Dienogest + Ethinyl Estradiol

Dosage Forms Available

• Dienogest + Ethinyl Estradiol is available through the oral route (tablet).

Age and Dose Restrictions

• Dienogest + Ethinyl Estradiol is meant for use by adult women of reproductive age only.
• This medication is not recommended for use by children or adolescents.

Contraindications

• It is contraindicated in women with a history of, or current, venous or arterial thromboembolism, stroke, or ischemic heart disease.
• Other contraindications include severe liver disease, liver tumours, uncontrolled hypertension, migraine with aura, known or suspected breast cancer or oestrogen-dependent neoplasia, and undiagnosed abnormal genital bleeding.

Other Medications to Avoid

• Dienogest + Ethinyl Estradiol may interact with enzyme inducers (such as rifampin), enzyme inhibitors (such as ketoconazole and clarithromycin), antibiotics (like penicillins and tetracyclines), and herbal products (like St. John's Wort).
• It also has a significant interaction with potassium-sparing diuretics.

Overdose and Missed Dose

• An overdose of Dienogest + Ethinyl Estradiol may result in nausea, vomiting, and withdrawal bleeding. If you think you have overdosed on this medicine, inform your doctor immediately.
• If you miss a dose of this medication, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Management of Side Effects

Most side effects of Dienogest + Ethinyl Estradiol are temporary, generally harmless, and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any symptoms, please consult your doctor.

• For minor side effects like nausea or vomiting, try taking the medication after a meal or at bedtime.
• Drinking plenty of water may help manage headaches caused by this medication.

Use in Driving and Operating Machinery

• Dienogest + Ethinyl Estradiol may cause dizziness or tiredness. If you are affected, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

• Dienogest + Ethinyl Estradiol is not recommended for use during pregnancy.
• It is also not recommended for use while breastfeeding. Always consult your doctor before using this medication during these periods.

Caution in Other Conditions

• Caution should be exercised when using Dienogest + Ethinyl Estradiol in women with conditions such as liver disease, diabetes, high cholesterol or triglyceride levels, and a history of gallbladder disease.
• Women who are smokers above the age of 35 should also exercise caution when using this medication due to the increased risk of serious cardiovascular side effects.

Special Dietary and Lifestyle Recommendations

• Maintaining a healthy weight might help manage menstrual irregularities associated with the condition this medicine is used for.
• Limiting caffeine intake might help alleviate symptoms such as bloating and breast tenderness.
• Regular cardiovascular exercises might help manage symptoms like mood swings and weight gain.