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Diane 35

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$23.20
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0.03 KGS
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Product Description

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How does Diane-35 work? What will it do for me?

This medication contains a combination of two ingredients: cyproterone and ethinyl estradiol. Cyproterone belongs to a group of medications known as antiandrogens. Ethinyl estradiol belongs to a group of medications known as estrogens. Together, they are used to treat certain types of acne in women. This medication works by regulating hormones that affect the skin.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

How should I use Diane-35?

This medication is taken in 28-day cycles consisting of 1 tablet daily for 21 days, followed by a 7-day interval without medication (i.e., 3 weeks on, 1 week off).Tablets should be taken at the same time each day. Treatment is usually started on the first day of menstrual bleeding. Usually, several months of treatment are needed.

If spotting or breakthrough bleeding occurs during the 3 weeks during which this medication is being taken, contact your doctor.

If your menstrual period fails to occur during the 7-day tablet-free interval, do not start the next medication cycle and contact your doctor.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is very important to take this medication on a regular schedule as prescribed by the doctor. The medication will be less effective if you miss doses. If you miss a dose of this medication, and you remember within 12 hours, take the missed dose. If more than 12 hours have passed, discard the missed tablet and continue to take the remaining tablets in the pack at the usual time. Do not take a double dose to make up for a missed one.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

What form(s) does Diane-35 come in?

Each beige, round, biconvex, sugar-coated tablet contains cyproterone acetate 2 mg and ethinyl estradiol 0.035 mg. Nonmedicinal ingredients: cornstarch, lactose, magnesium stearate, povidone, and talc; tablet coating: calcium carbonate, ferric oxide yellow, glycerol, polyethylene glycol, povidone, sucrose, talc, titanium dioxide, and wax.

Who should NOT take Diane-35?

Cyproterone - ethinyl estradiol should not be taken by anyone who:

  • is allergic to cyproterone, estradiol, or to any ingredients of the medication
  • is or may be pregnant
  • has a history of cholestatic jaundice
  • has active liver disease
  • has any eye lesion caused by blood vessel disease in the eye (such as partial or complete loss of vision or a defect in the visual fields)
  • has existing or have had blood vessel or blood clotting disorders (including thrombophlebitis, thromboembolic disorders, cerebrovascular disease, heart attack, and coronary artery disease)
  • has had otosclerosis with deterioration during pregnancy
  • has known or suspected breast cancer
  • has known or suspected tumours dependent on estrogen
  • has or have had liver tumours
  • has severe diabetes with blood vessel changes
  • has undiagnosed abnormal vaginal bleeding

What side effects are possible with Diane-35?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • abdominal cramping, or bloating
  • appetite changes
  • breast pain, tenderness, or swelling
  • brown, blotchy spots on exposed skin
  • dizziness
  • gain or loss of body or facial hair
  • increased or decreased interest in sexual intercourse
  • increased sensitivity of skin to sunlight
  • nausea
  • swelling of ankles and feet
  • unusual tiredness or weakness
  • vomiting
  • weight gain or loss

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • changes in the uterine bleeding pattern during or between menstrual periods (such as decreased bleeding, breakthrough bleeding or spotting between periods, prolonged bleeding, complete stopping of menstrual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimes)
  • depression
  • for women with diabetes: mild increase of blood sugar-faintness, nausea, pale skin, or sweating
  • for women with a history of breast disease: lumps in breast
  • headaches or migraines (although headaches may lessen for many users, they may increase in number or become worse for others)
  • increased blood pressure
  • symptoms of liver problems (e.g., swelling, pain, or tenderness in upper abdominal area, yellowing of eyes or skin, skin itching)
  • vaginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • abdominal or stomach pain (sudden, severe, or continuing)
  • signs of blood clots (e.g., coughing up blood; pains in chest, groin, or leg - especially in calf of leg)
  • signs of heart attack (e.g., sudden chest pain or pain radiating to back, down arm, jaw; sensation of fullness of the chest; nausea; vomiting; sweating; anxiety)
  • signs of stroke (e.g., sudden or severe headache; sudden loss of coordination; vision changes; sudden slurring of speech; or unexplained weakness, numbness, or pain in arm or leg)
  • shortness of breath

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for Diane-35?

Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take this medication.

Birth control: This medication should not be used only for the purpose of birth control. Women should use a non-hormonal method of birth control (such as condoms) while taking this medication.

Blood clots: This medication has been shown to cause an increased risk of developing blood clots in the bloodstream. These blood clots may form anywhere in the body, but are more noticeable when they occur in the large muscles, lung, brain (stroke), or heart (heart attack). If you experience pain in the chest or leg, unexplained shortness of breath, blurred vision or slurred speech, contact your doctor immediately.

Breast cancer: All women who take this medication should practice breast self-examination. Ask your doctor to teach you how to do this. Women with a family history of breast cancer should be closely monitored by their doctor while taking this medication.

Diabetes: This medication can cause changes in blood sugars. People with diabetes or a family history of diabetes should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Depression: Cyproterone - ethinyl estradiol may contribute to depression. People with depression or those who have a history of depression should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Medical conditions: The combination of obesity, high blood pressure, and diabetes greatly increases the risk of side effects from this medication. If you have this combination of medical conditions, talk to your doctor. This medication can cause fluid retention, which may worsen conditions such as high blood pressure, heart disease, or kidney disease.

Smoking: Smoking increases the risk of serious side effects on the heart and blood vessels. This risk increases with age and heavy smoking (15 or more cigarettes per day) and is even more serious for women over 35 years of age. Women who use this medication should not smoke.

Surgery: Certain situations such as long-term bed confinement may make blood clots more likely. Discuss with your doctor the risks and benefits of temporarily stopping this medication. If you are scheduled for surgery, let all doctors involved in your care know that you are taking this medication.

Vaginal bleeding: Report any unusual vaginal bleeding to your doctor.

Vision and contact lenses: If your contact lenses do not seem to fit as well as they used to, consult your doctor or eyecare professional. You may need to stop wearing them or be fitted for a different pair.

Pregnancy: This medication should not be taken by pregnant women as it can cause harm to the developing baby. If you become or suspect that you may be pregnant while taking this medication, contact your doctor immediately. After stopping treatment, you should wait until at least one normal menstrual cycle has occurred before trying to get pregnant.

Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are taking cyproterone - ethinyl estradiol, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

What other drugs could interact with Diane-35?

There may be an interaction between cyproterone - ethinyl estradiol and any of the following:

  • alcohol
  • analgesics (painkillers; e.g., acetaminophen, codeine)
  • antacids
  • antidiabetes medications (e.g., glyburide, gliclazide)
  • antihistamines (e.g., chlorpheniramine, loratidine)
  • antimigraine medications (e.g., dihydroergotamine)
  • antiseizure medications (e.g., carbamazepine, lamotrigine, phenobarbital, phenytoin, primidone, topiramate)
  • barbiturates (e.g., pentobarbital, secobarbital)
  • beta-blockers (e.g., metoprolol, atenolol)
  • blood pressure-lowering medications (e.g., hydrochlorothiazide)
  • caffeine
 
  • certain antibiotics (e.g., ampicillin, chloramphenicol, cotrimoxazole, isoniazid, metronidazole, neomycin, nitrofurantoin, penicillin V, sulfamethoxazole, tetracycline)
  • certain benzodiazepines (e.g., alprazolam, clonazepam)
  • chloral hydrate
  • clofibrate
  • clonidine
  • corticosteroids (e.g., dexamethasone, prednisone)
  • folic acid
  • phenothiazines (e.g., chlorpromazine)
  • phenylbutazone
  • rifampin
  • theophyllines (e.g., aminophylline, oxtriphylline, theophylline)
  • tricyclic antidepressants (e.g., amitriptyline, desipramine)
  • warfarin
  • vitamin C (ascorbic acid)

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.


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