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INDICATIONS

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Ginette-35 is employed for oral contraception in ladies who require anti-androgen therapy. Cyproterone acetate can be utilized in partnership with ethinyl oestradiol for your control over idiopathic hirsutism.

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For the treatments for acne that is severe, especially androgen-dependent acne accompanied by inflammation, seborrhoea or even the formation of nodes.

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INSTRUCTIONS

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Before commencing with Ginette-35, a proper medical (including gynaecological) examination should be done as well as the patient's medical history carefully evaluated. Regular medical examinations are recommended during use. Pregnancy ought to be excluded.

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Disorders in the clotting system and genealogy of thrombo-embolic diseases, especially with a young age, should be excluded.

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Androgen-producing tumours or even an adrenal enzyme defect must be ruled out before prescribing Ginette-35 for that treating hirsutism.

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Additional contraceptive precautions should be taken to the first two weeks from the first cycle or if a tablet is accidentally missed.

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Spotting may occur but will usually stop spontaneously.

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The patient is suggested to see her doctor if prolonged and persistent bleeding occurs.

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The tablet must be taken roughly simultaneously each day, not exceeding 24 hours, for max effectiveness. The tablet may be taken with a meal to cut back nausea.

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Missed doses: Take immediately, which is over the following 12 hours on the latest, however, not if it is nearly time for your next dose. Do not double doses. Take the next tablet on the usual time and energy to prevent withdrawal bleeding. Additional non-hormonal contraceptive precaution needs to be taken.

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In the case of diarrhoea or vomiting, additional non-hormonal contraception must be doing work in order in order to avoid pregnancy.

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First cycle: The patient should consider the first tablet on the first day in the cycle (the first day from the cycle being the first day of the menstrual bleeding). Thereafter, one tablet should be taken daily, pursuing the sequence with the arrows, concurrently, until all of the tablets are actually taken. The first tablet needs to be taken from the silver section (with the calender pack), commencing using the appropriate day as indicated around the strip.

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Subsequent cycles: A new pack should be started morning after completing the first sort pack, yet again beginning from the right day inside the silver section in the strip. This method must be followed provided that the contraception is desired.

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For the treatment of androgen-dependent acne: Dosage as for contraception.

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DOSAGE

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Take the same manner prescribed.

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STORAGE

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Store Ginette-35 below 86 degrees F (30 degrees C). Store away from heat, moisture, and lightweight. Do not store within the bathroom. Keep Ginette-35 out of the reach of children and far from pets.

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Side Effects

The following side-effects may occur:

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Precautions

Woman who use oral contraceptives needs to be strongly advised never to smoke. Smoking enhances the risk of myocardial infarction.

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Women smoking over 15 cigarettes every day have at least a 20% increased risk of serious cardiovascular side-effects. This risk also increases as they age and is also quite marked ladies over 35 years.

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Not to be utilized in children and men.

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Do not use if: 

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Oral contraceptives must not supply during known or suspected pregnancy as it may cause severe trouble for the foetus.

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A combination oral contraceptive really should not be prescribed after having a recent evacuation of a hydatidiform mole until urine and plasma gonadotropin concentrations have returned on track.

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Lactation.

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Hypersensitivity to your of the ingredients.

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Known or suspected cancer of the breast.

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Patients with liver diseases or malignant or wasting diseases.

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It shouldn't be given to patients having a reputation thrombo-embolic disorders. This may include myocardial infarction, pulmonary embolism, venous thrombosis and stroke.

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Contra-indicated in patients with severe chronic depression and sickle-cell anaemia.

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Oral contraceptives are contra-indicated in patients with oestrogen-dependent neoplasms, functional ovarian cysts, the Dubin-Johnson or Rotor syndromes, disorders of lipid metabolism, markedly impaired liver function, cerebrovascular insufficiency, coronary heart, thrombophlebitis, deteriorating otosclerosis, a history of pruritus during previous pregnancy, undiagnosed vaginal bleeding, herpes, recurrent cholestatic jaundice or porphyria.

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Patients with classical migraine must avoid using a compounding oral contraceptive.

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Relative contra-indications (these patient would require medical supervision):

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Diabetes mellitus, tetany, hypertension, epilepsy, chorea, multiple sclerosis, renal dysfunction, asthma, mental depression, spider veins, cardiac dysfunction, gallbladder disease, patients who wear disposable lenses and obese patients, or another conditions relying on fluid retention. The risk benefits must be considered in patients with endometriosis and uterine fibroids. It is recommended that this usage of Ginette-35 be discontinued if any from the following symptoms occur:

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