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Marlissa belongs to the group of combined hormonal drugs used to prevent pregnancy. Use of the drug must be in accordance with the doctor's prescription. In addition, when using the drug, it is necessary to note some side effects such as nausea, headache, chest tightness, ...
1. Uses of the drug marlissa
This combination hormone pill is used to prevent pregnancy . The composition of marlissa includes 2 hormones: progestin and estrogen .
The pill works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. Marlissa also thickens vaginal fluid to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus to prevent a fertilized egg from attaching to the uterus. If the egg has been fertilized with sperm without attaching to the uterus, it will leave the body, in addition to preventing pregnancy, birth control pills can make your period more regular, reduce blood loss and menstrual pain, reduce risk of ovarian cysts and can also treat acne. Using this medicine does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia).
2. Indications for the use of Marlissa
Take marlissa by mouth as directed by your doctor, the usual dose is once daily. Choose a time of day that is easy for you to remember to take your medicine. It is very important that you continue to take this medicine exactly as prescribed by your doctor. With certain brands of birth control pills, the estrogen and progestin levels in each active pill work differently at different times of the cycle. Therefore, you must follow the instructions on the package to find the first pill, start with the first pill in the pack and take them in the correct order. Do not skip any doses. In case you miss the pill then you may be able to get pregnant. You should start taking your new pill late or take it at a different time of day than usual.
Certain conditions such as: Vomiting or diarrhea can prevent your birth control pills from working properly. If you have vomiting or diarrhea, you may need to use a backup birth control method (such as condoms, spermicide).
Taking marlissa after dinner or at bedtime may help if you have stomach upset or nausea while taking it. Regardless of which dosing schedule you use, it is very important that you take your marlissa at the same time every day, 24 hours apart.
If this is your first time using marlissa, take the first pill on the first Sunday after the start of your period or on the first day of your period. If your period starts on a Sunday, start taking it that day.
3. Some side effects when using the drug marlissa
When using the drug marlissa may occur: Nausea, vomiting, headache, abdominal bloating, tightness in the chest, swelling of the ankles / feet (water retention) or weight change. In addition, vaginal bleeding between periods (spotting) or missed or irregular periods may also occur, especially during the first few months of use. If side effects persist or become serious, tell your doctor or pharmacist right away. If you miss your period 2 in a row or 1 period if you are not taking the pill correctly, then you should contact your doctor to take a pregnancy test.
Marlissa may increase your blood pressure. Therefore, you should check your blood pressure regularly and see your doctor if the results are high.
Tell your doctor right away if you have any serious side effects, including: Breast lumps, mental, mood changes (such as new, worsening depression) , stomach pain, severe abdominal pain, abnormal vaginal bleeding (such as continuous bleeding, sudden heavy bleeding, missed periods), dark urine, yellow eyes, skin.
This medicine can rarely cause serious (sometimes fatal) problems with blood clots (such as deep vein thrombosis, heart attack, pulmonary embolism, stroke). You should contact your doctor immediately if any of these side effects occur: Pain in the chest, jaw, left arm, confusion, dizziness, sudden fainting, pain, swelling, heat in the groin, calf, difficulty speaking, sudden shortness of breath, rapid breathing, unusual headache, including: migraine, sudden headache with very intense intensity, unusual sweating, weakness on one side of the body, problems , changes in vision such as: Double vision, partial or complete blindness .
Very serious allergic reactions to marlissa are very rare. However, see your doctor right away if you notice symptoms of a serious allergic reaction, including: Rash, itching, swelling, especially in the face, tongue, or throat.
4. Precautions
Before using this medicine, tell your doctor if you are allergic to any estrogen ingredients such as: Ethinyl estradiol, mestranol or any progestin ingredients such as: Norethindrone, desogestrel; or if you have any other allergies. Marlissa may contain inactive ingredients that can cause allergic reactions or other problems.
If you have diabetes, marlissa may affect your blood sugar. You should check your blood sugar regularly and you should see your doctor right away if you have symptoms of high blood sugar such as increased thirst or urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet.
This medicine may cause darkening of your face and skin. Sunlight can worsen the darkening effect on the face. Therefore, you should limit being in the sun for a long time. You should also use sunscreen and wear protective clothing when outdoors.
If you are nearsighted or wear contact lenses, you may have vision problems or have difficulty wearing contact lenses. In case you feel insecure you should see an ophthalmologist.
Marlissa should not be used during pregnancy. If you become pregnant or are about to become pregnant, tell your doctor right away. If you've just had a baby or had a miscarriage or abortion after the first 3 months, talk to your doctor about reliable forms of birth control and find out when it's safe to start using birth control. contain a form of estrogen, such as this one.
Marlissa may decrease breast milk production. Small amounts pass into breast milk and may have undesirable effects on a nursing infant.
5. Marlissa . drug interactions
Marlissa drug interactions can change the way your medicine works or increase your risk of serious side effects when using it. Some products that may form interactions with marlissa include: aromatase inhibitors (such as anastrozole, exemestane), ospemifene, tamoxifen, tizanidine, tranexamic acid, combination products that will be used to treat inflammation chronic hepatitis C (ombitasvir, paritaprevir, ritonavir with or without dasabuvir).
Some medications can make hormonal birth control less effective by reducing the amount of birth control hormones in your body. This side effect can lead to pregnancy. Examples include griseofulvin, modafinil, rifamycins (such as rifampin, rifabutin), HIV medications (such as nelfinavir, nevirapine ritonavir), among others.
Marlissa may interfere with certain laboratory tests such as: Blood clotting factors, thyroid, possibly causing false test results.
6. Some notes when using marlissa in contraception
Overdose
Symptoms of overdose may include severe nausea and vomiting, sudden/irregular vaginal bleeding.
Missed dose
In case you miss a dose, you may need to use backup birth control such as: condoms, spermicide... to prevent pregnancy. If you frequently forget to take your pills as directed, contact your doctor to discuss switching to another form of birth control.
Storage
Store marlissa at room temperature, away from light and moisture. Do not store in the bathroom.
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Reference source: webmd.com