"Lindinet 20" is a combination medicine presented in the form of small round tablets. The pills have a contraceptive effect, they are used for permanent planned contraception for women.
"Lindinet 20" and analogues in the rating of drugs sold as contraceptives occupy a leading position. This is explained by the fact that studies conducted by scientists have confirmed that these drugs are highly effective in protecting against unplanned pregnancy. With their use, pregnancy rates do not exceed 0.05 per hundred women during one year of studies.
What drugs can replace Lindinet 20?
Unconditional analogues of "Lindinet 20" in terms of the active substance in the composition, dosage form and dosage regimen today are:
- "Logest" - medicinalmeans, which is also an oral contraceptive. White tablets are produced in France by Delpharm.
- "Femoden" is a highly effective estrogenic drug. Analogue of "Lindinet 20" in composition, but the dosage is increased. Produced in Germany by the Bayer team.
- "Gestarella" is a monophasic low-dose contraceptive drug. Manufacturer - "Abbott Laboratories" in Germany.
Of all the analogues presented, "Lindinet 20" is the cheapest, but more on that below. The German pharmaceutical company "Gedeon Richter" also manufactures a drug with the same name but with a high content of the active element ethinylestradiol up to 0.03 mg per tablet - "Lindinet 30". Above in the photo is an analogue of "Lindinet 20" - "Logest".
Composition of contraceptives
"Lindinet 20" and similar drugs in composition contain only 2 active ingredients - ethinylestradiol 0.02 mg and gestodene 0.075 mg. These two elements guarantee a reliable contraceptive result. The effect of estrogen-gestagen tablets makes it possible to suppress the pituitary secretion of gonadotropins. In simple terms, the effect of the drug is that both of these components do not allow the egg to form and mature. This effect prevents the possibility of fertilization.
Estrogenic action of "Lindinet 20"and analogues causes a highly effective component - ethinylestradiol. This is a hormonal agent of the estrogen series, which is produced naturally by the ovaries and adrenal glands in the body of a woman. Together with progesterone, its tasks include stabilizing the woman's menstrual cycle, and, among other things, also dividing, multiplying endometrial cells and stimulating the development of the uterus in case of insufficiency of the gonads. Auxiliary function of ethinyl estradiol - lowering cholesterol levels in the blood.
Gestodene is an artificial substance similar in structure to levonorgestrel. It inhibits the synthesis of follitropin and blocks natural monthly ovulation. With the exception of the effects described above, birth control pills increase the viscosity of the mucus in the cervix, preventing the penetration of sperm.
From customer reviews: "Lindinet 20" and analogues, when used systematically, give not only the effect of a contraceptive, but also restore the menstrual cycle. They significantly reduce the risk of developing neoplasms in the pelvic organs and diseases of the female reproductive system. "Lindinet 20" and analogues of the active substance are drugs from the prescription group and can be used strictly according to the prescription of the attending physician after a thorough examination of the patient.
Medication form
The dosage form is sold in the form of glossy, pale yellow film-coated tablets. Tablets of rounded shape without inscriptions. The drug is produced in cardboard packaging. Inside the package may beone or three blisters with tablets. It can be 21 tablets or 63. The manufacturer of Lindineta 20 is Gedeon Richter ("Gedeon Richter") from Hungary.
Indications for use
"Lindinet 20" and analogues are prescribed as a modern contraceptive. Can be used to normalize the menstrual cycle.
Contraindications and restrictions
The drug is not indicated for girls before puberty and women after menopause. Contraindications to taking "Lindinet 20" are the following chronic pathologies or diseases in history:
- hypersensitivity to single components of the drug or a combination of hormones from the composition;
- clear predisposition or existing circumstances that provoke the formation of thrombosis;
- unstable blood pressure readings;
- ischemic heart disease;
- frequent migraines with neurological symptoms;
- thrombotic or thromboembolic lesions of veins and arteries;
- thrombotic vein injury in immediate family members;
- surgical intervention that causes prolonged immobility of the patient;
- damage to small vessels against the background of developing diabetes mellitus of all types;
- a condition of inflammation of the pancreas when the level of triglycerides in the blood is significantly elevated;
- formation of fatty deposits on the walls of blood vessels - dyslipidemic syndrome;
- disease or severe inflammationliver and kidney;
- yellow skin from steroids;
- gallstone disease;
- progressive genetic disease - pigmentary hepatosis;
- new growths on the liver;
- damage to the capsule of the inner ear;
- hormone-sensitive neoplasms on the organs of the reproductive system or mammary glands;
- Vaginal bleeding;
- long-term smoking;
- pregnancy and postpartum;
- lactation period.
In the following situations, according to doctors' reviews, "Lindinet 20" and analogues are allowed to be taken, but only with precautions and under the supervision of the attending gynecologist:
- patient over 35;
- conditions that provoke the occurrence of thrombotic lesions of the veins;
- overweight or obese;
- migraines;
- hypertension;
- diabetes mellitus if vascular damage is excluded;
- colon ulcer;
- hereditary angioedema;
- liver and kidney disease;
- diseases that worsened during pregnancy or from taking hormonal drugs;
- suffered a serious injury;
- varicose veins;
- pathological processes of heart valves;
- Changes in biochemical blood tests;
- sudden onset of seizures;
- heart rhythm disturbances;
- prolonged immobilityfemale patients;
- major surgery;
- Libman-Sachs disease (lupus erythematosus);
- ischemic heart disease;
- pronounced depression;
- Crohn's disease;
- hereditary disorder of hemoglobin protein structure;
- increased triglyceride levels in the patient's blood;
- atypical hemolytic uremic syndrome;
- Insignificant period of time after childbirth.
Method of application and dosage of the drug and its analogues
According to the instructions, "Lindinet 20" and analogues are taken orally with a moderate amount of water or other liquid. Reception is carried out regardless of meals, one tablet once a day, preferably at the same time. After 21 days from the moment you start taking the pills, you must definitely take a break for seven days. During the seven-day break from the use of hormones, withdrawal bleeding (imitation of menstruation) occurs. Then the tablets from the new blister are taken on the eighth day of the break.
If "Lindinet 20" is taken for the first time, then it is advisable to take the initial tablet from the blister from the first to the fifth day from the beginning of menstruation. In the first two weeks from the start of taking "Lindinet 20" and analogue tablets, it is important to take advantage of auxiliary contraceptives in order to avoid unwanted pregnancy.
Switching from other contraceptives
If the drug "Lindinet 20" is used as a replacement for other contraceptives, thenreception is started without a seven-day interval. That is, when drinking the final pill from the pack of the previous drug, it is very important to start taking Lindinet 20 the next day. It is allowed to switch to "Lindinet 20" from contraceptive preparations "mini-drank" any day. Nevertheless, in the first week of using Lindinet 20, you should not rely on it, so it is better to use additional methods of contraception.
When sudden vomiting or diarrhea occurs some time after taking the pill, the absorption of the drug is defective. If the symptomatology ended within twelve hours, then it is advisable to take another pill and continue taking it according to the scheme. If symptoms last more than twelve hours, additional contraception is absolutely necessary for the next seven days.
First trimester abortion
After an abortion in the first trimester, Lindinet 20 is prescribed from the first day, immediately after the mechanical abortion. In this case, there is no need for additional contraception.
Use after childbirth or after an abortion in the second trimester
Use "Lindinet 20" and analogues can be started at 21-28 days after childbirth or abortion. It is allowed to start taking after childbirth only if the woman is not breastfeeding. If you start taking the pills later than the indicated period, you will need additional barrier protection against pregnancy duringweeks.
Delaying menstruation
In case of urgent need to delay menstruation and prolong the cycle, you can resume taking the pills from the next package without a seven-day break. The appearance of spotting bleeding in this case does not reduce the contraceptive effect.
Missed pill
From the instructions for use of "Lindinet 20" and analogues: if the pill was not taken on time, and no more than twelve hours have passed since the missed pill, then you need to drink the missed pill and continue taking the drug "Lindinet 20" by scheme. If more than twelve hours have passed, then the effectiveness of the drug as a contraceptive decreases, and it is recommended to use additional barrier contraceptives, such as a condom.
Missed tablet in the first and second week of the cycle: the next day, take two tablets at once and continue the regular regimen of the drug, applying additional protection until the end of the cycle. Missed tablet in the third week of the cycle: take the tablet and do not take a seven-day break before the next pack.
Side effects
During the reception of "Lindinet 20" and analogues, disturbances in the work of the following body functions often occur:
- Mammary glands: aching pain on the side and top, breast enlargement, discomfort, feeling of heaviness, discharge from the nipples.
- Reproductive system - change in libido (decrease occurs much more often), inflammation in the vagina, lack of menstruationafter discontinuation of the drug, non-cyclic blood spotting from the vagina.
- Disorders of the gastrointestinal tract: pain in the stomach, nausea, vomiting, diarrhea, inflammation of the colon, liver damage, bile stasis, development of gallstone disease.
- Skin: rashes, pigmentation, alopecia.
- Neurology: headaches, psycho-emotional instability, depressive states, migraines.
- Metabolism: rapid weight gain without change in diet, edema due to fluid retention, increased blood glucose, increased blood triglycerides.
- Sense organs: eye discomfort, hearing loss.
Rarely occurring side effects from Lindinet 20 and analogues of the drug:
- Thromboembolic damage to the veins and circulatory system, including the brain.
- Lower limb vein damage.
- Complication of lupus erythematosus.
Extremely exceptional violations:
- Destruction of the artery of the kidneys and liver.
- Retinal damage.
Drug withdrawal is indicated in case of development of the following disorders:
- Sustained increase in blood pressure.
- Progression of porphyria.
- Clogging of vessels with blood clots.
- Hearing loss due to otosclerosis.
Increased symptoms of one of the above diseases during the use of hormones require urgent discontinuation of the drug and the use of non-hormonal contraception.
Special regulationsbefore using oral contraceptives
In the period of pregnancy and lactation, the described remedy is strictly contraindicated. Therefore, some time before the start of the reception, it is better to do a pregnancy test or donate blood for hCG. Reason: In the first months of pregnancy, sluggish periods are possible.
Before you start using Lindinet 20, it is important to collect all the required information about the he alth status of the patient and immediate family members. While taking Lindinet 20 and analogues, the reviews and instructions say that every six months it is necessary to undergo a medical examination, as well as a gynecological examination to timely identify possible risk factors.
Since a stable contraceptive effect from pills is achieved after two weeks from the start of use, doctors recommend taking on board these days additional non-hormonal methods to protect against pregnancy. Taking hormonal contraceptives is individual in each case.
Before starting, it is important to evaluate all the possible advantages and disadvantages of using the drug, after consulting in person with the attending gynecologist. Before you start taking drugs, it is important to consider that the relationship between taking oral hormonal contraceptives and the occurrence of thrombosis has been scientifically confirmed.
The risk of developing thromboembolic lesions is due to provoking factors:
- mature age of the patient;
- longsmoking;
- heredity;
- hypertension;
- diabetes mellitus;
- prolonged immobility of the patient.
The postpartum period greatly increases the risk of thromboembolism. Unfortunately, there is information about the increased incidence of cervical cancer in the case of prolonged use of hormonal contraceptives. Nevertheless, research data contradict each other, since there are many conditions for the development of cervical cancer, and the effect of oral contraceptives will not necessarily be dominant. It is also known that regular use of oral contraceptives can cause the development of breast cancer.
When taking "Lindinet 20" and analogues in composition, it is important to remember that the drug is not able to protect against infection with HIV and other types of sexually transmitted diseases. A condom is the best way to prevent infection.
The effectiveness of a hormonal contraceptive can decrease if:
- skip pills;
- vomit;
- repeated diarrhea;
- long time between pills;
- use of drugs that reduce the effectiveness of contraceptives.
After a long time after taking Lindinet 20, the effectiveness of the drug may decrease. If non-cyclic bleeding of unknown origin appears and does not stop until the end of the blister, then it is necessary to stop taking the drug and not resume until pregnancy is excluded at the gynecologist's appointment.
Estrogens contained in "Lindinet 20" can affect the performance of laboratory tests of such organs as the kidneys and liver, thyroid gland, adrenal glands. Viral liver damage delays taking the drug for six months.
Smoking while taking Lindinet 20 contraceptive pills and analogues increases the occurrence of possible vascular diseases, which is extremely dangerous for patients over 35 years old. There is no research data on reception safety when driving a motor vehicle and other activities that require increased concentration and speed.
Hormone overdose
There are no known cases of serious side effects from a significant increase in the daily dosage of oral contraceptives. In isolated cases, situations are possible when nausea or vomiting occurs. In young girls, slight bleeding from the vagina is possible. However, exceeding the dosage of the drug is a reason for an urgent visit to the doctor to inform him about it.
Interaction with other drugs
The semi-synthetic antibiotic "Rifampicin" reduces the contraceptive effect and increases the occurrence of breakthrough bleeding, and also provokes menstrual irregularities. "Carbamazepine" and "Primidon" also reduce the effect of the drug "Lindinet 20". In this regard, during the period of therapy with these drugs, it is necessary to use additional measures to protect against pregnancy.
Laxatives lower blood levelshormones in the blood. "Fluconazole" increases the level of ethinylestradiol in the patient's blood. Antibiotics of the tetracycline series reduce the level of estradiol in the blood. St. John's wort and preparations based on it should not be combined with oral contraceptives.
Storage conditions
According to the manufacturers, "Lindinet 20" is suitable for use within three years from the date of production, which is indicated on the carton of the drug. After the expiration date, the use of the drug and its analogues is strictly prohibited. If a day is not specified, then the expiration date is the last day of the marked month.
Proper storage of medicines:
- avoid direct sunlight and moisture on medicines and even packaging;
- keep out of the reach of children;
- optimum storage temperature should not be less than 15 degrees and not exceed 25 degrees.
Disposal of pills
To properly dispose of medicines, you can seek advice from a pharmacist. This knowledge will help protect the environment.
Cost of drugs
Judging by the reviews, the rating of analogues and "Lindinet 20" is quite high, the last remedy takes a leading position due to its low price. The average cost of Lindinet 20 tablets, from customer reviews, varies greatly across the country and depends on the region. So, for example, in Moscow, prices for a pack of 21 tablets range from 450 to 570rubles. For a package containing three blisters (63 tablets), you will have to pay from 960 to 1220 rubles.
After analyzing the pharmaceutical market, we can conclude that "Lindinet 20" is cheaper than analogues. For example, the average cost of a package of "Logest", where 21 tablets, is as much as 740 rubles.
