Tablets after an unprotected act Postinor instructions. Contraindications and precautions

Every year the number of women who clearly plan their lives increases: study, work, wedding and the birth of a child. The higher the goal, the longer pregnancy is postponed.

But, life often makes its own adjustments and after accidental unprotected sexual intercourse, an unwanted pregnancy is possible. To avoid this, pharmaceutical industry offers medications emergency assistance. One of these is Postinor.

Postinor is produced by the Hungarian pharmaceutical company Gedeon Richter, which appeared on the market back in 1901. Hormonal drugs The company has been engaged since the sixties of the last century. All products are distinguished by their quality and excellent performance.

The drug contains levonorgestrel in a dosage of 75 mg and related ingredients. Two tablets, 75 mg each, on a silver blister.

Levonorgestrel is a hormone with a progestin effect, used for contraception. main feature substances in their effects on women reproductive organs, by:

increasing the thickness of the mucus secreted by the cervix, slowing down the movement of sperm;
changes in the mucosa, preventing the implantation of a fertilized egg;
blocking the ovulation phase, which is the most favorable time conception.

When is Postinor used?

The main indication for the use of the drug is emergency contraception after unprotected coitus or in case of failure of other methods of protection.

In European countries, there is a practice of using levonorgestrel drugs in victims of rape or domestic violence.

Thus, medical workers are trying to reduce the number of abortions that are harmful to female body and prohibited by Western law.

To whom is it contraindicated?

Postinor is not used in women with hypersensitivity to levonorgestrel, which is expressed in redness of the skin, turning into an itchy rash. Use with caution in women with congenital lactose intolerance or a predisposition to blood clots.

Ladies suffering chronic diseases liver, kidneys and gastrointestinal tract, it is worth remembering what is output medicinal substance through the intestines, bladder, and the transformation of levonorgestrel occurs in the liver.

Proper use is the key to the desired result

In order for Postinor to give the expected effect, you must strictly adhere to the instructions for use.

The optimal period for using Postinor is the next twelve hours after sexual intercourse or no later than seventy-two hours. This multiplicity guarantees effective contraception.

The first tablet should be taken as quickly as possible. The second is taken twelve hours after the first. If, three hours after consuming the drug, vomiting occurs, the dose must be repeated immediately to maintain the required concentration of levonorgestrel in the patient’s blood.

The use of Postinor is acceptable at any time menstrual cycle, nose prerequisite: There should be no delay in monthly menstruation. Subsequently, before the next critical days a barrier contraception method is used.

Why did you feel sick after taking the pill?

Since the exact mechanism of action of levonorgestrel-containing drugs has not been precisely studied, it is impossible to say with certainty whether it is capable of causing side effects or overdose.

Conducted studies confirm that while taking Postinor the following are possible:

general weakness, migraines and dizziness;
intestinal upset, pain in the lower abdomen, nausea, severe vomiting;
cycle disruption from five to seven days;
uterine hemorrhages, swelling of the mammary glands;
meager bloody issues.

Several cases of unusual reactions when taking hormonal drugs have been registered:

small rashes on the skin in the form of hives;
swelling of the face.

Overdose

Any medicinal product can give different reactions of the body when taking the medication in an amount significantly exceeding daily norm. Postinor is no exception.

The peculiarity of the progestogen drug is that when taking a dose exceeding 1.5 mg, a woman may experience severe uterine bleeding or experience nausea and vomiting.

But this fact has not been reliably studied. Treatment for overdose is only symptomatic, since there is no antidote for the drug containing hormones.

Use of tablets during pregnancy and lactation

A special group of patients are nursing mothers and girls under the age of sixteen. This category of the population requires a more careful selection of medications.

In the case of teenagers, the situation is more clear. The body is not yet fully formed. During this period there is hormonal changes, which can be mercilessly disrupted by taking prolactins.

Before the age of sixteen, obstetricians and gynecologists strictly prohibit abortions, because they can lead to subsequent infertility, menstrual irregularities and frequent illnesses pelvic organs. If necessary, it is advisable to contact a specialist for qualified help.

For nursing mothers, the use of Postinor has several features. This is due to the fact that levonorgestrel enters mother's milk in an amount of no less than one percent.

If the need arises emergency contraception, experts advise either stopping breastfeeding for twenty-four hours, or breastfeeding the baby no earlier than eight hours after taking the pills. The main point is that the first tablet is taken after feeding.

Postinor will not cause any harm to expectant mothers and will not cause a miscarriage.

There are documented cases where women took the drug but remained pregnant. Levonorgestrel did not cause harm to the fetus.

The work of many drugs is based on the oxidation of molecules by certain enzymes in liver cells. There are a number of medications that, if used regularly, can reduce the productivity of hormonal drugs.

These include barbiturate-containing drugs, anticonvulsants (carbamazepine, thiopental), some antibiotics (rifampicin, rifabutin, griseofulvin), ritonavir, as well as herbal dosage forms, which include St. John's wort.

Postinor should not be used by women who have used cytostatics. He raises them toxic effects on the body.

Worth remembering!

The main use of Postinor is emergency contraception. It cannot be applied systematically, thereby violating hormonal background and work reproductive function body.

For those who need to take such drugs constantly, you should think about visiting a gynecologist and selecting high-quality systemic contraceptives.

This method of protection will be more effective and less harmful.

In addition, prolactins are not a means of performing abortion at home. In case of overdose, they can cause bleeding, which will be dangerous primarily for the woman.

Price of the drug, its analogues

An interesting fact is that on pharmaceutical market not many drugs with similar composition. And in pharmacies you can find only a couple of items that will one hundred percent replace Postinor.

The drug itself is in the middle price segment. The cost can range from 300 rubles. up to 400 rub. depending on the region.

If the pharmacy does not have it, you can safely replace it with one of these drugs: Escapelle, Eskinor-F, Modell 911.

Levonorgestrel in this release form differs in dosage. The package contains one pill, with a dose of the hormone - 1.5 mg.

You need to take the medicine for three days after unprotected sexual intercourse. When using "Escapel" by a nursing mother, in mandatory Feeding is stopped for a day.

The price ranges from 380 rub. up to 500 rub.

"Eskinor-F"

The Indian manufacturer offers consumers levonorgestrel in two release forms:

"Eskinor-F" tab. No. 2 0.75 mg;
"Eskinor-F" tab. No. 1 1.5 mg.

Except in emergency cases, it is prescribed for long-term use with heavy and frequent uterine bleeding.

Average cost 400 rub.

"Model 911"

Form of production: tablet packaging, active ingredient content 1.5 mg. You need to drink it within three days after unprotected coitus.

For women during lactation, to reduce the risk of hormone influence, next feeding should be carried out no earlier than eight hours later and only after pumping.

The average price is 350 rubles.

What are they saying?

Postinor has been used by more than one generation of women. Everyone has their own impression about this drug, and most importantly, obstetricians-gynecologists are ready to give their advice. Therefore, below we will consider reviews from doctors and patients.

It just so happened that I got married during my student years. My husband and I didn’t intend to have children; we wanted to finish our studies and find a job. Condoms were always used for contraception. And as in the joke - it tore. I had to run to the pharmacy for help. The pharmacist recommended Postinor. Thank God everything worked out! I was satisfied with the drug. I did not feel any discomfort during the appointment.

Elena, 25 years old, Moscow

I took Postinor several times. It works well, but it always disrupts the cycle for at least five days.

Zhanna, 31 years old, Kemerovo

I advise patients not to get carried away with Postinor. The drug is hormonal. Can be used no more than once a year without harm to the body. For systemic contraception, it is better to use other methods (condoms, COCs or suppositories, ointments with benzalkonium chloride).

Anna, obstetrician-gynecologist, Saratov

And I had to use this drug. I would like to advise others not to take it on an empty stomach. Immediately I began to feel sick, and then vomiting appeared. Really effective though.

Veronica, 21 years old, Kaliningrad

You can also learn about the mechanism of action of the drug Postinor from the following video.

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I drank after 48 years. And the last week according to the plan, my periods have already started, but in less than 4 days I have been drying. Is it completely normal? But 2 tests showed that it’s not vaginal. What are the options for what?

I took Postinor back in 2004, it helped...then that same year I became pregnant six months later and gave birth. Now my son is almost 12 years old... But this drug is really only for emergency cases. and all the nonsense about excess weight...unjustified. So read less bad advice on the Internet, or better yet, go to the doctor. That's it, I said everything. I took Postinor back in 2004, it helped...then that same year I became pregnant six months later and gave birth.
Now my son is almost 12 years old....
But this drug is really only for emergency cases.
and all the nonsense about being overweight...unjustified.
Therefore, read less bad advice on the Internet, and better go to the doctor.
That's it, I said everything.

Hello! It so happened that I had unprotected PA on March 12, I took a tablet 48 hours later and then after 12 2 tablets of Postinor, on the 5th day I started bleeding and hurting in my lower abdomen, is this normal? I'm not pregnant?

I'm not trying to persuade him to drink! Personally, I drank it three times with an interval of six months! I had no side effects! Everything is quiet and calm! After that I got pregnant! I just think that if you are not ready for a child, it is better to take Postinor in the first hours than to have an abortion later. What's in everyone... I'm not trying to persuade him to drink! Personally, I drank it three times with an interval of six months! I had no side effects! Everything is quiet and calm! After that I got pregnant! I just think that if you are not ready for a child, it is better to take Postinor in the first hours than to have an abortion later. Which is in every way more dangerous for physical health and psychological! I think many did not read the instructions quite correctly or some already had health problems, and this aggravated them!

For me, postinor is the only salvation from unwanted pregnancy, otherwise I will have an abortion. I have been taking it after every unprotected PA for 20 years now. At the same time, I have two adult children. Of course, Postinor is a poison, as are most drugs, but there is no other way. But I think the reasons for infertility should be looked for elsewhere. For me, Postinor is the only salvation from an unwanted pregnancy, otherwise I will have an abortion. I have been taking it after every unprotected PA for 20 years now. At the same time, I have two adult children.
Of course, Postinor is a poison, as are most drugs, but there is no other way.
But I think the reasons for infertility should be looked for elsewhere.

I want to tell my story about using Postinor and warn all girls, young women and women. My first acquaintance with the drug Postinor was 12 years ago. While I was dating my future first husband, I became pregnant. We didn't plan to have a child, but there was no question of having an abortion. We got married,... I want to tell my story about using Postinor and warn all girls, young women and women. My first acquaintance with the drug Postinor was 12 years ago. While I was dating my future first husband, I became pregnant. We didn't plan to have a child, but there was no question of having an abortion. We got married, but six months later we had a miscarriage. I forgot to say that my periods were constantly late. After the miscarriage, I had some kind of mania that every month when there was a delay, I was definitely pregnant. One day, while expecting my period, and there was a delay of about a week, I took a Postinor tablet. I still don’t understand what was in my head then and what I was thinking about. In general, this was repeated 2 more times.
As a result, my husband and I separated.
I learned about the consequences of Postinor 10 years later. When I got married a second time and we were planning a child, nothing worked out. 5 years of suffering, treatment and examinations. The result was a diagnosis of infertility. I had complete obstruction of my tubes. I was told that nothing would help me other than IVF. Then my husband and I collected money for IVF, then tests costing thousands of hryvnia, worrying about what if it didn’t work out.
Thanks to God, I got pregnant on the first try and now our daughter is 3 years old.
So that's why I wrote this long review. So that you don't make the same mistakes that I made. By the way, that girl, my classmate, who suggested these pills to me 12 years ago, used them herself. She still doesn't have children. And there the problem is very significant. She is barren.
Out of curiosity, I looked for analogues of Postinor. Postinor contains active ingredient- levonorgestrel. This is very strong remedy and dangerous. There are other drugs that contain norgestrel. This is Microlut, Norplant. This norgestrel is half as strong as levonorgestrel and is naturally less dangerous. But still, the use of this kind of drugs is still not advisable.

I recently heard that a girl died from Postinor... Her ovary burst and they didn’t have time to get her to the hospital. Like this. If I were in the place of medical supervision, I would have removed this drug from pharmacy shelves a long time ago...

angel

Don’t even think about drinking Postinor if you value your health and the health of your future children, it’s very unsafe drug, which can also affect excess weight, believe me, I speak from personal experience.

Postinor does not save you from unwanted pregnancy. Three weeks ago I had an unprotected PA... After everything I went to the shower... I took Postinor just in case, but two days later. Now my lower abdomen aches, sometimes I feel nauseous, I don’t understand if it’s because I’m pregnant or a side effect... I had the same sensations during my first pregnancy...

Dear girls! Do not accept this crap under any circumstances! You won't just destroy your body, you can injure yourself. mental trauma for the rest of your life - in the form of infertility. Postinor is a time bomb. At first nothing, but over the years you find yourself with a bunch of strange diseases... Dear girls! Do not accept this crap under any circumstances! You will not just destroy your body, you can cause yourself mental trauma for the rest of your life - in the form of infertility. Postinor is a time bomb. At first nothing, but over the years you find a bunch of incomprehensible gynecological diseases and shrug your shoulders, wondering where they came from. And it’s all because of 2 Postinor tablets. It generally needs to be removed from pharmacies; now there is a sea of contraceptives that are better and more advanced than this crap. I beg you - do not take Postinor!

Every woman takes care of her own women's health. IN modern world There are many methods of contraception that women actively use. But sexual intercourse cannot always be planned. Emergency contraception has been developed for such cases.

Postinor is the most popular drug for abortion in early stages, used after unprotected sexual intercourse. Postinor must be used in two stages: 1 - within 72 hours after sexual intercourse, and 2 - 12 hours after using the first tablet. Then the risk of getting pregnant will depend on the moment you take the first pill: from 6% to 43%.

Safe analogues of Postinor

However, Postinor has many side effects and contraindications. For example, the use of Postinor is strictly prohibited for women with liver disease. In this case they will help safe analogues Postinora, of which there are already enough a large number of, and, by the way, these analogues of Postinor are cheaper. The most known analogues Postinora are:

Escapelle;
Gynepristone;
Microlute;
Eskinor-F;

All of the above drugs have the same properties as Postinor, but differ significantly in price and the presence of side effects, as well as the degree of safety. Since Postinor is quite old drug, its safety is not as high as that of modern contraceptives.

Which is better: Postinor or Escapelle

Analogue of Postinor Escapelle - more modern method emergency contraception, but this does not mean that it does not have the same contraindications as Postinor. It should be remembered that the safety of these drugs is not high enough. Each of them has its own contraindications and side effects that adversely affect a woman’s health.

The safety and effectiveness of using these contraceptives also depends on how accurately the woman followed the instructions. If any side effect occurs, you should immediately consult a doctor.

Thus, both Postinor and Escapelle have similar indications, and therefore you should decide which drug to take together with your doctor after a careful examination and the patient has passed all the necessary tests.

Analogues of Zhenale and Ginepriston

Many girls also wonder which is better: Zhenale or Postinor? The choice here is individual. Zhenale also has its contraindications and side effects. Therefore, it is also better to discuss its use with your doctor.

Regular use of the drug is strictly prohibited, as it can cause serious complications. It is also necessary to remember the fact that if, after using Zhenale, pregnancy does occur, the risk of having a child with pathologies is quite high.

As for Ginepriston, it also has a number of contraindications:

Pregnancy;
Breastfeeding is prohibited for two weeks after taking the pill;
Chronic diseases of the adrenal glands, kidneys or liver;
Heart diseases;

There are also many side effects, which may appear even if the instructions for use are fully followed:

Allergic reactions;
Painful sensations in the lower abdomen;
Discharge of blood from the vagina;
Delayed menstruation;
Headache/dizziness;
Nausea, vomiting;

Which is worse: Postinor or medical abortion

Postinor is an emergency contraceptive drug used to prevent pregnancy after unprotected sex. A medical abortion- non-surgical termination of pregnancy.

Postinor must be taken within 72 hours after sexual intercourse, but medical abortion is used already during an established pregnancy. By the way, there is a misconception that emergency contraception causes abortion if a woman takes the pill while already pregnant.

It should also be remembered that medical abortion can only be performed under medical supervision, but emergency contraception drugs are available to every woman without exception.

Thus, it is impossible to say which is worse: Postinor or medical abortion, since each of them is used in different situations and each has its own indications and side effects.

How much does Postinor cost in pharmacies?

Prices for Postinor in pharmacies depend on the region where the pharmacy is located, as well as on the pharmacy itself. It often happens that in one pharmacy a drug costs much more than in another.

Now specifically about the cost: Postinor is available without a doctor’s prescription, the cost of Postinor fluctuates around 400-500 rubles per package containing two tablets.

In conclusion, I would like to note that no emergency contraceptive drug can protect against sexually transmitted diseases. It should also be remembered that regular use emergency contraceptives can lead to severe complications, and therefore it is necessary to reduce or even limit their use.

Watch a video review from a doctor about emergency contraception:

The drug Postinor is used as emergency remedy contraception. Main active substance This drug contains the synthetic hormone levonorgestrel.

With the recommended dosage regimen, levonorgestrel suppresses ovulation and fertilization if sexual intercourse occurs in the preovulatory phase, when the possibility of fertilization is greatest. It may also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.

In this article we will look at why doctors prescribe Postinor, including instructions for use, analogues and prices for it medicine in pharmacies. Real REVIEWS People who have already used Postinor can be read in the comments.

Composition and release form

Contraceptive pills Postinor are flat, approximately 6 mm in diameter, with a bevel, almost white, on one side they are engraved with the inscription “INOR”.

1 tablet contains 750 mcg of levonorgestrel, as well as colloidal anhydrous silicon dioxide, magnesium stearate, potato and corn starch, talc, lactose monohydrate.

Clinical and pharmacological group: postcoital contraceptive for oral administration.

What is Postinor used for?

during unprotected sexual intercourse, if the method of contraception used cannot be considered reliable (rupture, slippage or incorrect use of the male condom, displacement, rupture or premature removal of the diaphragm or cervical plate, unsuccessful use of the interrupted coitus method, erroneous calculation of ovulation days in case of use calendar method, loss or removal of the intrauterine contraceptive, skipping 3 or more tablets when taking hormonal oral contraceptive for permanent use), rape.

With Postinor, pregnancy can be prevented in approximately 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). Thus, it is recommended to start taking Postinor tablets as soon as possible (but no later than 72 hours) after sexual intercourse, if no protective measures have been taken.

Pharmacological properties

Postinor is a drug synthetic origin with gestagenic and antiestrogenic effects.

The active substance suppresses the process of egg maturation, changes the thickness and composition of the endometrium, and prevents fertilization. This drug is not effective if conception has already occurred and the embryo has implanted in the uterus.
The effectiveness of the drug is highest if you take the pill immediately after unprotected sex; the more time passes, the less likely it is that Postinor will prevent conception and implantation.

Instructions for use

Postinor can be used at any time of the menstrual cycle. In case of irregular menstrual cycle, pregnancy must first be excluded.
The drug is taken orally.

You must take 2 tablets in the first 72 hours after unprotected intercourse. The second tablet should be taken 12 hours (but not later than 16 hours) after taking the first tablet.
To achieve a more reliable effect, both tablets should be taken as soon as possible after unprotected intercourse (no later than 72 hours).
If vomiting occurs within 3 hours after the 1st or 2nd dose of Postinor tablet, then you should take another Postinor tablet.

After taking emergency contraception before the onset of next menstruation local barrier should be used contraceptive methods(eg condom, cervical cap). The use of the drug during repeated unprotected sexual intercourse during one menstrual cycle is not recommended due to an increase in the frequency of acyclic spotting/bleeding.

Contraindications

The use of Postinor is contraindicated:

IN adolescence up to 16 years old;
In severe liver failure;
During pregnancy;
In the presence of rare hereditary diseases - lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
At hypersensitivity to the components included in the tablets.

Postinor should be taken with caution during lactation, as well as with:

Jaundice (including history);
Diseases of the liver and biliary tract;
Crohn's disease.

Side effects

Transient unwanted reactions(do not require drug treatment): often (more than 10% of cases) – pain in the lower abdomen, fatigue, acyclic spotting (bleeding), nausea; sometimes (in less than 10% of cases) – soreness of the mammary glands, headache, dizziness, diarrhea, vomiting, delayed menstruation (if the delay is more than 5-7 days, pregnancy must be excluded);

Allergic reactions: rash, itching, urticaria, facial swelling.

Pregnancy and lactation

Postinor is contraindicated for use during pregnancy. If pregnancy occurs while using emergency method contraception, then based on the available data, no adverse effect of the drug on the fetus has been identified.

Levonorgestrel is released with breast milk. After taking the drug breast-feeding should be stopped for 24 hours.

Use in childhood

Adolescents under 16 years of age, in exceptional cases (including rape), need to consult a gynecologist to confirm pregnancy. After emergency contraception, a consultation with a gynecologist is recommended to select the most appropriate method of permanent contraception.

Analogues

Analogues of Postinor with the same active ingredient: Escapel, Eskinor-F.

Similar drugs with a similar mechanism of action: Implanon, Laktinet, Charozetta, Mifepristone, Exluton, Zhenale, Ginepristone.

Attention: the use of analogues must be agreed with the attending physician.

Prices

The average price of POSTINOR tablets in pharmacies (Moscow) is 340 rubles.

Conditions of release and storage

The drug is dispensed from pharmacies with a doctor's prescription. The tablets should be stored out of the reach of children at a temperature not exceeding 25 degrees. The expiration date of the drug is indicated on the packaging; do not use the product after this period.

Every woman's medicine cabinet, regardless of whether she uses contraceptive pills regularly or takes them from time to time, there must be emergency (post-icotal) contraception: the drugs “Postinor” or “Ginepristone”, “Escapelle”, “Zhenale”.

In fact, the Postinor tablets and its analogues cannot be considered real because the principle of their action is fundamentally different from the action of ordinary contraceptives.

First, they prevent eggs from leaving the ovary. Secondly, if this does happen, they prevent the egg (already fertilized) from attaching to the wall of the uterus and continuing development. Thirdly, they prevent the fertilization of the egg. Finally, if pregnancy does occur, the drug Postinor can cause a medical abortion.

Classic contraceptive drugs simply prevent the release of an egg from the ovary. Accordingly, if there is no egg, there can be no fertilization.

Some experts on the sidelines call the Postinor tablets, analogues of this drug and other means of post-icoital contraception “drugs for widows,” implying occasional use of the drug.

These medications cannot be taken continuously for many reasons. At constant use the structure of the endometrium changes, heavy adverse reactions from many organs.
Addiction sets in and the effectiveness of the drug decreases.
Uterine bleeding may begin.

The question rightly arises: “If the medicine cannot be taken constantly, when is the best time to use it?” The answer is simple: “In case of emergency.” That is why drugs of this kind are popularly called “the morning after.” What are these emergency cases?

The drug "Postinor", analogues of this drug can be taken after sexual intercourse for 72 hours. Naturally, the more time passes, the lower the effectiveness of the impact. However, even after 72 hours, there is a 58% chance that the drug will work and pregnancy will not occur.

What are these emergency cases?

rape;
unplanned unprotected sexual intercourse;
rare sexual intercourse (no more than 1 time between menstruation);
condom rupture or other unforeseen situations.

Women are often interested in what is better: postinor or escapelle. The principle of action of these contraceptives is the same, but the drug "Postinor" belongs to earlier, not so well-balanced formulations. After taking it, every second woman experiences nausea. It can negatively affect the development of pregnancy if it does occur.

The drug "Escapelle" was created later, it has less side effects, and you can drink it within 96 hours after the act. For Postinor products this period is only 72 hours.

When asked whether Postinor or Gynepristone is more effective, doctors often answer that all drugs of later generations are more effective and less harmful. However, in the case of the drug "Ginepristone" this truth does not work. Just like Postinor tablets, it can cause nausea or vomiting, spotting, and menstrual irregularities. Both of these contraceptives can cause urticaria, dizziness, hyperthermia, and weakness.

In addition, it is important to always remember that everything similar drugs have many contraindications. They are not recommended:

with renal and adrenal insufficiency;
with liver failure;
for lung diseases;
for extragenital pathology;
when breastfeeding.

If you absolutely need to take a post-icoital contraceptive, it is better to do this on the advice of a doctor.