How long can you take Belara?

Is the medicine "Belara" effective? Reviews from doctors (pros, cons) will be presented below. You will also learn about the form in which this drug is manufactured, what components it contains, whether it has contraindications for use and side effects.

Description, composition, form, packaging

The drug "Belara" goes on sale in the form of round, biconvex light pink tablets with a white core. It contains active ingredients such as chlormadinone acetate and ethinyl estradiol. It also contains additional ingredients in the form of lactose monohydrate, povidone, corn starch and magnesium stearate.

As for the pink film shell, it consists of titanium dioxide, talc, hypromellose, lactose monohydrate, macrogol 6000, propylene glycol and red iron oxide dye.

The product in question goes on sale in blisters, which are contained in a cardboard box.

Pharmacodynamics

What is the drug "Belara"? Reviews from doctors (the pros and cons of the drug will be presented below) say that this is a combined contraceptive intended for oral administration.

Long-term use of tablets reduces the secretion of luteinizing and follicle-stimulating hormones and, as a result, suppresses the ovulation process. This drug also promotes proliferation and secretory transformation of the endometrium. This effect prevents the implantation of the fertilized egg.

When taking the medication in question, the viscosity of mucous secretions from the cervix increases. Due to this, male reproductive cells have difficulty passing through the female genital organs.

Chlormadinone acetate included in this drug is a gestagen that has antiandrogenic properties. It is able to compete with androgens at specific receptors and thereby weaken their effect.

The probable occurrence of pregnancy per year varies between 0.29-0.69%, and depends on strict adherence to the dosage regimen and medication.

Pharmacokinetics

Belara tablets contain two active substances. Their kinetic parameters differ markedly:

1. Chlormadinone acetate Quite quickly and completely absorbed from the gastrointestinal tract. Its highest concentration in the blood is observed after an hour and a half. About 95% of the substance binds to plasma proteins (mainly albumin).

When the component is transformed, several metabolites are formed (3-alpha and 3-beta-hydroxy-chlormadinone acetate).

The half-life of this element is 33 hours. Chlormadinone acetate, as well as its metabolites, are excreted in equal amounts in urine and feces.

1. Ethinyl estradiol is also quickly and completely absorbed from the intestines. Its highest concentration in plasma is achieved after 90 minutes. The absolute bioavailability of this substance is 40%.

Approximately 98% of ethinyl estradiol is bound to blood proteins. It is transformed by hydroxylation of the aromatic ring. The main derivative of this substance is 2-hydroxy-ethinyl estradiol.

The half-life of the component in question is 13 hours. It is excreted in feces and through the kidneys in a ratio of 3:2.

To completely block ovulation, chlormadinone acetate must be taken in an amount of 1.7 mg every day. The dosage for a full cycle is about 25 mg.

Indications for use

Belara tablets are intended only for the fairer sex. They are necessary for oral contraception.

Contraindications

Under what conditions should you not take Belara? Reviews from doctors (all women should take into account the pros and cons of this remedy) report that this drug cannot be used for:

1. thrombosis and thromboembolism (pulmonary embolism, myocardial infarction, venous thrombosis, cerebrovascular changes);
2. planned surgical intervention (one month before it), as well as during the period of immobilization;
3. uncontrolled arterial hypertension;
4. initial signs of thrombosis or thrombophlebitis, as well as symptoms of embolism (including temporary ischemic attacks);
5. acute or chronic severe liver damage;
6. uncontrolled diabetes mellitus;
7. itching of the whole body, cholestasis;
8. predisposition to the occurrence of arterial and venous thrombosis;
9. severe epigastric pain, hepatomegaly or signs of intra-abdominal bleeding;
10. liver tumors;

How to take Belara birth control pills?

According to the instructions, birth control pills should be taken orally, without chewing and with a small amount of water. How should the reception be conducted? "Belara" must be taken daily at the same time (in the evening).

The duration of taking the drug is 21 days. Then it must be interrupted for a week. Approximately 2-4 days after the last tablet, menstrual bleeding is observed.

After seven days, you need to start taking the drug from another pack, regardless of whether the bleeding has stopped or not.

The first tablet should be used on the 1st day of the physiological cycle (that is, on the first day of the next menstruation). Only in this case does contraception begin to take effect and last even during a week-long break.

However, the first tablet can be taken on days 2-5 of the menstrual cycle. In this case, barrier methods of contraception should also be used during the first 7 days.

If menstruation began more than 5 days ago, then you need to wait for the next one to start, and only then start the pill cycle.

Side effects

Now you know how to take birth control pills. You should also be aware that taking this drug may cause the following side effects:

1. nervousness, irritability, depressed mood, weakened libido;
2. increased appetite, changes in blood fat composition;
3. hypersensitivity to the components of the drug;
4. intolerance to contact lenses, visual disturbances, conjunctivitis, tinnitus, hearing loss;
5. dizziness, migraine pain;
6. vein thrombosis, increased pressure, collapse, arterial hypotension, varicose veins, arterial hypertension;
7. flatulence, abdominal pain, nausea, diarrhea, vomiting;
8. hyperhidrosis, acne, erythema, chloasma, urticaria, hair loss, pigmentation disorders, eczema;
9. lumbodynia, feeling of heaviness, muscle disorders;
10. vaginal candidiasis, dysmenorrhea, vulvovaginitis, increased vaginal discharge, premenstrual syndrome, amenorrhea, breast fibroadenoma, lower abdominal pain.

Drug interactions

Is it possible to combine the contraceptive Belara with other drugs? Using these tablets with others may weaken their effect. Such suppressive drugs include:

1. substances that activate microsomal liver enzymes;
2. drugs that enhance intestinal motility;
3. some antibiotics.

After Belara and taking the listed medications, additional methods of contraception should be used.

Price and analogues

Analogues of the drug in question are the following: “Vidora”, “Dayla”, “Jess”, “Difenda”, “Janine”, “Lindinet 20”, “Logest”, “Mersilon”, “Milanda”, “Modell Tin”, “Novinet” ", "Silest", "Femoden", "Yarina Plus".

As for the price, it directly depends on the number of tablets in the package. The average cost of the drug "Belara" is 490-530 rubles (21 pcs.).

"Belara": reviews from doctors (pros, cons)

According to experts, the drug "Belara" has established itself as a very reliable means of contraception. When taken correctly, unwanted pregnancy is excluded. However, this drug also has negative reviews. Doctors report that it can cause a large number of side effects. This medication promotes weight gain and is also very harmful to the skin. Moreover, it has an impressive list of contraindications.

How do you know which tablet in the blister is considered first?

In St. Petersburg it costs 387 rubles!
Please tell me, should I take the pill for the first time during the month? Do they just start smearing it or when exactly will they start? It happens to me that they start lightly smearing it in the evening and only start normal the next day!

How do you know which tablet in the blister is considered first?

As prescribed by the doctor, I changed Chloe to Belara due to a carbohydrate metabolism disorder due to Chloe, and as a result of weight gain (weight did not increase only if I took Siofor together). I started drinking according to the instructions after Chloe’s last active tablet. On the 11th tablet of Belara, spotting, dizziness, irritability and drowsiness began. I hope there will be no such side effects on the 2nd package. It hasn't affected my weight yet. The cost in Saratov is from 323 to 500 rubles, depending on the pharmacy.

Two months on Belar, the acne remains and seems to have gotten even worse. In Kaliningrad the price is from 350 to 500 rubles. I'm expecting an antiandrogenic effect. And at the ultrasound this month, suddenly the cyst had already passed.

Girls, has anyone taken Belara? The gynecologist prescribed it, but I was hoping for Yarina (there is also 30 mg), after all, it will be newer. And the gynecologist claims that Belara’s drug, although old, has a unique composition with a minimum of side effects. It is impossible to find Belara in pharmacies in our city, but in one pharmacy they offered to bring it every month from Kazan (I live in Mari El) according to my order, but it is not a fact, of course, that deliveries may be interrupted. They said it costs around 500 rubles (and I thought it was less!). How much does it cost in your city?

Related topics

I also adore Belara - my skin became perfect, I lost weight, M was very strong - they became not strong and it only took 3-4 days. After I started planning my pregnancy, I stopped drinking Belara and became pregnant for the second cycle. Now she gave birth, breastfed the child for 2 years - she wanted to return to Belara again, but she disappeared. I live in Moscow - there is no Belara anywhere (((on the advice of a doctor, I started taking Jess.. well, nothing, but Jess cannot stand comparison with Belara. On Jess M every 21 days (on Belar - 28-30) - I’m already sick of it. M strong, skin okay, but with Belara it was better.. in short.. I hope she will appear again soon. I’m really looking forward to it((

Belara is for sale in Moscow at the Petrovsko-Razumovskoye metro station

In Tomsk there is a Belara that costs 479 rubles.

I took Belar for about a year, for cosmetic purposes) I had problems with acne and excess facial hair. The effect was excellent, and most importantly, after the cancellation, everything was preserved, now the skin is clean.

Galina, how long did it take for the effect to appear? I’ve been using it for a month and a half now, I see only slight changes, and a gynecologist-endocrinologist prescribed Belara to me.

I have been taking Belara for three months. Prescribed due to absence of a cycle for about a year. My period started, there were no side effects, I was very satisfied.

Belara didn't suit me. + 2kg. per month. My period came two days before taking the last pill, that is, 5 days ahead of schedule. The whole cycle is out of whack. I didn't notice any cosmetic effect. Before taking Regivedon, everything was like clockwork.

Monika, my face began to clear up literally 2 months after taking Belara, and most importantly, the result was permanent after the withdrawal. Yulia, but on the contrary, I lost weight from Belara, by 5 kg in a year.

So understand: are they getting better from OK, or are they losing weight? Still, everything is individual.

I took Belar for 3 months due to a diagnosis of hyperandrogenism (symptoms: painful PMS, hirsutism, acne). The doctor said that I can’t drink any longer. The skin became perfect, the breasts increased slightly, there were no side effects. True, menstruation became very irregular, scanty, it was not even clear whether it was menstruation or what :) And it began every time on the 21st day of the cycle..
After discontinuation, the skin began to gradually deteriorate. Now it’s a horror-nightmare again (a couple of months have passed since the withdrawal). In my opinion, the drug had no effect on hair growth.

Inna, Belara can be taken longer, unlike, for example, Diane35, which is taken for the same purposes. I myself drank Belara for a whole year without a break.

I agree with Veronica, as far as I know Diane-35 has a number of restrictions for use, for example, an increased risk of thrombosis and a negative effect on hepatic metabolism, and according to recommendations it cannot be used for more than 6 months, unlike Belara, which can be drunk as long as necessary for medicinal purposes.

I started drinking Belara, in the first days it was just not very good and hard, then I started feeling sick often, diarrhea started, then vomiting was added to all this, I rinsed with some kind of foam, my liver hurt, arrhythmia began, my heart was pounding madly and ached, I drank it I couldn’t sleep at night, I woke up from nausea and in the morning I started gargling again! I quit without finishing half the pack, it was like hell, I lost 5 kg, every day it got worse and worse, I thought I was really going to die! Never again, never again That I won’t drink is ok! Now on the 3rd day a spotting started, probably ala menstruation, I hope there won’t be any dangerous bleeding!

Everything went without bleeding, the month was 5 days, I feel great)

I switched to Belarus from NOVINET. I made the transition incorrectly (the gynecologist made a mistake in the recommendations) and when I saw the doctor again, they decided to take a cycle-long break. During the break, I lost a couple of kg (my breasts shrank first), the tearfulness went away, but PMS worsened and acne appeared during PMS. I hope all the unpleasant symptoms will smooth out during the adaptation period. Now I’m going to a new job where the main quality is resistance to stress, tell me, does it make sense to take a course of sedatives during the adaptation period (motherwort forte is recommended)? Thank you!
P.S. There are 2 packs of NOVINET left, I will sell them for 450 (I bought them for 650), please contact me)

I found it in Volzhsk without any problems, bought it for 530 somewhere, not counting the discount

I think it will certainly help, Belara is a very good drug, I myself took it for a year for polycystic disease.

I'm already drinking Belara for the 4th pack. Tired of it. The acne has become larger than before taking it, and it calms down during the break. The hairiness was still there, and my chest hurts. The cycle is short, which is bad. It was always 28-32 days, but now it’s 23 days by the clock, 2 days after the last pill. For those who have constant problems with their cycle, this is good, but I was prescribed Belara in order to prevent polycystic disease, which I never had. I don’t see any point in drinking it anymore; I don’t need contraception. But I’ll take note that apart from acne, there are no more side effects.

I started drinking Belara. I immediately got a headache. I felt terribly sick. It goes away in the evening. I’m taking the 6th tablet and it’s not getting any easier. What to do? Citramon does not help, I drink ketanov once a day.

I drank Belarus for a month. A rash appeared on my face and chest, my skin became red, and one of the side effects appeared on me. I'll give you a new pack for 250, St. Petersburg.

I started drinking Belara. I immediately got a headache. I felt terribly sick. It goes away in the evening. I’m taking the 6th tablet and it’s not getting any easier. What to do? Citramon does not help, I drink ketanov once a day.

And it’s better not to drink a lot of ketans, they drink it in emergencies, it’s harmful and changes the composition of the blood, the Rh and factor may change!

I was prescribed Belara for 3 months to lower testosterone levels. When taking the first 2 packages, on about 2-3 days I felt quite sick, quite severely, and had slight pain in the stomach area. Apart from this, I didn’t notice any side effects. Well, maybe I was a little more sleepy in the evenings. My hair and skin became much less oily, the pimples on my face went away, although there were a lot on my back (but I had them before Belara). On the 3rd package I didn’t feel sick at all, but my chest did hurt. Last year, Janine took it for six months, her breasts hurt for the first 3 months, and there was a small discharge in the first 2 months in the middle of the cycle. And there were no headaches, no vomiting, nothing else on either one or the other COC. Now I’m waiting for the results of a blood test for testosterone to see if Belara has an effect!

I started taking Bilara, and after three days nausea appeared. What to do, quit or continue drinking? Who knows?

They prescribed Belara for me too. I’ll respond when I start drinking. I hope testosterone decreases, otherwise it’s high! and skin...

I’ve been drinking Belara for a couple of weeks, I started on the 1st day of my period, instead of 4-6 days, my period was 10 days and already on the 5th day it’s just smeared brown. I read that this is normal when taking Belara, I sit and wait until everything gets better ((((

Girls! I started taking Belara. The first cycle was excellent - my period came on time and was painless. But after that - screw it! Delay after delay. just like now. the test is negative. I'm thinking maybe I'm taking the pills wrong? Here is my regimen - every day at 19.00 I take one tablet from the blister with the appropriate name, and drink it until the first day of menstruation (usually more than 21 days), on the first day of menstruation I stop taking the pills for 7 days (regardless of whether the discharge has ended or No). Am I doing everything right? Please tell me

Girls, do you feel nauseous when taking Belar? Or is it just me who has this kind of thing? And in general I’m somehow nervous. (((I don’t like this state.

Girls, do you feel nauseous when taking Belar? Or is it just me who has this kind of thing? And in general I’m somehow nervous. (((I don’t like this state.

I was prescribed Belara 1.5 years ago to lower testosterone (I was tested because of acne. According to gynecology, I am absolutely healthy). I drank for 3 months. I will say that there were no side effects or any special results. The cycle has not changed, the acne has not gone away. and after I quit, my skin only got worse (for a month). Improvements appeared only when I started having an active sex life. I have now concluded that the easiest way to protect yourself is with condoms. they cost approximately the same amount per month, and it’s harder to forget about them than about pills. something like this.

Do you still have Belara? can I buy from you?

Good afternoon. I was prescribed Belara (I smoke). But the annotation says that this drug is contraindicated for smokers. I've been drinking for two days and started to feel unwell.
Tell me if there is a drug that is safe if you have a bad habit (smoking).

Tell me, has anyone taken Belara to treat endometriosis? Did it help or not?

I, too, have been drinking Belara for more than six months and I noticed that before my period I become real hysterical. I'm angry and crying, crying and angry. I really can’t control myself. At first everything was fine, but the breasts first became larger and then returned to normal. Weight is also normal. They just found a cervical cyst and this is a terrible mood. It’s not at all typical for me to behave like this, but here I’m in tears, I’m nervous, I’m offended at the slightest. In short, I decided to stop taking hormonal medications. I'll see how it goes, especially since it's time to take a break.

I drank Belara for 6 months... I had huge problems with my skin, at first I didn’t see any changes... but by the 3rd month my face became clear... my breasts increased by 1 size. but the last 3 months are something. It became terribly painful for me to break out in such painful pimples. It took a very long time to go away... after finishing the treatment, the breasts returned to their place after 3 weeks) my face was still breaking out, the extra hair didn’t disappear, I started gaining weight... I gained 2 kg in a week... although I don’t notice it on myself, but the scales show the opposite.. the delay is already 12 days.. tomorrow I will go to the doctor.

I've been drinking Belara for a month. The pimples have popped out like a teenager's and I want to sleep all the time! Will this go away with time or are the pills just not working for you? I think I should switch to Diana-35..

Good afternoon. I was prescribed Belara (I smoke). But the annotation says that this drug is contraindicated for smokers. I've been drinking for two days and started to feel unwell. Tell me if there is a drug that is safe if you have a bad habit (smoking).

Wrong. You drink 21 tablets from the blister and take a 7-day break, then a new pack, and so on. During these 7 days your period comes! This very, very first pill should be taken on the first day of your period, and then according to the 21+7 schedule at the same time

Hello, I’m 18 years old, I started taking Belar tablets, my period started on Sunday (a week ago) and it’s been going on for 10 days now, I don’t like it, tell me, is this normal? I take the pills as needed at the same time, so far 10 days have passed

In Tomsk there is a Belara that costs 479 rubles.

Hello, I’m 18 years old, I started taking Belar tablets, my period started on Sunday (a week ago) and it’s been going on for 10 days now, I don’t like it, tell me, is this normal? I take the pills as needed at the same time, so far 10 days have passed

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The description is valid on 08.01.2015

1. Latin name: Belara
2. ATX code: G03AA
3. Active substance: Ethinyl estradiol + Chlormadinone (Ethinylestradiol + Chlormadinone)
4. Manufacturer: GEDEON RICHTER (Hungary)

Compound

One Belara tablet contains 2 mg of acetate chlormadinone and 30 mcg ethinyl estradiol.

Additional components: lactose monohydrate, K30 povidone, corn starch, magnesium stearate.

Film shell composition: macrogol 6000, hypromellose, talc, lactose monohydrate, propylene glycol, titanium dioxide, red iron oxide dye.

Release form

Belara contraceptive pills are covered with a light pink shell, round, biconvex with a white core. 21 such tablets in a blister, one or three blisters in a cardboard pack.

pharmachologic effect

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

A combined contraceptive drug taken orally.

Long-term use of the drug leads to a decrease in secretion follicle-stimulating hormone And luteinizing hormone, and, consequently, to suppress the ovulation process. At the same time, proliferation and secretory transformation take place endometrium, preventing the implantation of a fertilized egg. The viscosity of mucous secretions from the cervix increases, which causes difficulty in the passage of male germ cells through the cervical canal and inhibition of their mobility.

Acetate included in the drug chlormadinone is gestagen, which has antiandrogenic properties. Its effect is based on its ability to compete with androgens in specific receptors, weakening the effect androgens. Pearl index (probability of getting pregnant in 12 months) ranges from 0.291-0.698 and depends on the woman’s careful compliance with the medication regimen.

Approximately 1.7 mg of acetate is required to completely block ovulation chlormadinone daily. The required dosage per cycle is 25 mg.

Pharmacokinetics

Chlormadinone acetate. Quickly and completely absorbed. The maximum concentration occurs in an hour and a half. 95% binds to human blood proteins, mainly albumin.

During the transformation process, many metabolites are formed, the main of which are 3-beta And 3-alpha-hydroxy-chlormadinone acetate.

The average half-life from the blood is 34 hours. Chlormadinone acetate and its metabolites are excreted in approximately equal quantities in the urine and through the intestines.

Ethinyl estradiol. It is quickly and almost completely absorbed from the intestine, reaching maximum concentration in plasma after an hour and a half. Absolute bioavailability is about 40%.

About 98% of the substance binds to blood proteins. Ethinyl estradiol transformed by hydroxylation of the aromatic ring. The main derivative is 2-Hydroxy-ethinylestradiol.

Average half-life ethinyl estradiol from blood is 13 hours. Excreted by the kidneys and feces in a ratio of 2:3.

Indications for use

The need for oral contraception.

Contraindications

The use of the drug is contraindicated in the following diseases:

1. presence of initial signs thrombophlebitis, thrombosis or symptoms embolism (including temporary ischemic attacks);
2. thrombosiss And thromboembolism in progress or in history (myocardial infarction, pulmonary embolism, vein thrombosis,cerebrovascular changes);
3. planned surgical intervention (4 weeks before) and period of immobilization;
4. uncontrollable arterial hypertension;
5. acute or chronic severe liver damage (until normalization of liver function);
6. uncontrollable diabetes;
7. predisposition to appear venous And arterial thrombosis:APC resistance, deficit protein S, deficit proteinC, deficiency antithrombin 3, antiphospholipid antibodies And hyperhomocysteinemia;
8. itching all over the body, cholestasis, especially during a previous pregnancy or use of sex hormones in the past;
9. tumorsliver, including medical history;
10. severe epigastric pain, hepatomegaly or signs intra-abdominalbleeding;
11. Rotor syndrome, Dubin-Johnson syndrome, slowing down the flow of bile;
12. porphyria in all forms and manifestations;
13. hormone-dependent malignant tumorsor suspicion of their presence;
14. pancreatitis, in combination with severe hypertriglyceridemia;
15. pronounced changes in lipid metabolism;
16. seizures migraine;
17. acute sensory disturbances;
18. increased frequency of attacks epilepsy;
19. movement disorders;
20. heavy depression;
21. complication of the course otosclerosisduring previous pregnancies;
22. endometrial hyperplasia;
23. cryptogenic amenorrhea;
24. vaginal bleeding unknown etiology;
25. period lactation;
26. pregnancy and suspicion on her;
27. addiction to smoking at the age of 35 years;
28. lactase deficiency, lactose intolerance, glucose-galactose malabsorption;
29. presence of multiple risk factors arterial or venous thrombosis;
30. sensitization to the components of the drug.

It is necessary to prescribe the drug with caution in the presence of the following diseases (including a history):

1. multiple sclerosis, epilepsy;
2. bronchial asthma;
3. convulsive syndrome;
4. migraine without neurological symptoms;
5. renal or heart failure;
6. uncomplicateddiabetes;
7. chorea;
8. mild liver diseases;
9. dyslipoproteinemia, lipid metabolism disorders;
10. autoimmune diseases;
11. obesity;
12. endometriosis;
13. controlled arterial hypertension;
14. phlebitis superficial veins of the legs, varicose veins;
15. changes in blood clotting;
16. uterine fibroids;
17. mastopathy;
18. herpespregnant women;
19. chronic inflammatory bowel diseases;
20. depression.

Side effects

1. Reactions from the outside psyche: nervousness, depressed mood, irritability, weakness libido.
2. Reactions from the outside immunity: increased sensitivity to the components of the drug.
3. Reactions from the outside metabolism: changes in blood fat composition, increased appetite.
4. Reactions from the outside nervous system: migraine pain, dizziness.
5. Reactions from the outside sense organs: intolerance to contact lenses, conjunctivitis, visual impairment, hearing loss, tinnitus.
6. Reactions from the outside circulatory system: increased pressure, arterial hypotension, arterial hypertension, varicose veins, collapse, vein thrombosis.
7. Reactions from the outside digestive system: flatulence, nausea, vomiting, abdominal pain, diarrhea.
8. Reactions from the outside skin: acne, chloasma, pigmentation disorders, hair loss, hyperhidrosis, dry skin, urticaria, erythema, eczema, itching, hypertrichosis, erythema nodosum.
9. Reactions from the outside musculoskeletal system: feeling of heaviness, lumbodynia, muscle disorders.
10. Reactions from the outside genitourinary system: dysmenorrhea, increased vaginal discharge, amenorrhea, pain in the lower abdomen, breast fibroadenoma, galactorrhea, vaginal candidiasis, menorrhagia, vulvovaginitis, premenstrual syndrome.
11. General reactions: swelling, fatigue, weight gain.

The following side effects were also identified when using Belara:

1. increased risk of biliary tract diseases;
2. increased risk arterial And venous thromboembolism;
3. increased risk of benign tumors in the liver; in isolated cases it is possible to develop intra-abdominal bleeding;
4. exacerbation of chronic inflammatory bowel diseases.

Belara, instructions for use (Method and dosage)

Instructions for use of Belara prescribes taking birth control pills inside. They should be removed from the blister and swallowed whole, if necessary with a small amount of liquid. The tablets should be taken every day at the same time (preferably in the evening) for 21 days in a row, then you should stop taking them for 7 days; approximately 2-4 days after taking the last tablet, withdrawal bleeding similar to menstrual bleeding develops.

After completing the 7-day break, you must start using the drug from the next pack, regardless of whether the bleeding has stopped.

The first tablet must be taken on the first day of a woman’s physiological cycle (the first day of the next menstruation). In this case, the contraceptive effect begins on the first day of use and lasts during a week-long break in use.

The first tablet can be taken on days 1-5 of menstrual bleeding (whether the bleeding has stopped or not). In this case, during the first seven days of use, you must also use barrier methods of contraception.

If menstrual bleeding appeared more than 5 days ago, it is recommended to wait until the next menstruation begins and then begin the cycle of taking the drug.

Transition from another hormonal contraceptive (combined) to Belara

Switching from products containing 21-22 tablets. You must finish using all the tablets from the previous package. Next, you need to take the first Belara tablet the next day. There should be no break in the use of the pills, and the woman is not advised to have her next menstruation. Additional methods of contraception are not required in this case.

Switching from products containing one gestagen (mini-pill)

In this case, the first Belara tablet should be taken the next day after using the last tablet, which includes only gestagen. During the first seven days, it is also recommended to use barrier methods of contraception.

Switching from hormonal contraceptives, injection or implant

You can start taking Belara on the first day of implant removal or on the first day of the planned injection. During the first seven days, it is recommended to use barrier contraceptive methods.

After an abortion (spontaneous or medical) in the first 3 months of pregnancy

You can start using Belara on the day of the abortion. In this case, you may not need to use additional methods to prevent pregnancy.

After childbirth or abortion (spontaneous or medical) at 3-6 months of pregnancy

It is recommended to start taking Belara in the fourth week after birth, if lactation is not occurring, or after an abortion in the second trimester of pregnancy. In this case, it is not necessary to use additional methods of contraception.

If the use of the drug is started later than the fourth week after childbirth or abortion, it is recommended to use additional methods of contraception during the first week.

If you have already had sexual intercourse, it is advisable to exclude pregnancy or wait until the next menstrual cycle before taking the drug.

If a woman forgot to take the pill, but took it 12 hours later, the contraceptive effect may be weakened.

If you miss a pill, you must follow the rules below:

1. Do not stop taking the medicine for more than a week;
2. 7 days of continuous medication is necessary to achieve reliable suppression of the regulation of the hypothalamic-pituitary-ovarian system.

It is advisable to take a missed tablet immediately, even if this means that you need to take two tablets at a time. Then follow the standard scheme. Over the next week, it is necessary to use barrier methods of contraception.

If there are less than seven tablets left in a pack, immediately after finishing taking tablets from this pack, you must start taking tablets from a new pack - there should be no break between packs. Withdrawal bleeding will usually not occur until all the tablets in the second pack have been used, but exceptions may occur. If withdrawal bleeding does not appear after the end of the cycle of taking the second package, then you need to perform pregnancy test.

Overdose

Typically, overdose does not cause severe toxic effects. Symptoms: possible vomiting, nausea, bloody discharge from the vagina.

Treatment: symptomatic. There is no selective antidote.

Interaction

The following substances may reduce concentrations ethinyl estradiol in the blood and weaken contraceptive activity:

1. all medications that increase intestinal motility or inhibit absorption;
2. substances that activate microsomal liver enzymes, such as Rifabutin, Rifampicin, barbiturates, Griseofulvin, anticonvulsants, Barbexaclone, Modafinil, protease inhibitors, Primidone, drugs St. John's wort;
3. a number of antibiotics (for example, Tetracycline, Ampicillin).

When using such drugs simultaneously, it is necessary to use additional barrier methods of contraception during therapy and for a week after it. When taking substances that lower concentration ethinyl estradiol in the blood due to the activation of microsomal liver enzymes, additional barrier methods should be used within four weeks after the end of therapy.

The following substances may increase concentrations ethinyl estradiol in blood:

Terms of sale

Storage conditions

Keep away from children and store at temperatures up to 25 degrees.