Every woman knows how important it is to choose the right contraceptive for her body. Currently, the choice of such drugs is huge, but there are not so many of those that contain a small amount of hormones, have few contraindications and meet modern standards. Just one of them can be attributed to the tool "Jazz". Pills not only help prevent unwanted pregnancy, their intake has a beneficial effect on the general condition of the body.
Composition, release form
The drug is available in film-coated tablets. The active ingredients in their composition are: ethinylestradiol (in the form of betadex clathrate) - 0.02 mg and drospirenone - 3.00 mg. Auxiliary components include: lactose monohydrate, corn starch, magnesium stearate.
Tablets "Jazz" - reviews about them are mostly positive - refer to oral contraceptive hormonal drugs. They are taken by mouth to prevent unwanted pregnancy and only on the advice of a doctor.
Pharmacological properties
The contraceptive has antimineralcorticoid andantiandrogenic effect. Suppresses ovulation by transforming the cervical fluid, which becomes viscous and prevents sperm from entering.
If you take Jazz pills, reviews of which are quite contradictory, according to the scheme described in the instructions, then the probability of fertilization according to the Pearl index is less than 1, but each missed dose of the drug increases this indicator.
Indications and contraindications
"Jazz" (contraceptive pills) have their own indications and contraindications that determine the scope of their application.
So, the drug is prescribed to prevent unwanted pregnancy. Jazz contraceptive pills are also used to treat moderate acne and relieve premenstrual syndrome.
The instruction says that their use should be abandoned in case of venous arterial thrombosis, thromboembolism, cerebrovascular disorder. Do not use them in a condition preceding thrombosis. We are talking about cardiovascular diseases, such as ischemic attacks, arrhythmias, angina pectoris, malfunctions of the heart valve, atrial fibrillation. Contraindications to the use of the drug are migraine, diabetes mellitus, impaired brain function and lesions of the coronary arteries. You can not use the medicine for uncontrolled form of arterial hypertension, surgery with a prolonged form of immobilization and smokers over the age of 35.
Doctors do not recommend the use of the drug for renalinsufficiency, diseases of the liver, adrenal glands, hormonal neoplasms, vaginal bleeding, during pregnancy and lactation.
It is worth refusing to take the drug in case of hypersensitivity to the active and excipients in its composition.
If discomfort, bleeding, stopping the menstrual cycle and the like occur while taking pills, then you should refrain from taking them and continue the course only after consulting a gynecologist.
Instances when the drug should be taken with caution
Don't self-prescribe Jazz birth control pills. Reviews of women taking this remedy speak of its low hormonal level. Should be taken with caution or should not be used at all when:
- predisposition to thrombosis, thromboembolism;
- smoking, thrombosis, heart attack, cerebrovascular accident, obesity of any degree, dyslipoproteinemia, migraine, high blood pressure, heart valve disease, arrhythmias, prolonged immobilization, surgery, major trauma;
- peripheral circulatory disorders. These are diabetes mellitus of any type, Liebman-Sachs disease, hemolytic uremic syndrome, inflammation of the gastrointestinal tract, ulcer, colitis, phlebitis, sickle cell anemia;
- angioedema;
- hypertriglyceridemia;
- any diseases of the liver and gastrointestinal tract;
- jaundice, cholestasis, otosclerosis, Sydenham's chorea, cholelithiasis, porphyria.
It is worth refraining from taking the drug during the postpartum recovery period.
Pills "Jazz": instructions
Contraceptive is taken orally with water. The drug is taken at the same time. Dragee should be taken alternately in the direction of the arrow, which is drawn on the aluminum blister, in order to avoid confusion. There are a total of 28 pills per pack.
Often the menstrual cycle begins on the second or third day after taking the last active pill, followed by four pills-pacifiers that do not contain the active ingredient in the next four days.
Don't take a break between the old and the new pack. Taking pills from a new package should be carried out the next day after the last inactive dragee in the old pack ends, even though the critical days have not yet ended. As a result, a new pack of contraceptive hormones will always start on the same dates, and periods will occur approximately on the same calendar day.
First pack contraceptive Jazz Plus
Pills (reviews speak of their good contraceptive effect) should be taken from the first day of menstruation. On this day, you need to drink a dragee corresponding to a certain day of the week. It is allowed to use the drug on the 2nd-5th day of the cycle, but in this case, the degree of reliability of the contraceptive will not be up to par and additional protection will be required throughout the first week.
If the transition to this drug is carried out from combined oral agents, a vaginal ring or a contraceptive patch, then the Jazz hormone pills should be taken the next day after taking the last pill from the old package. In this case, there will be no break between taking the pills. If in the former drug, as in this one, pills without an active substance are provided, then Jazz should be started the next day after taking the last active pill of the former drug. "Jazz Plus", tablets (instructions are attached to them), you can use a little later, but no later than the day of taking the last tablet without active substance.
When using a vaginal ring, contraceptive patch, the use of the drug should begin on the day the ring or patch is removed, but no later than the day the contraceptive is changed. If all rules are followed, there is no need for additional security measures.
If a non-combined oral preparation containing only a progestogen (mini-drink) was previously used for protection, then after stopping its intake, you can start taking Jazz tablets the very next day. The only thing is that during the first week, you will need to resort to additional contraception.
If the transition to "Jazz" (birth control pills) comes with injections to prevent unwanted pregnancy, an implant or a progestogen-releasing coil, then taking the dragee should begin on the day when the introduction should occurthe next injectable contraceptive and in the first week after the removal of the spiral (implant). During the same period, additional protection measures should be used.
Doctors often prescribe to women after childbirth the Jazz Plus remedy. Reviews indicate that it also heals. But you can take it only after the complete end of the first cycle. If there is a prescription from a specialist, then it can be used earlier.
When breastfeeding, after an abortion or miscarriage, the possibility of taking the drug should be discussed with a gynecologist.
What Jazz packaging says
The information on the package helps you to take Jazz correctly. It contains 24 tablets plus four in the last row - placebo. All dragees are enclosed in an aluminum blister. The box contains a calendar with adhesive tape that allows you to control the days of taking the drug.
Before taking the pills, you need to select a strip with the corresponding day of the week and use it by sticking it on the package in the position that the “start” arrow is looking at it.
This functional solution allows you to see the day of the week when you should take a pill, and will not let you miss the next pill.
Discontinuation and missed pills
If you wish and according to indications, you can stop taking the Jazz Plus contraceptive at any time. Tablets, reviews of which are quite impressive, should be excluded when planning pregnancy. In this case, it is necessary to wait for the arrival of the first natural menstruation. If the medication is stopped for any other reason, you should askdoctor about analogues or other methods of contraception.
If a dose is missed, then the inactive pills are not taken into account, but they should be discarded in order to avoid the error of prolonging the period of inactive pills. An undrunk active pill from the period from the 1st to the 24th day with a delay of 12-36 hours does not cancel the contraceptive effect, but at the first opportunity it will be necessary to take the medicine. Being late for more than 12-36 hours significantly reduces the contraceptive effect of Jazz. And the more pills are missed, the closer is the period of taking inactive pills and the greater the likelihood of fertilization.
If you miss taking the medicine from the 1st to the 7th day of the cycle, you need to take a pill at the first memory of it, even if you have to drink two pills at once a day. In the future, you should take the tablets in the usual way. Additional contraception must be used throughout the following week.
The missed pill in the phase from the 8th to the 14th day is drunk as soon as the woman remembers it, even if two pills have to be taken at the same time. Further, the medication is taken as before. The need for additional contraception is eliminated, provided that the drug was taken according to the scheme within seven days before the missed active tablet. If there was a fact of skipping the drug before, then additional contraceptive measures must be used.
A missed appointment between days 15 and 24 poses a fairly high risk of unwantedpregnancy. If during the week preceding the missed day, all the pills were taken correctly, then you can not use additional contraception. Otherwise, additional precautions should be taken throughout the next week. In any case, the tablet should be drunk as soon as possible, even if you have to drink two pills at the same time. The remaining active tablets are used strictly according to the schedule, and the inactive ones are thrown away. There is a sharp transition to active pills from a new package. At this time, spotting may be observed. Bleeding does not occur until the end of the second pack.
You can temporarily stop taking the pills, but no more than four days. This should include the days of skipping the drug. Continue taking the pills from the new package.
Side effects
Jazz can cause a number of side effects. These are, first of all, a sharp change in mood, depression, nausea, vomiting, pain in the breast, migraine, breakthrough uterine bleeding, decreased libido, venous and arterial thromboembolism, impaired liver function, blood pressure jumps.
In rare cases, there is a tumor of the mammary glands. Benign and malignant neoplasms in the liver are possible. Increased risk of occurrence and development of pancreatitis, erythema nodosum, hypertension.
Contraceptive use aggravates the patient's condition with jaundice, itching caused by the formation of cholestasis, gallstones, porphyrin disease, systemiclupus erythematosus, Sydenham's chorea, angioedema, Crohn's disease, chloasma.
Analogues of the drug
Currently, there are many oral hormonal contraceptives, but there are only a few that can replace Jazz. These are medicines:
- "Jazz Plus";
- "Dimia";
- Yarina;
- "Dailla";
- "Simicia";
- "Midian".
They contain exactly the same active ingredient and the same doses of hormones as Jazz. Tablets (analogues) act almost the same. They reduce the level of male hormones and have antiandrogenic properties. Excellent protection against unwanted pregnancy. The difference between them lies in the manufacturing company. Prices for them range from 700-1000 rubles, plus or minus 50-300 rubles. The drug "Jazz" costs about 750 rubles for a package of 28 tablets.
Contraceptive reviews
"Jazz" is a modern medicine, but the reviews about it are quite contradictory. Many take it for a long time and are not going to change to another. During this time, the condition of the skin and hair improved in women, pain in the lower abdomen during the premenstrual period decreased, pregnancy did not occur. Some of them noted an increase in weight when taking Jazz. Tablets (doctors' reviews once again confirm their effectiveness and pay attention to contraindications) also affected libido in a negative way. It either completely disappeared, or significantly decreased. After taking the medicine, there was a delay in menstruation, brown discharge and breast swelling.
For many, the contraceptive failed and caused hypertension, headaches, mood swings, discomfort, bleeding. This category of people, in order to avoid negative consequences, strongly recommends that you undergo an examination, pass all the necessary tests and be sure to consult a gynecologist before taking this drug.
And yet Jazz pills effectively cope with the task assigned to them and protect women from unwanted pregnancies, which is confirmed by thousands of women's reviews.