Destrongen Tablet 21'S

Introduction About DESTRONGEN TABLET

DESTRONGEN TABLET is a fixed-dose combination of Desogestrel and ethinyl
estradiol which belongs to the group of medicines called Hormonal contrace
agents. DESTRONGEN TABLET is a contrace
DESTRONGEN TABLET works by managing unwanted or unplanned pregnancies.

Contrace
there are also other o
pregnancy. It can be achieved by a device, a medication, a procedure, or a
behaviour. Contrace
to be active participants in family planning.

Before prescribing DESTRONGEN TABLET, your doctor will ask you about your past
and present medical history and family history. Your doctor will check your
blood pressure and blood glucose levels and perform a physical examination to
rule out conditions like blood clots in the body and breast and liver cancer. A
pap smear test will be conducted for sexually active women. Your doctor will
advise you to visit for regular check-ups while on management with DESTRONGEN
TABLET.

DESTRONGEN TABLET is not recommended for use in women who have blood clots in
their bodies or in patients who are at high risk of getting a blood clot: those
with diabetes that affects blood vessels, cancer, migraine headaches, being
immobile for an extended period, scheduled surgery, if you are over 35 years
old, if you smoke, if you have heart disease, and patients with liver
diseases.DESTRONGEN TABLET should be used with caution in patients with
inflammatory bowel disease, anaemia, varicose veins, blood disorders, obesity,
hereditary angioedema, and diabetes.

DESTRONGEN TABLET is not recommended for use by pregnant or breastfeeding women.
If you are found to be pregnant, stop taking the medicine and consult your
doctor immediately. DESTRONGEN TABLET is not intended for use by post-menopausal
women. There is no data on the use of DESTRONGEN TABLET in children and
adolescents under the age of 18. It is not recommended for use in male
children.

Avoid concomitant use of Hepatitis drugs such as ombitasvir, paritaprevir,
ritonavir and dasabuvir along with DESTRONGEN TABLET. The most common side
effects of DESTRONGEN TABLET are unusual spotting or bleeding, nausea,
breast tendernessand headache.

Uses Of DESTRONGEN TABLET

• Prevents pregnancy

How DESTRONGEN TABLET Works

DESTRONGEN TABLET is an oral contrace
unwanted or unplanned pregnancies. Desogestrel and Estradiol are both synthetic
forms of the female sex hormones progesterone and oestrogen that work together
to manage egg release from the ovaries (ovulation) by suppressing the hormone
responsible for ovulation and promoting changes in the uterine thickening and
mucus membrane. These changes make it difficult for the sperm to enter the
uterus and implant the fertilised egg. DESTRONGEN TABLET works by suppressing
hormones and managing unwanted or unplanned pregnancies.

How to use DESTRONGEN TABLET

Take DESTRONGEN TABLET strictly as advised by your physician. Do not miss any
doses between the courses because the management may not be effective if any
doses are missed. Swallow the medicine with a glass of water. Do not crush or
chew the medicine. In case you have missed a dose, take it as soon as you
remember it. Missing doses cause bleeding or spotting. Your doctor will
determine the correct dose and duration for you depending upon your age, body
weight, and disease condition.

Side Effects Of DESTRONGEN TABLET

Common

• headache
• weight gain
• breast pain, tenderness
• depression, mood changes
• nausea, stomach pain

Uncommon

• oedema
• decreased libido
• vomiting, diarrhoea
• rash, hives
• breast enlargement

Rare

• vaginal secretions, irregular vaginal bleeding
• breasts discharge
• difficulty in wearing contact lenses
• skin diseases, bruising
• weight loss
• increased libido
• blood clots

Stop taking DESTRONGEN TABLET and contact your doctor immediately if you
experience any of the following side effects:

• deep vein thrombosis symptoms include persistent leg pain felt only when standing or walking, warmness in the leg, colour changes in the affected leg like pale, red or blue
• pulmonary embolism. symptoms include sudden breathlessness or rapid breathing, sudden cough with blood, chest pain on breathing, dizziness, irregular heartbeat, severe stomach pain
• retinal vein thrombosis (blood clot in eyes). symptoms include painless blurring of vision leading to sudden loss of vision
• chest pain, discomfort, heaviness, squeezing sensation or sensation of fullness in the chest, arms or below the breast, fullness, indigestion, choking feeling, pain in the upper body radiating towards back, jaw, throat, arm, stomach, sweating, nausea, vomiting, dizziness, extreme tiredness, anxiety, shortness of breath and irregular heartbeats. symptoms of heart attack
• stroke. symptoms weakness or numbness in an arm or leg, trouble speaking, sudden confusion and trouble sleeping in one or both eyes, trouble walking, loss of balance, severe headache, and fainting with or without seizures.
• blood clots blocking other blood vessels symptoms include swelling and blue colour of legs or arms swelling and slight blue discolouration of legs or arms
• severe allergic reactions include swelling of the face, lips, mouth, tongue, or throat
• breast cancer symptoms include dimpling of the skin, changes in the nipple and lump formation
• signs of cancer of the cervix such as vaginal discharge with odour or blood, unusual bleeding, pelvic pain, painful sex
• severe liver problems. symptoms include severe stomach pain, yellow skin, or eyes (jaundice), inflammation of the liver (hepatitis)
• liver tumours symptoms include severe pain or lump in the stomach region

How To Manage Side Effects

Headache

Rest in a quiet place. Avoid using mobile phones and other electronic devices
for a while. Drink enough water; dehydration can cause headaches. Consult your
doctor if symptoms worsen.

!### Nausea And Vomiting

Drink clear or ice-cold drinks. Eat light, bland foods. Avoid fried, greasy, or
sweet foods. Eat slowly and eat smaller, more frequent meals, drink gradually
larger amounts of clear liquids, avoid solid food until the vomiting episode has
passed, and take rest. Consult your doctor if symptoms worsen.

!### Stomach Pain

Try to rest and relax. eating a healthy diet, drinking lots of water, exercising
regularly, eating smaller meals, eating and drinking slowly, or trying to have
smaller and more frequent meals. Keep a heating pad on your stomach. If the
symptom does not improve, contact your doctor.

Warning & Precautions

!### Pregnancy

DESTRONGEN TABLET is not recommended for use in pregnant and women suspected to
be pregnant. DESTRONGEN TABLET is not recommended if you had jaundice during
pregnancy. DESTRONGEN TABLET should be used with caution in women who are in
the postpartum period. Consult your doctor before taking it.

!### Breastfeeding

DESTRONGEN TABLET is not recommended for use in breastfeeding women. Consult
your doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or handle heavy machines if you experience side effects like
dizziness, drowsiness, tiredness, or if you have blurred vision while taking
GBNKEYWORD].

!### Alcohol

ContraindicatedConsum
TABLET.

!### Kidney

Consult your doctorDESTRONGEN TABLET is not recommended for use in patients with blood clots in the
kidney and kidney disease associated with diabetes (diabetic nephropathy).
DESTRONGEN TABLET should be used with caution in patients with another kidney
disease. Consult your doctor before taking it.

!### Liver

Consult your doctorDESTRONGEN TABLET is not recommended for use in patients with severe liver
diseases, yellowish skin, and eyes(jaundice), cholestatic jaundice (jaundice
caused by reduced bile secretion), pancreatitis (inflammation of the pancreas),
Hepatitis C and liver tumours.DESTRONGEN TABLET should be used with caution in
patients with gall bladder, liver or pancreatic diseases. Consult your
doctor before taking it.

!### Allergy

ContraindicatedDo not take DESTRONGEN TABLET if you are allergic toDesogestrel or Ethinyl
Estradiol.

!### Lungs

ContraindicatedDESTRONGEN TABLET is not recommended for use in patients with blood clots in the
lungs (pulmonary embolism). Consult your doctor before taking it.

!### Heart Disease

Consult your doctorDESTRONGEN TABLET is not recommended for use in patients with heart diseases
like heart attack, stroke, angina, mini-stroke, high blood pressure and high or
low cholesterol levels. DESTRONGEN TABLET can be used with caution in patients
with irregular heartbeat or heart valve disease. Consult your doctor before
taking it.

Others

DESTRONGEN TABLET is not recommended for use if you:

• have or had blood clots in legs (deep vein thrombosis) and eyes (retinal thrombosis)
• have high risks of having blood clots such to obesity, family history, planned surgeries, age (above 35 years), new mothers who delivered four weeks ago
• have diabetes with complications (diabetic retinopathy, neuropathy)
• have a disorder affecting your blood clotting which causes immediate blood clots (protein C deficiency, protein S deficiency, antithrombin-III deficiency, antiphospholipid antibodies in the blood
• have been bed-ridden or immobile for a long time
• have or ever had migraine headaches
• have or ever had breast cancer or other cancers
• have unexplained bleeding from the vagina
• have scheduled for a major surgery
• have or ever had vision loss due to blood vessel disease of the eye
• have an inflammation in the veins under the skin (superficial thrombophlebitis)

Before taking DESTRONGEN TABLET inform your doctor if you:

• have Crohn’s disease or ulcerative colitis (chronic inflammatory bowel disease)
• have systemic lupus erythematosus (disease affecting your immune system)
• have haemolytic uraemic syndrome (blood clotting disorder causing kidney failure)
• have sickle cell anaemia (an inherited red blood cell disease)
• have varicose veins (enlarged or twisted veins)
• have brown patches on your face or body (chloasma)
• have a family history of breast cancer
• have or ever had depression
• use contact lenses
• have epilepsy
• you smoke. Your doctor may advise you to stop smoking. If you’re older than 35 and you are unable to quit smoking, your doctor may advise you to use another medicine
• are obese
• have a lab test
• have diabetes
• have fibroid tumours of the uterus
• have porphyria (an inherited disease affecting red blood cells)
• have hereditary angioedema (swelling in hands, feet, face, or airway passage)

Use in paediatrics:

There is no information regarding the use of DESTRONGEN TABLET in children and
adolescence under the age of 18 years. DESTRONGEN TABLET it is not intended for
use in male children. Consult your doctor before taking it.

Use in geriatrics:

DESTRONGEN TABLETis not intended for use in post-menopause women. Consult your
doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking DESTRONGEN TABLET, inform your doctor if you are taking any of the
following medicine:

• medicines used to manage epilepsy (Ex. primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, lamotrigine)
• medicines used to manage tuberculosis (Ex. rifampicin)
• medicines used to manage HIV infection (Ex. ritonavir, nevirapine, efavirenz)
• medicines used to manage fungal infections (Ex. Griseofulvin)
• medicines used to manage increased blood pressure in the lungs (Ex. bosentan),
• medicines used to manage increased blood pressure (Ex enalapril, verapamil, telmisartan)
• herbal remedy St. John’s wort used to manage mental illness
• medicines used to manage graft rejection in organ transplants (Ex. cyclosporin)
• theophylline (used to manage breathing problems)
• tiz
• medicines used to manage hepatitis C infections Ex. ombitasvir, paritaprevir, ritonavir and dasabuvir
• medicines used to relieve pain Ex. ibuprofen, aceclofenac, meperidine, phenylbutazone
• medicines used to manage diabetes Ex. insulin, metformin
• medicines used to manage inflammation and allergic infections EX. prednisone
• medicines used to produce relaxation and sleep Ex. benzodiazepines, barbiturates, chloral hydrate, glutethimide, meprobamate
• medicines used to manage depression Ex. clomipramine
• medicines used as supplements Ex. Vit. B 12, folic acid
• medicines used to manage acidity Ex. Aluminium hydrochloride, magnesium hydrochloride
• medicines used to manage infections Ex. nitrofurantoin
• medicines used to lower cholesterol levels Ex. clofibrate
• medicines used as blood – thinners Ex. heparin, warfarin
• medicines used to manage migraine headaches Ex. sumatriptan

B. Drug-Food interactions

Avoid consuming grapefruit along with DESTRONGEN TABLET it may interfere with
DESTRONGEN TABLET

Overdosage:

If you or anyone else accidentally took more of DESTRONGEN TABLET, consult your
doctor immediately or visit the nearby hospital. Symptoms of overdose are
nausea, vomiting, or vaginal bleeding. Vaginal bleeding may occur in girl
children even before their first menstruation who have taken it accidentally.

Synopsis

Drug	:	Ethinyl Estradiol, Desogestrel
Pharmacological Category	:	Oral contrace
Therapeutic Indication	:	contrace
Dosage Forms	:	Tablet

More Information

• Keep DESTRONGEN TABLET out of reach from children
• Store at room temperature

FAQs About DESTRONGEN TABLET

Q: Does DESTRONGEN TABLET cause any serious side effects?

A: The serious side effects of DESTRONGEN TABLET aredeep vein thrombosis, loss
of eyesight, stroke, jaundice, pulmonary embolism, allergic reactions, breast
cancer, cervical cancer, and inflammation of the liver.

Q: What precautions need to be followed while taking DESTRONGEN TABLET?

A: DESTRONGEN TABLET increases the risk of blood clots, so people with
pre-existing blood clot disorders and people at high risk of blood clots should
avoid using DESTRONGEN TABLET. Your doctor may advise you to do blood tests and
will collect data about your family’s medical history. DESTRONGEN TABLET is not
recommended for use in women with kidney disease, heart disease, liver disease,
or scheduled surgeries. DESTRONGEN TABLET should be used with caution in
patients with inflammatory bowel disease, anaemia, and depression. Do not
discontinue use without consulting your doctor. Take the medicine without
missing any doses. Avoid concomitant use of hepatitis C medicines such as
ombitasvir, paritaprevir, ritonavir, and dasabuvir, along with DESTRONGEN
TABLET.

Q: Is it safe to take DESTRONGEN TABLET immediately after delivery?

A: No, it is not safe to take DESTRONGEN TABLET immediately after delivery. It
is advisable to take it only after 4 weeks post-delivery. Consult your doctor
before taking it.

Q: Can DESTRONGEN TABLET be used by children?

A: In post-pubertal female children under the age of 18, DESTRONGEN TABLET
should be used with caution. It is not intended to be used in male or female
children who have not reached puberty. Consult your doctor before taking it.

Q: Can DESTRONGEN TABLET be used by post-menopausal women?

A: In older women, DESTRONGEN TABLET should be used with caution. Consult your
doctor before taking it.

Q: Is DESTRONGEN TABLET Carcinogenic?

A: DESTRONGEN TABLET does not cause breast cancer. If you have breast cancer or
have had it in the past, do not use DESTRONGEN TABLET because some breast
cancers are sensitive to hormones. Women who use DESTRONGEN TABLET may have a
slightly higher chance of getting cervical cancer.

Q: How and when should I take DESTRONGEN TABLET?

A: Take DESTRONGEN TABLET strictly as advised by your physician. Do not miss any
doses between the courses because the management may not be effective if any
doses are missed. Swallow the medicine with a glass of water. DESTRONGEN TABLET
can be taken with or without food. Do not crush or chew the medicine. In case
you have missed a dose, take it as soon as you remember it. Missing doses cause
bleeding or spotting. Your doctor will decide the correct dose and duration for
you depending on your age, body weight, and disease condition. If you have any
doubts regarding the doses, consult your doctor.

Q: Can DESTRONGEN TABLET cause abortion?

A: No, it does not cause abortion; it just works by suppressing ovulation and
fertilization. DESTRONGEN TABLET is not recommended for use during pregnancy.
Consult your doctor before taking it.

Q: Can the use of DESTRONGEN TABLET cause depression?

A: Yes, the use of DESTRONGEN TABLET can cause depression. Exercise will
increase the production of hormones, which improve our mood. Drinking alcohol or
misusing substances may make you feel better for a short time, but after a long
time, these substances can make depression symptoms even worse and even cause
severe other health problems. So please avoid using alcohol and drugs to
overcome depression. Self-care is particularly important to overcome depression.
This includes getting good sleep, eating a healthy diet, avoiding negativity,
and participating in other activities. If you still feel depressed or low,
contact your doctor.

Q: What should I do if I forgot to take DESTRONGEN TABLET?

A: If you miss a dose, take it as soon as you remember. If you have missed a
dose, use proper safety measures like condoms to avoid pregnancy. Do not take
double doses to compensate for the missed ones. Spotting or sudden bleeding can
occur in the case of missed doses.

Q: Will the use of DESTRONGEN TABLET produce complete protection from
pregnancy?

A: Yes, DESTRONGEN TABLET will produce complete protection from pregnancy when
all the doses are taken correctly every day. If you miss any dose, it will not
be effective, and you will have a high chance of getting pregnant.

Q: Is it necessary to use a condom while using DESTRONGEN TABLET?

A: No, it is not required to use condemn while using DESTRONGEN TABLET. But if
you miss any dose of DESTRONGEN TABLET and you do not want to be pregnant, then
you should use condoms to manage an unwanted pregnancy.