ডেসোপিল ২০ ট্যাবলেট ০.০২ মি.গ্রা. + ০.১৫ মি.গ্রা.

ডেসোপিল ২০ ট্যাবলেট হল ইথিনিল ইস্ট্রাডিওল ও ডেসোগেস্ট্রেল (০.০২ mg + ০.১৫ mg) সমৃদ্ধ একটি জনপ্রিয় ট্যাবলেট। এসিএমই ল্যাবরেটরিজ লিমিটেড প্রস্তুতকারী এই ঔষধ গর্ভনিরোধের পাশাপাশি ঋতুস্রাব নিয়মিতকরণে সহায়ক। মূল্য প্রতি ইউনিট ৳৯০.০০ এবং শুষ্ক, আঁধারযুক্ত স্থানে সংরক্ষণ করতে হবে। ২১ দিন প্রতিদিন একটি ট্যাবলেট সেবনের পর ৭ দিনের বিরতি নিতে হয়। ঋতুর প্রথম দিন বা পঞ্চম দিনে শুরু করা যায়, তবে প্রথম সপ্তাহে অতিরিক্ত গর্ভনিরোধক ব্যবস্থা প্রয়োজন। পার্শ্বপ্রতিক্রিয়ার মধ্যে মাথাব্যথা, স্তনে ব্যথা, ওজন বৃদ্ধি বা মেজাজ পরিবর্তন হতে পারে। গর্ভাবস্থা ও স্তন্যদানকালে এড়িয়ে চলুন। এই ঔষধ অন্যান্য ওষুধের সাথে বিক্রিয়া করতে পারে, যেমন: মৃগী রোগের ওষুধ। ওভারডোজ হলে বমি বা অতিরিক্ত রক্তপাত দেখা দিতে পারে। চিকিৎসকের পরামর্শ ছাড়া ব্যবহার না করার পরামর্শ দেওয়া হয়। ইথিনিল ইস্ট্রাডিওল + ডেসোগেস্ট্রেল ভিত্তিক এই ট্যাবলেট নিরাপদ ব্যবহারে সচেতনতা জরুরি।

Take this tablet every day for 21 days as described below: This tablet comes in strips of 21 pills, each marked with a day of the week.

• Take your pill at the same time every day.
• Start by taking a pill marked with the correct day of the week.
• Follow the direction of the arrows on the strip. Take one pill each day, until you have finished all 21 pills.
• Swallow each pill whole, with water if necessary. Do not chew the pill.
• After you have taken all 21 pills in the strip, you have seven days when you take no pills. So, if you take the last pill of one pack on a Friday, you will take the first pill of your next pack on the Saturday of the following week.

Within a few days of taking the last pill from the strip, you should have a withdrawal bleed like a period. This bleed may not have finished when it is time to start your next strip of pills.

You don’t need to use extra contraception during these seven pill-free days.

Starting this tablet:

• As a new user icrolon or starting the pill again after a break. Either take your first pill on the first day of your next period. By starting in this way, you will have contraceptive protection with your first pill.
• Or if your period has already begun start taking this tablet on day 5 (counting the first day of your period as day 1) whether or not your bleeding has stopped. You must also use extra contraception, such as condoms, until you have taken the first seven pills correctly.

• Migraine or headache (see a doctor as soon as possible if this is your first migraine or it’s worse than usual, or if the headache is severe, unusual or long lasting)
• Putting on weight or losing weight
• Breast problems, such as painful or tender breasts; producing a milky fluid from the nipples
• Depression or mood changes
• Changes in sexual desire
• Heart or circulation problems, such as increased blood pressure, swollen hands, ankles or feet (a sign of fluid retention)
• Changes in vaginal secretions (Irregular vaginal bleeding)
• Skin problems; such as, rash, bruise-like swelling to the shins (erythema nodosom)
• Stomach problems; such as, nausea, vomiting
• Discomfort of the eyes who wears contact lenses

Do not use this tablet if you are pregnant. If you think you might be pregnant, do a pregnancy test to confirm that you are before you stop taking this tablet. This tablet is not recommended for use in breastfeeding. Ask your doctor or family planning nurse about alternative contraception.

If you ever need to take another medicine at the same time as being on the pill, always tell your doctor, pharmacist or dentist that you’re taking this tablet. Also check the leaflets that come with all your medicines to see if they can be taken with hormonal contraceptives.

Some medicines can stop this tablet from working properly-for example:

• Some medicines used to treat epilepsy (Primidone, Phenytoins, Barbiturates, Carbamazepine, Oxcarbazepine, Topiramate, Felbamate)
• Medicine to treat tuberculosis (Rifampicin)
• Certain HIV medicines (Ritonavir)
• Certain antibiotics (Penicillins, Tetracyclines)
• St. John’s Wort (a herbal remedy)
• Griseofulvin (an antifungal drug)

If you do need to take one of these medicines, this tablet may not be suitable for you or you may be able to take this tablet and use extra contraception for a while. This tablet can also affect how well other medicines work. For example, Cyclosporine and Lamotrigine.

Taking these medicines with food and drink: There are no special instructions about food and drink while on this tablet.

Bleeding between periods should not last long: A few women have a little unexpected bleeding or spotting while they are taking this pill, especially during the first few months. Normally, this bleeding is nothing to worry about and will stop after a day or two. Keep taking this pill as usual; the problem should disappear after the first few strips. You may also have unexpected bleeding if you are not taking your pills regularly, so try to take your pill at the same time every day. Also, unexpected bleeding can sometimes be caused by other medicines. Make an appointment to see your doctor if you get breakthrough bleeding or spotting that:

• Carries on for more than the first few months
• Starts after you’ve been taking this pill for a while
• Carries on even after you’ve stopped taking this pill