Use of Linelle Diario with medicines
Always consult your doctor about other medicines or herbal medicines you are already using or have recently taken, including those obtained without a prescription.Also, discuss any other medicines prescribed by another doctor or dentist that you are using Linelle Diario.They may tell you if you need to use other contraceptive measures (e.g., condoms) and, if so, for how long.
Some medicines reduce the effectiveness of Linelle Diario in preventing pregnancy, or may cause unexpected bleeding.
Examples include:
The antibiotic troleandomycin may increase the risk of bile retention if taken with the pill.
Linelle Diario may influence the effect of other medicines, such as:
Do not use Linelle Diario if you have hepatitis C and are taking medicines that contain ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir, and sofosbuvir/velpatasvir/voxilaprevir, as these medicines may cause increases in liver enzyme test results (elevated ALT levels).
Your doctor will prescribe another type of contraceptive before starting treatment with these medicines.
Linelle Diario can be resumed approximately 2 weeks after completing this treatment. See section “Do not take Linelle Diario tablets with film-coated EFG”.
Taking Linelle Diario with food and drinks
If you need a blood test, inform your doctor or the laboratory staff that you are taking the pill, as hormonal contraceptives affect the results of some tests.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before taking this medicine.
Pregnancy
Do not take Linelle Diario if you are pregnant. If you become pregnant while taking Linelle Diario, stop taking it immediately and contact your doctor. If you want to become pregnant, you can stop taking Linelle Diario at any time (see also “If you want to stop taking Linelle Diario”).
Breastfeeding
It is not recommended to take Linelle Diario during breastfeeding, unless your doctor advises you to do so. You should consult your doctor if you want to take the pill while breastfeeding.
Driving and operating machinery
There is no information to indicate that the use of Linelle Diario affects your ability to drive or operate machinery.
This medicine contains lactose. If your doctor has told you that you have a certain intolerance to certain sugars, consult them before taking this medicine.
Follow exactly the medication administration instructions indicated by your doctor. In case of doubt, consult your doctor or pharmacist.
If you were taking another contraceptive before starting to take Linelle Diario, you already know that most contraceptives contain 21 tablets.With those contraceptives, take a tablet for 21 days and then there is a week in which you do not take any tablets (medication-free interval).
The system to follow when using Linelle Diario is different.After taking the 21 colored tablets, you must continue and take the 7 placebo tablets, that is, there is no medication-free interval but there is a week of "placebo" (the week in which you take the placebo tablets from row 4).Since you have to take a tablet every day and there is no medication-free interval between two packages, taking the tablets will become routine and, as a result, the risk of forgetting a tablet is lower.
The two different types of colored tablets in Linelle Diario are placed in order.One package contains 28 tablets.
Take one Linelle Diario tablet every day, if necessary with a small amount of water.You must take the tablets every day, more or less at the same hour.
Do not confuse the tablets:take a pink tablet once a day for the first 21 days, and then take a white tablet every day for the last 7 days.Then, you should start a new package (21 pink tablets and 7 white tablets).As a result, there is no medication-free interval between packages.
The blister contains 28 tablets.Daily intake for 28 consecutive days is important to maintain the contraceptive effect.
Along with the blisters, adhesive labels with the days of the week are attached.Take the label of the day you start taking the pill.Put the label on the blister over the words "Stick the label with the day here."Each day will align with a row of tablets.It is essential to take your pill every day.And take the first tablet from the first row where the word "BEGINNING" is indicated.
Follow the direction of the arrow indicated on the blister, take the pink tablets first for 21 days and then, the white tablets for 7 days, until you have taken the 28 tablets.Then, you should start taking the next blister.This means that there is no medication-free interval between packages.
During the 7 days of white tablets, you should start bleeding (usually on the 2nd or 3rd day).This is what is known as withdrawal bleeding and may continue when you start with the next blister.
You should start taking the next blister on the same day of the week, and withdrawal bleeding should appear on the same days every month.
When can you start with the first blister
Start taking Linelle Diario on the first day of the cycle (which is the first day of your period). If you start taking Linelle Diario on this day, you are immediately protected against pregnancy. You can also start on days 2-5 of your cycle, but you must use additional protection (e.g., a condom) during the first 7 days.
Start taking Linelle Diario on the day after taking the last active tablet of your previous pill (or after removing the ring or patch) or, at the latest, the day after the usual 7-day medication-free interval (free from the ring, or free from the patch) or the last placebo tablet of the previous hormonal contraceptive.
You can switch to Linelle Diario any day from the pill that contains only progestin (if you used an implant or IUD, on the day of its removal, and if you received progestin by injection, on the date of the next scheduled injection), but in all cases, you must apply additional protection (e.g., a condom) during the first 7 days while taking the new pills.
Follow your doctor's instructions.
Start taking Linelle Diario between 21 and 28 days after giving birth or after a second-trimester abortion.If you start after day 28, you must use an additional barrier method (e.g., a condom) during the first 7 days of using Linelle Diario.
If after having a child you have had sex again before starting to take Linelle Diario (again), you must first check if you are not pregnant or wait until your next period before taking Linelle Diario.
Read the section on "Lactation".
Ask your doctor for advice if you are unsure when to start.
If you take more Linelle Diario tablets coated with EFG film than you should
There are no publications on the harmful effects of taking too many Linelle Diario tablets. If you take several tablets at once, you may experience nausea or vomiting. Young girls may experience vaginal bleeding.
If you have taken too many Linelle Diario tablets, or if you discover that your child has taken some, consult your doctor or pharmacist.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
If you forgot to take Linelle Diario tablets
The tablets from thefourthrow of the package are placebo tablets. If you forgot to take one of those pills, it will not affect the effect of Linelle Diario. You should throw away the forgotten placebo tablet to avoid prolonging the placebo week, which could have a negative effect on the effectiveness of Linelle Diario.
If you forgot to take a tablet from the1st, 2nd, or 3rdrow, you should follow the following instructions:
The risk of incomplete protection against pregnancy is higher if you forget to take a tablet at the beginning of a blister (1st row) or at the end of week 3 (3rd row of the blister).
Therefore, you must maintain the following rules:
If you take more than 12 hours during days 1-7 (see also the diagram):
Take the last forgotten tablet as soon as you remember it, even if this means taking two tablets at the same time. Then, continue taking the next tablets at the usual time. In addition, you must use a barrier method such as a condom during the next 7 days. If you have had sex during the 7 days before forgetting the tablet, you should consider the possibility of pregnancy. The more tablets you have forgotten and the closer they are to the usual 7-day medication-free interval, the higher the risk of pregnancy. Consult your doctor if this happens.
If you take more than 12 hours during days 8-14 (see also the diagram):
Take the last forgotten tablet as soon as you remember it, even if this means taking two tablets at the same time. Then, continue taking the next tablets at the usual time. If you have taken the tablets correctly during the 7 days before the first forgotten tablet, there is no need to use additional contraceptive precautions. If you have not taken the tablets correctly or have forgotten more than one tablet, you must use additional contraceptive precautions during the next 7 days.
If you take more than 12 hours during days 15-21 (see also the diagram):
The risk of pregnancy increases the closer you are to the usual 7-day medication-free interval. However, you can still prevent pregnancy by adjusting the dosage.
If you follow the following advice, there is no need to use additional contraceptive precautions, if you have taken all the tablets correctly during the 7 days before the first forgotten tablet.
If this is not the case, you should follow the first of these two options and also use additional contraceptive precautions during the next 7 days.
Instead of taking the 7 days of medication-free interval, continue immediately with the next package of 21 tablets. You will probably not have withdrawal bleeding until the end of the second package, but you may experience bleeding or intercurrent bleeding during the days of taking tablets.
If you forget several tablets and do not have withdrawal bleeding during the usual medication-free interval, you should consider the possibility of pregnancy.
What to do in case of vomiting or intense diarrhea
If you vomit within 3-4 hours after taking the active pink tablet or if you have severe diarrhea, there is a risk that the active principles of the tablet will not be fully absorbed by your body.This situation is similar to when you forget to take a tablet.After vomiting or diarrhea, take another tablet from another package as soon as possible.If possible, take itwithin 12 hoursof the time you would normally take your tablet.If not possible, or if more than 12 hours have passed, follow the advice included in "If you forgot to take Linelle Diario".
Delayed period: what you need to know
Although not recommended, it is possible to delay your period if you do not take the 7 white placebo tablets and take a new package of Linelle Diario directly. You may experience spotting (spots or dots of blood) or intercurrent bleeding while using the next package.After taking the 7 placebo tablets from the second package,continue with the next package.
It is recommended to consult your doctor before deciding to delay your menstrual cycle.
Change in the first day of your menstrual period: what you need to know
If you want to change the day of the start or have your period on a different day of the week, you can shorten your next placebo period by as many days as you want. The shorter the placebo period, the higher the risk of not having withdrawal bleeding and experiencing spotting or intercurrent bleeding during the second package. Never lengthen the placebo period.
If you are unsure about what to do, consult your doctor.
If you stop taking Linelle Diario tablets
You can stop taking Linelle Diario when you want. If you do not want to become pregnant, ask your doctor for advice on other reliable methods of birth control. If you want to become pregnant, stop taking Linelle Diario and wait for a menstrual period before trying to become pregnant. This way, you can calculate your expected date of delivery more easily.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can have side effects, although not everyone will experience them.
If you have any side effects, particularly if they are severe and persistent, or if you have any change in your health that you think may be due to Linelle Diario, consult your doctor.
Severe side effects
Seek immediate medical attention if you experience any of the following angioedema symptoms: facial swelling, tongue and/or throat swelling, and/or difficulty swallowing or urticaria with possible difficulty breathing (see also section “Warnings and precautions”).
All women taking combined hormonal contraceptives are at a higher risk of developing blood clots in the veins (venous thromboembolism (VTE)) or blood clots in the arteries (arterial thromboembolism (ATE)). For more detailed information on the different risks of taking combined hormonal contraceptives, see section 2 “What you need to know before starting to take Linelle Diario”.
Following is a list of side effects that have been associated with the use of Linelle Diario:
Common:may affect up to 1 in 10 people
Uncommon:may affect up to 1 in 100 people
Rare:may affect up to 1 in 1,000 people
The chances of having a blood clot may be higher if you have any other condition that increases this risk (see section 2 for more information on conditions that increase the risk of blood clots and symptoms of a blood clot).
The following severe side effects have been reported slightly more frequently in women using combined oral contraceptives but it is not known if this is due to the treatment (see section 2: “Warnings and precautions”):
The following conditions have also been associated with combined oral contraception:
Crohn's disease, ulcerative colitis, epilepsy, migraines, endometriosis, porphyria (a metabolic disorder that causes abdominal pain and mental disorders), systemic lupus erythematosus (where the body attacks and damages its own organs and tissues), herpes in the late stages of pregnancy, Sydenham's chorea (rapid involuntary spasms or movements), hemolytic-uremic syndrome (a condition that appears after diarrhea caused by E. coli), liver problems shown by jaundice, gallbladder disorders or formation of gallstones.
In women with hereditary angioedema, exogenous estrogens in oral contraceptives may induce or exacerbate angioedema symptoms (see section 2: “Warnings and precautions”)
Linelle Diario contains lecithin (soya) (E322). If you are allergic to peanuts or soya, do not take this medicine.
Reporting side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for the Vigilance of Medicinal Products for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not store at a temperature above30°C.
Do not use this medication after the expiration date that appears on the outer packaging and on the blister pack after CAD. The expiration date is the last day of the month indicated.
Medicines should not be disposed of through the drains or in the trash. Dispose of the packaging and medicines you no longer need at your local SIGRE collection pointat your usual pharmacy. Ask your pharmacist how to dispose of the packaging and medicines you no longer need. By doing so, you will help protect the environment.
Composition of Linelle Diario coated tablets
The active principles are levonorgestrel and etinilestradiol.
Linelle Diario coated tablets contain tablets of 2 colors:
Appearance of Linelle Diario and contents of the package
Holder of the marketing authorization and responsible manufacturer
Holder of the marketing authorization
Theramex Ireland Limited
3rd Floor, Kilmore House,
Park Lane, Spencer Dock,
Dublin 1
D01 YE64
Ireland
Manufacturer
Laboratorios León Farma, S.A.
Navatejera Industrial Estate, La Vallina S/N
24193 Navatejera (León) - Spain
Local Representative
Theramex Healthcare Spain, S.L.
Calle Martínez Villergas 52, Edificio C, 2nd floor left.
28027 Madrid
Spain
This medicine is authorized in the member states of the European Economic Area with the following names:
Netherlands: Ethinylestradiol/Levonorgestrel 28 Theramex 0.02/0.10 mg, filmomhulde tablets
Last review date of this leaflet: March 2020
“Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.es/”
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