Janine: instructions for use, price, analogs, reviews

Contraception, and not only from the German manufacturer Bayer Schering Pharma is a well-known Russian buyer. This new and high-quality products, the effect of which is tested in our own laboratories brand. Instructions for use Janine describes in detail the composition, properties and application of the rules, as well as provides recommendations for additional means of protection against unintended pregnancy.

The composition of the Janine

The basis of the preparation consists of two hormonal components: dienogest and ethinylestradiol 0.03 and 2 mg, respectively. As additional constituent components responsible for the shape, texture and shelf life are: starch, wax, sucrose, gelatin, magnesium stearate and others.

ethinylestradiol - synthesized in the laboratory analogue of the female sex hormone estrogen. Its structure repeats the natural, but by the action he is much more active than natural. In combination with progesterone-used as a combined contraceptive and individually - as a means for the treatment of endometriosis, ovarian dysfunction and certain malignancies.

dienogest - a second synthetic hormone progesterone analogue. The pharmacological practice almost always combined with estrogen, as the acts on the complex solution of the problem. Separate use indicated for the treatment of acne and acne short duration courses.

Pharmacotherapeutic group properties

Janine - low-dose combined oral contraceptive monophasic type. This means that it includes a small dose of hormones that must be taken in a particular period of the cycle. Simply put, this COC (estrogen + progestin).

The instructions for using the said property that the drug is a contraceptive agent, based on the mechanism of action of low doses of the hormones. The complex processes they inhibit egg maturation and release in the fallopian tube for fertilization. Instructions for use explain further hormones contribute to thickening of cervical fluid, which is a natural barrier to the penetration of sperm into the uterus. Thus it is achieved a double contraceptive effect.

Additionally, women who have used the drug Jeanine, leveled the menstrual cycle, menses come steadily in the same calendar day, leaving the unpleasant symptoms of PMS. Monthly becoming scarce, blood loss is minimal, and therefore reduces the risk of anemia, too.

Important! Instructions for use indicates that in parallel there is an improvement of the skin and hair, leaving acne and acne, improve emotional state.

According to research scientists, with the right systematic reception of medicines the risk of unwanted pregnancies is less than 1 per 100 women. This information also reflects the instructions for use in the form of index Pearl Index, which is equal to 0.1-1.

Pharmacokinetics

Since the drug Jeanine instruction specifies two main operating component of their absorption, bioavailability and excretion should be considered separately.

So after ingestion of a substance dienogest quickly mutates. In its pure form in the bloodstream it is negligible amount of - at least 10%. The maximum concentration of metabolites is achieved in 2.5 hours after administration. From the stomach substances enter the bloodstream and bind to serum proteins. The protective effect lasts over 20 hours.

Instructions for use indicates that the half-life of the metabolites dienogest - 10-14 hours. Part metabolites derived through the gastrointestinal tract, kidneys portion.

Ethinyl estradiol is rapidly and completely absorbed from the gastrointestinal tract after taking pills. Its maximum concentration is achieved after 3 hours and the bioavailability remains at a low level - 44%.

Partially substance is metabolized in the liver, partly in the intestine. In pure form it is present in the body. According to the application instructions at, excreted in the bile and urine within 20 hours.

Indications and contraindications to the pill Janine

To the effect of the drug was maximal and minimal negative effects, it is important to take into account all contraindications to its use. Instructions for use indicate the following contraindications:

• thromboembolism, thrombosis, varicose veins;
• diabetes;
• migraine;
• pancreatitis;
• liver cancer;
• pancreatic diseases, including pancreatitis;
• Pregnancy and lactation;
• idiosyncrasy components;
• hormone dependent tumors of internal organs.

It is forbidden to use the drug, if a woman had a stroke or heart attack, angina pectoris, coronary heart disease, hypertension. Instructions for use does not recommend using Jeanine actively smoking women after 35 years. Begin on the day following the removal of the helix, patch or COC pills.

Tip! After an abortion or miscarriage take Janine need for the next day or after consultation with a doctor.

From the testimony of instruction on contraception Janine points out, though gynecologists sometimes with hormonal imbalance, irregular periods and acne prescribe short courses of the drug to stabilize state.

Instructions for use Jeanine tablets

Each package contains 21 pills of the drug. Instructions for Use explain that the use of a contraceptive is designed for 3 weeks with a break of 7 days on the estimated monthly. Thus, each new packaging will be launched in the same day of the week, if a woman does not change the interval to accelerate or delay menstruation. Take the pills should be strictly at the same time of the day, following the direction on the package. Guide warns that skipping the next dose reduces protection from pregnancy.

How to take Janine

The instructions for using said that this relates to a contraceptive monophasic COCs. This means that in his reception there is a break, which should coincide with the monthly menses. Every pills should be taken after meals with water. To minimize discomfort in the abdomen, taking pills at night before bedtime. Typically reception circuit determined by a physician, especially when it concerns the transition from one to another COCs.

How to take Janine first time

If earlier the woman did not use hormonal contraception, taking Jeanine preparation begins on the first day of menstruation. This is followed in the direction of the arrow on the package, and take the other 20 pills. The instructions say, if the reception of the first tablet came not at first, but on the 2-5 day monthly, additionally use other means of protection against pregnancy, such as a condom. Instruction emphasizes, when the last pills from the package will be drunk, make a 7-day break. During this period should occur monthly, as a reaction to the abolition of the doses of hormones. Usually monthly occur 2-3 days after the cancellation.

When will the 7-day break in any case start taking pills of the second pack. The manual says that the drug is taken, even in the case of continued menstrual bleeding.

If a woman has applied other COCs used the patch or helix receiving Janine

If for any reason a woman interrupted reception drops, it is necessary to adopt as soon as it becomes possible, and should be taken at the usual time, even if the break between the two pills of a few hours.

Why blood begins, if you drink Janine

In the first 2-3 months of COC 40% of women come neobilnye spotting. This is a consequence of adaptation to different hormonal regimen. The mechanism of occurrence of blood is complex and depends on what day of the cycle occurs. If in the early days of tablet - is the result of a lack of estrogean, if at the end - progesterone. Gradually, the reproductive system gets used to the drug and stop spotting.

The manual says that if blood allocation is boosted, the woman feels pain in the abdomen, it is necessary to consult a doctor or a decision to discontinue the use of COCs. Each individual case is different.

Side effects Janine

In fact, the list of side effects Jeanine big enough. This drug has been well studied, so the manual lists all the possible consequences of its use.

Most often, you experience the following side effects:

• headache and epigastric pain;
• spotting according to plan;
• migraine;
• changes in the level of blood pressure;
• deterioration of mood;
• swelling and tenderness in the breasts.

A woman may feel increased appetite, nausea, vaginal discharge. Perhaps the appearance of edema and weight fluctuations.

drug interactions

In simultaneous reception and Janine drugs listed below may fainting protective function COCs:

• antibiotics;
• for the treatment of HIV infection, epilepsy, tuberculosis;
• herbal preparations of St. John's wort;
• antifungals;
• antidepressants.

Guide warns that Jeanine is able to alter the metabolism of cyclosporine.

Jeanine and alcohol

Instructions for use does not indicate a specific relationship with the drug Jeanine alcohol. However, gynecologists recommend refrain from drinking alcohol-containing beverage for 3 hours before and after 3 hours after ingestion of pills.

Special instructions and precautions

COCs, including Jeanine drug increases the risk of thrombosis. To minimize this risk, she will need to quit smoking, especially if she is 35 years or more. This is the official information from the instructions for use. If a woman experiences severe pain in the abdomen, accompanied by profuse bleeding, drug overturned.

If after receiving the pellets was vomiting, tablets efficiency decreases. Instructions for use recommends that women with chloasma while using pills to limit time in the sun.

If no menstrual bleeding 2 months in a row - it is important to consult a doctor to rule out or confirm pregnancy.

Terms and conditions of storage

The shelf life of a contraceptive for 3 years. Store the package under ambient conditions at a temperature no higher than 25 ° C.

The price of Jeanine tablets

Buy pills can be only by prescription. Cost of 1 course of the preparation of about 1000 rubles.

analogs Janine

Jeanine identical composition is used in the following preparations:

• Zhastinda;
• Denovel;
• Silhouette;
• Naadin;
• Yulidora.

This preparation Janine analogs in which the dosage of dienogest and ethinylestradiol is also the same. The most affordable is the Hungarian silhouette, the most expensive - German Denovel.

Jeanine or silhouette: it is better

Selection of contraceptive - completely individual matter. The body of each woman specifically reacts to interference in its hormonal status. Assess which tool is more effective only after personal use. Judging by the reviews of the women after 30 Jeanine it is used a lot with no serious side effects.

Almost all say the adaptation period, during which there is spotting or even bleeding. Instructions for use explains that cycle to stabilize the average 4 months.

A small percentage of women joined the group with serious side effects. This thrombosis and severe abdominal pain. If the use of COCs greatly affects the well-being is likely to need a selection of funds, on the other dose of hormones.

Jeanine or Yarina: which is better

These are two of the most popular drug in Russia. They prefer the more than half of women of reproductive age. When selecting funds take into account the fact that a part of Yarina has decongestant component and prevents fluid retention. If a woman is prone to hormone-edema - Yarina is preferable for it. This is stated in the instructions. In addition, from this COC rarely gain weight, on the contrary, lose weight. This information is obtained from multiple reviews about the drug.

Jess or Janine: Which is Better

Preparations are different compositions, except they contain ethinyl estradiol and dienogest, drospirenone. In medical practice more pronounced therapeutic effect has dienogest. Therefore Janine often prescribed for the treatment of gynecological disorders endometriosis to express the ICP and unstable menstrual cycle. If there are no problems, you can use any of these medications. Main exclude individual intolerance, but it is only in the process of reception.

Reviews of Jeanine women

Analyzing manual application Janine, price and reviews can be said that the drug is a good, proven, affordable and quite popular among women. He is listed among the most popular drugs in gynecology, with the effect of protection against pregnancy with fewer side effects.

Reviews of Jeanine women after 30

Reviews of Jeanine women after 40 years

Doctors about Jeanine, pros cons

conclusion

Instructions on the use of Jeanine, the woman's age and state of health - starting points for the appointment and administration of the drug. If the list of contraindications, you can put a plus at least one point, to apply a different method of contraception. In general, COCs well tolerated for prolonged use and does not harm women's health. On the contrary, in many cases it helps to get rid of the hormone-dependent menstrual disruptions and increase the chances of getting pregnant in the future.