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Gynera is a combined oral contraceptive pill (‘the pill’). You take it to prevent you from getting pregnant. This contraceptive contains two female sex hormones, oestrogen and progestogen. These hormones prevent pregnancy by working in three ways: by stopping an egg from being released from your ovaries; by making the fluid (mucus) in your cervix thicker, making it more difficult for sperm to get into your womb; and by preventing the lining of your womb from getting thick enough for an egg to grow in. Gynera tablets are 21 days long – you take a tablet every day for 21 days, followed by 7 days without tablets. Gynera will not protect you from sexually transmitted infections, such as chlamydia or HIV Only condoms can help to do this. Gynera must be taken as directed to prevent pregnancy. How to use To prevent pregnancy, always take this medicine exactly as described in this leaflet or as your doctor, family planning nurse or pharmacist has told you. Check with your doctor, family planning nurse or pharmacist if you are not sure. Take ethinylestradiol, gestodene every day for 21 days. Ethinylestradiol, Gestodene comes in strips of 21 pills, each marked with a day of the week. Take your pills at the same time each day. Start taking a pill with the correct day of the week marked. Follow the direction of the arrows on the strip. Take one pill each day, until you have finished 21 pills. Swallow each pill whole with water if necessary. Do not chew the pill. You will then have seven pill-free days and then start the next strip Warnings and precautions Do not take this medicine if you are allergic to any of the active ingredients. This medicine should be taken with caution in the following cases: If you have heart or circulatory problems. If you have had a migraine. If you have kidney or liver problems. If you have diabetes. If you have had a severe episode of depression before. If you suffer from high blood pressure. If you suffer from epilepsy. If you suffer from gallstones. I have had a stroke before. If you suffer from lupus. If you or a relative has breast cancer. Side Effects Stop using the product and seek immediate medical attention if you notice signs of deep vein thrombosis: swelling in one leg or along a vein in the leg or foot especially when accompanied by pain or tenderness in the leg that can only be felt when standing or walking; increased warmth in the affected leg; a change in the colour of the skin of the leg for example. turning pale, red or blue. signs of pulmonary embolism: sudden, unexplained shortness of breath or rapid breathing; sudden cough with no apparent cause, which may bring up blood; - severe chest pain that may get worse with deep breathing. Severe dizziness or lightheadedness. Fast or irregular heartbeat. Severe pain in your stomach. Signs of retinal vein thrombosis (a blood clot in the eye): Symptoms most commonly occur in one eye: immediate loss of vision or painless blurring of vision that can progress to vision loss. Storage Information Do not use Gynera after the expiry date which is stated on the blister. The expiry date refers to the last day of that month. Do not store above 30°C and protect from light. Drug Interactions You should inform your doctor before taking Generra tablets with these medications: Drugs that may affect the effectiveness of hormones such as phenytoin, barbiturates, carbamazepine, bosentan, griseofulvin, rifampicin, and topiramate. Medicines containing St. John's wort. Antiepileptic medications such as phenobarbital, phenytoin, and carbamazepine. HIV infection (AIDS) medications such as nevirapine, efavirenz, ritonavir, and nelfinavir. Ingredients Ethinyl Estradiol - Gestodene Specifications Generra is a round, white film-coated tablet for oral use
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