When do i start taking diane 35

Women should use a non-hormonal method of birth control such as condoms while taking this medication. Birth control pills should not be taken at the same time as cyproterone - ethinyl estradiol. Blood clots: This medication appears to increase the risk of developing blood clots. This risk may be greater than that which occurs with birth control pills. These blood clots may form anywhere in the body, but are more noticeable when they occur in the large muscles, lung, brain stroke , or heart heart attack.

This risk of developing blood clots is increased in women over 35 years of age. If you experience pain in the chest or leg, unexplained shortness of breath, fast and irregular heartbeat, severe headache, blurred vision, or slurred speech, get immediate medical attention. Breast cancer: All women who take this medication should practice breast self-examination.

Ask your doctor to teach you how to do this. If you have a family history of breast cancer, you should be closely monitored by your doctor while taking this medication.

Diabetes: This medication can cause changes in blood sugars. If you have diabetes or a family history of diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Depression: Hormones, such as cyproterone - ethinyl estradiol have been known to cause mood swings and symptoms of depression. If you have depression or a history of depression, discuss with your doctor how this medication may affect your medical condition and whether any special monitoring is needed.

If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking this medication, contact your doctor as soon as possible.

Blood pressure: You should not take this medication if you have high blood pressure that is not controlled by medication. If you have high blood pressure, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Liver function: Like other hormones, cyproterone - ethinyl estradiol can cause decreased liver function and liver disease. If you have decreased liver function or liver disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. This medication should not be taken by women with severe liver disease.

If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.

Medical conditions: The combination of obesity, high blood pressure, and diabetes greatly increases the risk of side effects from this medication. If you have this combination of medical conditions, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. This medication can cause fluid retention, which may worsen conditions such as high blood pressure, heart disease, or kidney disease.

Migraine: This medication may cause migraine headaches to occur. If you experience a new pattern of headaches that is severe, persistent, or recurrent, contact your doctor as soon as possible. Cyproterone - ethinyl estradiol is not recommended for people who experience migraine headaches with aura. Smoking: Smoking increases the risk of serious side effects on the heart and blood vessels.

This risk increases with age and heavy smoking 15 or more cigarettes per day and is even more serious for women over 35 years of age. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking Diane ED against the benefits they expect it will have for you. If you have any concerns, or are unsure about taking this medicine, ask your doctor or pharmacist for more advice.

Diane ED is used for the treatment of signs of physical male characteristics caused by the male sex hormone, androgen, produced by in women in small amounts androgenisation , such as:.

Diane ED can also be used as a contraceptive to prevent pregnancy in women who are taking it for the treatment of signs of physical male characteristics as described above. It should not be used in combination with another hormonal contraceptive. Some conditions such as pelvic inflammatory disease, ovarian cysts, ectopic pregnancy where the foetus is carried outside of your womb , lumpy breasts and cancer of the uterus womb and ovaries may be less common in women taking Diane ED.

Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason. Do not take Diane ED if you are taking antiviral medicines which contain ombitasvir, paritaprevir, or dasabuvir, and combinations of these. These antiviral medicines are used to treat chronic long-term hepatitis C an infectious disease that affects the liver, caused by the hepatitis C virus.

Do not take Diane ED if you are concerned about or have an increased risk of blood clots. Blood clots are rare. Very occasionally blood clots may cause serious permanent disability and may even be fatal.

All combined oral contraceptive pills, including Diane ED, increase the risk of having a blood clot. However, the risk of having a blood clot when taking Diane ED is less than the risk of having a blood clot during pregnancy. Do not take Diane ED if you are concerned about an increased risk of blood clots because of age or smoking.

The risk of having a heart attack or stroke increases as you get older. It also increases if you smoke. You should stop smoking when taking Diane ED, especially if you are older than 35 years of age. If any of these conditions appear for the first time while using Diane ED, stop taking it at once and tell your doctor.

In the meantime use non-hormonal barrier methods of contraception such as condoms or a diaphragm. Do not take this medicine after the expiry date printed on the pack and blister.

The expiry date refers to the last day of that month. If it has expired return it to your pharmacist for disposal. Do not take this medicine if the packaging is torn or shows signs of tampering. If the packaging is damaged, return it to your pharmacist for disposal. Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

If any of the above conditions appear for the first time, recur, or worsen while taking Diane ED, you should tell your doctor. Diane ED contains lactose. If you have an intolerance to some sugars, tell your doctor before you start taking Diane ED. Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

These medicines may be affected by Diane ED, or may affect how well it works. Your doctor may need to alter the dose of your medicine or prescribe a different medicine. You may need to use additional barrier methods of contraception such as condoms or a diaphragm while you are taking any of these medicines with Diane ED and for some time after stopping them.

Your doctor will be able to tell you how long you will need to use additional contraceptive methods. Your doctor and pharmacist have more information on medicines that you need to be careful with or avoid while taking this medicine. Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet. If you do not understand the instructions on the pack ask your doctor or pharmacist for help.

Take one tablet daily at about the same time every day. You must take Diane ED every day regardless of how often you have sex. This will also help you remember when to take it. Swallow the tablet whole with a full glass of water.

It does not matter if you take it before or after food. Take your first tablet from the red area on the blister pack corresponding to the day of the week. Follow the direction of the arrows on the blister pack until all the tablets have been taken. A period should begin days after starting to take the white inactive tablets last row and may not have finished before the next pack is started.

If you are starting Diane ED after a natural cycle, and you have not used a hormonal contraceptive in the past month, start on the first day of your period, i. You must also use additional barrier contraceptive precautions e. Changing from a combined oral contraceptive: Start taking Diane ED on the day after taking the last active tablet in your previous Pill pack. Bleeding may not occur until the end of the first pack of DianeED. If you forgot to take your Diane medication at your usual time, you should take it as soon as you remember.

If you miss taking a dose and more than 12 hours has passed, you should discard the missed pill and continue taking the remaining pills in the pack as normal. It is important that you do not take double the dose to compensate for missing a pill. If you are unsure on what you should do after forgetting to take your birth control pill, you should contact your doctor immediately for further advice.

If you do miss a dose, it is highly recommended that you use a back-up non-hormonal method of contraception like condoms until you finish the birth control pack. If you do have in unprotected sex after missing a dose, you might need to take an emergency contraception. You should contact your doctor for further advice if you think you might be pregnant.

Diane might affect and raise your blood pressure. You should check your blood pressure regularly and if your blood pressure is high, you should inform your doctor as soon as possible. It is important that you contact your doctor promptly or seek medical assistance if you begin to experience the following serious side effects:. If you're considering Diane to be your primary form of birth control or require any further guidance on the various birth control methods available, you can consult one of our doctors.

This review highlighted serious thromboembolic events and extensive off-label use of these medicines as a contraceptive only. Once the European Commission has adopted its decision, all EU Member States where Diane 35 and its generics are authorised must follow it and ensure that all agreed risk-minimisation measures, including changes to the information to prescribers and patients, are implemented.

These recommendations are based on a review of all available data on the risk of thromboembolism as well as the benefits of Diane 35 and its generics:. Medicines containing cyproterone acetate 2 mg and ethinylestradiol 35 micrograms have been approved via national procedures and are available on prescription under various trade names in all EU Member States except Cyprus. Diane 35 was first authorised in These medicines work by blocking the effects of a class of hormones called androgens.

Cyproterone also supresses ovulation and therefore has a contraceptive effect. Its main responsibility is to resolve disagreements between Member States involved in mutual-recognition or decentralised procedures , to ensure that patients have the same level of protection, no matter where they are in the EU. As the CMDh position was adopted by majority vote and not by consensus, the CMDh position will now be sent to the European Commission, which will take a legally binding decision throughout the EU.

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