REGULON, 0.03 mg + 0.15 mg, coated tablets
Ethinylestradiol + Desogestrel
Regulon is a combined oral contraceptive containing ethinylestradiol (estrogen) and desogestrel (progestogen) in low doses.
The mechanism of action of Regulon involves inhibiting ovulation and causing changes in the consistency of cervical mucus.
When used correctly, Regulon provides effective and reversible contraception. However, in certain situations, its contraceptive effectiveness may be reduced or it may be necessary to discontinue the medicine (see section 2). In such cases, it is recommended to either abstain from sexual intercourse or use other contraceptive methods, such as condoms or spermicides.
It should be remembered that combined oral contraceptives, such as Regulon, do not protect against sexually transmitted diseases (such as AIDS). Only the use of condoms has a protective effect.
Before starting to take Regulon, you should read the information about blood clots (thrombosis) in section 2. It is especially important to read about the symptoms of blood clots (see section 2 "Blood clots").
Regulon should not be used to delay the start of bleeding.
In exceptional cases, when there is a need to delay the start of bleeding, you should consult a doctor.
Before starting to take Regulon, the doctor will ask the patient a few questions about her health and the health of her close relatives. The doctor will also measure blood pressure and, depending on the individual case, may perform some other tests.
Regulon should not be taken if the patient has any of the conditions listed below. If the patient has any of the conditions listed below, she should inform her doctor. The doctor will discuss with the patient which other contraceptive method will be more suitable.
Regulon should not be used in patients with hepatitis C and taking medicinal products containing ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir (see also section "Regulon and other medicines").
Before starting to take Regulon, you should discuss it with your doctor or pharmacist.
In certain situations, you should be particularly careful when taking Regulon or any other combined oral contraceptive. Regular medical check-ups may also be necessary.
If these symptoms occur or worsen while taking Regulon, you should also tell your doctor.
You should contact your doctor immediately
Chorea (a disease of the nervous system characterized by involuntary movements of the body);
Taking combined hormonal contraceptives, such as Regulon, is associated with an increased risk of blood clots compared to not taking them. In rare cases, a blood clot can block a blood vessel and cause serious complications.
Blood clots can occur
You should contact your doctor immediately if you notice any of the following symptoms.
Do you experience any of these symptoms?
Why is the patient likely to be suffering from
The risk of blood clots in veins is highest during the first year of taking combined hormonal contraceptives for the first time. The risk may also be higher when resuming combined hormonal contraceptives (the same or a different medicine) after a break of 4 weeks or more.
After the first year, the risk decreases, although it is always higher compared to not taking combined hormonal contraceptives.
If the patient stops taking Regulon, the risk of blood clots returns to normal within a few weeks.
The risk of blood clots associated with taking Regulon is small, but some factors can increase this risk. The risk is higher:
The risk of blood clots increases with the number of risk factors present in the patient.
Long-haul flights (>4 hours) may temporarily increase the risk of blood clots, especially if the patient has another risk factor.
It is essential to tell the doctor if any of these risk factors are present, even if the patient is not sure. The doctor may decide to stop Regulon.
If any of the above conditions change while taking Regulon, e.g., the patient starts smoking, a close relative is diagnosed with a blood clot without a known cause, or the patient gains significant weight, the doctor should be informed.
Similarly to blood clots in veins, blood clots in arteries can cause serious complications, such as a heart attack or stroke.
It is essential to note that the risk of heart attack or stroke associated with taking Regulon is very small, but it may increase:
If the patient has more than one of the above conditions or if any of them are severe, the risk of blood clots may be even higher.
It is essential to inform the doctor if any of the above conditions change while taking Regulon, e.g., the patient starts smoking, a close relative is diagnosed with a blood clot without a known cause, or the patient gains significant weight.
Women taking oral contraceptives have a slightly higher risk of breast cancer than women of the same age who do not take them. This small increase in the risk of breast cancer disappears gradually within 10 years of stopping oral contraceptives. It is not known whether this difference is caused by the oral contraceptives. It may be that women taking oral contraceptives are more likely to have medical check-ups and breast cancer is detected earlier.
Women taking oral contraceptives have been reported to have, in rare cases, benign liver tumors, and even more rarely, malignant liver tumors. If the patient experiences severe abdominal pain, she should contact her doctor.
Some women taking hormonal contraceptives, including Regulon, have reported depression or mood swings. Depression can be severe and sometimes lead to suicidal thoughts. If mood changes or symptoms of depression occur, the patient should contact her doctor as soon as possible for further medical advice.
During the first few months of taking Regulon, unexpected bleeding (bleeding outside of the withdrawal week) may occur. If such bleeding persists for longer than a few months or starts after a few months, the doctor should investigate the cause.
If all the tablets have been taken correctly, there has been no vomiting or severe diarrhea, and no other medicines have been taken, it is very unlikely that the woman is pregnant.
If the expected withdrawal bleeding does not occur for two consecutive months, it may indicate pregnancy. The patient should contact her doctor immediately. She should only start the next pack of Regulon when she is sure she is not pregnant.
The safety and efficacy of Regulon in adolescents under 18 years of age have not been established. There are no available data.
The patient should tell her doctor or pharmacist about all medicines she is currently taking or has recently taken, as well as any medicines she plans to take. She should also inform any other doctor or dentist prescribing any other medicine (or pharmacist) that she is taking Regulon. Doctors may advise whether additional contraceptive methods should be used (e.g., condoms) and for how long.
Regulon should not be used in patients with hepatitis C and taking medicinal products containing ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir, as these medicines may cause abnormal liver function test results (increased liver enzyme activity).
Before starting to take these medicines, the doctor will prescribe a different contraceptive method.
Regulon can be started again about 2 weeks after the end of the above-mentioned treatment. See section "When not to take Regulon".
Certain medicines may affect the level of Regulon in the blood, leading to reduced contraceptive effectivenessand unexpected bleeding. These include:
The following medicines may reduce the tolerance of Regulon:
Regulon may affect the action of other medicines, such as:
Before taking any medicine, the patient should consult her doctor or pharmacist.
The patient should inform her doctor or laboratory staff that she is taking oral contraceptives, as they may affect the results of certain laboratory tests.
If the patient is pregnant or breastfeeding, thinks she may be pregnant, or plans to have a child, she should consult her doctor or pharmacist before taking this medicine.
Regulon should not be taken if the patient is pregnant. If the patient is pregnant or thinks she may be pregnant, she should stop taking Regulon immediately and consult her doctor.
Regulon is not recommended during breastfeeding. If the patient is breastfeeding and wants to take Regulon during this time, she should consult her doctor.
Regulon does not affect the ability to drive or use machines.
If the patient has been diagnosed with an intolerance to some sugars, she should consult her doctor before taking Regulon.
This medicine should always be taken exactly as prescribed by the doctor. In case of doubt, the patient should consult her doctor or pharmacist.
Each pack of Regulon contains 1 blister pack of 21 tablets or 3 blister packs of 21 tablets. The special marking of the blister packs with symbols of the days of the week makes it easier to control the regular intake of the tablets.
Each tablet in the pack is marked with a symbol of the day of the week on which it should be taken. The patient should take 1 tablet daily for 21 consecutive days, following the direction of the arrows on the blister pack, until the pack is empty.
After taking all 21 tablets from the blister pack, there is a 7-day break in taking the tablets. During this time, withdrawal bleeding should occur, similar to menstrual bleeding.
The patient should start taking tablets from the next pack on the 8th day (after the 7-day break), even if the bleeding has not stopped. With regular intake of Regulon, the start of taking tablets from the next pack will always fall on the same day of the week, and bleeding will occur on the same day of the month.
Tablets should always be taken at the same time of day.
Taking tablets in the morning (first thing in the morning) or late in the evening (last thing before bed) can help with regular intake.
Tablets should be swallowed whole, with water if necessary.
In case the patient has not used hormonal contraceptives in the previous month
The patient should start taking tablets on the first day of her natural menstrual cycle (i.e., the first day of menstruation). It is allowed to start taking tablets between the 2nd and 5th day of the cycle, but during the first cycle, additional mechanical contraceptive methods (e.g., condoms) should be used for the first 7 days of taking tablets.
Switching from another combined contraceptive (tablet, vaginal ring, transdermal patch)
The patient should start taking Regulon the day after taking the last active tablet of the previous oral contraceptive, or at the latest, on the day she would normally start her next contraceptive method. No additional contraceptive methods are needed.
If the patient has been using a vaginal ring or transdermal patch, she should start taking Regulon on the day the ring or patch is removed, or at the latest, on the day she would normally apply a new ring or patch. No additional contraceptive methods are needed.
Switching from progestogen-only contraceptives (mini-pill, injections, implants)
The patient can switch from a progestogen-only pill at any time (from an implant on the day of its removal or from injections on the day the next injection is scheduled), but in all cases, additional contraceptive methods should be used for the first 7 days of taking Regulon.
Use after miscarriage in the first trimester of pregnancy
The patient should start taking Regulon immediately. No additional contraceptive methods are needed.
Use after childbirth or miscarriage in the second trimester of pregnancy
For breastfeeding women, see section "Pregnancy and breastfeeding".
The doctor will advise the patient to start taking Regulon between the 21st and 28th day after childbirth or miscarriage in the second trimester. If the patient starts taking Regulon later, she should use additional mechanical contraceptive methods (e.g., condoms) for the first 7 days of taking tablets. However, if the patient has had sexual intercourse, she should make sure she is not pregnant before starting to take Regulon or wait for her first menstrual period.
If an overdose of Regulon occurs, there is no risk of serious health complications, although nausea, vomiting, or slight vaginal bleeding may occur in young girls. If such symptoms occur, the patient should contact her doctor, who will provide appropriate treatment if necessary.
If a dose of Regulon is missed, the patient should follow the rules below.
If the intake of a tablet is delayed by less than 12 hours, the contraceptive protection is not reduced. The patient should take the missed tablet as soon as she remembers and take the next tablets at the usual time.
If the intake of a tablet is delayed by more than 12 hours, the contraceptive protection may be reduced. The more tablets missed, the higher the risk of reduced contraceptive effectiveness. There is a higher risk of pregnancy if a tablet is missed at the beginning or end of the cycle. Please refer to the information below (see also the diagram).
The patient should consult her doctor.
In the case of missed tablets, the patient should follow the two basic rules below:
According to this, in daily practice, the doctor may give the following advice:
Week 1
The patient should take the last missed tablet as soon as she remembers, even if it means taking 2 tablets at the same time. Then, she should continue taking the tablets at the usual time of day. For the next 7 days, she should use additional mechanical contraceptive methods, such as condoms. If the patient had sexual intercourse during the 7 days before missing a tablet, she should consider the possibility of pregnancy. The more tablets missed and the closer they are to the break in tablet-taking, the higher the risk of pregnancy.
Week 2
The patient should take the last missed tablet as soon as she remembers, even if it means taking 2 tablets at the same time. Then, she should continue taking the tablets at the usual time of day. If the tablets have been taken correctly for the 7 days before missing a tablet, there is no need for additional contraceptive methods. However, if this is not the case or if the patient has missed more than 1 tablet, she should use additional contraceptive methods for 7 days.
Week 3
The risk of reduced contraceptive protection is inevitable due to the upcoming break in tablet-taking. However, this can be prevented by adjusting the tablet-taking schedule. Therefore, there is no need for additional contraceptive methods if the patient follows one of the two alternative rules below, provided that all tablets have been taken correctly during the 7 days before missing a tablet. If this is not the case, the patient should follow the first of the two alternative rules and use additional contraceptive methods for the next 7 days.
If the patient misses tablets and does not experience withdrawal bleeding during the first break in tablet-taking, she should consider the possibility of pregnancy.
If vomiting or severe diarrhea occur within 3-4 hours after taking a tablet, it may not be fully absorbed. In this case, the patient should follow the same rules as for missed tablets (see above). If the patient does not want to change her usual tablet-taking schedule, she can take an additional tablet (tablets) from another pack.
If Regulon is taken correctly, withdrawal bleeding will always occur on the same day of the month.
To delay withdrawal bleeding, the patient should continue taking Regulon from the next pack without a break, i.e., without the usual 7-day break between packs.
The patient can continue taking tablets until the end of the second pack. During the second pack, she may experience irregular bleeding or spotting. Regular tablet-taking should be resumed after a 7-day break.
To change the day of withdrawal bleeding to a different day of the week than usual, the patient should shorten (but never extend) the next break in tablet-taking by the desired number of days. For example, if the first day of bleeding is on a Friday and the patient wants it to be on a Tuesday, i.e., 3 days earlier, she should start taking tablets from the next pack 3 days earlier. The shorter the break in tablet-taking, the higher the risk that withdrawal bleeding will not occur and the patient may experience irregular bleeding or spotting during the next pack (similar to delaying withdrawal bleeding).
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any side effects occur, especially severe and persistent ones, or changes in health that the patient considers related to the use of Regulon, a doctor should be consulted.
A doctor should be contacted immediately if the patient experiences any of the following symptoms of angioedema: swelling of the face, tongue, and/or throat, and/or difficulty swallowing or hives potentially with difficulty breathing (see also the section "Warnings and Precautions").
In all women using combined hormonal contraceptives, there is an increased risk of blood clots in the veins (venous thromboembolism) or blood clots in the arteries (arterial thrombosis). For more detailed information on the various risk factors associated with the use of combined hormonal contraceptives, see section 2 "Important information before taking Regulon".
Common (may affect up to 1 in 10 people):depression, mood changes, headache, nausea, abdominal pain, breast pain, breast tenderness, weight gain.
Uncommon (may affect up to 1 in 100 people):fluid retention, decreased libido, migraine, vomiting, diarrhea, rash, hives, breast enlargement.
Rare (may affect up to 1 in 1,000 people):hypersensitivity, increased libido, eye irritation due to contact lenses, skin disorders (erythema multiforme, erythema nodosum), abnormal cervical smear, breast discharge, weight loss.
Harmful blood clots in a vein or artery, for example:
The likelihood of blood clots may be higher if the patient has any other risk factors (see section 2 for more information on risk factors and symptoms of blood clots).
If any side effects occur, including any side effects not listed in the leaflet, a doctor or pharmacist should be informed. Side effects can be reported directly to the Department of Drug Safety Monitoring, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, Website: https://smz.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of the medication.
The medicine should be stored out of sight and reach of children.
Store at a temperature below 30°C. Store in the original packaging.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste. A pharmacist should be asked how to dispose of unused medicines. This will help protect the environment.
The active substances are ethinylestradiol and desogestrel. One coated tablet contains 30 micrograms of ethinylestradiol and 150 micrograms of desogestrel.
Other ingredients are:
Tablet core: α-tocopherol, magnesium stearate, colloidal silicon dioxide, stearic acid, povidone, potato starch, lactose monohydrate.
Coating: propylene glycol, polyethylene glycol 6000, hydroxypropylmethylcellulose.
White or almost white round tablets, convex on both sides, with engraved "RG" on one side and "P8" on the other side.
A carton box contains 1 blister or 3 blisters of 21 coated tablets.
Gedeon Richter Plc.
Gyömrői út 19-21
1103 Budapest, Hungary
GEDEON RICHTER POLSKA Sp. z o.o.
Medical Department
ul. ks. J. Poniatowskiego 5
05-825 Grodzisk Mazowiecki
Tel. +48 (22)755 96 48
lekalert@grodzisk.rgnet.org
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