Description
Ginette 35® is a kind of COC (combined oral contraceptive), produced by Cipla.
Ginette 35® is aimed to prevent pregnancy in women. The tablets contain Cyproterone Acetate (synthetic progestin) and Ethinyl Estradiol (synthetic estrogen).
Cyproterone Acetate is a derivative of progestogen and also acts as antiandrogen. Ethinyl Estradiol is a synthetic female sex hormone which like naturally occurring in the body hormone estrogen, regulates and maintains menstrual cycle.
Mechanism of action: Cyproterone Acetate and Ethinyl Estradiol in Ginette 35® tablets work in conjunction and provide effective contraception by inhibiting the secretion of gonadotropins (follicle stimulating hormone, FSH and luteinizing hormone, LH). Ethinyl Estradiol stops ovaries from releasing an egg, while Cyproterone does not allow sperm fertilize any egg that may have already released, stops a fertilized egg from implanting itself to womb lining.
Ginette 35® for polycystic ovary syndrome:
Polycystic ovary syndrome (PCOS) - endocrine and metabolic disorders in women, characterized by ovulatory dysfunction, followed by such symptoms as oligomenorrhea or amenorrhea, either clinical or biochemical hyperandrogenism. Ginette 35® serves multiple roles in the treatment of PCOS from regularizing the cycle to reducing acne, hirsutism and providing contraception to a select group of patients of PCOS who so desire it.
Ginette 35® for hyperandrogenic disorders:
Cyproterone Acetate decreases androgen production through an inhibition of 5α reductase in the skin and a subsequent decrease in dihydrotestosterone levels. I.e., Cyproterone blocks the male hormone testosterone's receptors on end organ sites such as the skin, hair follicles and sebaceous glands. This enhances the ability of Ginette 35® to treat hyper or excessive androgenic disorders by a reduction in sebaceous secretions, excessive hair growth and acne.
Ginette 35® for cancer prevention: prolonged usage of Ginette 35® pills prevents endometrial cancer (lining of the uterus or womb) and Ovarian cancer and provide cancer free periods lasting many years after stopping treatment.
Ginette 35® is also used in women with benign disorders like pelvic infections and pain, benign ovarian cysts, benign fibrocystic breast disease.
Ginette 35® doesn't protect you and your partner from sexually transmitted diseases (HIV and the others).
Dosage
Ginette 35® should be taken orally whole, with a full glass of water once daily at the same time each day.
Ginette 35® contains 21 tablets.
Take one tablet a day for 21 days and then have 7 days off (time for periods).
Take Ginette 35® continually to ensure effective contraception.
If you have vomiting or diarrhea within 3-4 hours of taking a tablet, this is the same as missing a pill and you should take other contraceptive precautions for the next 7 days.
Take Ginette 35® as long as your doctor recommends.
While taking Ginette 35®, you should not use an additional hormonal contraceptive.
For the treatment of PCOS and hyperandrogenism (hirsutism, acne, seborrhea, oily skin, hidradenitis suppurativa):
- take Ginette 35® for at least 3-4 months to achieve the positive results.
You should take Ginette 35® for as long as your doctor recommends.
Missing a dose
If you have vomiting or diarrhea within 3-4 hours of taking a tablet, this is the same as missing a pill and you should take other contraceptive precautions for the next 7 days.
If you miss a dose and you are less than 12 hours late in taking a tablet, take it as soon as you remember and take the next one at the time of your next regularly scheduled dose. You are still protected against pregnancy.
If you miss a dose of Ginette 35® and are more than 12 hours late in taking a tablet, follow these guidelines to help you decide what to do:
- week 1 - take the last tablet as soon as you remember and take the next one at the time of your next regularly scheduled dose, which may mean taking 2 tablets in one day. Use another form of birth control for at least 7 days following the missed tablets;
- week 2 - take the last tablet as soon as you remember and take the next one at the time of your next regularly scheduled dose, which may mean taking 2 tablets in one day. You are not at risk of becoming pregnant and do not need to use another form of birth control;
- week 3 - take the last tablet as soon as you remember and take the next one at the time of your next regularly scheduled dose, which may mean taking 2 tablets in one day. Take the remaining tablets then begin the next pack immediately without a break. You may not have a withdrawal bleed but you are still protected against pregnancy.
Overdose
If an overdose occurs and you are feeling unwell, you should seek emergency medical attention or contact your healthcare provider immediately.
Storage
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.