Diane 35mg 21's Tablet

Uses of Diane 35 Tablet

•  Polycystic ovary syndrome (PCOS).

How does Diane 35 Tablet work?

Diane 35 Tablet is a combination of two hormonal medicines: Cyproterone and Ethinyl Estradiol which treats PCOS symptoms such as acne, excessive hair growth (hirsutism) and irregular periods. Cyproterone works by blocking the overproduction of androgens (male hormones) in the ovaries, thereby reducing unwanted hair growth and acne. Ethinyl Estradiol enhances the effect of Cyproterone by reducing the amount of androgens in the blood. Together, they also regularize the menstrual cycle in PCOS.

Side Effects of Diane 35 Tablet

Common Side Effects:

• Some common side effects of Diane 35 Tablet 21's may include weight gain, nausea, tender breasts, stomach pain, and headaches.
• These side effects are typically mild and tend to subside over time.
• If side effects persist or worsen, it's important to consult your doctor.

Serious Side Effects:

• Seek immediate medical attention if you experience severe side effects like swelling or pain in your limbs, chest pain, or shortness of breath while taking Diane 35 Tablet 21's.

Quick Suggestions:

• Take Diane 35 Tablet at the same time every day to help you remember to take it.
• Do not use Diane 35 Tablet if you are obese, over 50, smoke, on prolonged bed rest, or have a history of blood clots.
• Stop taking it and inform your doctor if you notice unexplained swelling and pain in your limbs, shortness of breath, chest pain, or changes in vision.
• You may experience vaginal spotting (blood stain) or breakthrough bleeding while taking Diane 35 Tablet. This is temporary, inform your doctor if it lasts longer.
• If your period fails to come within a week after completing your course, do not start the next course, before consulting your doctor.
• It works as a contraceptive. So, do not use any additional hormonal contraceptives when using this medicine.

Polycystic Ovary Syndrome (PCOS):

PCOS is a common hormonal disorder that affects many women of reproductive age. It is characterized by several key features, including:

• Irregular and often painful menstrual periods.
• Elevated levels of androgens (male hormones) in the blood, can lead to symptoms like excessive facial hair growth (hirsutism) and acne.
• The presence of polycystic ovaries, where the ovaries become enlarged and contain small fluid-filled sacs, known as cysts.

PCOS can vary in its presentation and severity among individuals. It is a complex condition with a range of symptoms and potential health implications, including fertility issues and an increased risk of conditions like insulin resistance, type 2 diabetes, and cardiovascular problems. Management of PCOS often involves a combination of lifestyle changes, medications to address specific symptoms, and sometimes hormonal contraceptives to regulate menstrual cycles and manage androgen-related symptoms.

Contraception:

Contraception, also known as birth control, is a crucial aspect of family planning and reproductive health. Its primary purpose is to prevent pregnancy by various means, including:

• Preventing ovulation: Some methods work by inhibiting the release of an egg (ovulation) from the ovaries.
• Creating a barrier: Certain methods, like condoms and diaphragms, physically block sperm from reaching and fertilizing an egg.
• Changing the uterine environment: Hormonal contraceptives, such as birth control pills, patches, and intrauterine devices (IUDs), alter the uterine lining to make it less receptive to a fertilized egg, should fertilization occur.
• Sterilization: Permanent methods, such as tubal ligation or vasectomy, permanently prevent pregnancy.

Contraception provides individuals and couples with the ability to plan when, or if, they want to have children. It offers a wide range of options to suit different needs and preferences, and it can also be used for medical purposes beyond contraception, such as regulating menstrual cycles, managing PCOS symptoms, and treating conditions like endometriosis.

The choice of contraception method should be made based on an individual's unique circumstances, health considerations, and lifestyle. It's essential to consult with a healthcare provider to discuss contraceptive options and make an informed choice that aligns with one's goals and health needs.

Pharmacology

• Cyproterone: This medication primarily works by acting as an anti-androgen. Androgens are male hormones that are also present in females but can sometimes be produced in excess in women with PCOS. Cyproterone helps reduce androgen overproduction in the ovaries, which can lead to a reduction in unwanted facial hair growth (hirsutism) and acne. By blocking the effects of androgens, it helps mitigate these symptoms.
• Ethinylestradiol: Ethinylestradiol is a synthetic form of estrogen. It complements the action of cyproterone by further reducing the amount of androgens in the blood. Estrogen has an inhibitory effect on the production of androgens. Therefore, ethinylestradiol enhances the overall effect of cyproterone in controlling androgen levels, which can lead to improvements in PCOS symptoms.

Dosage & Administration of Diane 35 Tablet

• Diane 35 Tablet 21's comes as an oral pill which can be taken with or without food but take it at the same time every day for best results.
• Diane 35 Tablet 21's is meant to be taken for 21 days starting from the first day of your menstrual cycle, and then for the remaining 7days, it should not be taken.
• The course will remain the same every month.
• Consult your doctor for further advice.

Interaction

Drug-Drug Interactions:

• Anti-Fungal Medications (Griseofulvin, Rifampicin): These medications may interact with Diane 35 Tablet 21's and potentially reduce its effectiveness. It's essential to inform your healthcare provider if you are prescribed any anti-fungal medications.
• Anti-Viral Medications (Ritonavir, Nelfinavir, Nevirapine): Some anti-viral drugs used to treat HIV can interact with Diane 35 Tablet 21's, potentially affecting hormone levels. Inform your healthcare provider if you are taking any of these anti-viral medications.
• Anti-Epileptic Medications (Lamotrigine, Primidone, Phenytoin, Carbamazepine, Oxcarbazepine, Topiramate): These anti-epileptic drugs can interact with Diane 35 Tablet 21's and may reduce its effectiveness. Patients taking both types of medications may require dose adjustments or alternative forms of contraception.

Drug-Food Interaction:

• St. John's Wort: St. John's Wort is an herbal remedy sometimes used for depression. It can interact with hormonal contraceptives like Diane 35 Tablet 21's and reduce their effectiveness. Patients should avoid using St. John's Wort while taking this medication.

Drug-Disease Interactions:

• Inform your doctor if you have a history of or currently have any of the following medical conditions:
• Liver or Kidney Problems: These conditions may influence the choice of contraceptive method or require close monitoring while using Diane 35 Tablet 21's.
• Hypertension (High Blood Pressure) or Heart Problems: These conditions should be considered when prescribing hormonal contraceptives, and patients may need monitoring or alternative contraception methods.
• Blood Clots: A history of blood clots in any part of the body (such as the lung or leg) may affect the suitability of Diane 35 Tablet 21's.
• Diabetes Mellitus: Hormonal contraceptives can affect glucose metabolism, and patients with diabetes may require adjustments in their diabetes management plan.
• Migraine: Patients with a history of migraine headaches should be carefully evaluated for the use of hormonal contraceptives, as they may increase the risk of migraines.
• Abnormal Uterine Bleeding: Diane 35 Tablet 21's may be used to address abnormal uterine bleeding, but it's essential to inform your healthcare provider if you have this condition.
• Breast Cancer: Hormonal contraceptives like Diane 35 Tablet 21's should be used with caution in individuals with a history of breast cancer, and this should be discussed with a healthcare provider.

Contraindications

Diane 35 Tablet is not recommended for patients who have a known hypersensitivity to the drug or any of its components.

Pregnancy & Lactation

Do not use Diane 35 Tablet 21's if you are already pregnant or breastfeeding.

Precautions & Warnings

• If you are allergic to Diane 35 Tablet 21's, cyproterone, ethinylestradiol, or any other ingredients of Diane 35 Tablet 21's, please do not take it.
• Please undergo regular cervical smear tests while taking Diane 35 Tablet 21's.
• Also, check your breast every month for changes such as if you feel lumps, see anything odd, please inform your doctor.
• If you need to undergo any surgery, please inform your doctor as Diane 35 Tablet 21's needs to be stopped 4-6 weeks before the surgery to avoid any risk of blood clots.
• If you smoke, are obese, have a history of blood clots, do not use Diane 35 Tablet 21's.
• Also, do not stop taking Diane 35 Tablet 21's before completing its full course, even if you feel your symptoms are better.
• If you see swelling or pain in your limbs, chest pain, or shortness of breath, please inform your doctor. Inform your doctor if your periods do not start within a week after taking Diane 35 Tablet 21's.
• Also, tell about all the medicines you are taking to your doctor before starting Diane 35 Tablet 21's. Do not take Diane 35 Tablet 21's if you are pregnant already or breastfeeding.
• If you have missed a dose or are late by 12 hours, please wear a condom for 2 days during sexual intercourse to avoid unwanted pregnancy.

Storage Conditions

Protect from light and moisture by storing in a cool, dry location. Keep the medicine out of children's reach.