Postinor analogues are cheaper. Postinor analogues: less harmful and cheaper. There is some analogue of postinor, which is less harmful to the body

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, safe analogues of Postinor will help, of which there are already quite a large number, and, by the way, these analogues of Postinor 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, 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:

Of course, if a woman is responsible for her health, she carefully considers the best way to protect herself from all the troubles associated with the intimate side of relationships. But it is impossible to foresee everything always. Life is multifaceted, and the surprises that it sometimes brings are not always pleasant and predictable.

It happens that
- The condom breaks or slips off;
- Coitus interruptus fails;
– Missing two or more oral contraceptive pills;
- There is unprotected sexual contact (due to various circumstances).

In all these cases, the risk of becoming pregnant is quite high. However, you should not panic. An unwanted pregnancy can also be prevented after sexual intercourse with the help of the so-called emergency or postcoital contraception.

This is a representative of the old generation of hormonal drugs. One tablet contains 0.75 mg of levonorgestrel (a synthetic hormone). It must be applied in two stages. The first tablet of Postinor should be taken within 72 hours after sexual intercourse, and preferably immediately after it. The next tablet is 12 hours after the first. The effectiveness of taking Postinor depends on how long after an unprotected act you took this remedy:
94% - if the tablet was taken within 24 hours after the act;
86% - if the tablet was taken within 25-48 hours after the act;
57% - if the pill was taken within 49-72 hours after the act.

After taking it, side effects are not uncommon:
Feeling nauseous
Vomit
Diarrhea
Dizziness
Feeling broken
Headache
Painful and unpleasant sensations in the area of ​​​​the mammary glands and in the lower abdomen
Temperature rise

Contraindications to taking Postinor are:
Severe liver disease (hepatitis (even previously transferred), cirrhosis).
puberty

Postinor can only be used by women with a regular menstrual cycle.

It can be used for a maximum of 96 hours from the moment of possible fertilization. Contains twice as much levonorgestrel (1.5 mg) so only one tablet is required. The risk of pregnancy is on average 1.1%. Contraindications and side effects are the same as Postinor.

Ginepriston or Agesta

However, according to the World Health Organization, the first choice for emergency contraception should be preparations containing the anti-hormone mifepristone. Currently available in pharmacies are Ginepristone and Agesta. Their efficiency is 98.8%. One tablet containing 10 mg of mifepristone should be taken no later than 72 hours after unprotected intercourse.

Ginepriston (Agesta) will practically not harm your reproductive system, but even after taking it, you may experience the following side effects:
Discomfort in the lower abdomen
Feeling weak
Headache attacks
Vomiting or nausea
allergic rash
Increase in body temperature
Failure of the menstrual cycle

You can not use Ginepriston (Agesta) for problems with the liver and kidneys, for changes and disorders of the hormonal background, as well as for some other diseases.

Frequent use of Ginepristone (Agesta) reduces the effectiveness of its action.

It is necessary to use drugs intended for postcoital protection against pregnancy strictly in accordance with the instructions. This is done on an empty stomach (at least 2 hours should pass from the moment of the last meal) and do not eat anything for 2 hours after the tablets are drunk.

If emergency contraception causes vomiting within three hours after use, the effectiveness of the drug is sharply reduced. You need to take an extra dose.

Remember that even after you have taken emergency birth control pills, after a while you need to contact your personal gynecologist:
To check for unwanted infections because these drugs do not protect against sexually transmitted diseases
To make sure that pregnancy still has not occurred (this is especially true when menstruation is delayed more than a week after taking the pills or with suspiciously meager menstrual flow).
So that the doctor, after observing your menstrual cycle for some time, prescribes, if necessary, treatment to stimulate ovarian function.

Means of emergency (urgent) contraception are not so harmless: they can cause hormonal failure and disruption of the reproductive system. In addition, their use is less effective than the regular use of conventional birth control pills or the careful use of condoms.

But it is better to use them than to risk: the body will cope with the consequences of taking them pretty soon, and you will have to take care of a child born as a result of an unplanned pregnancy all your life.

What to do if a condom breaks?

So, if you suspect that you might be pregnant, it's best to take the necessary steps.

1. Decide which drug you will use. It is better to opt for Ginepristone or Agesta preparations. By the way, these drugs are cheaper than Postinor.

2. Go to the pharmacy as soon as possible. Better yet, use the phone and find out what and where is available. In the pharmacy, you can be advised in the old fashioned way by Escapel and Postinor, and for Ginepristone or Agesta, require a doctor's prescription. In any case, it makes sense to go first to the gynecologist. If Ginepriston or Agesta, in principle, is not in the availability zone, then buy Escapel.

3. If you are abroad, then there may be similar drugs under other names. For example, instead of Postinor, Plan B, Levonelle, NorLevo and others may meet. And if you are not ready to communicate, for example, in a Turkish pharmacy, then it is better to take an emergency contraceptive drug with you.

4. If you find yourself on a camping trip or in some place where the traces of civilization are barely visible, then it would be nice to take care of emergency contraception in advance. Otherwise, by hook or by crook, you should get regular birth control pills. Of course, they were not originally intended for such purposes, but in case of emergency they can be used, and very successfully. They, like the drugs described above, must be taken the sooner the better (the maximum period is 72 hours). They are used as Postinor in 2 doses (the second dose 12 hours after the first is taken) But the number of tablets in 1 dose, depending on the concentration and composition of hormones, may be different:
- Containing ethinylestradiol (MARVELON, MINISISTON, MICROGENON, FEMODEN, RIGEVIVIDON): dose - 4 tablets;
- Containing ethinylestradiol (NON-OVLON, BISECULIN, OVIDON, OVULEN, ANOVLAR): dose - 2 tablets;
- Mini-pills (MICROLUT, EXCLUTON, OVRET) contain the same active ingredient as Postinor, but in very small quantities, so the dose to achieve the effect should be "shock" - 20 tablets.

And now about some psychological aspects for the young and inexperienced.

1. Girls, finding themselves in such a situation, very often begin to worry a lot about their health. Believe me, this situation happens to many, and with some, 5-6 times during an active sexual life. Excessive nervousness will harm you more than any drug.

2. If you're still young and feel the false shame of buying emergency contraception, then visit a pharmacy in another area that you'll probably never visit again.

3. Of course, it is better to ask your partner to buy pills, but, as a rule, young people are also embarrassed to do this. If your man unconditionally agrees to take matters into his own hands, you can be sure that you can count on him in the future. If not, act on your own, and you will sort out your relationship later: now you have a more urgent matter.

4. If you don’t feel moral strength at all, call a friend as a “support group”. Perhaps she will even agree to buy the drug for you, but you should not abuse this: in the end, it is best to solve your problems on your own.

5. Emergency pills are relatively expensive, but that's no reason not to buy them. Money can be asked or borrowed
– With your partner (which is quite logical)
- At a friend's
- Mom, after all

For the last two, it is better to come up with a plausible excuse, and not name the true reason, however, this depends on the degree of closeness of your relationship.

Postinor is used after unprotected intercourse in cases of emergency contraception. The main active ingredient of the drug is levonorgestrel. In pharmacies, the remedy is not always on sale, but there are postinor analogues with a similar composition.

The drug reduces the likelihood of ovulation, has high bioavailability and is completely absorbed in a short period of time. The effectiveness of the drug depends on the time factor. It is recommended to use the tool as soon as possible after unprotected sex.

The instructions say that you can avoid the onset of ovulation in 95% if you use postinor within the next 24 hours. The cost of packing tablets 0.75 mg, 2 pcs. is 350 rubles.

List of postinor structural analogs

This list indicates the means most closely corresponding to postinor. The active substance is levonorgestrel.

1. Escapelle (Gedeon Richter, Germany). It is a synthetic gestogenic agent capable of preventing fertilization. When you receive escapela during the first 24 hours after intercourse, the effectiveness of the drug is 95%, on the second day 85 percent, on the third only 58%.

It is used as an emergency method of contraception. It has a list of restrictions for admission: age up to 16 years, individual intolerance to components, dangerous sensitivity to lactose, lack of lactase, impaired absorption of simple carbohydrates in the intestines, pregnancy, liver failure.

After taking Escapelle during lactation, you should stop feeding the baby for a day, since levonorgestrel is absorbed into mother's milk. One of the best analogues of postinor with an identical composition.

• The cost of packaging 1.5 mg, 1 pc. - 390 rubles.

2. Eskinor-F (Fami Ker Limited, India). Used for the next 72 hours as a way to prevent unwanted pregnancy. The action of the drug is associated with a local effect on the endometrium, fallopian tubes and the viscosity of the mucus in the cervical canal, which creates obstacles for the movement of spermatozoa. Contraindications coincide with the drug described above (Escapel).

P.S. At the time of writing Eskinor-F was not found in stock in most online pharmacies.

• Packing price tab. 0.75 mg 2 pieces - 340 r.

Analogues by pharmacological group and action

1. Genale (Izvarino Pharma, Russia). Active substance mifepristone. The action of the drug is associated with blocking ovulation and reducing the likelihood of a fertilized egg attaching to the walls of the uterus. Helps to avoid unintended pregnancy.

Jenale quickly absorbed, bioavailability approaches 70%. Contraindication: intolerance mifepristone, pregnancy, lactation, liver and kidney disease in the acute phase, low hemoglobin levels, weakening of adrenal function, prolonged use of glucocorticosteroids.

• Price tab. in a blister 10 mg 1 piece - 330 rubles.

2. Ginepriston (Obninsk CFC ZAO, Russia). Active substance mifepristone. Under the influence of the drug, the functional layer of the endometrium is exfoliated. Taking after unprotected intercourse in the first 72 hours prevents pregnancy. It has a large list of contraindications, use strictly under medical supervision.

• Tablet in a pack of 10 mg 1 pc. - 340 r.

These postinor analogues can cause side effects: urticaria, dizziness, spotting, nausea, cycle disorder. The medication is prescribed by a gynecologist, taking into account chronic and current diseases. Only a doctor is able to assess the possible risk of taking these drugs.

Postinor analogues are cheaper

Postinor and its analogues are hormonal drugs used after unprotected intercourse to prevent unwanted pregnancy. There are 2 tablets in the Postinor package, the first must be taken as soon as possible, the second in a day. The drug is relatively cheap, but in many pharmacies you can find its safe counterparts at the same price or cheaper.

Jenale

Genale is a cheap analogue of Postinor, which can be found in almost all cities of Russia. Produced in the form of convex on both sides, round yellow tablets with a pale green tint. Each of them contains 10 mg of the active substance of the drug - mifepristone, while in the drug Postinor the active ingredient is levonorgestrel.

This analogue is used as an urgent contraceptive within three days after unprotected intercourse. Dosage - 1 tablet, 2 hours after a meal.

The action, like that of Postinor, is aimed at:

• blocking the functions of progesterone at the receptor level;
• delayed ovulation;
• changes in the composition of the uterine mucosa;
• obstruction of the fixation of the fetal egg on the walls of the uterus;
• the end result of taking the pill is the release of the fetal egg.

Before taking the medicine, as well as other analogues of Postinor, it is important to make sure that there are no contraindications indicated in the instructions: chronic diseases of the kidney and liver, pregnancy and lactation.

The use of this Postinor substitute has side effects on the nervous, digestive and reproductive systems, and can also cause general weakness and skin rashes.

Genale, like Postinor and similar similar drugs:

• does not protect against sexually transmitted diseases and HIV infection;
• able to terminate a pregnancy in the first trimester or adversely affect the condition of the fetus and reproductive organs of a woman;
• does not guarantee 100% termination of pregnancy. If the fertilized egg does not come out, the consequences can be very dangerous for the fetus, so it is recommended to have a surgical or medical abortion.

After taking the drug, the use of medicines, the action of which is aimed at relieving inflammatory processes, is not allowed. If a woman is breastfeeding, she needs to take a two-week break.

Genale is stored for a maximum of 3 years in a dry place at room temperature.

Escapelle

A worthy replacement for Postinor - the drug Escapel - is cheaper and no less effective. It is a postcoital emergency contraceptive used by mouth once. If a woman vomited within three hours after using the remedy, it is necessary to take the drug again. The medicine is produced in white tablets.

The action of Escapelle, like other analogues, is aimed at:

• Suppression of ovulation and fertilization even in the most favorable period from the point of view of physiology;
• Obstruction of implantation of a fertilized egg due to changes in the composition of the uterine mucosa;
• Conclusion of the fetal egg.

It is important to remember that the effectiveness of the drug and analogues directly determines the time of sexual intercourse: during the first day, the probability of abortion is 95%, the second - 85% and the third - only 58%. Approximately the same indicators for other analogues.

This analogue of Postinor is categorically contraindicated in the following cases:

• Chronic kidney disease;
• Diseases of the adrenal glands in acute or chronic form;
• Periods during which there is a violation of the hormonal background: adolescence, pregnancy, lactation, menopause;
• With individual intolerance to lactose and other components of Escapel.

Breastfeeding mothers should stop lactating for up to 12 days.

The drug does not protect against sexually transmitted diseases.

Like analogues, it can cause adverse reactions: allergies, symptoms of intoxication, fatigue, pain in the reproductive organs, bleeding and menstrual irregularities.

To preserve the properties, it is necessary to store the tablets in a dark, dry place at an air temperature of at least 25 degrees.

Both Postinor and Escapel can be purchased at a pharmacy without a gynecologist's prescription, but this does not mean that the drugs are safe. They are considered analogues of each other, have an identical list of contraindications, side effects and the active ingredient is levonorgestrel, only in different dosages. Therefore, they differ only in the way they are used. If the question arises which is better - Postinor or Escapel - the answer is unambiguous: the funds are the same, both are cheap, you just need to drink two tablets first, and one second.

Ginepriston

Postinor's analogs can be dispensed without a doctor's prescription or with it. Ginepristron belongs to the second group of drugs. It is not as cheap as Postinor, Escapelle and Genale, on average its price is 100 rubles higher per pack. Pharmaceutical form - yellow-green tablets. Each of them contains 10 mg of mifepristone, like Genale's tablets, so Ginepristron, like other Postinor analogues, is a synthetic drug.

It is used as soon as possible after unprotected sexual intercourse, it is desirable to maintain a two-hour interval between meals. The algorithm of action of the active and excipients looks like this:

• Blocking of progesterone receptors responsible for a healthy pregnancy;
• Due to the disruption of the work of the main female hormone in the uterus, unfavorable conditions are created for the implantation of a fertilized egg;
• Not being able to gain a foothold on the walls of the uterus, the fetal egg comes out.

Like Postinor tablets, its analogue Ginepriston does not protect against sexually transmitted diseases and AIDS.

The drug has an impressive list of contraindications, the absence of which must be verified before use:

• Diseases of the adrenal glands, which are responsible for the production of steroid hormones;
• kidney and liver health problems;
• Diseases of any organs in a severe form of leakage;
• Pregnancy;

With the preliminary intake of drugs, the action of which is aimed at blood clotting, as well as anti-inflammatory drugs.

Like all analogues of Postinor, Ginepriston affects lactation. If the drug was taken by a woman who is breastfeeding, feeding should be stopped for at least 2 weeks.

Side effects include the same as other Postinor analogues: symptoms similar to manifestations of intoxication, pain in the genital area, menstrual cycle failure, general loss of strength.

The main requirements for the storage of the drug - a dry place inaccessible to sunlight, air temperature up to 30 degrees. Prices for Ginepriston are close to the cost of Postinor, but slightly cheaper.

Microlute

Among the analogues that can replace Postinor, Microlute differs in the form of release and method of application. The drug is a dragee, 35 pieces in each package. For the price, it's just as cheap. The complexity of the use in comparison with other analogues lies in the regularity and continuity, as well as the need to control the time of admission. But the action of Microlut, unlike other analyzed contraceptives, is aimed at preventing unwanted pregnancy, and not its disruption. The fact that the drug does not have harmful effects is its main advantage.

The active substance is levonorgestrel, 0.03 mg per tablet. It is this component that affects the composition of the uterine mucosa, which contributes to the formation of an unfavorable environment for embryo implantation. Among the frequently asked questions regarding the effectiveness of the drug, women ask if Microlut can prevent conception completely. The answer is no, like any analogue of Postinor - cheap or expensive, this drug does not give a 100% guarantee.

It is used according to the doctor's prescription, in the absence of any of these contraindications:

• Genital bleeding of uncertain cause;
• Onco diseases of the reproductive system;
• Any kidney disease;
• Pregnancy;
• Diabetes;
• Individual intolerance to the components of the drug.

Due to the gentle dosage of the synthetic substance, this analogue of Postinor rarely has side effects. If they still happen, then they are expressed as follows:

• Disorders of the digestive system;
• Depressive state;
• Menstrual irregularities;
• Headache;
• Weight gain or loss;
• Allergic reaction;
• Changes in the microflora of the vagina;
• Rashes on the skin and others.

It is necessary to store the drug at room temperature in a dry, dark place for no more than 5 years.

Conclusion

Postinor is considered to be the most popular emergency contraceptive. The analogues described above are almost all the same cheap, but no less effective. Each of them is a synthetic drug due to the nature of the active substance. Contraindications and side effects are similar, as is the method of application. The exception is Microlute, which must be applied constantly. All these cheap analogues are sold in pharmacies in Russian cities.

pharmachologic effect

Synthetic drug with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. At the recommended dosing regimen, levonorgestrel inhibits ovulation and fertilization if sexual intercourse occurs in the preovulatory 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.

Efficacy: Postinor tablets can prevent pregnancy 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. At the recommended dose, levonorgestrel does not have a significant effect on blood coagulation factors, fat and carbohydrate metabolism.

Pharmacokinetics

When taken orally, Postinor is rapidly and almost completely absorbed. Absolute bioavailability is almost 100% of the dose taken. After taking 0.75 mg of levonorgestrel, C max in serum, equal to 14.1 ng / ml, is reached after 1.6 hours. After reaching C max, the content of levonorgestrel decreases. T 1/2 is about 26 hours.

Levonorgestrel is excreted approximately equally by the kidneys and through the intestines exclusively in the form of metabolites. Biotransformation of levonorgestrel corresponds to the metabolism of steroids. Levonorgestrel is hydroxylated in the liver, metabolites are excreted in the form of conjugated glucuronides. Pharmacologically active metabolites of levonorgestrel are unknown. Levonorgestrel binds to serum albumin and to sex hormone-binding globulin (SHBG). Only 1.5% of the total dose is in free form, and 65% is associated with SHBG.

Indications

- emergency (postcoital) contraception (after unprotected sexual intercourse or unreliability of the contraceptive method used).

Dosing regimen

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.

Postinor can be used at any time of the menstrual cycle. In the case of an irregular menstrual cycle, pregnancy must first be excluded.

After taking emergency contraceptive, 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.

Side effect

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

Transient side effects that occur with varying frequency and do not require drug therapy: sometimes (1-10%) - vomiting, diarrhea, dizziness, headache, soreness of the mammary glands, delayed menstruation (no more than 5-7 days; if menstruation is delayed for a longer period, pregnancy must be excluded); often (more than 10%) - nausea, fatigue, pain in the lower abdomen, acyclic spotting (bleeding).

Contraindications for use

- adolescence up to 16 years;

- severe liver failure;

- pregnancy;

- rare hereditary diseases, such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption;

- Hypersensitivity to the components of the drug.

FROM caution: diseases of the liver and biliary tract, jaundice (including history), Crohn's disease, lactation.

Use during 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.

Use in children

The drug is contraindicated in adolescents under 16 years of age.

Overdose

Increased severity of side effects. There is no specific antidote. Carry out symptomatic therapy.

drug interaction

With the simultaneous administration of drugs-inducers of liver enzymes, the metabolism of levonorgestrel is accelerated.

The following drugs may reduce the effectiveness of levonorgestrel: amprecavil, lansoprazole, nevirapine, oxcarbazepine, tacrolimus, topiramate, tretinoin, barbiturates, including primidone, phenytoin, and carbamazepine, drugs containing St. rifabutin, griseofulvin. Levonorgestrel reduces the effectiveness of hypoglycemic and anticoagulant (coumarin derivatives, phenindione) drugs. Increases plasma concentrations of corticosteroids. Women taking these drugs should contact their doctor.

Preparations containing levonorgestrel may increase the risk of cyclosporine toxicity due to suppression of its metabolism.

Terms of dispensing from pharmacies

The drug is dispensed by prescription.

Terms and conditions of storage

List B. The drug should be stored out of the reach of children at a temperature of 15 ° to 25 ° C. Shelf life - 5 years.

Application for violations of liver function

The drug is prescribed with caution to patients with diseases of the liver and biliary tract, is contraindicated in severe liver failure.

Application for violations of kidney function

Data on the use of the drug in patients with impaired renal function are not provided.

special instructions

Postinor should only be used for emergency contraception. Repeated use of the drug Postinor during one menstrual cycle is not recommended.

The effectiveness of Postinor tablets after unprotected intercourse, in which contraceptives were not used, decreases over time:

The drug does not replace the use of permanent methods of contraception. In most cases, Postinor does not affect the nature of the menstrual cycle. However, there may be acyclic spotting and a delay in menstruation for several days. With a delay in menstruation for more than 5-7 days and a change in its nature (scanty or heavy discharge), pregnancy must be excluded. The appearance of pain in the lower abdomen, fainting may indicate an ectopic (ectopic) pregnancy.

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.

Emergency contraception does not protect against sexually transmitted diseases.

With violations of the function of the gastrointestinal tract (for example, with Crohn's disease), the effectiveness of the drug may decrease.

Influence on the ability to drive vehicles and control mechanisms

The effect of Postinor on the ability to drive vehicles and mechanisms has not been studied.