NOVYNETTE. 28 tablets

WHAT NOVYNETTE AND WHAT IT IS USED FOR?
Novinet is contraceptive, which is taken by mouth (orally) contains synthetic follicular and luteal hormone and is used to prevent pregnancy. Novinet works by inhibiting ovulation.
Before starting the use of Novinet must be made complete medical and gynecological examination to exclude diseases that may pose a risk when using oral contraceptives (birth control pills).
During the tablets it is necessary to carry out regular medical check-ups every six months.

2. BEFORE YOU TAKE NOVYNETTE
Do not take Novinet
- If you are allergic (hypersensitive) to the active substances or to any of the excipients of Novinet in case of pregnancy, if you are breastfeeding, in the case of malignant tumors of the breast or uterus,
- If you have or have had a thrombosis (blood clots in the vessels leading to deep vein thrombosis, pulmonary embolism, heart attack or stroke) in case of risk of thrombosis,
- In the case of moderate to severe high blood pressure, in case of disturbances in the metabolism of fats in the event of severe diabetes complications in case of severe liver disease, in the case of liver tumor in the case of certain violations exchange if you have gallstones,
- In the case of vaginal bleeding of unknown origin,
- In the case of autoimmune diseases affecting parts of the body (eg. Systemic lupus erythematosus)
- In the case of jaundice in pregnancy or previous use of hormonal products
- In the case of severe itching during pregnancy or previous use of hormonal products
- In the case of gestational herpes (skin rash with blisters, occurring during pregnancy) in the case of hearing problems that have occurred during pregnancy.
Please tell your doctor if you have any of these or any other illness.
If any of the above occur during while taking the pill, stop immediately accept and contact your doctor immediately.

Take special care with Novinet
Novinet and other hormonal contraceptive pill will not protect you against HIV infection (AIDS) and other sexually transmitted diseases.
If you have any of the following diseases / risk factors should carefully consider the benefits and risks for you before prescribing a combined oral contraceptive. If one of those diseases or risk factors appear for the first time or any deterioration in the underlying disease, you should tell your doctor. Bleeding disorders.
History or presence of acute or chronic heart failure, impaired renal function.
- Epilepsy or a history of this disease.
- Migraine.
- Diabetes
- Presence or history of severe depression. Sickle cell anemia.
- Pill and thrombosis
- Venous thrombosis
The use of any combination tablet, including Novinet increases the risk of venous thrombosis (clot in the blood vessels), compared with women who did not take any (contraceptive) tablets.
The risk of venous thrombosis in those who use combination tablets is growing: in the elderly; if you are overweight;
- If one of your close had your old blood clot (thrombosis) in the legs, lungs or other body;
- If you have to have an operation (surgery), a prolonged period of immobilization, or if you have had a serious accident. It is important to pre-notify your doctor if you are taking Novinet as you may need treatment to be stopped. Your doctor will tell you when to start taking Novinet again. Usually this happens two weeks after restore.

Arterial thrombosis
The use of the combination tablet was associated with an increased risk of developing arterial thrombosis (blockage of an artery), for example in the blood vessels of the heart (heart attack) or the brain (stroke).
The risk of arterial thrombosis in individuals consuming a combination tablet, rises: o if you are a smoker. Strongly advised to stop smoking while taking Novinet, especially if you are older than 35 years.
o if the level of fat in your blood (cholesterol or triglycerides) is increased o If you have high blood pressure o if you suffer from migraine
o if you have a heart problem (damage to the valves, abnormal heart rhythm)
Stop taking Novinet and tell your doctor immediately if you notice any possible signs of thrombosis, such as:
• severe pain and / or swelling of the feet
• sudden onset of severe pain in the chest which may spread to the left arm
• sudden shortness of breath
• sudden onset of coughing for no apparent reason
• unusual, severe or long-lasting headache or worsening of migraine
• partial or complete loss of vision or double vision
• difficulty in speaking or lack of speech
• dizziness or fainting
• weakness, abnormal sensations or numbness in any part of the body
Birth control pills and cancer
In women receiving combined tablets, cancer has been diagnosed slightly more frequent, but it is unknown whether this is due to the treatment. For example, it is possible to more tumors are detected in women taking the combined pill because they are seen more often in your doctor. Incidence of tumors decreased gradually after discontinuation of combined hormonal contraceptives. It is important to regularly check your breasts and if you find a lump, you should contact your doctor.
In rare cases, women using tablet are detected benign tumors, and in even rarer cases reported malignant tumors. Contact your doctor if you experience unusual pain in the abdomen.

Bleeding between two cycles
In the first months of use Novinet may appear unexpected bleeding (bleeding between two cycles). If bleeding continues after the first few months, or if it begins after some months, your doctor will need to investigate the cause.

What should you do if you have bleeding in the expected period:
If you have taken all the tablets correctly, have not had vomiting or severe diarrhea and you have not taken any other medicines, very unlikely that you are pregnant. If the expected bleeding does not appear twice in a row, then you may be pregnant. Immediately contact your doctor. Do not start a new blister pack until you are sure you are not pregnant.
If you take a blood sample for laboratory tests, you should tell your doctor that you are taking the contraceptive pill, as they can affect the results.
Some women get yellow-brown spots on the skin, especially the face, while taking the tablets. If this happened during pregnancy or if you have used other hormonal tablets can expect the appearance of such spots in these tablets. If you feel that you are at risk, avoid exposure to sunlight and ultraviolet rays.

Taking other medicines
Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Concurrent use of other drugs, such as anti antibiotics, tranquilizers (calming) and laxatives (laxatives) may decrease the contraceptive action of Novinet tablets.
If you have diabetes, you may have a need for higher doses of insulin or oral antidiabetic drugs.
If you take any medicine, for which it is known that the pill can reduce the effect of the tablets, you should consult with your doctor about the need to temporarily use an additional method of contraception.

Pregnancy and lactation
Pregnancy
You should not use Novinet when you are pregnant.
In case that does not appear menstruation, do a pregnancy test - the result is not affected by taking tablets. The likelihood of pregnancy is very small, if you are taking tablets regularly as prescribed by your doctor if you have stomach upset with vomiting and have not taken any other medicines. Keep taking the tablets as usual. Otherwise, you should consult your doctor.
Breastfeeding
As active substances of the drug is excreted in human milk and reducing them in quantity, using Novinet during lactation is not recommended.

Driving and using machines
Novinet not affect the ability to drive or work of a high risk of accident.

3. HOW TO TAKE NOVYNETTE?
Always take Novinet exactly as prescribed by your doctor. If you are not sure, ask your doctor.
Each day has to take one tablet, preferably at the same time, for 21 days starting on the first day of menstruation. It is a 7-day free interval of tablets, in which appears a menstruation-like bleeding. On the 8th day should start taking the next 21 tablets, even if the bleeding has not stopped.

Adoption of Novinet first
- Wait to start your period, during which time use other contraceptive methods (condom use, or protective equipment and spermicide). The first tablet should be taken on the first day of menstruation.
- If your period has already started, you can start taking the tablets from 2nd to 5th day of the menstrual cycle, regardless of whether bleeding has stopped or continued. In this case you should use an additional method of contraception during the first 7 days of this cycle.
- If your period started more than 5 days, you have to wait until the first day of the next and to use an additional method of contraception. Taking the tablets should begin on the first day of the next menstruation.

Postponement of menstruation
If you do not want to get menstrual bleeding because of vacation, view, or for other reasons, you should start a new pack Novinet without pause between the two packages. In this way you can postpone menstruation as long as you want, but this is not recommended for more than 3 cycles, as it can lead to irregular bleeding (spotting or breakthrough bleeding).

Change other contraceptive tablets Novinet
All tablets from the old package must be consumed. Novinet first tablet is taken the next day, ie without pause between the two packages and no waiting onset of menstruation. Not to impose emergency contraception.
When replacing the mini-tablets Novinet Novinet first tablet should be taken on the first day of menstruation. If there is no menstruation, you can go from mini-tablets to Novinet in any day, but the first 7 days should apply other additional contraceptive method.

After birth
Taking tablets can begin 2-3 weeks after birth. If during that time you had sex, you should use other contraceptive methods and tablets you can start at the first occurrence of menstruation. In case you start taking the tablets later than 21 days after birth, during the first seven days you must use additional contraceptive methods.
After spontaneous or artificial abortion
After spontaneous or artificial abortion, you can start using Novinet immediately as directed by your doctor.
Security Novinet tablets may decrease
- If you take the tablet with a delay more than 12 hours of the usual time;
- If you have gastrointestinal upset with vomiting and diarrhea that lasts more than 12 hours;
- If you take certain other medicines.
If you forget to take Novinet
In case you forget to take a tablet at the usual time, you must do so no later than 12 hours. Take your next tablet at the usual time. Later than 12 hours reduces effectiveness of the tablet, so you should take it as soon as possible. Take the next tablet at the usual time and in the next seven days you must use an additional contraceptive method.
If you get a stomach upset with vomiting and diarrhea, Novinet absorption in the body can be reduced. If the next 12 hours after taking the tablet feel better, take an extra tablet from a spare pack and then continue with the rest of the regular tablets pack as usual. If symptoms last longer than 12 hours, you should continue taking the tablets, but also to use additional methods of contraception in the next 7 days.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, Novinet can cause side effects, although not everybody gets them.
Side effects may occur at the following frequencies, described as follows:
Very common (affects more than 1 patient in 10)
Common (affects 1 to 10 patients in 100)
Uncommon (affects 1 to 10 patients in 1000)
Rare (affects 1 to 10 users in 10,000)
Very rare (affects less than 1 in 10,000)
Not known (from the available data can not be estimated)

Very common: abnormal bleeding, weight gain.
Common / Uncommon: edema, decreased libido (interest in sex), depression, headache, dizziness, irritability, high blood pressure, migraine, nausea, vomiting, acne, rash, skin redness, pain and breast tenderness, absence of menstruation bleeding outside the cycle.
Rare: fungal infections, allergic reactions, which can sometimes be severe (angioedema) with swelling of the skin and / or mucous membranes, increased libido (interest in sex), intolerance to contact lenses, hearing-impaired, a blood clot in the veins, loss of hair, skin, vaginal discharge (flow), breast discharge. Not known: tumors, liver problems, breast cancer.
If any of the side effects gets serious, or if you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE NOVYNETTE?
Do not store above 30 ° C.
Do not use the tablets after the expiry date stated on the packaging. Keep out of the reach and sight of children.