Contraceptive pills "Novinet": reviews from doctors

Characteristics of the drug

Novinet is an oral contraceptive based on desogestrel and ethinyl estradiol. Contains auxiliary components taken into account in case of individual intolerance. The active substance provides the following pharmacological action:

• suppression of ovulation;
• increased secretion of mucus near the cervix, which prevents sperm from penetrating into its cavity;
• reduction of pain during menstruation;
• reduction of heavy menstrual bleeding, this eliminates the tendency to anemia.

The product is produced in film-coated tablets. After the first use, absorption occurs in the intestines. Bioavailability is no more than 80%. There is a connection with blood plasma proteins. Metabolism occurs along the path of sex hormones. Excretion of metabolites occurs through the kidneys, partially through the intestines.

The main indication for use is oral contraception, but additionally the drug is used to normalize the menstrual cycle and prevent heavy discharge.

The drug is taken depending on the phase of the menstrual cycle. The first tablet is taken with the onset of the first day of menstruation. The duration of the course is 28 days, after which a break of 7 days is taken. Then the technique is repeated according to an identical scheme.

Contraindications for use and side effects

Not all people can use oral contraceptives, including Novinet. Serious consequences may occur. It is not recommended to drink the product for the following conditions or diseases:

• increased blood clotting, thromboembolism, thrombosis;
• the presence of moderate to severe pathology of the cardiovascular system;
• diabetes mellitus, dyslipoproteinemia;
• chronic migraine;
• postoperative condition;
• inflammation of the pancreas, severe liver pathology, neoplasms;
• pregnancy, lactation;
• increased sensitivity to components;
• minor age;
• use of certain medications;
• deficiency of enzymes that process excipients of the drug.

Negative reactions occur due to contraindications and use without a doctor’s permission. Since the drug is hormonal, serious changes occur in the body. The following side effects are possible:

• local, systemic allergic reactions;
• fluid retention, swelling;
• depression, mood swings, decreased libido;
• headache, migraine;
• blood clot formation;
• breast pain, growth of breast tissue or endometrial lining of the uterus.

Adverse reactions were identified in clinical trials. They may not be visible to the eye without research. Therefore, a month after starting to use the drug, blood tests are taken.

Instructions for use of "Novinet"

Novinet is used to prevent unwanted pregnancy. The drug is started on the first day of menstruation and continued to be taken one tablet daily for 21 days. At the end of the course, you need to take a week's break, after which the course of taking Novinet is resumed. During the week's break, menstrual bleeding should begin. The drug continues to be taken regardless of whether menstruation has ended or not. After an abortion, they start drinking Novinet from the first day after the operation.

"Novinet" contains the hormones estrogen ethinyl estradiol and the progestogen desogestrel.

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Take the drug at the same time of day, do not allow a break of more than 12 hours. In this case, take two Novinet tablets at once and additionally use other methods of contraception for a week. If the drug was missed on the first day of menstruation, the course begins on the second or fifth day. However, in this case, the drug exhibits a low contraceptive effect, so additional methods of protection against unwanted pregnancy should be used within a week.

In addition to the contraceptive effect, the drug has a therapeutic effect: it evens out the menstrual cycle, reduces blood loss, and reduces inflammatory processes in the woman’s genital organs. According to reviews, after using Novinet, the condition of the skin improves, the risk of developing ectopic pregnancy, tumors in the endometrium, ovaries, and breasts is reduced.

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Why was Novinet discontinued?

Novinet is an imported medicine. In all other countries of the world it remains on sale, as it has a beneficial effect on the body and rarely causes adverse reactions. They appear only in patients with a predisposition to individual intolerance or the presence of contraindications. Women from Russia are wondering where it went from pharmacy shelves.

In Russia, this remedy disappeared due to the termination of the license. Therefore, the disappearance of sales only applies to Russian shelves. Gynecologists advise temporarily or permanently replacing the product with analogues with an identical active ingredient until it is gone. For example, Regulon, Marvelon.

Replacing the drug is possible under the supervision of a doctor. The patient may choose the wrong medicine, which will lead to the risk of disruption of the menstrual cycle, side effects for the cardiovascular and other systems. Replacement is carried out one week after the last dose of Novinet tablet. There should be no discomfort for a woman, because the active ingredients are identical.

Analogues and substitutes of the drug

Since Novinet is no longer on sale, it is recommended to look for its analogues. If there are no contraindications to it, no side effects have occurred, it is better to use drugs with a similar active ingredient. If you feel unwell, have dyspeptic disorders, or have an increased platelet count, look for a remedy with other active ingredients. Recommended analogues of Novinet by composition or mechanism of action are presented in the table.

Almost every drug has the same effect on the body, suppressing the possibility of conception. The cost differs due to the manufacturer and pharmacy markups. When choosing an oral contraceptive on your own, side effects may occur. To rule this out, consult a gynecologist. He selects a substance depending on the presence of gynecological and other systemic diseases, body weight, and the functionality of the menstrual cycle.

Comparison with drugs of identical composition

Novinet is identical in composition to such drugs as Regulon, Marvelon, Tri-Mercy. They contain the same active ingredients. Therefore, the following functions are performed in the same way:

• effect on the body;
• distribution, metabolism, excretion of active components;
• method of use, dosage;
• side effects, contraindications for use.

Many patients are interested in what is the difference between Regulon and Novinet. Gynecologists and therapists explain that their composition is absolutely identical. The only difference is the company and the country of manufacture. If it is quite famous, there is a strong markup.

For example, Marvelon costs 2 times more than Regulon, although their composition and mechanism of action are the same.

When a woman changes her oral contraceptive, it is recommended to consult a gynecologist about switching from Novinet to Regulon or other means. Doctors explain that identical drugs can be continued to be used without fear of consequences. The mechanism of action is absolutely the same. A 7-day break must pass from the last time you took the pill. On the eighth day they begin to use the analogue.

Comparison with Lindinet 20

Lindinet 20 is a contraceptive based on ethinyl estradiol and gestodene. This is a relatively new drug of the latest generation. Use film-coated tablets. Main mechanisms of action:

• suppression of ovulation due to inhibition of pituitary gonadotropic hormones and follicle maturation;
• increased viscosity of cervical secretions;
• changes in the endometrium, the egg cannot attach;
• normalization of the menstrual cycle, elimination of pain;
• preventing the development of iron deficiency anemia.

The main indication for use is identical - oral contraception. Admission is possible from the age of 18, but from the moment of menarche. Side effects are more extensive. Additionally, infectious diseases of the genital organs, severe anaphylactic reactions, and neuritis may appear. Inflammation of the kidneys, urinary tract, and biliary system occurs less frequently. Contraindications for use are similar to Novinet.

Compared to Lindinet 20, Novinet has a more gentle effect on the body. It causes less negative impact on internal organs. But if a woman is healthy and has no contraindications, any of these remedies can be used.

Difference with Jess

Jess is an oral contraceptive that can replace Novinet. It contains ethinyl estradiol, drospirenone. These substances provide the following pharmacological action:

• suppression of ovulation, increased secretion of the cervix;
• improvement of the menstrual cycle, prevention of pain;
• prevention of weight gain, formation of edema;
• relief of premenstrual syndrome;
• improving the quality of skin and hair;
• normalization of lipid metabolism.

Novinet has a much more simplified effect on the body. It suppresses ovulation and improves the menstrual cycle. Jess additionally affects mineral and lipid metabolism. Unlike many other oral contraceptives, it does not increase body weight, which affects many women. Therefore, it can be used not only because Novinet has been discontinued, but also in the presence of adverse reactions.

Side effects are similar. However, they occur extremely rarely. The most common disorders that occur are cardiovascular system disorders, dyspeptic reactions, and changes in psychoemotional state.

Other types of contraception

For women over 40, pregnancy is quite rarely a planned event. These are always complications for the woman, the possibility of developing pathologies and other undesirable consequences. You can protect yourself not only with birth control pills, which were described above. There are other effective methods of contraception:

• condoms (both male and female);
• barrier products (caps, sponges - inserted immediately before sexual intercourse);
• intrauterine device;
• spermicides;
• hormonal agents (rings, patches, implants);
• surgical intervention (sterilization).

Condoms are the most popular means of contraception, which is suitable for almost everyone, so they can be used by women aged 40+.

The most important advantage of this type of protection against unwanted pregnancy is the complete absence of contraindications and the elimination of negative effects on the body. This distinguishes condoms from other methods of protection, which have a number of contraindications and even tend to cause various side effects. In addition, condoms reliably protect against unwanted infections that can be sexually transmitted.

No matter how reliable this method of contraception is, it also has several disadvantages:

• feeling of discomfort during intimacy;
• decreased overall sensitivity;
• low level of satisfaction from sexual intercourse for both partners;
• allergies to fragrances, latex.

The degree of protection provided by condoms is significantly lower than that of intrauterine devices and oral contraceptives. If used incorrectly or the wrong size is chosen, minor cracks may appear in the latex. Through them, sperm can easily penetrate the vagina, which is no longer safe for a woman. Moreover, the condom may slip off or break. This will cause some inconvenience and, more importantly, increase the chances of getting pregnant.

Intrauterine devices are first on the list of the most effective contraceptives after birth control pills. They are divided into:

• regular spirals (copper/silver);
• hormonal IUDs.

They are installed only by an obstetrician-gynecologist for a period of 2 to 5 years or more, depending on the type of spiral chosen. During the first six months, you may experience discomfort in the lower abdomen, as well as menstrual irregularities.

Women over 40 years of age are recommended to use hormonal IUDs. This is due to an increased degree of protection against unwanted pregnancy and the exclusion of ectopic pregnancy.

Spermicides are protection against unwanted pregnancy, the action of which is based on the destruction of sperm entering the vagina. The base substance in the composition creates a protective film around the cervix, preventing it from contacting sperm. The chemical in the composition is responsible for their destruction.

This product has several convenient release forms:

• vaginal suppositories;
• foam;
• gel;
• tablets that foam;
• special films (soluble).

This method of contraception is recommended for women over 40 years of age, as it shows quite effective results and has no contraindications other than individual intolerance to the components.

The only disadvantage of this product is the excessive formation of foam, which causes some discomfort and stains the laundry.

Hormonal drugs allowed for women over 40 years of age:

• Vaginal hormonal ring (after insertion it does not cause discomfort, is not felt in the body, remains effective throughout 1 menstrual cycle).
• Plaster (glued to the skin in the thighs, abdomen, upper outer side of the shoulder/torso; used from the 1st day of menstruation for 3 weeks in a row; after - 7 days break, after which the procedure is repeated).
• Implants (6 silicone capsules are inserted under the skin into the area of ​​the inner forearm. The capsules contain a hormone, which after implantation is released and evenly absorbed into the blood in small doses. The effect lasts for 5 years.)

Sterilization is a surgical intervention based on the following operating principle: the fallopian tubes are subjected to ligation, excision or laser coagulation. This completely eliminates the possibility of getting pregnant. It is extremely difficult to decide on such a step, since it is impossible to restore reproductive function in the future.

Women should be extremely careful about their health, especially after crossing the threshold of 40 years. This also applies to the choice of contraception. Correct selection and strict adherence to recommendations for a particular drug is all that is necessary to avoid unwanted pregnancy. Most drugs have medicinal properties that will help restore women's health, hormonal balance, normalize menstrual cycles and even increase libido.

It is important to understand that you should not self-medicate and if you have any problems, you should contact an experienced gynecologist, who, based on the results of tests and studying the state of health, will be able to prescribe the right drug and keep the woman healthy.

Which is better Novinet or Janine?

Zhanine is a pill from a range of oral contraceptives that you can switch to from Novinet. The composition contains 2 active components - ethinyl estradiol, dienogest. Due to them, the following pharmacodynamics are formed:

• suppression of ovulation, increase in cervical mucus;
• improving the quality of skin and hair;
• normalization of lipid metabolism, prevention of weight gain;
• normalization of the menstrual cycle, disappearance of pain, prevention of the risk of iron deficiency anemia.

In terms of its effect on the body, Janine is slightly different from Novinet. It affects lipid metabolism, thereby preventing weight gain. This is important for women who are prone to obesity. Side effects are rare. The number of platelets and clotting factors increases more often.

Contraindications for use are similar to Novinet. Both drugs have a risk of developing thrombosis. Therefore, it is recommended not to use oral contraceptives in patients at risk:

• age after 40 years;
• smoking;
• long-term immobilization after surgery, injury;
• unfavorable family history in relation to the cardiovascular system;
• frequent headaches, migraines.

Despite the reduction in the number of side effects, Janine also negatively affects the coagulation system. Even if there is the slightest increase in the platelet count, it is recommended to immediately stop taking the drug.

Side effects

Side effects of Novinet appear:

• acyclic vaginal discharge;
• amenorrhea after stopping the pills;
• candidiasis;
• changes in the state of mucus in the vagina;
• development of inflammatory processes in the vagina;
• soreness, tension and enlargement of the mammary glands, secretion of milk from them;
• nausea;
• vomiting;
• jaundice and/or itching associated with cholestasis;
• ulcerative colitis;
• erythema nodosum or exudative;
• chloasma;
• skin rashes;
• headaches;
• mood swings;
• migraine;
• depression;
• increased sensitivity of the cornea to contact lenses;
• fluid retention in the body;
• decreased tolerance to carbohydrates;
• change in body weight towards its increase;
• hypersensitivity reactions.

If the above symptoms appear, the question of the advisability of further taking the drug is decided on an individual basis.

Severe side effects of Novinet, which require immediate discontinuation of the drug:

• hypertension;
• acute blockage of veins/arteries with blood clots (rarely - myocardial infarction , DVT, PE, stroke , etc.; extremely rarely - acute blockage of large retinal and mesenteric vessels, veins and arteries of the liver, kidneys);
• otosclerosis and, as a result, hearing loss;
• GUS;
• exacerbation of Libman-Sachs disease (rare);
• Sydenham's chorea (develops extremely rarely, symptoms disappear after stopping taking the pills);
• porphyria.