Estarylla: Uses, indications and precautions when using

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Estarylla pills contain Ethinyl estradiol and Norgestimate, which is a combination product of two female hormones. Estarylla works as a contraceptive by inhibiting ovulation, changing cervical mucus that inhibits sperm penetration, and changing the endometrium that reduces implantation. Estarylla is also used to treat acne in women.

1. What is Estarylla?

Estarylla with two ingredients, ethinyl estradiol and norgestimate, is used together as a combination birth control pill. In which, ethinyl estradiol is a type of synthetic estrogen with strong activity; norgestimate is a third generation progestin with lower androgenic effects and relatively no estrogenic effects compared to more progestins; Therefore, norgestimate may have a positive effect on acne control.
Estarylla acts as a combined hormonal contraceptive that can be used by female patients over 40 years of age until menopause. The choice of a routine hormonal contraceptive for any given patient should be based on the individual's contraceptive needs, underlying medical condition or risk factors for side effects, and preferences. individual use. Because all combined oral contraceptives in general, and Estarylla in particular, increase the risk of venous and arterial thrombosis, especially in women with the habit of smoking, this group should not be recommended use. In addition, Estarylla or similar products are additionally approved for the treatment of acne in premenopausal women.

2. How to use Estarylla?

Estarylla is in the form of tablets and is taken orally. To minimize nausea, Estarylla should be taken at the same time or after the evening meal or at bedtime. Take it at the same time every day to ensure maximum contraceptive effectiveness as well as create a daily habit of taking the pill.
Estarylla is presented in blister packs of 28 tablets; in which, there are 21 pills containing hormonal active ingredients, the remaining 7 tablets contain iron or inert ingredients that are taken at the end of the cycle to maintain a continuous daily dosing process.
In case of missing a dose, the patient should take it as soon as he remembers and then take the next pill at the usual time, accepting 2 pills on the same day. Similarly, if two doses are missed in a row, both tablets should be taken on the day of the missed dose and on the following day, and the normal schedule should then be continued. In both of these cases, the woman needs to use a non-hormonal method of contraception at the same time for at least 7 days after restarting the pill to improve contraceptive effectiveness.
However, if more than 3 consecutive doses are missed, the patient should not take the missed pills, but should restart the dosing cycle from the beginning simultaneously with a non-hormonal method of contraception for at least a few days. at least 7 days after starting the medication.

3. Possible side effects when taking Estarylla

Since Estarylla contains hormones, the effects can affect many different organs. Accordingly, a woman may notice the following undesirable signs:
Breast tissue changes or nipple discharge Abnormal vaginal bleeding between periods Changes in menstrual characteristics Chest tightness Coughing up blood Dizziness or fainting Headache or migraine Pain in the legs, arms, or groin Leg swelling Stomach pain Sudden shortness of breath Sudden loss of coordination, especially on one side of the body Voice problems signs of a vaginal infection, including itching, irritation, or unusual discharge Upper abdominal pain Vomiting Weakness or numbness in an arm or leg, especially on one side of the body Yellow eyes or skin Changes mood, anxiety, depression, frustration, anger, or emotional outbursts Skin rash, acne, or hyperpigmentation Weight gain If the above symptoms come on suddenly or progress quickly and get worse Patients need to consult a doctor for timely intervention. In some cases, it may be necessary to discontinue the drug and choose an alternative method of contraception.

4. Things to note in the process of using Estarylla

During the time of taking the drug, a woman should remember to have regular health check-ups to check and detect abnormalities in the body due to the effects of hormones early. Of these, the most important is a breast and pelvic exam, including mammography and cervical cytology.
Estarylla has a tendency to retain water in loose tissues so it can cause swelling in the body, evident in the fingers, hands or ankles. Simultaneously, systemic blood pressure may also increase. At this point, it is necessary to consult a doctor to choose an alternative method of contraception.
Women should always be instructed to use an additional method of contraception during the first cycle of treatment with Estarylla as well as when a pill is missed.
If there is any reason to suspect that you are pregnant, stop taking this medicine immediately and contact your doctor for confirmation.
Do not use Estarylla or hormonal contraceptives in general if a woman smokes and is over 35 years old. Because smoking increases the risk of blood clots or stroke, these people are not suitable for oral contraceptives.
Hormonal birth control pills can make your skin more sensitive to the sun. Therefore, it is necessary to stay out of the sun such as wearing protective clothing, using sunscreen and wearing a wide-brimmed hat when outdoors.
If you wear contact lenses and notice changes in your vision while taking oral contraceptives, see an eye care specialist for advice.
Some women who may experience swollen gums, sore gums or light bleeding when brushing should see their dentist's office to rule out local dental problems. Regular brushing and flossing can help prevent this.
When surgery is indicated, the drug should be discontinued in the preoperative period.
Always keep in mind that Estarylla or similar oral contraceptives do not protect a woman against HIV - AIDS or any other sexually transmitted disease.
In summary, Estarylla contains a combination of two hormonal components, ethinyl estradiol and norgestimate, which is used as an oral hormonal contraceptive by preventing ovulation and altering the properties of the uterine lining. , prevent pregnancy. However, due to the non-specific effects of hormones on other organs, women need regular monitoring and examination, early detection of abnormalities, and appropriate alternative birth control methods.

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References: webmd.com, rxlist.com