what is dianette birth control pills?
TRANSCRIPT
What is Dianette?
Dianette is an oral contraceptive pill and is consists of two active hormones, i.e.
Cyproterone acetate and Ethinylestradiol, and this combination dosage form is also termed as
Co- cyprindiol. It acts by inhibiting the release of egg (ova) to prevent pregnancy after
an unprotected sexual intercourse.
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Who can take Dianette?
• Typically, Dianette is prescribed to women with severe acne that has not cleared up with the use of antibiotics or other treatments. It can also be prescribed to women who are suffering from abnormal excess hair growth.
• It is important to note that doctors can be hesitant to prescribe Dianette, largely because it is associated with a higher risk of blood clots and certain types of cancer. For this reason, your doctor will never prescribe you Dianette if you only need contraception.
• While it is safe for the majority of women to use Dianette in the short term, there are certain groups of people who must not take Dianette, including men. Other groups include women who
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Other groups include women who• Are pregnant or breastfeeding• Have a personal history or family history of blood clots• Have a high risk of getting blood clots• Have had a heart attack or stroke, or suffer from from other heart problems such as angina• Are overweight and smoke• Smoke more than 40 cigarettes a day• Suffer from high blood pressure• Are over 35• Have severe diabetes• Have migraines• Have breast cancer or a family history of breast cancer in a first degree relative (mother or
sister)• Have unexplained vaginal bleeding• Have liver disease or jaundice• Have an intolerance to any of the ingredients of Dianette (these ingredients are listed in the
Patient Information Leaflet)
How does Dianette work?
• Dianette contains cyproterone acetate, which is an anti-androgen. Androgens are male hormones produced by both men and women. In men, androgens are vital for the development of the sex organs (the best known androgen is testosterone). Androgens also play a necessary role in the female body, stimulating the growth of body hair and the production of oestrogen.
• When a woman’s body produces too many androgens or is overly sensitive to the effects of androgens, however, it can lead to problems such as hirsutism (excess hair growth), severe acne, oily skin, hair loss on the head and amenorrhoea (having no periods).
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Severe acne
• Androgens stimulate skin growth, including the growth of the sebaceous glands that produce an oily substance called sebum. Sebum is used to waterproof and lubricate the skin, but if too much of it is produced the sebaceous glands can become blocked and infected, leading to acne.
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Hirsutism
• The cyproterone acetate in Dianette helps improve acne and hirsutism by blocking the receptors in the body that androgens normally act upon. It also reduces the amount of androgens produced by the ovaries. The effect is that the action of the sebaceous glands is unaffected by androgens, meaning they do not overproduce sebum or stimulate excess hair growth.
Contraception
• Dianette also contains ethinylestradiol, a form of oestrogen, while cyproterone functions as a form of progesterone. This means that Dianette also works as a combined contraceptive pill when taken correctly. As with most other combined pills, Dianette must be taken at the same time every day for 3 weeks. At this point you have a week’s break, during which time you have a monthly bleed (similar to your normal periods).
• If taken in this manner, Dianette will provide over 99% protection against pregnancy. If pills are missed, however, you may be at risk of pregnancy and you should use barrier methods during sex to be safe.
How long should I take Dianette for?
• It can take a few months for the full effects of Dianette to be seen. You should take Dianette for about 3 months after you have seen an improvement in your acne or hirsutism.
• Dianette is not recommended for use solely as a contraceptive pill, as it is associated with a higher risk of blood clots than other combined pills. After you have stopped taking Dianette you can change to another AND that has a lower incidence of side effects.
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