Alesse

• 0.25/0.05mg
• 0.15/0.03mg

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Alesse is a monophasic combination contraceptive pill that is used to prevent pregnancy. The active ingredients are levonorgestrel and ethinyl estradiol. The drug is produced in tablet form.

How does it work?

The drug inhibits hormones involved in ovulation, changes the properties of the endometrium in order to prevent the implantation of the embryo and thickens mucus in the cervical canal in order to prevent sperm from entering the uterus. This allows pills to provide a reliable contraceptive effect, protecting the woman of childbearing age from unwanted pregnancy. In addition, oral contraception can reduce the intensity of menstrual bleeding and pain during periods, normalizing the menstrual cycle.

How to take Alesse?

Each pack of Alesse contains 21 active tablets (each containing 0.10 mg of levonorgestrel and 0.02 mg of ethinyl estradiol) and 7 inert tablets.

Tablets are taken by following the directions and marks on the back of the blister. Take the drug at the same time of day, starting from the first day of the period, 1 tablet per day for four weeks. DO not miss doses since this increases the risk of pregnancy. Bleeding usually begins during the period of taking inactive tablets (due to the withdrawal of oral contraceptive). The next pack should be started on the same day of the week as the previous one.

Side effects

Alesse can cause some side effects, such as migraine, breast, nipple tension, mood changes, fluid retention and, as a result, weight gain, allergies, which manifest as skin reactions – urticaria, rash, erythema nodosum. The most dangerous complications are the risk of thrombosis and thromboembolism.

Contraindications

Birth control pills are contraindicated if the patient is diagnosed with:

• venous or arterial thrombosis;
• thrombophlebitis;
• heart attack;
• thromboembolism;
• angina;
• ischemia;
• diabetes;
• cancer;
• obesity;
• lupus;
• hypertension;
• malfunctions of the liver, pancreas.

Alesse should not be used by smokers and women over 35 years, because they have an increased risk of vascular disorders and thromboembolism.

Interactions

It’s not recommended to take birth control pills with any of the following drugs:

• penicillin antibiotics, tetracyclines, ritonavir;
• ascorbic acid, paracetamol, atorvastatin;
• glucocorticoids, clofibrate;
• hepatotoxic drugs;
• cyclosporin;
• anticoagulants and hypoglycemic drugs.

What if I miss a pill?

The missed pill should be taken within the next 12 hours. If you are more than 36 hours late taking your pill, contraception is unreliable. In order to avoid intermenstrual bleeding, you should continue taking the pills with the exception of the missed tablet (s). If you missed some active tablets, it is recommended to use an additional, non-hormonal method of contraception (eg, a condom).

Precautions

Oral contraceptives are not prescribed to pregnant and breastfeeding women.

An overdose of Alesse can cause dyspepsia or metragia. Medicine has not yet invented a specific antidote that could be applied in case of an overdose of levonorgestrel/ethinyl estradiol. Treatment depends on the symptoms.

Before starting hormonal contraception and every 6 months thereafter, a woman should undergo a general medical and gynecological examination.

If you have acyclic (intermenstrual) bleeding when taking Alesse, continue taking the pills. In most cases, these bleedings occur in the first three months of hormonal contraception and stop after the adaptation period. If acyclic bleeding does not disappear or recur after the adaptation period (three months), you need to undergo a medical examination to exclude organic pathology of the reproductive system.

If you have vomiting or diarrhea, continue taking the drug on schedule. At the same time, you should use an additional, non-hormonal method of contraception.

Stop taking birth control pills if you have the following symptoms/conditions: migraine-like headache, unusually severe headache, unusual pain or distended veins in the legs, jaundice or hepatitis without jaundice, cerebrovascular disorders, stabbing pains of unknown etiology when breathing or coughing, pain and chest tightness, acute deterioration of visual acuity, a sharp increase in blood pressure, generalized itching, an increase in epileptic seizures.

You should also stop taking the drug 3 months before the planned pregnancy, 6 weeks before the planned surgical intervention, with prolonged immobilization, with the onset of pregnancy.