioxide, as well as soy lecithin and macrogol.
The second tablet (the so-called placebo), coated with a green coat contains 37.26 mg. lactose, 42.39 mg. MCC, 0.9 mg. magnesium stearate, 0.45 mg. colloidal silicon dioxide, as well as 9 mg. pregelatinized cornstarch.
The film shell of the placebo tablet contains a complex of compounds called Opadry II 85F21389, the chemical composition of which includes macrogol, polyvinyl alcohol, talc, yellow dye quinoline, indigocarmine, and the dye "Sunset Sunset."

Form of issue

Dimia tablets containing active substances drospirenone and ethinyl estradion have a round biconvex form. On one side of the tablet drug, the "G73" marking is marked with the embossing method.
The same rounded and biconcave formbo tablets differ in green color of the membrane. In one package of the drug contains 28 tablets, which can be packaged in 1 or 3 blisters.
pharmachologic effect
Dimia is a combination drug that is a monophasic contraceptive.

Pharmacodynamics and pharmacokinetics

This drug contains ethinyl estradiol, as well as drospirenone (a substance close to progesterone of natural origin). The active substances that make up this contraceptive do not possess antiglucocorticoid, estrogenic, glucocorticoid abilities, as well as pronounced moderate antimineralocorticoid and antiandrogenic effects.
The effectiveness of the contraceptive Dimia is achieved due to several factors, for example, due to inhibition of ovulation, changes in the endometrium and increased viscosity of the secret located in the cervix.
When taken orally, drospirenone is absorbed almost completely and fairly quickly in the stomach. The maximum concentration of the substance in the blood (Cmax) is reached after a maximum of two hours after taking the contraceptive. After the stage of distribution and metabolism, drospirenone is excreted from the body by the kidneys, a small part of the drug comes out with the help of the intestine.
The active ingredient ethinylestradiol, which is part of the contraceptive, as well as drospirenone is rapidly absorbed and reaches its maximum concentration in the blood in two hours. The compound is excreted from the body by the intestine and kidneys.

Indications for use

Dimia is used as a contraceptive.

Contraindications

This contraceptive is contraindicated in such conditions as:
    hypersensitivity to any of the active ingredients of the drug;
    venous or arterial thrombosis;
    thrombophlebitis;
    thromboembolism;
    heart attack;
    cerebrovascular disorders;
    angina pectoris;
    certain diseases of the cardiovascular system, for example, damage to the heart valve or atrial fibrillation;
    stroke;
    cerebrovascular disease;
    hypertension;
    Smoking provided that a woman reached the age of 35 years or more;
    pregnancy, including suspicion of it;
    pancreatitis;
    lactation period;
    kidney failure;
    tumors, including benign;
    migraine;
    causeless vaginal bleeding;
    deficiency of lactase;
    Lappe's failure.
Caution should be used contraceptives Dimia for obesity, angioedema, otorosclerosis, porphyria, small chorea, thromboembolism, cholelithiasis, as well as for diseases that are accompanied by circulatory disorders, for example, diabetes mellitus, lupus, Crohn's disease, phlebitis, colitis and others.

Side effects of Dimia

Side effects of Dimia can be expressed in the following indispositions from the urogenital, nervous, digestive and cardiovascular system:
    vaginal bleeding smearing or breakthrough acyclic character;
    candidiasis;
    engorgement of mammary glands;
    rarely, but hypertrophy of the mammary glands may develop, and the composition of the vaginal secretion will change;
     increased or decreased libido;
    headache;
    migraine;
    mood changes;
    extremely rare, but there may be arterial, as well as venous thrombosis;
    nausea;
    hyperkalimia;
    insomnia;
    diarrhea;
    vomiting.
In addition, during the administration of the drug may occur allergic reactions and expressed in pruritus, rashes on the skin, hives and erythema. It is worth remembering that when using a contraceptive, including the drug, Dimia may increase body weight, and also appear intolerance to contact lenses, develops chloasma (hyperpigmentation).

Dimia tablets, instructions for use (Method and dosage)

On how to properly take the drug can be read in the instructions on Dimia. These contraceptives should not be skipped every day. Doctors recommend doing this at the same time in the order, which, as a rule, is indicated on the blister. Contraceptives Dimia, as well as other similar drugs should be used continuously for 28 days.
New packaging of the contraceptive tablets Dimia should be opened only after the end of the previous one. Approximately from the third day from the beginning of reception of the last row of tablets in the blister (the placebo period), unpronounced bleeding may begin. If the packaging of the contraceptive does not end by the end of the month, then the pill starts to take on the first day of menstruation.
At sexual contacts during the first seven days of using the drug, it is necessary to use additional methods of contraception (barrier). When switching to the use of Dimia after other complex contraceptives, for example, transdermal patch, tablets, vaginal rings and so on, you should start taking this medication immediately the day after using the previous method of contraception.
When switching to Dimia after using a contraceptive that contains exclusively progesterone (injections, implants, mini-pili) or after intrauterine contraceptives (spiral), you can take this medication on any convenient day. However, before using tablets, barrier methods of contraception should be used.
By appointment, a woman can start taking these tablets on the day after the abortion (abortion, vacuum). After giving birth, it is recommended to wait 28 days and then resume taking the drug. It is important to note that the missed taking of the placebo tablets (from the 4th row of the blister) is an insignificant factor.
However, this rule does not apply to tablets containing active ingredients, ethinylestradiol and drospirenone. If the tablet has not passed 12 hours since the last pill, the level of contraceptive protection is not reduced. The missed tablet should be taken as soon as possible, and the next one - at the usual time.
Do not take a break in taking pills for more than 7 days, since this is the amount of time needed to suppress the hypothalamic-pituitary ovary system. For correct use of the contraceptive it is necessary to adhere to the following recommendations:
    if a pill is missed during the first week of the drug use, the woman should start using the contraceptive as soon as possible, and in order to avoid the risk of becoming pregnant, it is necessary to resort to additional methods of barrier contraception for the next seven days;
    if you miss a dose from the 8th to the 14th day of its use, you should also resume using Dimia as soon as possible and then return to the regular schedule, with no need for additional contraception if the woman has not forgotten to take birth control pills in the previous seven days;
    the effectiveness and reliability of this method of contraception is significantly reduced in the event that the admission pass was for a period of 15 to 24 days of use, because at this time the woman needs to switch to placebo tablets.
In order to avoid an unwanted pregnancy in the event of the last of the described situations of missing the drug, a woman should take a tablet as soon as possible in return for the missed dose. Further, it is necessary to adhere to your usual schedule of taking the drug, until the active pills run out. As a result of mixing the schedule for taking a contraceptive, calculated for 28 days, there will be placebo pills in the blister, which you do not need to take.
Most likely, with this variant of normal bleeding "cancellation" will not be until the end of the next packaging of the contraceptive, however, I can appear smearing discharge. If a drug is missed between the 15th and 24th day of the beginning of its use, a woman may not return to the regular schedule of contraceptive use and take 4 days (including missed days) of placebo tablets and then proceed with the new package.
If this option does not cause bleeding "withdrawal", then you should consider the possibility of pregnancy. If there is a gastrointestinal disorder, the effectiveness of the drug is reduced, since the active compounds will not be absorbed to the end by the stomach. In the event that, after 4 hours after taking the pill, the woman vomited, it is immediately necessary to take the second, i.e. a replacement tablet.
If there is no monthly intake of Dimia, then this can signal the onset of pregnancy. It is worth noting that the spotting of "cancellation" a woman can adjust, for example, delay yourself by changing the schedule for taking the drug.
To do this, you can skip the placebo tablets and immediately proceed to take the tablets containing the active compound from the new package. It is noteworthy that with the delay or shift of bleeding "cancellation" acyclic smearing or copious spotting may appear.

Overdose

At the moment there is no information about cases of overdose by Dimia. However, based on experience with the use of complex contraceptives, such as overdose, such symptoms as nausea, vaginal bleeding, and vomiting may occur. If these symptoms occur, discontinue use and consult a doctor for advice.

Interaction

To avoid weakening the effectiveness of contraceptives, do not use Dimia in conjunction with drugs that affect liver enzymes, for example, Topiramate, Griseofulvin, Primidon, Phenytoin, Oxcarbazepine, Rifampicin, felbamate, barbiturates and others, as well as medicines containing in their chemical composition St. John's wort .
The hepatic metabolism of the drug may be adversely affected by HIV protease inhibitors and non-nucleoside as well as their combinations. Decrease in the circulation of estrogens, and consequently, the effectiveness of Dimia occurs with the simultaneous administration of tetracyclines and Ampicillin.
For 28 and 7 days (respectively) after taking medications that affect the induction of liver enzymes, as well as antibiotics, it is worth noting the use of this drug. Contraceptive means may affect the effects of certain drugs, so before you start using Dimia, you should carefully read the instructions.

Terms of sale

You don't need a prescription to buy Dimia.

Storage conditions

Keep contraceptives out of the reach of children, at a temperature of no higher than 25 C.
Shelf life - 2 years.

special instructions

Continued use of contraceptives may increase the risk of thromboembolism. And this risk is highest in the first year of use of a contraceptive. If you experience any of the following symptoms while taking Dimia, stop using the drug immediately:
    swelling of the lower extremities and severe pain;
    dyspnea;
    sudden loss of vision;
    cough;
    unreasonable severe headache;
    diplopia;
    vertigo;
    aphasia;
    speech impairment;
    an acute abdomen;
    collapse;
    numbness;
    weakness;
    impellent disorders.
During the application of Dimia, the risk of the emergence of dangerous thromboembolic disorders essentially occurs when:
    hereditary dispositions;
    aged after 30;
    obesity;
    immobilization and after an emergency surgical intervention;
    smoking;
    hypertension;
    atrial fibrillation;
    migraine;
    dyslipoproteinemia;
    heart valve diseases.
When using a contraceptive, it is necessary to take into account the risk of thromboembolism especially after childbirth, as well as the development of other adverse effects in diabetes mellitus, Crohn's disease, colitis, anemia and so on. Women should not start without taking the doctor's advice, as well as preliminary medical examination.
It is important to exclude pregnancy. During the use of the contraceptive, bleeding can occur "cancellation", therefore it is possible to assess the normality of such secretions after three months (the adaptation period) from the time of the use of the contraceptive pills.

Dimia or Yaz?

Quite often, women can not make a choice between these two contraceptive pills similar in effect. The main difference between Dimia and Yaz can be considered that the first drug is a cheaper analogue of the second one.

In pregnancy and lactation

The drug is not allowed to use during pregnancy. If the conception occurred while taking Dimia, you should immediately stop taking the contraceptive. It should be noted that this contraceptive has a negative impact on the amount of milk and its composition. Therefore, you should abandon the drug during breastfeeding.

Reviews about Dimia

We can say that in general, reviews about Dimia are positive, the drug copes with its task and protects from unwanted pregnancies with proper and regular use. However, some women are negative about this contraceptive because they have encountered side effects of the drug, for example, such as pruritus, weight gain, the appearance of varicose veins.
It is especially worth noting that in many reviews of the contraceptive pill Dimia, women talk about the positive cosmetic effect that the drug has on the skin. The doctors' comments on this contraceptive are good, although physicians also draw women's attention to the contraindications and side effects of the drug, and also call for a medical examination before taking the contraceptive.