Tablets after an unprotected postinor act instruction. Contraindications and precautions

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

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

Postinor is produced by the Hungarian pharmaceutical company Gedeon Richter, which appeared on the market back in 1901. The company has been dealing with hormonal preparations since the sixties of the last century. All products are of high quality and excellent performance.

The composition of the drug includes levonorgestrel at a dosage of 75 mg and related ingredients. Two tablets, 75 mg each, in a silver blister.

Levonorgestrel is a hormone with a progestogenic effect, used for contraception. The main feature of the substance in its effect on the female reproductive organs, by:

• increasing the density of mucus secreted by the cervix, slowing down the movement of spermatozoa;
• changes in the mucosa, preventing the engraftment of a fertilized egg;
• blocking the ovulation phase, which is the most favorable time for conception.

When is Postinor used?

The main indication for the use of the drug is emergency contraception after unprotected intercourse or when other methods of protection have failed.

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

Thus, medical professionals are trying to reduce the number of abortions that are harmful to the 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 from chronic diseases of the liver, kidneys and gastrointestinal tract should remember that the drug is excreted 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 the drug Postinor to give the expected effect, it is necessary to strictly adhere to the instructions for use.

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

The first tablet should be taken as soon as possible. The second is taken twelve hours after the first. If, three hours after the consumption of the drug, vomiting opens, the dose must be repeated immediately to maintain the desired concentration of levonorgestrel in the patient's blood.

The use of Postinor is permissible at any period of the menstrual cycle, but with a prerequisite: there should be no delay in monthly menstruation. Subsequently, until the beginning of the next critical days, the method of barrier contraception is used.

Why did you feel bad after taking the pill?

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

Conducted studies confirm that while taking Postinor it is possible:

• general weakness, migraines and dizziness;
• indigestion, pain in the lower abdomen, nausea, severe vomiting;
• violation of the cycle from five to seven days;
• uterine hemorrhages, swelling of the mammary glands;
• scanty bleeding.

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

• small rashes on the skin in the form of urticaria;
• puffiness of the face.

Overdose

Any drug can give different reactions of the body when taking the drug in an amount that significantly exceeds the 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 nausea and vomiting.

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

The 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 more careful selection of drugs.

In the case of teenagers, the situation is clearer. The body is not yet fully formed. During this period, hormonal changes take place, which can be mercilessly disrupted by the intake of prolactins.

Under the age of sixteen, obstetrician-gynecologists strictly prohibit abortions, because they can lead to subsequent infertility, menstrual irregularities and frequent diseases of the pelvic organs. If necessary, it is advisable to contact a specialist for qualified assistance.

In nursing mothers, the use of Postinor has several features. This is due to the fact that levonorgestrel passes into breast milk in an amount of at least one percent.

If there is a need for emergency contraception, experts advise either to stop breastfeeding for twenty-four hours, or to apply the baby no earlier than eight hours after taking the pills. The main point - the first tablet is used after feeding.

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

There are reported cases where women have taken the drug, but the pregnancy persisted. Levonorgestrel did not harm the fetus.

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

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

Do not use Postinor for women who have used cytostatics. It increases their toxic effect on the body.

Worth remembering!

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

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

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

In addition, prolactins are not a means for the implementation of abortion at home. In case of an overdose, they can cause bleeding, which will be dangerous in the first place for a woman.

The price of the drug, its analogues

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

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

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

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

You need to drink the medicine for three days after unprotected intercourse. When using "Escapela" by a nursing mother, feeding is mandatory for a day.

The price fluctuates from 380 r. up to 500 r.

"Eskinor-F"

The Indian manufacturer offers the consumer levonorgestrel in two forms of release:

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

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

The average cost is 400 rubles.

"Modell 911"

Form of production: packaging with a tablet, the content of the active substance is 1.5 mg. It is necessary to drink for three days, after unprotected intercourse.

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

The average price is 350 rubles.

What do they say?

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

It just so happened that she got married in her student years. They were not going to have children with their husband, they wanted to finish their studies, find a job. Condoms have always been used for contraception. And as in a joke - it broke. I had to run to the pharmacy for help. The pharmacist advised Postinor. Thank God everything worked out! The drug was satisfied. I did not feel any discomfort during the reception.

Elena, 25 years old, Moscow

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

Zhanna, 31 years old, Kemerovo

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

Anna, obstetrician-gynecologist, Saratov

And I had to use this drug. For others, I would advise not to take it on an empty stomach. I immediately started to feel sick, and then vomiting appeared. It's 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 next day, according to the plan, they began to start monthly, and then in less than 4 days of a lull.

I took postinor back in 2004, it helped ... then in the same year I got 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 any nonsense about being overweight ... unjustified. Therefore, read less bad advice on the internet, but rather go to the doctor. Everything, I said everything. I took postinor back in 2004, it helped ... then in the same year I got pregnant six months later and gave birth.
Now my son is almost 12 years old.
But this drug is really only for emergencies.
and any nonsense about being overweight ... unjustified.
Therefore, read less bad advice on the internet, but rather go to the doctor.
Everything, I said everything.

Hello! It so happened that on 12.03 I had an unprotected PA, I drank a pill after 48 hours and then after 12 2 tablets of Postinor, on the 5th day I started to bleed and ache in the lower abdomen, is this normal? I'm not pregnant?

I do not persuade him to drink! Personally, I drank it three times with an interval of six months! I didn't have any side effects! Everything is quiet! After that, she got pregnant! I just think that if you are not ready for a child, it is better to drink postinor in the first hours than to have an abortion later. What's in all... I do not persuade him to drink! Personally, I drank it three times with an interval of six months! I didn't have any side effects! Everything is quiet! After that, she got pregnant! I just think that if you are not ready for a child, it is better to drink postinor in the first hours than to have an abortion later. Which in every respect is more dangerous for physical and psychological health! I think many did not read the instructions correctly, or some already had health problems, and this aggravated it!

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

I want to tell my story about the use of Postinor and warn all girls, girls and women. My first acquaintance with Postinor was 12 years ago. When I met my future first husband, I got pregnant. We did not plan a child, but there was no question of having an abortion. We got married,... I want to tell my story about the use of Postinor and warn all girls, girls and women. My first acquaintance with Postinor was 12 years ago. When I met my future first husband, I got pregnant. We did not plan 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 mention that my periods were always delayed. After the miscarriage, I had some kind of mania that every month, when there was a delay, I was definitely pregnant. Once, while waiting for my period, and there was a delay of about a week, I took a Postinor pill. I still don’t understand what was in my head then and what I thought. In general, this happened 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. 5 years of torment, treatment and examinations. The end result was a diagnosis of infertility. I had a complete obstruction of the tubes. They told me that apart from IVF, nothing would help me. Then my husband and I collected money for IVF, then tests for thousands of hryvnias, worries about what if it doesn’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 has no children. And there is a very significant problem. She is barren.
For the sake of interest, I looked for analogues of Postinor. Postinor contains an active ingredient - levonorgestrel. This is a very powerful tool and dangerous. There are other drugs that contain norgestrel. This is Microlute, Norplant. This norgestrel is half as strong as levonorgestrel and, of course, less dangerous. But still, the use of such drugs is still not desirable.

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

angel

Do not even think about drinking postinor if your health and the health of your future children are dear to you, this is a very unsafe drug that can also affect excess weight, believe me, I speak from personal experience.

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

Lovely girls! Don't accept this crap! You will not just destroy your body, you can inflict mental trauma on yourself for the rest of your life - in the form of infertility. Postinor is a ticking time bomb. At first, nothing, but over the years you find yourself with a bunch of incomprehensible diseases ... Lovely girls! Don't accept this crap! You will not just destroy your body, you can inflict mental trauma on yourself for the rest of your life - in the form of infertility. Postinor is a ticking time bomb. At first, nothing, but over the years you find yourself with a bunch of incomprehensible diseases in gynecology and shrug, saying where. And all the fault of 2 Postinor tablets. It generally needs to be removed from pharmacies, now there are a lot of contraceptives that are better and more advanced than this muck. I beg you - do not take Postinor!

Every woman cares about her women's health. In the modern world, there are many methods of contraception that are actively used by women. But after all not always sexual intercourse can be planned. For such cases, they are designed for emergency contraception.

Postinor is the most popular early abortion drug used after unprotected intercourse. It is necessary to apply Postinor in two stages: 1 - within 72 hours after sexual intercourse, and 2 - 12 hours after taking the first tablet. Then the risk of getting pregnant will depend on the moment of taking 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, Postinor's safe analogues, which are already quite large in number, will help, and, by the way, these Postinor analogues are cheaper. The most famous analogues of Postinor are:

• Escapelle;
• Ginepriston;
• 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 a rather old drug, its safety is not as high as that of modern contraceptives.

Which is better: Postinor or Escapel

Postinor analogue Escapelle - a more modern method of 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 these contraceptives also depend on how accurately the woman followed the instructions. If any side effect occurs, you should immediately consult a doctor.

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

Zhenale's and Ginepriston's analogues

Many girls also wonder which is better: Genale or Postinor? The choice here is individual. Genale 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 applying Jenale, a pregnancy nevertheless occurred, the risk of having a child with pathologies is quite high.

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

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

There are also many side effects which may appear even with full observance of the instructions for use:

• allergic reactions;
• Pain 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 intercourse. A medical abortion is a non-surgical termination of pregnancy.

It is necessary to take Postinor 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 an abortion if a woman takes pills while already pregnant.

It should also be remembered that medical abortion can only be performed under medical supervision, but emergency contraceptive 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 dispensed 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 the regular use of emergency contraceptives can lead to serious complications, and therefore it is necessary to reduce or even limit their use.

Watch a video review of a doctor about emergency contraception:

Postinor is used as an emergency contraceptive. The main active ingredient in this drug is the synthetic hormone levonorgestrel.

At the recommended dosing regimen, levonorgestrel inhibits ovulation and fertilization if sexual intercourse occurs in the pre-ovulatory phase, when the possibility of fertilization is greatest. It can also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.

In this article, we will consider why doctors prescribe Postinor, including instructions for use, analogues and prices for this drug in pharmacies. Real REVIEWS of people who have already used Postinor can be read in the comments.

Composition and form of release

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

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

Clinico-pharmacological group: postcoital contraceptive for oral administration.

What is Postinor used for?

during unprotected intercourse, if the method of contraception used cannot be considered reliable (rupture, slippage or incorrect use of the male condom, shifting, rupture or premature removal of the diaphragm or cervical plate, unsuccessful use of the coitus interruptus method, erroneous calculation of ovulation days in case of using the calendar method , loss or removal of an intrauterine device, missing 3 or more pills when taking a hormonal oral contraceptive for continuous use), rape.

With the help of Postinor, pregnancy can be prevented in about 85% of cases. The more time elapsed 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 contact, if no protective measures have been taken.

Pharmacological properties

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

The active active ingredient inhibits the process of egg maturation, changes the thickness and composition of the endometrium, and prevents the onset of fertilization. This drug is not effective if conception has already occurred and the embryo has attached 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 the case of an irregular menstrual cycle, pregnancy must first be excluded.
The drug is taken orally.

• It is necessary to 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 the Postinor tablet, then another Postinor tablet should be taken.

After taking emergency contraceptives, local barrier methods (eg, condom, cervical cap) should be used until the next menstrual period. The use of the drug during repeated unprotected 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:

1. In adolescence up to 16 years;
2. With severe liver failure;
3. During pregnancy;
4. In the presence of rare hereditary diseases - lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
5. With increased sensitivity to the components that make up the tablets.

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

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

Side effects

Transient adverse reactions (do not require drug treatment): often (in 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 (in case of a delay of more than 5-7 days, pregnancy must be excluded);

Allergic reactions: rash, itching, urticaria, swelling of the face.

Pregnancy and lactation

Postinor is contraindicated for use during pregnancy. If pregnancy occurred while using an emergency method of contraception, then, based on the available data, an adverse effect of the drug on the fetus was not detected.

Levonorgestrel is excreted in breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

Application in childhood

Adolescents under 16 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, Lactinet, Charozetta, Mifepristone, Exluton, Genale, 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.

Vacation and storage conditions

The drug is dispensed from pharmacies by prescription. Keep the tablets out of the reach of children at a temperature not exceeding 25 degrees. The expiration date of the drug is indicated on the package, do not use the product after the expiration of this period.

In the medicine cabinet of every woman, regardless of whether she uses contraceptive pills regularly or takes them from time to time, there should be emergency (post-hiccup) contraception: Postinor or Ginepriston, Escapelle, Zhenale.

In fact, Postinor tablets, its analogues cannot be considered real because the principle of their action is fundamentally different from the action of conventional contraceptive drugs.

First, they do not allow eggs to leave the ovary. Secondly, if this still happened, 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, Postinor can cause medical abortion.

Classic birth control pills 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 Postinor tablets, analogues of this drug and other postcoital contraceptives "drugs for widows", implying occasional use of the drug.

• There are many reasons why you should not take these drugs on a regular basis. With constant use, the structure of the endometrium changes, severe adverse reactions from many organs appear.
• Addiction occurs, the effectiveness of the drug decreases.
• Uterine bleeding may begin.

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

The drug "Postinor", analogues of this remedy can be taken after 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 intercourse;
• rare sexual intercourse (not more than 1 time between periods);
• 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 the earlier, not so well-balanced formulations. After taking it, every second woman has nausea. It can adversely affect the development of pregnancy, if it does occur.

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

To the question: postinor or ginepristone is more effective, doctors often answer that all drugs of later generations are more effective, less harmful. However, in the case of the drug "Ginepriston" this truth does not work. Just like Postinor tablets, it can cause nausea or vomiting, spotting, and cycle disturbance. And from that, and from another contraceptive, urticaria, dizziness, hyperthermia, weakness may appear.

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

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

If you need to take a postcoital contraceptive without fail, it is better to do this on the advice of a doctor.