POSTINOR 75 mg. 2 tablets

What is Postinor-Duo and what is it used?
Postinor-Duo is an emergency contraceptive that is administered after unprotected sexual intercourse or failed contraceptive method. This type of contraception is often called "morning after pill".
Postinor-Duo prevents about 84% of expected pregnancies when the two tablets were both 72 hours (3 days) after unprotected intercourse. Postinor-Duo does not prevent pregnancy in every case:
• The tablets are more effective when taken soon after unprotected intercourse
• This means that it is better to take the tablets one day (24 hours) after unprotected intercourse than to delay taking them until the third day (between 48 and 72 hours) after unprotected intercourse.
The action of Postinor-Duo is accomplished by:
• stops releasing an egg from the ovaries;
• prevent sperm from fertilising any eggs have already released;
Therefore, Postinor-Duo stops a pregnancy before it occurred. It does not work if you are already pregnant.
Postinor-Duo can help prevent pregnancy, but you should take two tablets as soon as possible and no later than 72 hours (three days) after unprotected intercourse.
2. What you need to know before taking Postinor-Duo?
Please ask your pharmacist before taking this medicine as emergency contraception may not be suitable for you.
If you are under 16, you should visit your doctor to get emergency contraception.
Postinor-Duo can be taken at anytime of the menstrual cycle, unless there is a delay in the onset of menstruation. If the onset of menstruation is late, you should consult your pharmacist.
Before taking this medication, your pharmacist can check whether you are pregnant by asking questions about your period or when you had sexual intercourse. If your pharmacist or you think you may be pregnant, you must take a pregnancy test.
Do not take Postinor-Duo:
• if you are allergic to the active substance or any of the other ingredients of this medicine (listed in section 6).
Warnings and Precautions
If any of these apply to you, tell your doctor before taking Postinor-Duo, as emergency contraception may not be suitable for you. Your doctor may prescribe another type of emergency contraception.
• If you have a disease of the small intestine (eg. Crohn's disease), which violates digestion;
• if you suffer from severe liver disease;
• if you are taking any of the medicines listed below, as these medicines may prevent proper operation of Postinor-Duo:
- Barbiturates and other drugs used for the treatment of epilepsy (e.g., primidone, phenytoin, and carbamazepine);
- Drugs used to treat tuberculosis (e.g., rifampicin, rifabutin);
- Treatment of HIV infection (e.g., ritonavir); a medicine used for the treatment of fungal infections (e.g., griseofulvin);
- Herbal products containing St. John's wort (Hypericum perforatum);
• If you are taking a drug called cyclosporine (used to help the immune system).
In all women, emergency contraception should be taken as soon as possible after intercourse unprotected. There is some evidence that Postinor-Duo may be less effective with increasing body weight or body mass index (BMI), but these data are limited and inconclusive. Therefore Postinor-Duo is still recommended for all women, regardless of their weight or BMI.
We encourage you to talk with a medical professional if you are worried about possible problems with the implementation of emergency contraception.
Other medicines and Postinor-Duo
Tell your pharmacist if you are taking, have recently taken or might take any other medicines.
Some medicines can interfere Postinor-Duo to act properly, they include:
- Barbiturates and other drugs used for the treatment of epilepsy (e.g., primidone, phenytoin and carbamazepine)
- Drugs used to treat tuberculosis (e.g., rifampicin, rifabutin)
- The treatment of HIV infection (ritonavir, efavirenz) medicine used to treat fungal infections (griseofulvin) herbal products containing St. John's wort (Hypericum perforatum) drug called ciclosporin (suppresses the immune system).
Consult your doctor or pharmacist before using Postinor-Duo, if you are taking any of the above drugs.
Pregnancy, lactation and fertility
Ask your doctor or pharmacist before taking any medicine.
Pregnancy
You should not take this medicine if you are already pregnant. If you become pregnant even after taking this medicine, it is important to consult your doctor. There is no evidence that Postinor-Duo will harm a baby that develops in your uterus if you are using Postinor-Duo as described. However, your doctor may want to make sure that the pregnancy is not ectopic (where the baby develops outside the uterus). This is extremely important if you develop severe abdominal pain after taking Postinor-Duo or if you have previously had an ectopic pregnancy, tubal surgery or pelvic inflammatory disease.
Breastfeeding
In breast milk may contain very small amounts of the active ingredient of this medicine. It is believed that it is not dangerous for the baby, but if you are worried, you can take your tablet immediately after feeding and avoid breastfeeding at least 8 hours after taking the tablet. Thus, you take the tablet long enough before the next feeding, thus reducing the amount of active ingredient, which may adopt a baby with breast milk.
Fertility
Postinor-Duo increases the possibility of violations of the cycle, which can sometimes lead to an earlier or later date of ovulation. These changes can lead to changes in fertility, although there is no data in the long term.
Driving and using machines
Unlikely Postinor-Duo tablet can affect your ability to drive or operate machinery. However, if you feel tired or dizzy, do not drive or operate machinery.
If you are worried about sexually transmitted diseases
If you have not used a condom (or if it is broken or has slipped) during intercourse, it is possible to get a sexually transmitted disease or virus H1V. This medicine will not protect you from sexually transmitted diseases, only condoms can do. Ask your doctor, pharmacist or family planning clinic if you are worried about it.
Postinor-Duo tablets contain lactose monohydrate and this must be taken into account if you have lactose intolerance.
If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.
3. How to take Postinor-Duo?
Always take this medicine exactly as you have been told by your doctor. If you're not sure, ask your doctor or pharmacist.
• Take two tablets at the same time as soon as possible, preferably within 12 hours after unprotected intercourse, but no later than 72 hours (3 days) after that. Swallow each tablet whole with a little water if necessary. Do not delay taking the tablets. Their action is more secure, the sooner you take them after
• unprotected sex.
• If you use a regular method of contraception such as the contraceptive pill, you can continue to take the usual time.
How often can you take Postinor-Duo?
Postinor-Duo applies only in emergency cases and not used as a regular method of contraception. If you take Postinor-Duo more than once between two periods, it is very likely to occur with menstrual irregularities.
Postinor-Duo is not acting as a regular method of contraception. Your doctor can tell you about more effective methods for long-term contraception to prevent unwanted pregnancy.
What to do if you are sick (vomit)
• If you are ill (vomit) within three hours after taking the first tablet you should immediately take the second tablet pack. Then you should immediately contact your pharmacist, doctor or family planning clinic.
• If you are ill (vomit) within three hours after taking the second tablet you should immediately contact your pharmacist, doctor or family planning clinic, as the tablet may not have worked properly.
If you take more dose of Postinor-Duo
Although there are no reports of serious harmful effects from taking too many tablets at once, you may feel or actually be sick (vomit), or get vaginal bleeding. Consult your pharmacist or doctor, especially if you have been sick, as the tablet may not have worked properly.
If you forget to take a tablet
You should take both tablets in the package (as described above) and leave a space of no more than 16 hours (preferably 12 hours) between taking the tablets.
• If you are late with taking the second tablet (interval longer than 16 hours), the premium it as soon as you remember and talk to your pharmacist, doctor or family planning clinic as soon as possible.
Once it takes Postinor-Duo
Following the adoption of Postinor-Duo, if you intend to have sex and not using the contraceptive pill, you should use condoms or a diaphragm and spermicide. This is necessary as Postinor-Duo will not work if you have unprotected sex again, before your next menstrual period.
It is advisable to consult your doctor about three weeks after taking Postinor-Duo to make sure that the tablets are effective. If your period is late by more than 5 days or is unusually light or unusually heavy, you should contact your doctor as soon as possible. If you become pregnant even after taking this medicine, it is very important to consult your physician.
Your doctor can also tell you about long-term methods of contraception which are more effective in preventing unwanted pregnancy.
If you continue to use regular hormonal contraception method, for example. Pill and bleeding does not occur during tablet-free, you should consult your doctor to make sure you are not pregnant.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very common (may affect more than 1 in 10 people):
• Feeling sick (nausea)
• You may have some irregular bleeding until your next cycle
• You may have pain in lower abdomen
• Fatigue
• Headache
Common (may affect up to 1 in 10 people):
• Feeling sick (vomiting). If you are sick, read the section 'What to do if you are sick (vomit)'.
• Your cycle may change. Most women have a normal period at the expected time, but some cycle may occur later or earlier than normal. It may also appear irregular bleeding or spotting until your next period. If your period is delayed more than 5 days or less unusual or unusually abundant, you should contact your doctor as soon as possible.
• it may have breast tenderness, diarrhea, dizziness after taking this medicine.
Very rare effects (may affect up to 1 in 10,000 people):
• Rash, urticaria, pruritus, facial swelling, pelvic pain, painful cycle, lower abdominal pain.
Adverse event reporting
If you get any side effects, contact your doctor or pharmacist. This includes all listed in this leaflet. You can also report adverse reactions directly by Drug Agency Street. "Damyan Gruev" № 8, 1303 Sofia. As reported adverse reactions, you can do your bit to obtain more information on the safety of this medicine.
5. How to store Postinor-Duo?
Keep out of reach of children.
Store in the original container to protect from light.
Do not use this medicine after the expiry date stated on the packaging. The term refers to the last day of that month.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information?
What Postinor-Duo?
The active substance is 750 microgram levonorgestrel (levonorgestrel).
The other ingredients are potato starch, maize starch, colloidal silica anhydrous, magnesium stearate, talc and lactose monohydrate.
Looks like Postinor-Duo and contents of the pack?
Each pack contains two round, white tablets. Each tablet contains 750 microgram levonorgestrel, the active ingredient of the drug.