Charozetta – descriptive characteristics of the drug
All over the world, the numbers of women are growing year after year, and hormonal methods of contraception are used to regulate fertility, family planning and preserve their health. These methods are undoubtedly convenient to use, and quite effective. In modern conditions in the world use hormonal contraceptives more than 150 million women. According to statistics, combined hormonal contraceptives or abbreviated COC are in great demand among women. They contain small doses of progestogen and estrogen.
In our country, there is also a tendency to increase the use of hormonal contraceptives. Nowadays, the attitude to this method is changing somewhat, modern women are beginning to understand that effective drugs have been developed that can not only protect against unwanted pregnancy, but also help get rid of various menstrual dysfunctions, some diseases of the reproductive system (for example, mastitis).
But the thing is that some women are contraindicated for taking COCs – then they are prescribed contraceptives containing only gestagens or mini-drank.
This remedy is a drug. Charozetta – modern gestagensoderzhaschy oral contraceptive.
The composition and the form of the drug Charozetta
Charozetta is produced in the form of tablets, coated in white, having a biconvex shape. On the front side – engraving figures "2"under her "KV"with the reverse – the inscription "ORGANON" and the image of an asterisk.
The tablet contains 75 µg of desogestrel, which is an analogue of the female sex hormone (progestogen). Desogestrel has a contraceptive effect, being an active substance. Auxiliary substances are corn starch, alpha-tocopherol, colloidal silicon dioxide, povidone, lactose monohydrate, talc, stearic acid. The blister contains 28 pieces of pills packed in a cardboard box. There are 1-3 blisters in the box.
Pharmacological action of the drug
Charozetta is a drug whose active substance is desogestrel. Difference from other contraceptive drugs is the presence of only one hormone – the drug does not contain estrogen. It belongs to the group of drugs mini-drank. Great for women during lactation and breastfeeding, as well as having contraindications for estrogen. The contraceptive effect of the drug is achieved by blocking ovulation. In clinical studies, it was found that the Pearl index is 0.14, which corresponds to the use of combined contraceptives. We explain that the Pearl Index is an indicator of the frequency of pregnancy in 100 women within one year. Thus, Charozetta has high contraceptive efficacy.
Indications for use of the drug
The drug Charozetta can be used to prevent pregnancy in women with estrogenic side effects, with allergies to other contraceptives, with poor tolerance to other drugs. The use of Charozetta during lactation and lactation, in the postpartum period, is shown.
Charozetta: instructions for use
Application and dosing
The package contains 28 tablets, the order of taking the drug is indicated on the blister. The drug should be taken, following this procedure, one tablet per day, preferably at the same time. The tablet is washed down with a small amount of water. The next package starts to take without interruption, as soon as the previous one ends. Begin reception should be from the top of the package, so you will not get confused and you can always control yourself if you have not missed taking the pills. With the appearance of bleeding should not stop taking the funds. If you want to stop taking the drug, then you need to remember that its contraceptive effect will end on the day you stop taking it.
How to start taking Charozetty
one. If you want to start using Charozetta, but over the past month have not taken hormonal contraceptives at all.
Plan on taking the drug on the very first day of menstrual bleeding. If you could not start taking the pills on time, you can transfer it to the second or fifth day of the cycle. In this case, you should protect yourself in the first seven days of taking the drug with a barrier method of contraception, for example, additionally using a condom.
2 If you want to switch from a combined hormonal contraceptive or vaginal ring to Charozetta.
It is recommended to start taking Charozetta tablets the next day after taking an active tablet (containing a dose of hormones) of a combined contraceptive or on the day of the ring removal. If this period is missed, it is necessary to apply a barrier method of contraception.
3 If you want to switch from other contraceptives containing only progestogen to the drug Charozetta.
It is recommended for women taking "mini drank"any day Women using the intrauterine system – on the day the system is removed. For women using contraceptive injections, on the day of the next presumptive injection. An additional method of contraception is not required.
Charozetta application after childbirth or abortion
If an abortion is performed in the first trimester of pregnancy, it is necessary to begin taking Charozetta immediately, in this case, an additional method of contraception is not required.
After an abortion in the second trimester, it is necessary to take a break: after an abortion, Charozetta’s pills are started for 21-28 days, and after giving birth after 6 weeks. When skipping these terms, you must apply a barrier method of contraception in the first 7 days. It should be borne in mind that if there is sexual intercourse in the period after an abortion or childbirth, it is necessary to exclude the fact of pregnancy, waiting for the first menstruation.
Charozetta use during pregnancy and breastfeeding
In pregnancy, the use of the drug Charozetta is contraindicated. This is due to the fact that progestogens cause masculinization of the fetus, especially female (that is, increased male signs).
Scientific studies have not revealed a teratogenic effect in early pregnancy when taking a contraceptive, and the presence of congenital malformations of the fetus. Charozetta does not have the ability to cause the development of congenital deformities, which has been proven in experiments involving deliberate administration of the drug.
Although a small amount of the hormone etonogestrel is found in breast milk of a nursing woman, numerous studies have shown that there are no differences in the development of children whose mothers took the drug Charozetta, with other babies whose mothers did not take the drug.
Research data say that there are no contraindications for taking Charozetta during lactation and breastfeeding. But, nevertheless, monitoring of children, their development and growth in these cases should be carefully conducted.
Pass the next admission Charozetta
The drug Charozetta provides complete protection against unwanted pregnancy only if the admission rules are followed. If a woman forgets to take the next pill within 12 hours, then she needs to take the pill immediately, the next one – at the usual time. If a woman forgets about taking the drug for more than 12 hours, then the recommendations remain the same, but an additional barrier method of contraception is needed for 7 days. When you skip the pill in the first week of the drug and in the presence of sexual intercourse during this period, you must contact your gynecologist to rule out possible pregnancy.
Charozetta: side effects
According to statistics, the most frequent side effects while taking Charozetta are headache, bad mood, decreased libido (about 6.8% of cases), nausea (3.3% of cases), acne, tenderness and swelling of the mammary glands (3.7 % of cases), as well as an increase in body weight, irregular periods, amenorrhea. The infrequent side effects, constituting less than 2.5% of cases, include vomiting, alopecia, dysmenorrhea, the occurrence of ovarian cysts, vaginitis, fatigue. Rare effects such as urticaria, skin rashes, ectopic pregnancy.
Compared with the use of combined contraceptives, side effects are less pronounced, such terrible complications as thrombosis and thromboembolism, breast tumors are excluded.
Charozetta does not have a large effect on the change in blood pressure. When studying the blood coagulation system, there is some tendency to its decrease.
When studying the effect of the drug on metabolic processes in the body of a woman, there is a slight effect of Charozetta on the lipid spectrum: some reduction in total cholesterol, lipoproteins, which in no way harm the health of a woman.
The drug should be taken with caution, considering the following conditions:
- hypertension that develops when taking Charozetta
- prolonged immobilization associated with injuries or surgery
- chloasma, especially during pregnancy in history.
When prescribing the drug, the doctor should consider all the contraindications, weigh the benefits of using Charozetta and determine the possible risks.
The woman herself decides to start taking the drug Charozetta. If the condition worsens, the woman should consult a doctor to solve the problem.
Before a woman decides to take the drug Charozetta, she must weigh all "behind" and "vs". This will certainly help her specialist. The doctor will carefully collect anamnesis and conduct a gynecological examination. After all, the established pregnancy, as you remember, is a contraindication for the use of Charozetta.
If a woman has a violation of the menstrual cycle (oligomenorrhea or amenorrhea), then the doctor will try to determine the cause of this violation. A woman will come for follow-up visits after the drug is prescribed. The frequency of such examinations depends on the condition of the woman, the presence of concomitant diseases. Usually, the doctor prescribes annual periodic examinations, but if the prescribed drug affects in some way the course of the diseases, they may be more frequent.
A woman in any case of changes in her state of health while taking the drug Charozetta is obliged to consult a doctor. What could be the cases:
- The emergence of acute and chronic disorders of the functional states of the liver. The doctor usually prescribes a biochemical examination of the blood, an ultrasound of the abdominal organs, and decides whether to continue taking the contraceptive.
- HIV infection – Charozetta’s drug is not a protection against HIV infection and other sexually transmitted infections. A woman should remember this.
- A decrease in the effectiveness of the Charozetta drug may be due to the omission of the drug intake, as well as in the case of illness or exacerbation of chronic diseases of the gastrointestinal tract. Efficiency is also reduced when taking other drugs at the same time as Charozetta.
- Sometimes follicles develop when taking a contraceptive. In rare cases, the size of the follicle becomes larger than during the normal cycle. A woman may feel soreness in the lower abdomen. Treatment is usually not required since the follicles disappear on their own.
- Changes in the biochemical blood parameters of a woman taking the drug Charozetta are often noted. The indicators of the functions of the liver, adrenal glands, thyroid gland, kidneys, globulins in the blood, proteins in the blood serum often change. A woman should know this and not worry, as these changes are within the limits of permissible fluctuations.
- Reception Charozetty does not affect the ability to drive a car and control other mechanisms.
Bleeding while taking the drug
Sometimes, despite the fact that the woman regularly takes the drug, she may experience bloody discharge. Usually they are irregular. If the bleeding is frequent and irregular, then the woman turns to the doctor who decides on the replacement of the contraceptive drug. With amenorrhea, the doctor finds out if Charozetta’s pills were taken regularly, and if there was a pregnancy, which also leads to the cancellation of the drug.
Charozetta and monthly
It is important that after starting Charozetta, it is often impossible to track the duration of the menstrual cycle, because bleeding can occur at any time. They may be more frequent and long-term or, conversely, scarce and rare. Often a woman for this reason interrupts the course, but this is not recommended. It will be correct to consult a gynecologist for advice.
Breast Cancer Risk
Experts have shown that the risk of developing cancer of the female mammary glands increases with age. Studies of the dependence of the occurrence of breast cancer in women taking the drug Charozetta, almost not conducted. One can only say that with the use of hormonal contraceptives, the risk of developing cancer somewhat increases. There are data on this dependence in women who used the combined contraceptive drugs. It is interesting that breast cancer diagnosed in women using contraceptives is less clinically developed and we detect it earlier. This is probably due to more frequent examination and observation of women.
Drug interaction of contraceptives with other drugs can lead to bleeding and reduce their contraceptive effectiveness. The interaction with some drugs increases the clearance of sex hormones, which reduces the contraceptive effect. These include: barbiturates, primidone, carbamazepine, phenobarbital, rifampicin, ritonavir, as well as preparations containing St. John’s wort and holed and griseofulvin. Women who take these drugs should use a barrier method of contraception while taking these drugs, and then within 28 days after their withdrawal.
Acceptance of activated carbon decreases the absorption of the active substance desogestrel, which is in the preparation Charozetta. In this regard, it may decrease its contraceptive effect. Then add an additional method of contraception.
Contraceptives themselves may also affect the action of other medicines. In each case, it is necessary to study the instructions for use of drugs.
Vacation conditions and storage periods
Charozetta drug is released strictly on prescription by the attending physician.
Store in a dry, dark place out of the reach of children. Storage temperature ranges from 2 to 30 degrees Celsius. Shelf life – 3 years.
Comparative characteristics of Charozetta and her analogues
Many experts call Charozetta a new-generation contraceptive drug. It should be understood that the main and only hormone active ingredient Charozetta is degogestrel. Such drugs belong to the mini-pili, that is, to drugs that do not contain estrogen, and with a minimum amount of only one hormone.
Charozetta is an original drug, but has analogues. By analogy Charozetta include drugs: Laktinet, Microlut, Exluton.
Lakinet or Charozetta
Lakinet is a complete copy of Charozetta. But you should always bear in mind that copies do not always fully correspond to the originals. Laktinet does not meet the full identity of Charozetta.
Lactinet is a complete analog of Charozetta, has the same active ingredient and in the same amount: 0.075 mg of desogestrel. Produce drugs from different manufacturers, hence the difference in price. Price Lakinteta less by 100-200 rubles. Switching from one drug to another is not difficult: you need to finish packing Charozetta to the end – 28 pieces, and the next day, start taking Laktineta.
Charlotte lactinet differs somewhat in packaging design: the days of the week are not indicated on the blister, it is not very convenient for a woman.
In one package of the drug Lactinet, as well as Charozetta, contains 28 tablets. Reception Laktine begins also with the first day of menstrual bleeding. Tablets are recommended to drink daily, without stopping even during menstruation or minor bleeding. You do not need to take a seven-day break, during the reception. The tablets are drunk continuously: as soon as one pack is finished, the second one is started the next day and so on. It must be remembered that in case of skipping the pill, you need to use an additional method of contraception.
Side effects when taking Lactinet are:
- frequent irregular bleeding
- possible weight gain
- mood lability, headaches, possible decrease in libido
- nausea and vomiting in the days of receiving funds.
Contraindications to the use of Lactinet are:
- establishing pregnancy
- severe liver and kidney disease
- lactase deficiency, lactose intolerance
- sensitivity to the components of the drug.
The use of the drug Lactinet is acceptable when smoking women and having a history of varicose disease.
The contraceptive effect of the drug Lactinet is 98%.
Charozetta or Exluton
When breastfeeding gynecologists prescribe hormonal contraceptive drugs that do not contain estrogen in its composition. The only contraceptives in this case may be pills. "mini drank". Charozetta and Exluton drugs do not affect lactation and are not dangerous for the baby. Charozetta, as an original remedy, is more reliable for preventing unwanted pregnancy. In essence, it suppresses ovulation, and Excluton prevents implantation of a fertilized egg in the uterus.
Indications and contraindications for both drugs are identical, as are the rules for their administration.
Evaluation of the effectiveness of the practical use of the drug Charozetta
In our country, many women use hormonal contraceptives to protect against unwanted pregnancy. These drugs must be reliable. Most often, the first choice falls on the combined hormonal contraceptives. But in some cases they are not suitable for women. So, during lactation and breastfeeding, contraceptives are shown, which include only progestogens or "mini drank". The original drug Charozetta is such.
This contraceptive is different from other best tolerated. It does not affect the change in the quality of breast milk. Its use is not contraindicated for older women and smokers.
Charozetta has some drawbacks. It can not fully provide suppression of ovulation, the main effect of contraception is the thickening of cervical mucus.
The drug helps to slow the movement of the egg through the fallopian tubes, which can lead to the development of ectopic pregnancy.
The modern drug Charozetta was designed specifically to reduce these risks and provide reliable suppression of ovulation with minimal doses of the active substance.
According to clinical studies, it was proved that the Pearl Charozetta index corresponds to the index of combined contraceptive drugs, which indicates its reliability.
Charozetta can be used by women with the following diseases and problems:
- intolerant of estrogens
- with hypertension
- with the risk of thrombosis and thromboembolism
- older women
- during breastfeeding.
Scientists have conducted numerous studies on the effectiveness of the use of the drug Charozetta. Studies have been conducted for a long time. The women participating in the study visited the attending physician on a monthly basis, kept diaries of well-being. They initially had a history and explained the rules for taking the pills. The scope of research included determination of body mass, monitoring of blood pressure, ECG, ultrasound of the pelvic organs, the study of vaginal smears.
The following results were obtained:
- Not a single pregnancy was detected.
- Only three women out of a hundred had acyclic bleeding, which led to the abolition of the drug.
- An increase in blood pressure was not observed.
- After six months of use of the drug there was an increase in weight in 22% of women by one to one and a half kg on average.
- Amenorrhea is fixed in 4% of women.
- Prolonged bleeding was rarely observed, it was noted in 7% of women.
The study assessed Charozetta as a promising drug for the prevention of pregnancy, with reliability. The effectiveness of the drug, of course, not inferior to the effectiveness of combined contraceptive use. It can be successfully used by women during lactation and breastfeeding.
It is safe to say that Charozetta is currently the only drug with the reliability of combined contraceptives.
Contraceptive pills Charozetta – reviews
Reviews of women taking the drug Charozetta, most are positive, but of course, there are negative reviews. Women who respond to the rules for taking pills respond positively to the drug.
Many women choose contraceptives individually, depending on the tolerance and characteristics of the body.
Testimonials can be found on the Internet on websites and forums, but you should always remember that the use of hormonal contraceptives is possible only after consulting your doctor.