(1113) Price in Moscow

Composition and release form

Tablets with the sign "inor" on one side: 2 pcs per pack. Active ingredient: 1 tablet contains levonorgestrel 750 mcg. Excipients: colloidal silicon dioxide, potato starch, magnesium stearate, talc, corn starch, lactose monohydrate.

pharmachologic effect

A synthetic drug with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. With the recommended dosing regimen, levonorgestrel suppresses ovulation and fertilization if sexual intercourse occurs in the preovulatory phase, when the possibility of fertilization is greatest. It may also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.

Efficacy: with the help of Postinor tablets, pregnancy can be prevented in approximately 85% of cases. The more time passes between sexual intercourse and taking the drug, the lower its effectiveness (95% during the first 24 hours, 85% from 24 to 48 hours and 58% from 48 to 72 hours). Thus, it is recommended to start taking Postinor tablets as soon as possible (but no later than 72 hours) after sexual intercourse, if no protective measures have been taken. At the recommended dose, levonorgestrel does not have a significant effect on blood clotting factors, fat and carbohydrate metabolism.

Indications for use

• Emergency (postcoital) contraception (after unprotected sexual intercourse or unreliability of the contraceptive method used).

Directions for use and doses

The drug is taken orally. You must take 2 tablets in the first 72 hours after unprotected intercourse. The second tablet should be taken 12 hours (but not later than 16 hours) after taking the first tablet. To achieve a more reliable effect, both tablets should be taken as soon as possible after unprotected intercourse (no later than 72 hours).

If vomiting occurs within 3 hours after the 1st or 2nd dose of Postinor tablet, then you should take another Postinor tablet.

Postinor can be used at any time of the menstrual cycle. In case of irregular menstrual cycle, pregnancy must first be excluded.

After taking emergency contraception, use a local barrier method (eg, condom, cervical cap) until your next period. The use of the drug during repeated unprotected sexual intercourse during one menstrual cycle is not recommended due to an increase in the frequency of acyclic spotting/bleeding.

Side effect

Allergic reactions: possible - urticaria, rash, itching, swelling of the face.

Transient side effects that occur with varying frequency and do not require drug therapy: sometimes (1-10%) - vomiting, diarrhea, dizziness, headache, breast tenderness, delayed menstruation (no more than 5-7 days; if menstruation is delayed for a longer period, pregnancy must be excluded); often (more than 10%) - nausea, fatigue, pain in the lower abdomen, acyclic spotting (bleeding).

Contraindications for use

• adolescence up to 16 years;
• severe liver failure;
• pregnancy;
• rare hereditary diseases such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
• hypersensitivity to the components of the drug.

Carefully:

• diseases of the liver and biliary tract;
• jaundice (including history);
• Crohn's disease;
• lactation.

Use of Postinor during pregnancy and breastfeeding

Postinor is contraindicated for use during pregnancy. If pregnancy occurs while using an emergency method of contraception, then based on the available data, no adverse effect of the drug on the fetus has been identified.

Levonorgestrel is excreted in breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

Use for liver and kidney dysfunctions

• Postinor is prescribed with caution to patients with diseases of the liver and biliary tract; it is contraindicated in severe liver failure.
• Data on the use of Postinor in patients with impaired renal function are not provided.

special instructions

Postinor should be used exclusively for emergency contraception. Repeated use of the drug Postinor during one menstrual cycle is not recommended.

The effectiveness of Postinor tablets after unprotected sexual intercourse, during which contraception was not used, decreases over time:

The drug does not replace the use of permanent methods of contraception. In most cases, Postinor does not affect the nature of the menstrual cycle. However, acyclic bleeding and a delay of menstruation for several days are possible. If menstruation is delayed by more than 5-7 days and its character changes (scanty or heavy discharge), pregnancy must be excluded. The appearance of pain in the lower abdomen and fainting may indicate an ectopic (ectopic) pregnancy.

The drug is contraindicated in adolescents under 16 years of age. Adolescents under 16 years of age, in exceptional cases (including rape), need to consult a gynecologist to confirm pregnancy.

After emergency contraception, a consultation with a gynecologist is recommended to select the most appropriate method of permanent contraception.

Emergency contraception does not protect against sexually transmitted diseases.

In case of gastrointestinal dysfunction (for example, Crohn's disease), the effectiveness of the drug may be reduced.

Impact on the ability to drive vehicles and operate machinery

The effect of Postinor on the ability to drive vehicles and operate machinery has not been studied.

Overdose

Increased severity of side effects. There is no specific antidote. Symptomatic therapy is carried out.

Drug interactions

When taking drugs that induce liver enzymes simultaneously, the metabolism of levonorgestrel is accelerated.

The following drugs may reduce the effectiveness of levonorgestrel: amprecavil, lansoprazole, nevirapine, oxcarbazepine, tacrolimus, topiramate, tretinoin, barbiturates including primidone, phenytoin and carbamazepine, drugs containing St. John's wort (Hypericum perforatum), and rifampicin, ritonavir, ampicillin, tetracycline, rifabutin, griseofulvin. Levonorgestrel reduces the effectiveness of hypoglycemic and anticoagulant (coumarin derivatives, phenindione) drugs. Increases plasma concentrations of GCS. Women taking these drugs should consult a doctor.

Drugs containing levonorgestrel may increase the risk of cyclosporine toxicity due to inhibition of its metabolism.

The mechanism of action of levonorgestrel (D-13в-ethyl-17в-ethynyl-17-hydroxy-4-gonen-3-one) at the indicated dose is mainly due to inhibition of ovulation and prevention of fertilization (in the event that sexual intercourse occurred before ovulation, when the likelihood of fertilization is higher), as well as changes in the endometrium when taking the drug, which prevent the implantation of a fertilized egg. The drug is ineffective if implantation of a fertilized egg has already occurred. When using Postinor, unwanted pregnancy can be prevented in approximately 85% of cases. The longer the interval between sexual intercourse and taking Postinor, the lower the effectiveness of the drug (in the first 24 hours - 95%; from 24 to 48 hours - 85%; from 48 to 72 hours - 58%). There is no data on the effectiveness of the drug when taken 72 hours after sexual intercourse. At the recommended dose, levonorgestrel does not have a significant effect on blood clotting, lipid and carbohydrate metabolism.
After oral administration, levonorgestrel is rapidly and almost completely absorbed. After taking 1 tablet of Postinor, the maximum concentration of levonorgestrel in the blood serum (on average 14.1 ng/ml) is achieved after 1.6 hours. Then the decrease in the concentration of levonorgestrel occurs in two stages, the half-life ranges from 9 to 14.5 hours.
Levonorgestrel is excreted from the body in the form of metabolites in urine and feces in approximately equal quantities. The biotransformation of levonorgestrel is similar to that of steroids. The drug is hydroxylated in the liver, and its metabolites are excreted in the form of glucuronides. Known metabolites of levonorgestrel do not have pharmacological activity.
Levonorgestrel binds to plasma proteins, mainly albumin and sex hormone-binding globulin. Only 1.5% of the administered dose is found in the blood serum in free form, and 65% has a specific association with sex hormone-binding globulin. Absolute bioavailability is almost 100%. About 0.1% of the drug dose is excreted in breast milk.

Indications for use of the drug Postinor

Emergency prevention of unwanted pregnancy if the drug is used within 72 hours after sexual intercourse and other contraceptives were not used or they turned out to be unreliable.

Use of the drug Postinor

2 tablets inside. To achieve a more reliable effect, the first tablet should be taken as soon as possible after sexual intercourse (but no later than 72 hours), and the second - 12 hours (but no later than 16 hours) after taking the first. If vomiting is observed within 3 hours after taking any tablet, you should take 1 more tablet.
Postinor can be taken on any day of the menstrual cycle, but only if the previous menstruation was timely. After using the drug, barrier contraception must be used until the next menstruation. After using Postinor, taking permanent oral hormonal contraceptives is not contraindicated.

Contraindications to the use of the drug Postinor

Hypersensitivity to the components of the drug, age under 16 years (insufficient experience in using the drug).

Side effects of the drug Postinor

Nausea, pain in the lower abdomen, headache, fatigue, dizziness, tension in the mammary glands, vomiting, diarrhea, spotting menstrual-like bleeding. There may be irregularities in the menstrual cycle, but for most women, the next menstruation occurs on the expected date. If menstruation is delayed by more than 5 days, pregnancy must be excluded.

Special instructions for the use of the drug Postinor

The drug can only be used in extreme cases. Postinor is not a contraceptive for regular use. Taking it does not always prevent pregnancy. If a woman does not remember when sexual intercourse took place, or if unprotected sexual intercourse has already taken place in the same menstrual cycle 72 hours before taking the drug, fertilization is possible. In this case, the use of the drug is ineffective. If menstruation is delayed by more than 5 days or its onset is timely, but the course is different from normal, it is necessary to exclude pregnancy.
If, despite the use of the drug Postinor, fertilization still occurs, the possibility of ectopic pregnancy should be considered.
The use of Postinor is not recommended for severe liver dysfunction. Severe intestinal diseases (for example, Crohn's disease) may cause impaired absorption of the drug .
After using the drug, menstruation occurs at the expected time and occurs as usual. In some cases, menstruation may begin several days earlier or later than expected. After using Postinor, it is recommended to examine a doctor to decide whether to use the method for regular contraception.
If Postinor was taken due to a missed dose of a regular hormonal contraceptive, and menstruation did not occur during the next 7-day break in taking the contraceptive drug, pregnancy should be excluded.
Repeated use of Postinor during one menstrual cycle is not recommended due to possible disruption of this cycle.
Postinor should not be taken during pregnancy; the drug does not terminate an existing pregnancy. In the event of pregnancy with the use of progestogens, a teratogenic effect has not been identified.
Levonorgestrel practically does not pass into breast milk. The potential impact of levonorgestrel on infant development can be reduced if both tablets are taken immediately after breastfeeding and if breastfeeding is avoided after taking the drug.

Interactions of the drug Postinor

When used simultaneously with liver enzyme inducers, the metabolism of levonorgestrel is accelerated. The effectiveness of levonorgestrel can be reduced by barbiturates (including primidone), phenytoin, carbamazepine, St. John's wort (Hypericum perforatum), rifampicin, ritonavir, rifabutin, griseofulvin.
Drugs containing levonorgestrel may increase the toxicity of cyclosporine due to inhibition of its metabolism.

Overdose of the drug Postinor

Severe side effects after taking the drug in a high dose have not been described. Possible nausea and bleeding. There is no specific antidote, treatment is symptomatic.

Storage conditions for the drug Postinor

At a temperature of 15-25 °C.

List of pharmacies where you can buy Postinor:

• Saint Petersburg

Registration number: P N011850/01

Tradename: Postinor

International nonproprietary name:
levonorgestrel

Dosage form: pills

Compound

Each tablet contains:

Active substance: levonorgestrel 0.75 mg.
Excipients: colloidal silicon dioxide, potato starch: magnesium stearate: talc; corn starch; lactose monohydrate.

Description
Flat tablets of white or almost white color, disc-shaped with a chamfer and with a circular engraving "I N O R ●" on one side.

F armacotherapy group: gestagen.

ATX code: G03A POP

Farmacological properties
Pharmacodynamics
Levonorgestrel is a synthetic gestagen with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. With the recommended dosage regimen, levonorgestrel suppresses ovulation and fertilization if sexual intercourse occurs in the preovulatory phase, when the possibility of fertilization is greatest. It may also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.
Efficacy: with the help of Postinor tablets, pregnancy can be prevented in approximately 85% of cases. The more time passed between sexual intercourse and taking the drug, the lower its effectiveness (95% during the first 24 hours, 85% from 24 to 48 hours and 58% from 48 to 72 hours). Thus, it is recommended to start taking Postinor tablets as soon as possible (but no later than 72 hours) after sexual intercourse, if no protective measures have been taken. At the recommended dose, levonorgestrel does not have a significant effect on blood clotting factors, fat and carbohydrate metabolism.

Pharmacokinetics
When taken orally, levonorgestrel is rapidly and almost completely absorbed.
After taking 0.75 mg of levonorgestrel, the maximum concentration of the drug in serum equal to 14.1 ng/ml is achieved after 1.6 hours. After reaching the maximum level of concentration, the content of levonorgestrel decreases, and the half-life is about 26 hours.
Levonorgestrel is excreted approximately equally by the kidneys and through the intestines exclusively in the form of metabolites. The biotransformation of levonorgestrel corresponds to the metabolism of steroids. Levonorgestrel is hydroxylated in the liver and metabolites are excreted in the form of conjugated glucuronides. Pharmacologically active metabolites of levonorgestrel are unknown. Levonorgestrel binds to serum albumin and sex hormone binding globulin (SHBG). Only 1.5% of the total dose is in free form, and 65% is associated with SHBG. Absolute bioavailability is almost 100% of the dose taken.

Indications for use
Emergency (postcoital) contraception (after unprotected sexual intercourse or unreliability of the contraceptive method used).

Contraindications
Hypersensitivity to any component of the drug, use in adolescents under 16 years of age, severe liver failure, pregnancy.
Patients with rare hereditary diseases such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption.

Carefully
Diseases of the liver or biliary tract, jaundice (including a history), Crohn's disease, lactation.

Pregnancy and lactation
Postinor should not be used during pregnancy. If pregnancy occurs while using an emergency method of contraception, then based on the available data, no adverse effect of the drug on the fetus has been identified.
Levonorgestrel passes into breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

Directions for use and doses
The drug is administered orally. You must take 2 tablets in the first 72 hours after unprotected intercourse. The second tablet should be taken 12 hours (but not later than 16 hours) after taking the first tablet.
To achieve a more reliable effect, both tablets should be taken as quickly as possible after unprotected intercourse (no later than 72 hours).
If vomiting occurs within three hours after taking 1 or 2 Postinor tablets, then you should take another Postinor tablet.
Postinor can be used at any time of the menstrual cycle. In case of irregular menstrual cycle, pregnancy must first be excluded.
After taking emergency contraception, a local barrier method (eg, condom, cervical cap) should be used until the next menstrual period. The use of the drug during repeated unprotected sexual intercourse during one menstrual cycle is not recommended due to an increase in the frequency of acyclic spotting/bleeding.

Side effect
Allergic reactions are possible: hives, rash, itching, swelling of the face.
Transient side effects occurring with varying frequency (common: ≥1/100,<1/10, очень часто: ≥1/10) и не требующие медикаментозной терапии: часто: рвота, диарея, головокружение, головная боль, болезненность молочных желез, задержка менструации (не более 5-7 дней), если менструация задерживается на более длительный срок, необходимо исключить беременность.
Very common: nausea, fatigue, lower abdominal pain, acyclic spotting (bleeding).

Frelease form
Tablets 0.75 mg. 2 tablets in an AL/PVC blister. 1 blister in a cardboard box with attached instructions for use.

Ustorage conditions
List B. At a temperature of 15 °C to 25 °C, out of the reach of children.

WITHrock expiration date
5 years.
Do not use the drug after the expiration date.

Uterms of dispensing from pharmacies
On prescription.

Manufacturer
JSC "Gedeon Richter"
1103 Budapest, st. Demrei 19-21, Hungary

Consumer complaints should be sent to:
Moscow Representative Office of JSC Gedeon Richter
119049 Moscow. 4th Dobryninsky lane d.8.

A synthetic drug with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. With the recommended dosing regimen, levonorgestrel suppresses ovulation and fertilization if sexual intercourse occurs in the preovulatory phase, when the possibility of fertilization is greatest. It may also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.

Efficacy: with the help of Postinor tablets, pregnancy can be prevented in approximately 85% of cases. The more time passes between sexual intercourse and taking the drug, the lower its effectiveness (95% during the first 24 hours, 85% from 24 to 48 hours and 58% from 48 to 72 hours). Thus, it is recommended to start taking Postinor tablets as soon as possible (but no later than 72 hours) after sexual intercourse, if no protective measures have been taken. At the recommended dose, levonorgestrel does not have a significant effect on blood clotting factors, fat and carbohydrate metabolism.

Pharmacokinetics

When Postinor is taken orally, the drug is quickly and almost completely absorbed. Absolute bioavailability is almost 100% of the dose taken. After taking 0.75 mg of levonorgestrel, Cmax in serum equal to 14.1 ng/ml is achieved after 1.6 hours. After reaching Cmax, the content of levonorgestrel decreases. T 1/2 is about 26 hours.

Levonorgestrel is excreted approximately equally by the kidneys and through the intestines exclusively in the form of metabolites. The biotransformation of levonorgestrel corresponds to the metabolism of steroids. Levonorgestrel is hydroxylated in the liver, metabolites are excreted in the form of conjugated glucuronides. Pharmacologically active metabolites of levonorgestrel are unknown. Levonorgestrel binds to serum albumin and sex hormone binding globulin (SHBG). Only 1.5% of the total dose is in free form, and 65% is associated with SHBG.

Release form

Tablets are white or almost white, disc-shaped, chamfered, with a circular engraving "INOR." on one side.

Excipients: colloidal silicon dioxide, potato starch, magnesium stearate, talc, corn starch, lactose monohydrate.

2 pcs. - blisters (1) - cardboard packs.

Dosage

The drug is taken orally. You must take 2 tablets in the first 72 hours after unprotected intercourse. The second tablet should be taken 12 hours (but not later than 16 hours) after taking the first tablet.

To achieve a more reliable effect, both tablets should be taken as soon as possible after unprotected intercourse (no later than 72 hours).

If vomiting occurs within 3 hours after the 1st or 2nd dose of Postinor tablet, then you should take another Postinor tablet.

Postinor can be used at any time of the menstrual cycle. In case of irregular menstrual cycle, pregnancy must first be excluded.

After taking emergency contraception, use a local barrier method (eg, condom, cervical cap) until your next period. The use of the drug during repeated unprotected sexual intercourse during one menstrual cycle is not recommended due to an increase in the frequency of acyclic spotting/bleeding.

Overdose

Increased severity of side effects. There is no specific antidote. Symptomatic therapy is carried out.

Interaction

When taking drugs that induce liver enzymes simultaneously, the metabolism of levonorgestrel is accelerated.

The following drugs may reduce the effectiveness of levonorgestrel: amprecavil, lansoprazole, nevirapine, oxcarbazepine, tacrolimus, topiramate, tretinoin, barbiturates including primidone, phenytoin and carbamazepine, drugs containing St. John's wort (Hypericum perforatum), and rifampicin, ritonavir, ampicillin, tetracycline, rifabutin, griseofulvin. Levonorgestrel reduces the effectiveness of hypoglycemic and anticoagulant (coumarin derivatives, phenindione) drugs. Increases plasma concentrations of GCS. Women taking these drugs should consult a doctor.

Drugs containing levonorgestrel may increase the risk of cyclosporine toxicity due to inhibition of its metabolism.

Side effects

Allergic reactions: possible - urticaria, rash, itching, swelling of the face.

Transient side effects that occur with varying frequency and do not require drug therapy: sometimes (1-10%) - vomiting, diarrhea, dizziness, headache, breast tenderness, delayed menstruation (no more than 5-7 days; if menstruation is delayed for more than long term, pregnancy must be excluded); often (more than 10%) - nausea, fatigue, pain in the lower abdomen, acyclic spotting (bleeding).

Indications

Emergency (postcoital) contraception (after unprotected sexual intercourse or unreliability of the contraceptive method used).

Contraindications

• adolescence up to 16 years;
• severe liver failure;
• pregnancy;
• rare hereditary diseases such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
• hypersensitivity to the components of the drug.

With caution: diseases of the liver and biliary tract, jaundice (including a history), Crohn's disease, lactation.

Features of application

Use during pregnancy and breastfeeding

Postinor is contraindicated for use during pregnancy. If pregnancy occurs while using an emergency method of contraception, then based on the available data, no adverse effect of the drug on the fetus has been identified.

Levonorgestrel is excreted in breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

Use for liver dysfunction

The drug is prescribed with caution to patients with diseases of the liver and biliary tract; it is contraindicated in severe liver failure.

Use for renal impairment

Data on the use of the drug in patients with impaired renal function are not provided.

Use in children

The drug is contraindicated in adolescents under 16 years of age.

special instructions

Postinor should be used exclusively for emergency contraception. Repeated use of the drug Postinor during one menstrual cycle is not recommended.

The effectiveness of Postinor tablets after unprotected sexual intercourse, during which contraception was not used, decreases over time:

The drug does not replace the use of permanent methods of contraception. In most cases, Postinor does not affect the nature of the menstrual cycle. However, acyclic bleeding and a delay of menstruation for several days are possible. If menstruation is delayed by more than 5-7 days and its character changes (scanty or heavy discharge), pregnancy must be excluded. The appearance of pain in the lower abdomen and fainting may indicate an ectopic (ectopic) pregnancy.

Adolescents under 16 years of age, in exceptional cases (including rape), need to consult a gynecologist to confirm pregnancy.

After emergency contraception, a consultation with a gynecologist is recommended to select the most appropriate method of permanent contraception.

Emergency contraception does not protect against sexually transmitted diseases.

In case of gastrointestinal dysfunction (for example, Crohn's disease), the effectiveness of the drug may be reduced.

Impact on the ability to drive vehicles and operate machinery

The effect of Postinor on the ability to drive vehicles and operate machinery has not been studied.

Postinor is a drug that millions of women use for emergency contraception. Everyone knows that a heavy dose of hormones cannot bring anything good to the body. The harm from taking Postinor has been repeatedly emphasized by gynecologists, but the drug has not lost its popularity over the years. This is due to its availability, relative cheapness and effectiveness.

However, when going to the pharmacy the morning after unprotected sex, you should definitely take into account that after taking Postinor the consequences can be the most tragic. Any woman should know what to be prepared for after taking the drug and whether she can turn to emergency contraception.

How the drug works

The active ingredient in Postinor is the hormone levonorgestrel. One tablet contains 0.75 mg of this hormone, which is a “killer dose” (for comparison: in oral contraceptives for non-emergency use, this amount of levonorgestrel is contained in 20 tablets).

The mechanism of action of Postinor is quite simple. The hormone contained in the drug leads to blocking ovulation. If ovulation has occurred, the drug prevents the passage of a fertilized egg into the uterine cavity, that is, in fact, a mini-abortion occurs in the woman’s body.

One package of the drug contains 2 tablets. How long should you drink them within? The first should be taken a maximum of 72 hours after unprotected sex, the second - 12 hours after the first. This ensures maximum efficiency.

Efficacy of the drug

The effect of Postinor is largely determined by how many hours after intercourse it was taken. The effectiveness of the drug is quite high - up to 95% (if the necessary instructions are followed and the first tablet is taken no later than 24 hours after sex). The longer the period of time between unprotected sexual intercourse and taking the first pill, the lower the effectiveness and the greater the risk of pregnancy.

So, if the drug is taken after 48 hours, the probability of its effect is slightly above 50%. However, you should remember that the possibility of becoming pregnant always exists. Even if Postinor is taken in the first 24 hours, it does not provide a 100% guarantee, like any other method of contraception: you can still get pregnant.

If the pills do not work and pregnancy still occurs after Postinor, some women decide to leave the child, and then the question arises about the effect of Postinor on the fetus. Of course, a hormonal shock can also affect the development of the baby, but often pregnancy passes without visible complications. Such a pregnancy will need to be monitored more carefully in order to identify complications or pathologies in time. Practice shows that many babies are born healthy and strong.

Many women are also concerned about another question: is pregnancy possible in the future after taking Postinor? Is it possible to use the drug without fear of developing infertility?

There is no clear answer to these questions. If you use the pills as an emergency aid and do not abuse them, there should be no difficulties with motherhood in the future. Many women manage to get pregnant after Postinor. If a woman transfers the drug to the category of “regular contraception,” problems, of course, cannot be avoided. And not only with pregnancy, but also with the work of the entire body as a whole.

Side effects

It is known that side effects exist even with the “safest” drugs. Of course, Postinor also has them, which is very difficult to classify as safe. A huge concentration of the hormone in one tablet can lead to serious health problems both immediately after taking it and in the long term.

Side effects after Postinor:

• disruption of intestinal function;
• vomit;
• diarrhea;
• a woman may have a headache;
• Dizziness, lethargy and weakness are possible.
• Many women have stomach pain after postinorax, which is associated with changes in hormonal levels and the onset of bleeding.

If the side effects are not very strong, you do not need to do anything - this is a natural reaction of the body. However, in case of pronounced reactions, you should immediately consult a doctor.

Consequences of taking

Hormonal imbalance is a mandatory and inevitable consequence of taking a drug containing shock doses of the hormone. How serious this consequence is in each individual case depends on the woman’s body.

The instructions indicate that you can take Postinor relatively painlessly for your health no more than four times a year. However, even a single dose leads to disruption of ovarian function, and it takes some time to restore it.

If the drug is taken on an ongoing basis, problems with the ovaries cannot be avoided: they are depleted, and the independent production of hormones by the female body comes to naught. An additional problem caused by taking Postinor may be uterine bleeding. This is explained by the fact that the level of gestagen in the blood increases.

Taking Postinor on a regular basis can also affect other body systems. Blood clots may form (especially if the woman already had problems with blood clotting). Blockage of blood vessels can be either partial or complete. Cases of pulmonary embolism are especially dangerous. Its consequence can be hemorrhage in the brain, which in especially dangerous cases leads to death.

Contraindications

As can be seen from the possible consequences of taking Postinor, it is undesirable to use the drug even for absolutely healthy women. However, in the presence of certain diseases and conditions of the body, the drug is absolutely contraindicated:

• Do not use Postinor if you have diseases of the liver and biliary tract;
• under the age of 16;
• during the lactation period;
• in the presence of uterine bleeding;
• in case of individual intolerance to the components of the drug;
• for any infectious diseases of the genitourinary system;
• in the presence of malignant tumors - due to the likelihood of their increase;
• with a tendency to increased thrombosis;
• with peptic ulcer;
• with a disorder of enzymatic activity in the gastrointestinal tract.

Alternatives to Postinor

Is it possible to find an alternative to this drug? Yes, there are a number of drugs that are taken instead of postinor. Escapelle is classified as an emergency contraceptive, but it cannot be said that the effects of its use do not entail difficulties. Its basis is the same as that of Postinor: a huge content of hormone (gestagen). However, some women prefer it to Postinor because this drug is more convenient to use. You only need to take one tablet.

In addition to Postinor and Escapel, women also use conventional oral contraceptives (Marvelon, Novinet, Regulon, Rigevidon), but increase their dose. Calculating the correct dosage at home is quite difficult, but some women are convinced that an increased dose of “regular” contraception is not as dangerous as emergency Postinor and Escapelle.

Mifepristone is also used for emergency contraception. The effectiveness of the drug is not due to hormones, but to its antiprogestogenic effect. Mifepristone stops ovulation and prevents the egg from implanting into the uterine lining.

There is also a non-drug way to prevent pregnancy after unprotected sex. This is an intrauterine device. When the IUD is introduced in a timely manner (up to 3 days), the effectiveness of this method tends to 100%. However, the IUD is not recommended for women who have not yet given birth, as well as for those who have a lot of unprotected sex and often change partners: there is a high probability that various types of STDs will begin to develop.

Despite the large number of alternatives, Postinor is still considered the most effective means of emergency contraception, and women are not afraid of warnings about numerous complications. Considering the state of her own health and the possible effect of the drug on the body, each woman must decide for herself whether she can take Postinor.

It should be remembered that taking the drug never leaves its mark on the body and there are always consequences after Postinor, even if the person does not feel them. Accordingly, making a decision about admission is entirely the responsibility of the woman, who must carefully weigh all possible complications. The impact of hormones on the body cannot be underestimated, which is why you need to carefully consider your decision before heading to the pharmacy.