Postinor: clear instructions for use. Consequences of "Postinor": reviews

Instructions

The drug "Postinor" contains a substance called "levonorgestrel". It is believed that it has a contraceptive effect. The exact effect of Postinor on the body is not explained in the instructions for the drug. The drug is supposed to prevent unwanted pregnancy in two ways. The first hypothesis is that when taking Postinor, levonorgestrel can interfere with the release of the egg. The second possible mechanism of action is an obstacle to the movement of the egg when taking the drug in the period after ovulation. There is no exact data on this issue, so you should think twice before using Postinor as a method of preventing unwanted pregnancy.

If you still decide to use Postinor, then carefully read the features of its use. In order for the drug to work, you must take the first tablet no later than 72 hours after sexual intercourse. After this, you need to wait a period of twelve hours and take the second tablet. Remember that Postinor often has an unpredictable effect on the body, so if you experience nausea or vomiting after the first tablet, you should immediately consult a doctor. This drug may be contraindicated for you.

Don't forget, the sooner you take the first pill, the more likely that this remedy will work properly. It is believed that when taking Postinor in the first twelve hours after sexual intercourse, your chances of success are about 80%. However, after 48 hours they are already reduced to 50%. After three days from the moment of sexual intercourse, it is almost impossible to prevent an unwanted pregnancy with the help of these pills. The drug simply won't work.

Typically, Postinor does not affect the menstrual cycle. However, they may arrive a little earlier or later than usual. If menstruation is very late, consult a doctor immediately. This may indicate that the drug and you are pregnant. In any case, you need to carefully monitor your body for several weeks after taking the pills. It is better to do this under the supervision of a specialist.

You should be aware that it is impossible to predict the drug "Postinor". If you fail to prevent conception with it, the risk of an ectopic pregnancy becomes very high. Of course, this can be extremely dangerous. In addition, Postinor can harm your internal organs, especially if you suffer from any chronic disease. Every deviation from normal well-being during the period of use of these tablets should be an alarming signal for you. Be alert, especially if you experience vomiting, diarrhea, dizziness, or flu-like symptoms. Take care of your body.

Postinor, and its analogues Escapel, Microlut, Eskinor F - are a means of contraception only in in case of emergency, that is, for vital reasons, such as rape, rupture of a condom during sexual intercourse.

Why can't it be used on an ongoing basis? This drug is in developed countries can only be purchased by prescription, unlike in Russia, since Postinor has serious side effects.

However, some women use these drugs quite often, without consulting a gynecologist and not knowing about the consequences, complications, side effects of Postinor and its analogues. To understand what effect these drugs have on the body, you should know the mechanism of their action.

Mechanism of action of Postinor

Postinor causes a lot of side effects and its use is possible only in extreme cases. During puberty and for women planning to have children in the future, its use is not advisable, since this can lead to hormonal imbalance in a woman and cause infertility in the future.

Postinor and its analogues are intended only for emergency prevention of pregnancy. The active ingredient of the drug is levonorgestrel, of which there is 0.75 mg in one tablet, which is considered a lethal dose. In low-dose oral contraceptives, for example, this dose of levonorgestrel is contained in 20 tablets. The Postinor package contains 2 tablets, which are taken 12 hours apart for 72 hours after unprotected sexual intercourse. The mechanism of action of levonorgestrel is as follows:

• a drug blocks ovulation- prevents a mature egg from leaving the ovary
• when ovulation has already occurred, Postinor prevents implantation of the fertilized egg in the uterine cavity - in this case it essentially has an abortifacient effect
• leads to a change in cervical mucus, it becomes thicker, which interferes with the penetration of sperm into the uterine cavity.

When the implantation of a fertilized egg into the wall of the uterus has already occurred, the drug becomes ineffective, since all gestagens have the property of suppressing the motor activity of the uterine muscles.

Contraindications

The use of Postinor is contraindicated for use in the following cases:

• liver dysfunction, severe liver disease
• teenage girls under 16 years old
• during lactation the drug penetrates into breast milk therefore it is contraindicated during breastfeeding
• with uterine bleeding of unknown origin
• for individual intolerance
• for herpetic infections and other infectious diseases of the genitourinary system
• in diseases associated with enzymatic deficiency - impaired absorption of glucose, galactose (lactase deficiency)
• for malignant neoplasms of any location
• with a genetic predisposition to thrombosis

Use with caution for ulcerative lesions of the gastrointestinal tract, diseases of the biliary tract.

Side effects of Postinor

Any medications have side effects, and Postinor is a powerful hormonal drug, which in some cases can become a trigger for the development of serious health problems in a woman. Therefore, in developed countries this drug is available only by prescription and is considered an unsafe method of contraception. Side effects of Postinor are as follows:

• Intestinal dysfunction - diarrhea
• Digestive disorders - vomiting, diarrhea
• Headache, dizziness
• Intermenstrual bleeding
• Breast tension
• Flu-like symptoms
• Weakness, lethargy

If you experience any side effects from taking Postinor or other unusual signs of illness, you should consult a doctor.

Side effects from the reproductive system, impact on the woman’s reproductive function in the future

Considering that 1 tablet contains a huge amount of active substance, a real hormonal imbalance occurs in a woman’s body after taking Postinor. The instructions for the drug say that it is not recommended to use it more than 4 times a year. But some women often neglect these recommendations and take it uncontrollably, sometimes even several times per menstrual cycle, which is very dangerous and prohibited.

Since Postinor should be taken when there is a high probability of pregnancy (ovulation period) - at this time the mucous membrane of the uterus has not yet matured, which leads to dysfunction of the ovaries, and then they produce either less or more hormones. And even with a one-time use of the drug, a certain time is required (in each case individually) to restore ovarian function.

Therefore, if a woman with existing menstrual irregularities:

• irregular menstruation
• teenagers under 16 years old

If you take the drug even once, such disruptions can be permanent and cause infertility in the future.

The influence of this hormonal drug, especially on an ongoing basis, leads to the fact that the function of the ovaries begins to fade, become depleted, and the production of hormones gradually becomes less and less. This causes irregularities in the menstrual cycle and can affect a woman's reproductive ability. In some cases, taking the drug leads to amenorrhea (lack of menstruation) and, as a result, persistent infertility. Even a timely visit to a gynecologist in such cases cannot guarantee the successful restoration of the normal menstrual cycle and the likelihood of pregnancy.

If a woman has periodic uterine bleeding, taking Postinor and its analogues can intensify it and lead to the need for emergency medical care, so in such cases taking the drug is unacceptable. Also, one of the side effects of Postinor is engorgement and soreness of the mammary glands, and the appearance of discharge from the nipples.

Other side effects of Postinor

In addition to disorders associated with hormonal shock, the effects of Postinor and Escapel, if taken incorrectly, can have other consequences, such as, for example, the formation of blood clots in blood vessels. This side effect can mainly occur in women with bleeding disorders, but even a seemingly healthy woman has this risk (see video - documentary).

After repeated use of maximum doses of hormones, blood clotting ability increases and the risk of blood clots in blood vessels increases. When the lumens of blood vessels are partially blocked, there is a reduction in blood flow to organs and tissues and, as the most extreme pathology, blockage of blood vessels (the occurrence of pulmonary thromboembolism). When blood vessels in the heart and brain become blocked, a stroke or instant death may occur.

If a woman does not have any problems with the menstrual cycle, side effects of Postinor occur quite rarely. But other ailments may appear - pain in the lower abdomen, nausea, diarrhea, headaches, swelling. Due to frequent use of Postinor, disturbances in fat and carbohydrate metabolism may occur, causing a decrease or increase in body weight, and suppression can lead to changes in male-type hair growth or changes in the contours of the figure.

Every woman who cares about her health should watch this video before deciding to take any oral contraceptives (even low-dose ones). This is especially true for young girls who want to have children in the future.

Postinor, as many women know, is a means of emergency or fire contraception - that is, its use is allowed only in unforeseen situations (rape or a torn condom). But today many women have switched to this type contraception, completely ignoring the fact that there are other ways to protect against unwanted pregnancy, which is very sad. Undoubtedly, this drug helps in almost 100% of cases to prevent unwanted pregnancy, but many do not know or do not want to know why postinor is dangerous, what health threats it poses.

A little about postinor and its mechanism of action

Postinor is a hormonal progestogen-containing drug that is used only in cases of emergency contraception (for rare and irregular sexual intercourse). The active ingredient of postinor is levonorgestrel, which is contained in the drug in a dose of 0.75 mg.

The action of postinor is based on three points

• Firstly, the drug inhibits ovulation, that is, the egg does not mature and enter the fallopian tube, where fertilization occurs.
• Secondly, postinor completely changes the structure of the uterine mucosa, which makes implantation of a fertilized egg impossible; it is simply expelled from the uterus (the so-called abortive effect).
• Thirdly, the drug causes changes in cervical mucus, making it more viscous and thick, which prevents sperm from entering the uterus.

How to take Postinor correctly?

It should be noted that the effectiveness of the drug remains only during the first 72 hours after unprotected sexual intercourse. Moreover, the earlier Postinor was taken, the higher the likelihood of avoiding an unwanted pregnancy. The dosage regimen is not difficult. The first tablet is taken, and exactly 12 hours later (but no later than 16 hours) you need to take the second tablet.

Dangers of using postinor

As it becomes clear from the above, postinor is a drug that contains an elephantine dose of the hormone, and its use causes a severe hormonal blow to the body. Therefore, taking postinor is fraught with various complications.

Uterine bleeding

Taking Postinor is often accompanied by bloody discharge from the uterus. It’s good if these discharges are light and short-lived. What if it's the other way around? Uterine bleeding can be so intense and/or continue for a long time that it requires immediate medical attention, including curettage of the uterine cavity.

Menstrual irregularities

Even a single dose of the drug can lead to disruption of the menstrual cycle, not to mention frequent and uncontrolled use of postinor. The menstrual cycle gets confused, becomes irregular, and pain appears during menstruation. In addition, it is possible to develop amenorrhea (absence of menstruation), which is fraught with infertility, the treatment of which is long and not always successful.

However, it should be noted that single or double use of postinor does not lead to the inability to become pregnant. In this case, the problem of infertility should be looked for elsewhere - sexually transmitted infections, for example, may be to blame, since the drug does not protect against such diseases, or chronic inflammatory processes in the appendages and uterus, etc.

Ectopic pregnancy

Taking the drug leads to the expulsion of a fertilized egg from the uterus. But the egg does not always come out. As a result of uterine contractions, it can enter the fallopian tube, where it is implanted and continues to develop.

Side effects of Postinor

The use of postinor is often accompanied by severe side effects (nausea, vomiting, headache, diarrhea, etc.).

The effect of postinor on metabolism and weight

Postinor has a pronounced effect on the metabolism of carbohydrates, fats and proteins, since a massive dose of levonorgestrel causes a strong blow to the liver, which neutralizes toxins and produces enzymes. Therefore, after taking the drug, both an increase and a decrease in body weight are often observed. In addition, after taking postinor, the synthesis of aldosterone (diuretic hormone) is inhibited, which leads to fluid retention in the body and the appearance of edema. Another unpleasant aspect of using the drug is excessive hair growth and the appearance of hair in uncharacteristic places, according to the male type.

Postinor is a drug for emergency contraception, and it can be used no more than three times a year. Although I, as a doctor, believe that it is best to abandon this drug altogether and replace it with other methods of contraception.

Anna Sozinova, obstetrician-gynecologist

Postinor is a popular drug for preventing unwanted pregnancy. This is a synthetic gestagen with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. Efficacy: The pill can prevent pregnancy in about 85% of cases. The more time passes between sexual intercourse and taking the drug, the lower its effectiveness (95% during the first 24 hours, 85% from 24 to 48 hours and 58% from 48 to 72 hours).

Indications for use

Contraceptive pills for emergency prevention against unwanted pregnancy are used for:

• condom rupture during sexual intercourse;
• condom slipping off during sexual intercourse;
• skipping a birth control pill once;
• spontaneous prolapse of the intrauterine device;
• unprotected sexual intercourse during expected ovulation;
• not resulting interrupted act;
• unprotected sexual intercourse;
• rape.

Contraindications for use

Postinor has a number of contraindications for use, these include:

• allergic reaction to the components contained in Postinor;
• age less than 18 years (also not recommended for women over 40 years of age due to the risk of thrombosis);
• liver failure;
• pregnancy that has already been established;
• allergic reaction (intolerance) to lactose;
• Crohn's disease;
• cholelithiasis;
• uterine bleeding;
• varicose veins of the lower extremities;
• lactation.

Why is Postinor dangerous?

The same pills affect each woman individually. That is why, when describing side effects, all these symptoms do not mean that this occurs in every woman when taking the drug. Side effects include:

• Digestive tract disorders (nausea, vomiting, indigestion, stool disorders).
• Pain in the breast area.
• Failure of the menstrual cycle (manifests itself in the form of a delay in menstruation or, conversely, an earlier onset of menstruation).
• The appearance of bleeding after taking the pills, which is not associated with menstrual bleeding.
• Ectopic pregnancy.
• A disorder of the central nervous system manifests itself in the form of increased fatigue, migraines, and dizziness.

Basically, all side effects go away on their own within two to three days, but if you do not feel better after taking the pills and more than four or five days have passed, you should immediately consult a doctor.

Description of the drug, instructions for use

The onset of pregnancy depends on the menstrual cycle, or more precisely on the immediate day of the menstrual cycle. In a healthy woman of reproductive age, ovulation occurs within 12 hours. Let's remind you what ovulation is. Ovulation means when a mature egg is released from the ovary where it begins to move in the fallopian tube towards the sperm, where they meet. If such a meeting occurs, then an embryo begins to form. To achieve pregnancy, one unprotected sex 3 days before ovulation is sufficient. And after ovulation for one day. After a successful meeting and formation of the embryo, it takes 3-5 days for its implantation.

In order to decide to take emergency hormonal medications, it is necessary to assess the exact possibility of pregnancy. If you know exact time the onset of ovulation, then 2-3 days after the onset of ovulation it is impossible to get pregnant. Nowadays, the onset of ovulation is quite easy to find out. There are special tests.

Thus, the use of Postinor is necessary within the first day after unprotected sexual intercourse and no later than 3 days after unprotected sexual intercourse.

It must be remembered that the drug is absolutely ineffective if implantation has already occurred. Postinor does not cause miscarriage.

Postinor itself is two tablets white, shaped like a disc and engraved INOR

The drug is able to prevent unwanted pregnancy by 85%, but the more time passes after sexual intercourse, the less effective it is. For example:

• 90% - taking the drug in the first 24 hours after sexual intercourse;
• 80% - taking the drug from 24 hours to 48 hours after sexual intercourse;
• 50% - taking the drug from 48 hours to 72 hours after sexual intercourse.

Tablets are used internally. The first tablet is taken no later than 72 hours after unprotected sexual intercourse, and the second tablet is taken exactly 12 hours after taking the first, no later than 16 hours.

If no more than 3 hours have passed after taking the tablet and vomiting occurs, then it is urgently necessary to take another Postinor tablet.

Postinor is used at any time of the day and on any day of the menstrual cycle.

Repeated use of Postinor is strictly not recommended during one menstrual cycle.

Doctors recommend using all emergency contraceptive drugs no more than once every six months. More frequent use may lead to the development of pathologies in the reproductive system. The result may be infertility. As practice shows, a woman who does not use emergency protective equipment does not disrupt the natural process of the menstrual cycle and does not have further problems with conception.

Terms of sale, storage and expiration dates

The drug must be stored at room temperature not lower than 15 degrees and not higher than 25 degrees, out of the reach of children.

The shelf life of the drug is 5 years.

The drug is available with a doctor's prescription.

How to tell if Postinor has worked?

If the menstrual flow came on time: the duration, the volume of the flow did not change, then the drug definitely worked. But there are times when you need to urgently consult a doctor, for example, you observe:

• copious discharge;
• discharge is very scanty;
• delay of menstrual flow for more than 6 days;
• menstrual flow is accompanied by severe pain in the lower abdomen (the pain is aching or cramping);
• the appearance of sharp pain in the lower abdomen.

What does the delay after taking the drug mean?

Initially, pregnancy must be excluded. To do this, you can take a pregnancy test at home. If the test is positive, then you are pregnant. And if negative, then there is no pregnancy. In this case, it is necessary to exclude ectopic pregnancy. To do this, you need to either consult a gynecologist or do an ultrasound examination of the pelvic organs.

If pregnancy is completely excluded, then a delay after taking Postinor (more than 10 days) can be justified:

• inflammatory processes of the pelvic organs (endometritis, adnexitis, vaginitis, colpitis);
• hormonal imbalance;
• the presence (more precisely, the influence of Postinor) of endocrine disorders;
• pathology of the urinary system.

When does menstruation begin after taking the drug?

Usually, the onset of menstruation after taking the drug may not coincide with the expected date. The first discharge may be scanty, which disappears 2-3 days after the onset and can be repeated 2 times within one month. This speaks of proper operation drug.

But mostly menstrual bleeding comes either on time or 2-5 days before the expected date. And also with a delay of up to 5-7 days before the expected date.

Is it worth taking Postinor if NPK occurs during menstruation?

The menstrual cycle is considered one of the complex physiological processes. If we consider the full phase of the menstrual cycle, then the most favorable conditions For conception, this is the middle of the cycle.

That is why it is believed that it is impossible to become pregnant during menstrual bleeding. But, as practice shows, there is still a chance of pregnancy during menstruation.

The most good conditions for conception, this is the middle of the cycle, where female hormones begin to stimulate the production of follicles and eggs. In other phases, conditions are not favorable for conception to occur, but it is impossible to say unequivocally that pregnancy will not occur in other phases.

That is why, it is only your choice whether or not to drink Postinor after unprotected sexual intercourse during the menstrual cycle.

Overdose

As practice shows, no cases of overdose have been described. The only possible side effects are nausea, vomiting, and bleeding.

Interaction

According to the results of the study of the drug, it was revealed that:

• Metabolism is accelerated when used simultaneously with inducers of liver enzymes.
• Metabolism slows down when used simultaneously with drugs such as: phenytoin, carbamazepine, St. John's wort preparations, ritonavir, rifabutin, griseofulvin.

Bleeding after taking the drug, how to stop it correctly

Postinor is a fairly strong hormonal drug. Many women are interested in whether there should be bleeding after taking the drug.

Due to the effect of Postinor on a woman’s hormonal background, some epithelial rejection occurs. This is why spotting may occur and this is considered normal.

Such discharge is usually brown in color and rather scanty in volume. They occur after taking the pills on the 3rd, 6th day.

It is worth remembering that if spotting began a week after taking the drug, this indicates the development of a pathological process. It is necessary to urgently consult a doctor.

Normally, bleeding can last for 3-7 days, but in some cases, this discharge can last for two weeks. In this case, consultation with a specialist is necessary. You should also pay special attention to urgently visiting a doctor if:

• there was pain in the lower abdomen;
• the discharge is mixed with pus;
• the appearance of foamy discharge;
• increased body temperature not associated with a cold.

How to stop bleeding? This question particularly interested in women. In such cases, independent treatment can lead to the development of pathologies and complications. If the bleeding is profuse and lasts more than 8-10 days, then you should urgently consult a specialist. The doctor is already prescribing therapy.

The nature of the discharge after taking Postinor

Any bleeding can cause enormous harm to a woman’s life and health. Particular attention should be paid if a woman begins to feel:

• weakness;
• copious discharge that does not subside;
• dizziness;
• nausea;
• shortness of breath;
• the duration of discharge is more than 14 days.

special instructions

Use during pregnancy and breastfeeding: Postinor should not be used during pregnancy. This remedy does not terminate pregnancy.

During breastfeeding, the use of Postinor is possible. Since it has been proven that levonorgestrel generally does not pass into breast milk. It is recommended to take both the first and second tablets immediately after breastfeeding. And skip breastfeeding once after taking the pills. This will significantly reduce the effect of the pills on the child’s development.

Is it possible to get pregnant after taking Postinor?

Improper use of Postinor tablets can lead to pregnancy. The instructions must be strictly followed. And remember, the sooner you start taking the drug, the greater the chance of protecting yourself from unwanted pregnancy.

Postinor and its analogues

Escapelle. Most often, doctors prescribe Escapelle as a replacement for Postinor. Also the main substance, as in Postinor, is levonorgestrel. But it is considered stronger. So its concentration is increased several times. The drug is available in one tablet per package. It is used once, within three days after unprotected sexual intercourse. All side effects are quite similar. These include:

• weakness;
• nausea;
• vomit;
• headache;
• pain in the mammary glands.

Genale. The main component includes mifepristone. Can be used once. It is recommended to use either 2 hours before or after meals. It is recommended to use the drug no later than 72 hours after unprotected sexual intercourse. Side effects, basically the same, these include:

• nausea;
• vomit;
• stool disorder;
• migraine;
• dizziness;
• disruption of the menstrual cycle;
• intermenstrual bleeding.

Gynepristone. The main component of this drug is mifepristone. Apply once within 72 hours or 2 hours before or after meals. But there are slightly other side effects, these include:

• hives;
• pathological vaginal discharge;
• pain in the lower abdomen;
• discomfort in the external genital area;
• weakness.

Postinor and alcohol.

If you study the instructions for use of Postinor, they do not describe the effect of alcohol while taking the pills. Since Postinor itself is a rather complex drug and has many side effects. That is why it is better to avoid alcohol to avoid unwanted complications.

Postinor is a one-time use emergency contraceptive drug. Reviews and possible consequences- most common reason refusal to use it. The maximum effectiveness of the drug is 95%, provided that it was taken in the first 24 hours. It has a powerful contraceptive, antiestrogenic and gestagenic effect on the body. Dispensed by prescription.

The drug is available in tablet form. Levonorgestrel is an active substance that is an artificial gestagen (an analogue of progesterone, only synthetic).

The composition contains as additional substances:

• corn and potato starch;
• talc;
• magnesium stearate;
• silicon dioxide;
• lactose monohydrate.

Pharmacodynamics

Typically, taking Postinor does not affect the monthly cycle, namely, it does not change its duration and the nature of the discharge. However, sudden occurrence of bleeding between periods and a slight (5-7 days) delay are allowed.

Efficiency of 95% is achieved when taking the tablet immediately. If a lot of time has passed since coitus, the effectiveness of the drug will be reduced. Also, the drug will be useless if the egg has already been implanted.

Pharmacokinetics

The drug, almost in full, quickly enters the bloodstream, reaching its maximum concentration after 1.5 hours. Then the content of the active substance begins to decrease and after 26 hours the half-life begins. Excretion is carried out through the genitourinary system and intestines.

Indications for taking the drug

Postinor (reviews and consequences vary depending on the woman’s health) is used when there is a need for emergency contraception (unprotected coitus, unreliability of the contraceptive method used). The effectiveness depends on the time during which it was taken.

It is advisable that this be the first 24 hours after unprotected sexual contact.

The later the pill is taken, the less effective it will be. If the implantation of the egg has already taken place, then there is no point in taking it. It also plays a role in what period of the cycle sexual intercourse took place - if before ovulation, that is, when the chances of getting pregnant are highest, then the drug will have an effect.

Contraindications

Postinor is not prescribed if:

• There is allergic reactions to one of the components of the drug;
• the patient has not reached 16 years of age;
• during pregnancy;
• while breastfeeding. If the drug still needs to be taken, then lactation should be stopped for a day after taking the pills;
• in the presence of severe liver diseases;
• in case of lactose intolerance (the composition contains lactose monohydrate);
• if you have Crohn's disease;
• if you have problems with the gastrointestinal tract;
• for liver diseases;
• if the patient had jaundice.

Instructions for use, dosage of the drug

To achieve the desired effect, just two tablets taken strictly according to the instructions are enough. Within 12-72 hours one and after 12 hours the second. If vomiting occurs in the first three hours after taking it, you need to take the pill again.

Postinor (reviews and consequences indicate that the drug can be taken on any day, regardless of the cycle) is indicated for use only after preliminary exclusion of possible pregnancy (which is quite possible if menstruation is irregular), but not more than once during the cycle. Otherwise, the risk of spotting and bleeding increases.

Regimen for taking the drug Postinor and its analogue.

Until the onset of menstruation, it is necessary to resort to the use of barrier contraceptives, for example, a condom or a cervical cap. It is not recommended to take this drug simultaneously with drugs that promote the induction of enzymes in the liver, since in this case the metabolism of the active substance is accelerated.

For example, topiromate, amprenavir, tretinoin, lansoprazole, as well as drugs containing ampicillin, tetracycline, rifabutin and barbiturates, significantly reduce the effectiveness of Postinor.

This drug affects the concentration of active substances in the blood, changing it, and accordingly the effectiveness of drugs aimed at correcting blood sugar, anticoagulants and glucocorticosteroids. There is a risk of increased toxicity of cyclosporine due to suppression of metabolic processes when taking medications containing levonorgestrel.

Reasons for the ineffectiveness of the drug

There are only two reasons why the drug was ineffective and an unwanted pregnancy still occurred:

• the pills were taken too late;
• The pills were taken when fertilization had already occurred.

Is it possible to take 2 tablets at the same time?

This depends on the amount of time that has passed since sexual intercourse. If 2-3 hours, then it is better to take the tablets separately, as indicated in the instructions. If more than 10 hours have passed or you are not sure that it will be possible to take the second tablet on time, then you can take two at once.

How does pregnancy termination occur after taking the drug?

The mechanism of action is as follows: when entering the body, the active substances of the drug help suppress ovulation and cause changes in the endometrium of the uterus, preventing the implantation of the egg and its removal from the body through the appearance of heavy bleeding.

When should my period start after taking the pill?

Ideally, if there is no hormonal imbalance after taking the pills, then your period should come as scheduled.

However, this situation is more the exception than the rule, and in most cases the cycle still goes astray (either in one direction or the other). But it is impossible to say exactly when the critical days will begin, so the woman can only wait.

How to understand that the drug has worked

Find out whether the drug worked or not, i.e. Prevented pregnancy or not, there is no way to get your period before your period. Otherwise, if the drug has worked, you may experience headache, nausea, pain in the lower abdomen, bleeding from the vagina, and cycle failure.

What happens if you don't follow the instructions?

Failure to follow the instructions is fraught with both mild and very serious consequences. Their severity directly depends on the general health of the woman.	Minor complications
Severe complications	increased side effects
ovarian apoplexy	cycle failure
disorders of the ovaries	weight gain
disorders of the thyroid gland	deterioration of the skin condition
heavy bleeding	hormonal disbalance
ectopic pregnancy (the mechanism of Postinor’s effect on the development of such a pregnancy has not yet been well studied. The first signs may appear after a few weeks or even a few months. The first signs are: bleeding, deterioration in general health, vomiting, painful cramps in the lower abdomen, weakness. Rupture of the fallopian tube is fraught internal bleeding and fainting, due to a sharp decrease in blood pressure)	heavy and prolonged periods

infertility

Side effects prescribed in the instructions

• nausea;
• Side effects may include:
• pain in the lower abdomen;
• vomit;
• menstrual irregularities (delayed menstruation);
• diarrhea;
• dizziness and headache;
• bloody vaginal discharge not associated with menstruation;
• problem with the vascular system (increased blood clotting and blood clots);

allergic reactions (swelling, rash, urticaria, itching).

How to deal with the consequences of taking Postinor

If the instructions for taking the drug were followed, then no significant consequences for the reproductive and reproductive systems usually occur. If you have problems with the circulatory system, this drug is not recommended for use, but if you do take it, you need to regularly have your blood tested to determine the degree of clotting., which over time clog blood vessels, which leads to deterioration of blood flow to organs and tissues and, as a result, a stroke, and in the worst case, instant death.

If the examination shows excessive blood thickening, you should immediately contact a specialized specialist who will prescribe blood thinning medications. Postinor (reviews and consequences for those who have serious problems health problems, may be severe) is prohibited for use if you have liver problems.

If admission cannot be avoided, the patient should be prepared for a deterioration of the condition and exacerbation of the disease.

In case of severe overdose of the drug and the appearance of severe side effects, gastric lavage is recommended. If the dose is exceeded slightly, but there are pronounced side effects, then symptomatic treatment is prescribed, because There is no antidote for this drug.

What should I do if bleeding starts after taking the pills?

Sometimes women are faced with a situation where bleeding begins after taking emergency contraception. However, not every case is dangerous. Often the first menstruation is stronger and more abundant than usual.

Up to 80 ml is considered normal. discharge for the entire period of menstruation. A larger volume of discharge may be associated with an imbalance in hormones. This is a temporary phenomenon, everything will return to normal in about a month. You should pay attention to the duration of bleeding. It is acceptable when the duration of critical days increases by 2-3 days.

If by 5-6 days the bleeding becomes weaker and does not cause discomfort, then there is no reason to worry. If the discharge is as strong and abundant by day 6-7, then you need to urgently seek medical help. If bleeding lasts more than 10 days, then, regardless of whether it is severe or not, you need to consult a doctor.

First aid

The priority, in case of bleeding, is to visit a gynecologist.

Before the ambulance arrives, the following measures should be taken:

• lie down with your legs above the level of your heart, and place a heating pad or plastic bottle with cold water on your stomach.
• take a blood-stopping drug;
• Drinking plenty of fluids is also recommended.

When is it necessary to call an ambulance?

Calling an ambulance is necessary in the following cases:

• gaskets are changed once an hour or more often;
• gaskets are changed even at night;
• bleeding does not stop for more than 24 days;
• bleeding is so severe that it prevents you from doing normal things, such as going to work or going to the gym;
• there are clots in the blood;
• shortness of breath, lethargy, drowsiness appeared - the first signs of anemia.

Alcohol compatibility

Regarding the compatibility of this medicine with alcohol, the manufacturer did not provide any data. However, a woman who cares about her health already understands that not only Postinor, but also any other medicine is incompatible with alcoholic beverages.

Of course, a glass of champagne and a glass of beer won’t do much harm, but if you drink something stronger and in large quantities, then negative consequences will not be long in coming. You should also take into account the woman’s general condition and the presence of liver problems, in particular.

The active ingredient of the drug, like alcohol, is excreted by the liver, so before taking two substances at the same time, you should think carefully about whether the organ needs such a double load. Alcohol significantly increases the amount of enzymes in the liver and other important active substances.

The result is an acceleration of metabolism, which entails premature aging of the organ.

It should also be taken into account that accelerated metabolism leads to faster biotransformation of the active substance of the drug and is eliminated from the body faster. The result is a decrease in its effectiveness. That is, the body is exposed to a large dose of hormones, but due to rapid elimination from the body, they do not have the desired effect.

Side effects from taking the drug with alcohol:

• Postinor and alcohol alone cause vomiting.