Miliana Tablet 21’S

WHAT IS MILIANA?

MILIANA is a combined oral contraceptive, which contains two types of female hormones, namely progestogen or desogestrel and an estrogen or ethinyl estradiol

WHAT MILIANA IS USED FOR?

MILIANA is used to stop you from getting pregnant, just as your natural hormones

DIRECTIONS & FOR USE:

Always take this medicine exactly as your doctor has told you
Take one tablet of MILIANA every day with a small amount of water
You may take the tablets with or without food, but you should take the tablets every day around the same time.
The strip contains 21 tablets. Next to each tablet is printed the day of the week that it should be taken. If, for example you start on a Wednesday, take a tablet with ?WED? next to it. Follow the direction of the arrow on the strip until all 21 tablets have been taken

Then take no tablets for 7 days. In the course of these 7 tablet-free days (otherwise called a stop or gap week) bleeding should begin. This so-called ?withdrawal bleeding? usually starts on the 2nd or 3rd day of the gap week

On the 8th day after the last tablet of MILIANA tablets (that is, after the 7-day gap week), you should start with the following strip, whether your bleeding has stopped or not

If you take more MILIANA

If you take several tablets at once then you may experience nausea or vomiting. Young girls may have bleeding from the vagina in such case, contact your doctor for advice

If you forget to take MILIANA

If you are less than 12 hours late taking a tablet, the protection against pregnancy is not reduced. Take the tablet as soon as you remember and then take the following tablets again at the usual time

If you are more than 12 hours late taking a tablet, the protection against pregnancy may be reduced. The greater the number of tablets that you have forgotten, the greater is the risk of becoming pregnant

If you stop taking MILIANA

Do not stop taking MILIANA unless told by your doctor

SIDE EFFECTS OF MILIANA:

SERIOUS

Formation of blood clots in your veins (venous thromboembolism) or blood clots in your arteries (arterial thromboembolism)

COMMON

Irregular bleeding
Weight gain
No bleeding (amenorrhea)
Tender breasts, breast pain
Depression, headache, nervousness
Dizziness, nausea, acne
High blood pressure
Stomach (abdominal) pain
Spotting or breakthrough bleeding (metrorrhagia)
Change in your mood

UNCOMMON

Breast enlargement
Decreased sexual desire
Migraine, vomiting, diarrhoea
Rash, nettle-rash (urticaria)
Fluid retention

RARE

Vaginal candidiasis (fungal infection of the vagina)
Impaired hearing or loss of hearing (otosclerosis)
Increased sexual desire
Eye irritation due to contact lens
Loss of hair (alopecia)
Itching
Erythema nodosum ? a skin disease associated with joint pain, fever, hypersensitivity or infection and characterised by small, painful, pink to blue
Vaginal discharge, breast discharge
Loss of weight
Hypersensitivity (itchy red rash with swelling of the face, lips and/or tongue and difficulty breathing)
Harmful blood clots in a vein or artery for example in a leg or foot (i.e. DVT), in a lung (i.e. PE),
Stroke or mini-stroke or temporary stroke-like symptoms, known as a transient ischaemic attack (TIA)

STORAGE:

Keep this medicine out of reach of children
Store at room temperature (15-25°C)
Do not use this medicine after the expiry date

PRODUCT INTRODUCTION

Miliana Tablet is a combination of two medicines used for contraception (to prevent pregnancy) and in the treatment of irregular periods.

It helps to prevent the release of the egg and its fertilization by the sperm. It may also help to reduce the risk of ovarian cancer.

Miliana Tablet can be taken with or without food, but take it at the same time to get the most benefit. It should be taken as per your doctor’s advice.
You will have to take the pill on day one of your menstrual cycle and continue taking it for a whole month.Once the pack gets over, start with a new one. If you experience vomiting within 4 hours of dose intake, take another tablet.

In case you missed your dose and you are late by 12 hours in taking the missed dose, use a condom during intercourse for a period of 2 days.

some commonly seen side effects

Nausea, headache,  breast pain, and weight gain are some commonly seen side effects of this medicine. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them.

You might experience spotting or bleeding between menstrual periods or missed periods. Consult with your doctor if this occurs frequently or persists longer.

Inform your doctor if you notice swelling and pain in your limbs, shortness of breath, chest pain, or changes in vision, as it may be a sign of a blood clot.

Before taking this medicine, let your doctor know if you smoke and are over 35, or if you have ever had a heart attack or have cancer of the uterus/cervix, or vagina.

Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.

Do not take the medicine if you are pregnant already or breastfeeding. You might be asked for a regular check-up of blood pressure, cholesterol, and blood sugar level while on treatment.

USES OF MILIANA TABLET

• Contraception

BENEFITS OF MILIANA TABLET

In Contraception

Miliana Tablet is a contraceptive medicine that stops you from getting pregnant. It prevents an egg from being released from your ovaries and also decreases movement of sperms.
This affects the fertilizations process and prevents it.Tablet is a reliable and safe method for contraception, if used correctly. It does not interrupt with sex and you can lead a normal routine life without any worries.
Take it as directed by the doctor to get the most benefit.

SIDE EFFECTS OF MILIANA TABLET

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Miliana

• Nausea
• Stomach pain
• Headache
• Irregular uterine bleeding
• Weight gain
• Breast pain

HOW TO USE MILIANA TABLET

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.
Tablet may be taken with or without food, but it is better to take it at a fixed time.

HOW MILIANA TABLET WORKS

Tablet is an oral contraceptive pill. It works by preventing the release of egg (ovulation) and affecting sperm movement in the womb to prevent its union with the egg.
It also changes the lining of the womb and renders it unsuitable for pregnancy.

SAFETY ADVICE

Alcohol

Caution is advised when consuming alcohol with Miliana Tablet. Please consult your doctor.

Pregnancy

Tablet is highly unsafe to use during pregnancy. Seek your doctor’s advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.

Breast feeding

Miliana Tablet is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Nonhormonal and progestin-only contraceptives are preferred in breastfeeding women, especially during the first 4 weeks postpartum

Driving

Miliana Tablet does not usually affect your ability to drive.

Kidney

There is limited information available on the use of Tablet in patients with kidney disease. Please consult your doctor.

Liver

Miliana Tablet should be used with caution in patients with liver disease. Dose adjustment of Miliana Tablet may be needed. Please consult your doctor.
Use of Tablet is not recommended in patients with severe liver disease and active liver disease.

WHAT IF YOU FORGET TO TAKE MILIANA TABLET?

If you miss a dose of Tablet, please consult your doctor.