Falmina is hormonal contraceptive with two hormone types – progestin and estrogen. The main components are ethinyl estradiol and levonorgestrel
Indications for use
Mechanism of action
Falmina is a monophasic oral hormonal birth control. The pituitary gonadotropic hormones secretion is suppressed by this medication. Several mechanisms influence the contraceptive effect. Progestin is included in levonorgestrel component, which plays the main role in the performance of the yellow body hormone. It affects the receptors without influencing the transformations of preliminary metabolic processes. Ethinyl estradiol is responsible for the estrogen component.
Levonorgestrel blocks the LH and FSH’ release from the hypothalamus. It leads to the suppression of the ovulation and as a result, the egg maturation. Ethinyl estradiol maintains the contraceptive effect produced by Falmina. Moreover, it provides a high viscosity of the cervical mucus. As a result, there is a hindrance for the sperm to penetrate into the uterine cavity.
Mode of application and dosage
Falmina dosage and mode of application is given on the blister. Doctors recommend taking 1 pill daily at one and the same time. The pill should be washed down with water.
- Hepatic insufficiency;
- Hepatic tumors;
- Constitutional hyperbilirubinemia (Gilbert’s, Dubin-Johnson’s and Rotor’s syndrome);
- Gallbladder inflammation;
- Chronic colitis;
- Cardiovascular dysfunctions of severe form diagnosed or in the medical history;
- Cerebrovascular diseases diagnosed or in the anamnesis;
- Unbalanced structural heart defect;
- Thromboembolism and predisposition to them;
- Hormone-dependent malignant neoplasms of the genital organs, attention to breast cancer or endometrium;
- Lipid metabolism disorders;
- Congenitus hyperlipidemia;
- Increased arterial blood pressure of medium and severe degree of uncontrolled type;
- Pancreatitis (including in the medical history), followed by hyperlipidemia of severe form;
- Biliousness provoked by steroids’ application;
- Diabetes mellitus of severe form followed by retinopathy and microangiopathy;
- Chronic hemolytic anemia;
- Sickle-cell anemia;
- Vaginal hemorrhages of unknown genesis;
- Idiopathic jaundice during pregnancy in the medical history;
- Severe itching during pregnancy in the medical history;
- Smoking especially if a woman is over 35;
- Age over 40 years;
- lactation period (breastfeeding);
- hypersensitivity to Falmina components.
Flamina causes the following side effects:
- breast tenderness;
- weight gain;
- libido decrease;
- voice gruffness;
- mood swings;
- intermenstrual bleeding.
- Other manifestations observed are:
- eyelid swelling;
- hearing loss;
- an uncomfortable sensation when wearing contact lenses;
- joins hearing loss;
- generalized itching;
- increased pressure;
- increased frequency of the so-called epileptic seizures;
- venous thromboembolism;
- vaginal candidiasis;
- loose stools.
The effect of Falmina may be reduced when combined with inducers of hepatic metabolism (rifampicin, phenytoin, carbamazepine, butanedione, phenacetin, meprobamate, chlordiazepoxide, ketoconazole), broad-spectrum antibiotics, laxatives.
There may be an increase in the systemic effects of hormonal contraceptive components when combined with metronidazole and ascorbic acid.
In turn, Falmina weakens the effect of anticoagulants, hypotensive and hypoglycemic drugs, lorazepam and tazepam, tricyclic antidepressants, thyroxine, clofibrate.
Dose-dependent potentiation of the effect of certain drugs (prednisolone, metoprolol, diazepam, nitrazepam, caffeine), as well as ethanol, characteristic of estrogen-containing drugs, is not clinically significant when taking this birth control.
What if I miss a dose?
A woman should specify how much time has passed from the moment a woman ships the tablet. If less than 12 hours have passed it is necessary to take Falmina pill immediately. If you observe this fact when more than 12 hours have passed the tablet should be taken immediately. The additional methods of contraception are required. Use condoms or spermicides for protecting from unwanted pregnancy.
Falmina and pregnancy
Not prescribed for the application by pregnant women. If there is a need to take this medication, then for the treatment course, lactation should be withdrawn.