Postinor and similar drugs. Postinor and its analogues which is better

In this article, you can read the instructions for using the drug Postinor. Reviews of site visitors - consumers of this medicine, as well as opinions of doctors of specialists on the use of Postinor in their practice are presented. A big request to actively add your reviews about the drug: did the medicine help or not help get rid of the disease, what complications and side effects were observed, perhaps not declared by the manufacturer in the annotation. Postinor analogues in the presence of existing structural analogues. Use for emergency contraception. Menstruation, pain and possible pregnancy after taking birth control. Effect of alcohol on drug availability.

Postinor- a synthetic drug with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. With the recommended dosing regimen, the active substance of the drug levonorgestrel inhibits ovulation and fertilization if sexual contact occurred in the pre-ovulatory phase, when the possibility of fertilization is greatest. It can also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.

Efficacy: Postinor tablets can prevent pregnancy in about 85% of cases. The more time elapsed between sexual intercourse and taking the drug, the lower its effectiveness (95% during the first 24 hours, 85% from 24 to 48 hours and 58% from 48 to 72 hours). Thus, it is recommended to start taking Postinor tablets as soon as possible (but no later than 72 hours) after sexual contact, if no protective measures have been taken. At the recommended dose, levonorgestrel does not have a significant effect on blood coagulation factors, fat and carbohydrate metabolism.

Pharmacokinetics

When taken orally, Postinor is rapidly and almost completely absorbed. Absolute bioavailability is almost 100% of the dose taken. Levonorgestrel is excreted approximately equally by the kidneys and through the intestines exclusively in the form of metabolites. Biotransformation of levonorgestrel corresponds to the metabolism of steroids.

Indications

  • emergency (postcoital) contraception (after unprotected intercourse or unreliability of the contraceptive method used).

Release forms

Tablets 0.75 mg.

Instructions for use and method of use

The drug is taken orally. It is necessary to take 2 tablets in the first 72 hours after unprotected intercourse. The second tablet should be taken 12 hours (but not later than 16 hours) after taking the first tablet.

To achieve a more reliable effect, both tablets should be taken as soon as possible after unprotected intercourse (no later than 72 hours).

If vomiting occurs within 3 hours after the 1st or 2nd dose of the Postinor tablet, then another Postinor tablet should be taken.

Postinor can be used at any time of the menstrual cycle. In the case of an irregular menstrual cycle, pregnancy must first be excluded.

After taking emergency contraceptives, local barrier methods (eg, condom, cervical cap) should be used until the next menstrual period. The use of the drug during repeated unprotected intercourse during one menstrual cycle is not recommended due to an increase in the frequency of acyclic spotting / bleeding.

Side effect

  • urticaria, rash, itching, swelling of the face;
  • vomiting, diarrhea;
  • dizziness, headache;
  • soreness in the chest;
  • delayed menstruation (no more than 5-7 days; if menstruation is delayed for a longer period, pregnancy must be excluded);
  • nausea;
  • fatigue;
  • pain in the lower abdomen;
  • acyclic spotting (bleeding).

Contraindications

  • adolescence up to 16 years;
  • severe liver failure;
  • pregnancy;
  • rare hereditary diseases such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
  • hypersensitivity to the components of the drug.

Use during pregnancy and lactation

Postinor is contraindicated for use during pregnancy. If pregnancy occurred while using an emergency method of contraception, then, based on the available data, an adverse effect of the drug on the fetus was not detected.

Levonorgestrel is excreted in breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

special instructions

Postinor should only be used for emergency contraception. Repeated use of the drug Postinor during one menstrual cycle is not recommended.

The effectiveness of Postinor tablets after unprotected intercourse, in which contraceptives were not used, decreases over time.

The drug does not replace the use of permanent methods of contraception. In most cases, Postinor does not affect the nature of the menstrual cycle. However, there may be acyclic spotting and a delay in menstruation for several days. With a delay in menstruation for more than 5-7 days and a change in its nature (scanty or heavy discharge), pregnancy must be excluded. The appearance of pain in the lower abdomen, fainting may indicate an ectopic (ectopic) pregnancy.

Adolescents under 16 in exceptional cases (including rape) need to consult a gynecologist to confirm pregnancy.

After emergency contraception, a consultation with a gynecologist is recommended to select the most appropriate method of permanent contraception.

Emergency contraception does not protect against sexually transmitted diseases.

With violations of the function of the gastrointestinal tract (for example, with Crohn's disease), the effectiveness of the drug may decrease.

Simultaneous administration of the drug Postinor and alcohol increases the risk of bleeding and increases the load on the liver (hepatotoxicity).

Influence on the ability to drive vehicles and control mechanisms

The effect of Postinor on the ability to drive vehicles and mechanisms has not been studied.

drug interaction

The following drugs may reduce the effectiveness of levonorgestrel: amprecavil, lansoprazole, nevirapine, oxcarbazepine, tacrolimus, topiramate, tretinoin, barbiturates, including primidone, phenytoin, and carbamazepine, drugs containing St. rifabutin, griseofulvin. Levonorgestrel reduces the effectiveness of hypoglycemic and anticoagulant (coumarin derivatives, phenindione) drugs. Increases plasma concentrations of corticosteroids. Women taking these drugs should contact their doctor.

Preparations containing levonorgestrel may increase the risk of cyclosporine toxicity due to suppression of its metabolism.

Analogues of the drug Postinor

Structural analogues for the active substance:

  • Levonorgestrel;
  • Microlute;
  • Mirena;
  • Norplant;
  • Escapelle;
  • Eskinor-F.

In the absence of analogues of the drug for the active substance, you can follow the links below to the diseases that the corresponding drug helps with and see the available analogues for the therapeutic effect.

Postinor is a remedy for preventing unwanted pregnancy, and its effectiveness has been proven in practice by many women. This potent drug belongs to the line of emergency contraceptives, it is based on the effect of an artificial hormone on the body. Due to its powerful effect, Postinor should be used with extreme caution, preferably after consulting a doctor.

Chemical composition

The active substance is an artificial hormone - levonorgestrel. In 1 tablet of the drug it contains 0.75 milligrams.

Hormone action:

  • delays or stops ovulation by preventing the release of an egg from the ovary;
  • blocks spermatozoa, preventing the fertilization of an already released egg;
  • does not allow an already fertilized egg to be fixed, thus preventing pregnancy.

In addition to the hormone, the agent includes excipients: colloidal silicon dioxide, potato starch, magnesium stearate, talc, corn starch, lactose monohydrate.

Release form

Postinor is produced in foil and PVC blisters, 2 tablets in a blister. The carton contains 1 blister and instructions for using the medicine.

Indications

Postinor is indicated for women with a regular menstrual cycle for emergency postcoital contraception. At its core, the drug is an alternative to traditional contraceptives.

  • slipping or mechanical damage to the condom;
  • rupture, shift of the diaphragm or cervical plate;
  • incorrect calculation of ovulation days when using the calendar method;
  • unsuccessfully interrupted sexual intercourse;
  • removal or loss of an intrauterine device;
  • skipping 3 or more permanent oral contraceptive pills.

Application methods

The effectiveness of Postinor directly depends on the time of its use. The first tablet is taken no later than 72 hours after intercourse.

Postinor does not guarantee 100% contraception, but if the first pill is taken in the first 24 hours after intercourse, the effectiveness of the drug is 95%. Then it decreases markedly: if Postinor is taken within 25-48 hours after unprotected intercourse, then the chances of preventing an unwanted pregnancy are 85%, and in the case of the first intake of the remedy within 49-72 hours, they decrease to 58%. The second tablet must be taken 12 hours after the first.

Postinor cannot replace traditional contraceptives, and its reception is an emergency, emergency method. The drug has a strong effect on the body, and therefore it is strongly not recommended to take it repeatedly during one menstrual cycle. The interval between postinor course intake should be at least 3-6 months.

Contraindications

  • Diseases of the liver, gallbladder and small intestine (Crohn's disease);
  • Pregnancy and the period of breastfeeding;
  • Allergic reaction to components;
  • Adolescence, as the drug can cause hormonal failure, which will negatively affect the unformed reproductive system.

In order to avoid a decrease in effectiveness, it is not recommended to use Postinor in cases of parallel administration of drugs used in the treatment of fungal infections and thrombosis, or containing drugs that conflict with the active substance of Postinor, in particular, St. John's wort.

Side effects

  • Gastrointestinal disorders (nausea, pain in the lower abdomen, vomiting, diarrhea);
  • increased fatigue;
  • Bleeding not associated with menstruation;
  • Allergic reactions (urticaria, itching, swelling of the face);
  • Headaches;
  • Painful swelling of the mammary glands;
  • Delayed menses.

Usually the duration of side effects does not exceed 5-7 days, after which the body returns to normal. Otherwise, you need to see a doctor.

Overdose

An overdose of a drug is manifested in the idea of ​​increasing its side effects. In case of an overdose, you should not be treated on your own, the doctor should prescribe symptomatic therapy, which will eliminate the unpleasant consequences of using Postinor.

Analogues

Postinor has been produced since the 70s of the XX century. Despite many side effects and contraindications, it is successfully used for emergency contraception today. At the same time, a number of modern analogues of Postinor are being produced.

The mechanisms of action of alternative drugs are similar - these drugs inhibit ovulation, disrupt the process of fertilization of the egg by spermatozoa and prevent its advancement to the uterus.

Dwella

Relatively new postcoital contraceptive. The active substance is ulipristal acetate in the amount of 30 milligrams. It is enough to take the drug in the amount of 1 tablet. Dwella is a hormonal drug indicated for emergency contraception up to 120 hours after unprotected intercourse.

Contraindications: pregnancy, lactation, adolescence, lactose intolerance (lactose is present as an excipient in the preparation), bronchial asthma, severe renal and hepatic insufficiency.

Side effects: headache, nausea, abdominal pain, irritability, fatigue, allergic reactions, in rare cases, sleep disturbance and appetite.

Ginepriston

Developed by the Russian pharmaceutical company OAO Nizhpharm as a gentle analogue of Postinor. Active substance: mifepristone with a content of 0.01 grams per 1 tablet. Mifepristone is non-hormonal in origin. Ginepristone should be taken as a single dose no later than 72 hours after unprotected intercourse or unreliable contraception.

Contraindications: bronchial asthma, renal, hepatic and heart failure, pregnancy and lactation. Due to the non-hormonal nature of the drug, there are no contraindications to the use of Ginepristone in adolescence.

Side effects:

Jenale

The drug is produced under license from Pfizer and is an almost complete analogue of Ginepristone - the active substance, its content and form of release of tablets are identical. The differences between these drugs are only in the composition of excipients. Genale should be consumed once within 72 hours after intercourse.

Contraindications: bronchial asthma, renal, hepatic and heart failure, pregnancy and lactation.

Side effects: headache, weakness, nausea, allergic reactions, spotting, menstrual irregularities.

Lupinor

A drug based on levonorgestrel. Production - India. Lupinor is available in tablets containing 1.5 milligrams of levonorgestrel, which is twice the content of this hormone in a single dose of Postinor. Lupinor should be taken once no later than 72 hours after unprotected intercourse.

Contraindications: diseases of the liver, gallbladder and small intestine (Crohn's disease), pregnancy and breastfeeding, adolescence, allergies to components.

Side effects:

Microlute

The drug is available in mini pill format, 35 tablets in a blister. The content of levonorgestrel in a tablet is 0.03 milligrams. Microlut is used not only as a means of emergency contraception, but also as a permanent oral contraceptive. For emergency prevention of pregnancy, the drug should be taken twice, 20 tablets each: the first time - no later than 72 hours after unprotected intercourse, the second - 12 hours later.

Contraindications: pregnancy, breastfeeding, adolescence.

Side effects: nausea, headaches, fatigue, bleeding, menstrual irregularities, allergic manifestations.

Model 911

Israeli product. It is a tablet containing 1.5 milligrams of levonorgestrel. Modell 911 for emergency prevention of pregnancy is taken once no later than 72 hours after the need arises. The manufacturer claims that the timely intake of Modell 911 prevents pregnancy in 85% of cases.

Contraindications:

Side effects: nausea, abdominal pain, vomiting, diarrhea, bleeding not associated with menstruation, delayed menstruation, itching, urticaria.

Evadir 2

Tablets made in India containing 0.75 milligrams of levonorgestrel. 2 tablets should be taken in a course similar to Postinor.

Contraindications: pregnancy, adolescence and breastfeeding.

Side effects: disorders of the endocrine (non-menstrual bleeding, delayed menstruation) and nervous systems (dizziness, headaches), gastrointestinal tract (diarrhea, nausea, vomiting), fatigue.

Escapelle

The drug differs from Postinor in the dosage of levonorgestrel. 1 tablet of Escapel contains 2 times more active substance - 1.5 milligrams.

It is taken as a single dose no later than 72 hours after unprotected intercourse. Some sources claim that a single dose of levonorgestrel in the amount of 1.5 milligrams has a less negative effect on a woman's body, however, opinions differ.

Contraindications: diseases of the liver, gallbladder and small intestine (Crohn's disease), pregnancy, lactation, adolescence, allergy to components.

Side effects: nausea, abdominal pain, vomiting, diarrhea, bleeding not associated with menstruation, delayed menstruation, itching, urticaria.

Eskinor-F

Cheap analogue of Postinor. This Indian-made product is available in 2 dosages: 1 tablet with 1.5 milligrams of levonorgestrel, or 2 tablets containing 0.75 milligrams of this hormone. They should be taken according to the packaging - either once within 72 hours, or in a course of 2 doses.

Contraindications: liver failure, diseases of the gallbladder and small intestine (Crohn's disease), lactose intolerance, pregnancy, lactation, adolescence, allergy to components.

Side effects: nausea, abdominal pain, vomiting, diarrhea, bleeding not associated with menstruation, delayed menstruation, itching, urticaria.

This page contains a list of all Postinor analogues by composition and indications for use. A list of cheap analogues, and you can also compare prices in pharmacies.

  • The most popular analogue of Postinor:
  • ATH classification: Levonorgestrel
  • Active ingredients / composition: levonorgestrel

Popular analogues of Postinor

The list of drug analogues based on the statistics of the most requested drugs

All analogues of Postinor

The above list of analogues of drugs, which indicates Substitutes Postinor, is the most suitable, since they have the same composition of active ingredients and match the indications for use

Different composition, may coincide in indication and method of application

Name Price in Russia Price in Ukraine
chlormadinone, ethinylestradiol -- 158 UAH
dienogest, ethinylestradiol 399 rub 439 UAH
norethisterone, ethinylestradiol -- --
126 rub 100 UAH
levonorgestrel, ethinylestradiol 334 rub 580 UAH
desogestrel, ethinylestradiol 500 rub 81 UAH
desogestrel, ethinylestradiol 360 rub 134 UAH
desogestrel, ethinylestradiol 332 rub 73 UAH
desogestrel, ethinylestradiol 636 rubles 116 UAH
desogestrel, ethinylestradiol -- 88 UAH
gestodene, ethinylestradiol 543 rubles 104 UAH
gestodene, ethinylestradiol 563 rub 110 UAH
drospirenone, ethinylestradiol -- 102 UAH
gestodene, ethinylestradiol 374 rub 127 UAH
drospirenone, ethinylestradiol -- 125 UAH
gestodene, ethinylestradiol -- 168 UAH
-- --
norgestimate, ethinylestradiol 2000 rub --
drospirenone, ethinylestradiol 844 rubles 188 UAH
844 rubles 192 UAH
drospirenone, ethinylestradiol -- 198 UAH
drospirenone, ethinylestradiol 422 rub 94 UAH
drospirenone, ethinylestradiol 422 rub 134 UAH
drospirenone, ethinylestradiol -- 30 UAH
drospirenone, calcium levomefolate, ethinyl estradiol -- 198 UAH
drospirenone, ethinylestradiol 527 rub 136 UAH
drospirenone, ethinylestradiol 449 rub 100 UAH
drospirenone, ethinylestradiol 500 rub --
drospirenone, ethinylestradiol -- --
drospirenone, ethinylestradiol -- --
-- --
ethinylestradiol, drospirenone -- 108 UAH
drospirenone, ethinylestradiol -- 152 UAH
norelgestromin, ethinylestradiol 972 rubles 344 UAH
dienogest, ethinylestradiol 830 rub 208 UAH
nomegestrol, estradiol -- --
dienogest, ethinylestradiol -- 109 UAH
dienogest, ethinylestradiol -- 95 UAH
dienogest, ethinylestradiol -- 196 UAH
chlormadinone, ethinylestradiol 508 rub 18 UAH
levonorgestrel, ethinylestradiol 170 rub 76 UAH
420 rub 550 UAH
gestodene, ethinylestradiol 185 rub 319 UAH
levonorgestrel 380 rub 170 UAH
medroxyprogesterone 92 rub 95 UAH
medroxyprogesterone, progestogen 1863 rub 1500 UAH
etonogestrel 11057 rub --
desogestrel 580 rub 64 UAH
desogestrel 712 rubles 328 UAH
desogestrel 548 rub 210 UAH

To compile a list of cheap analogues of expensive drugs, we use the prices provided by more than 10,000 pharmacies throughout Russia. The database of drugs and their analogues is updated daily, so the information provided on our website is always up-to-date as of the current day. If you have not found the analogue you are interested in, please use the search above and select the medicine you are interested in from the list. On the page of each of them you will find all possible options for analogues of the desired medicine, as well as prices and addresses of pharmacies in which it is available.

How to find a cheap analogue of an expensive medicine?

To find an inexpensive analogue of a drug, a generic or a synonym, we first of all recommend paying attention to the composition, namely, to the same active ingredients and indications for use. The same active ingredients of the drug will indicate that the drug is a synonym for the drug, a pharmaceutical equivalent or a pharmaceutical alternative. However, do not forget about the inactive components of similar drugs, which can affect safety and efficacy. Do not forget about the advice of doctors, self-medication can harm your health, so always consult a doctor before using any medication.

Postinor price

On the sites below you can find prices for Postinor and find out about availability in a pharmacy nearby

Postinor instruction

INSTRUCTIONS
on the use of funds

Postinor


Release form

Pills

Compound

Active substance: levonorgestrel 0.75 mg;

Excipients: colloidal silicon dioxide - 0.5 mg; magnesium stearate - 1 mg; talc - 2.5 mg; corn starch - 23.5 mg; potato starch - 0.5 mg; lactose monohydrate - 71.25 mg

Package

pharmachologic effect

Postinor is a postcoital hormonal contraceptive for oral administration. Synthetic progestogen with pronounced progestogenic and antiestrogenic properties. Causes inhibition of ovulation, changes in the endometrium, prevents the implantation of a fertilized egg. Increases the viscosity of cervical mucus, which prevents the advancement of spermatozoa.

The effectiveness of contraception decreases as the time elapsed between sexual intercourse and taking the drug increases: the effectiveness of contraception is 95% if Postinor is taken in the first 24 hours, 85% between 24 and 48 hours, and 58% between 48 and 72 hours .

Pharmacokinetics

When taken orally, Postinor is rapidly and almost completely absorbed. Absolute bioavailability is almost 100% of the dose taken. After taking 0.75 mg of levonorgestrel, Cmax in serum, equal to 14.1 ng / ml, is reached after 1.6 hours. After reaching Cmax, the content of levonorgestrel decreases. T1 / 2 is about 26 hours.

Levonorgestrel is excreted approximately equally by the kidneys and through the intestines exclusively in the form of metabolites. Biotransformation of levonorgestrel corresponds to the metabolism of steroids. Levonorgestrel is hydroxylated in the liver, metabolites are excreted in the form of conjugated glucuronides. Pharmacologically active metabolites of levonorgestrel are unknown. Levonorgestrel binds to serum albumin and to sex hormone-binding globulin (SHBG). Only 1.5% of the total dose is in free form, and 65% is associated with SHBG.

Postinor, indications for use

Emergency postcoital contraception in women with a regular menstrual cycle after unprotected intercourse, as well as in cases where the method of contraception used cannot be considered reliable.

Postinor is recommended for use as an alternative hormonal contraceptive in the following emergency situations: during unprotected intercourse, if the method of contraception used cannot be considered reliable (rupture, slippage or incorrect use of the male condom, shift, rupture or premature removal of the diaphragm or cervical plate, unsuccessful use of the withdrawal method, miscalculation of ovulation days when using the calendar method, loss or removal of an intrauterine device, missing 3 or more pills when taking a hormonal oral contraceptive for continuous use), rape.

Contraindications

adolescence up to 16 years;

severe liver failure;

pregnancy;

rare hereditary diseases such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption;

hypersensitivity to the components of the drug.

Carefully: diseases of the liver and biliary tract, jaundice (including history), Crohn's disease, lactation.

Dosage and administration

inside. It is necessary to take 2 tablets in the first 72 hours after unprotected intercourse: the 2nd tablet should be taken 12 hours (but no later than 16 hours) after taking the 1st tablet.

To achieve a more reliable effect, both tablets should be taken as soon as possible after unprotected intercourse (no later than 72 hours).

If vomiting occurs within 3 hours after the 1st or 2nd tablet of Postinor, then another 1 tablet should be taken.

Postinor can be used at any time of the menstrual cycle. In the case of an irregular menstrual cycle, pregnancy must first be excluded.

After taking emergency contraceptives, local barrier methods (eg, condom, cervical cap) should be used until the next menstrual period. The use of the drug during repeated unprotected intercourse during one menstrual cycle is not recommended (due to an increase in the frequency of acyclic spotting / bleeding).

Use during pregnancy and lactation

Postinor is contraindicated for use during pregnancy. If pregnancy occurred while using an emergency method of contraception, then, based on the available data, an adverse effect of the drug on the fetus was not detected.

Levonorgestrel is excreted in breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

Side effects

Allergic reactions: possibly - urticaria, rash, itching, swelling of the face.

Transient side effects that occur with varying frequency and do not require drug therapy: sometimes (1-10%) - vomiting, diarrhea, dizziness, headache, breast tenderness, delayed menstruation (no more than 5-7 days; if menstruation is delayed for more than long term, it is necessary to exclude pregnancy); often (more than 10%) - nausea, fatigue, pain in the lower abdomen, acyclic spotting (bleeding).

special instructions

Postinor should only be used for emergency contraception. Repeated use of the drug Postinor during one menstrual cycle is not recommended.

The effectiveness of Postinor tablets after unprotected intercourse, in which contraceptives were not used, decreases over time:

Time between sexual intercourse and taking Postinor tablets (h) Efficiency (%)

24 and under95

The drug does not replace the use of permanent methods of contraception. In most cases, Postinor does not affect the nature of the menstrual cycle. However, there may be acyclic spotting and a delay in menstruation for several days. With a delay in menstruation for more than 5-7 days and a change in its nature (scanty or heavy discharge), pregnancy must be excluded. The appearance of pain in the lower abdomen, fainting may indicate an ectopic (ectopic) pregnancy.

Adolescents under 16 in exceptional cases (including rape) need to consult a gynecologist to confirm pregnancy.

After emergency contraception, a consultation with a gynecologist is recommended to select the most appropriate method of permanent contraception.

Emergency contraception does not protect against sexually transmitted diseases.

With violations of the function of the gastrointestinal tract (for example, with Crohn's disease), the effectiveness of the drug may decrease.

Influence on the ability to drive vehicles and control mechanisms

The effect of Postinor on the ability to drive vehicles and mechanisms has not been studied.

drug interaction

With the simultaneous administration of drugs-inducers of liver enzymes, the metabolism of levonorgestrel is accelerated.

The following drugs may reduce the effectiveness of levonorgestrel: amprecavil, lansoprazole, nevirapine, oxcarbazepine, tacrolimus, topiramate, tretinoin, barbiturates, including primidone, phenytoin, and carbamazepine, drugs containing St. rifabutin, griseofulvin. Levonorgestrel reduces the effectiveness of hypoglycemic and anticoagulant (coumarin derivatives, phenindione) drugs. Increases plasma concentrations of corticosteroids. Women taking these drugs should contact their doctor.

Preparations containing levonorgestrel may increase the risk of cyclosporine toxicity due to suppression of its metabolism.

Overdose

Increased severity of side effects. There is no specific antidote. Carry out symptomatic therapy.

Storage conditions

At a temperature of 15–25 °C.

Shelf life

All information is presented for informational purposes and is not a reason for self-prescription or replacement of the drug.

In the medicine cabinet of every woman, regardless of whether she uses contraceptive pills regularly or takes them from time to time, there should be emergency (post-hiccup) contraception: Postinor or Ginepriston, Escapelle, Zhenale.

In fact, Postinor tablets, its analogues cannot be considered a real contraceptive, because the principle of their action is fundamentally different from the action of conventional contraceptive drugs.

First, postcoital drugs prevent eggs from leaving the ovary. Secondly, if this still happened, they prevent the egg (already fertilized) from attaching to the wall of the uterus and continuing development. Thirdly, they prevent the fertilization of the egg. Finally, if pregnancy does occur, Postinor can cause medical abortion.

Classic birth control pills simply prevent the release of an egg from the ovary. Accordingly, if there is no egg, there can be no fertilization.

Some experts on the sidelines call Postinor tablets, analogues of this drug and other postcoital contraceptives “drugs for widows”, implying occasional use of the drug.

  • There are many reasons why you should not take these drugs on a regular basis. With constant use, the structure of the endometrium changes, severe adverse reactions from many organs appear.
  • Addiction occurs, the effectiveness of the drug decreases.
  • Uterine bleeding may begin.

The question rightly arises: "If the medicine cannot be taken constantly, when is it best to use it?" The answer is simple: "In an emergency." That is why drugs of this kind are popularly called "the morning after." What are these emergencies?

The drug "Postinor", analogues of this remedy can be taken after sexual intercourse for 72 hours. Naturally, the more time passes, the lower the effectiveness of the impact. However, even after 72 hours, there is a 58% chance that the drug will work and pregnancy will not occur.

What are these emergency cases?

  • rape;
  • unplanned unprotected intercourse;
  • rare sexual intercourse (not more than 1 time between periods);
  • condom rupture or other unforeseen situations.

Women are often interested in what is better: postinor or escapelle. The principle of operation of these contraceptives is the same, but the drug "Postinor" belongs to the earlier, not so well-balanced formulations. After taking it, every second woman has nausea. It can adversely affect the development of pregnancy, if it does occur.

The drug "Escapel" was created later, it has fewer side effects, and you can drink it within 96 hours after the act. For Postinor funds, this period is only 72 hours.

To the question: postinor or ginepristone is more effective, doctors often answer that all drugs of later generations are more effective, less harmful. However, in the case of the drug "Ginepriston" this truth does not work. Just like Postinor tablets, it can cause nausea or vomiting, spotting, and cycle disturbance. And from that, and from another contraceptive, urticaria, dizziness, hyperthermia, weakness may appear.

In addition, it is important to always remember that all such drugs have many contraindications. They are not recommended:

  • with renal and adrenal insufficiency;
  • with liver failure;
  • with lung diseases;
  • with extragenital pathology;
  • when breastfeeding.

If you need to take a postcoital contraceptive without fail, it is better to do this on the advice of a doctor.

Instructions for use

Hormonal medication works as a means to terminate an unwanted pregnancy. The active substance is levonorgestrel.

Postinor is produced in the form of dragees, 2 or 4 tablets in a blister. The active ingredient is effective in 85% of cases.

However, there are several nuances that must be considered when taking:

  • The tablet should be taken within 3 days (72 hours) after possible conception.
    The shorter the gap between having unprotected sex and taking the pill, the more likely it is that the medication will work.
  • The second dragee must be consumed 12 hours after the first tablet, but no later than 16 hours.

Such hormonal drugs are now available only by prescription and are taken under the guidance of a gynecologist. The main action is abortive.

The active ingredient of the drug prevents the sperm from fertilizing the egg. In the case of a zygote already formed, the hormone prevents penetration into the uterus.

After a while, dead cells come out with menstruation.

Postinor can be prescribed to women who have a long delay in menstruation. For girls under 16 years of age, the medication is not prescribed.

The remedy is used at a young age in extreme cases, when a minor was raped, etc.

The list of contraindications also includes pregnant women and nursing mothers. Do not use the drug for liver and kidney failure.

The list of side effects is long. The most common violations include:

  • Malfunctions of the gastrointestinal tract.
  • Bleeding from the uterine cavity.
  • Extreme fatigue, migraine.
  • The chest may hurt and the regular menstrual cycle may go astray.
  • After taking the drug, menstruation becomes less or more abundant than usual.

For severe discomfort and pain in the abdomen, consult a doctor. Sometimes there are reactions of individual intolerance to the components of the composition.

Are there analogues of Postinor, not so harmful??

Means of emergency contraception Ginepriston or Agest (Gynepriston) Modern hormonal postcoital drug. Compared to Postinor, it is almost harmless, because it is an anti-progesterone, it is no less effective in preventing pregnancy, but this is not a huge dose of hormones, but a small dose of an antihormone.

Ovarian damage does not occur. Escapelle Exclusive new emergency contraception. Recommended for use within 96 hours of unprotected sex. The earlier the pill is taken, the more effective its action. Mifegin (Mifepristone) A modern drug that can be used to perform medical (non-surgical) termination of pregnancy for a period from the first day of delayed menstruation to 8 weeks.

To carry out this procedure, you must contact a gynecologist licensed to use this drug. Postinor (Postinor) A hormonal drug from the “last century” for emergency contraception. The earlier the first tablet was taken, the more effective the action. ATTENTION!! This outdated drug contains a very high dose of the hormone levonorgestrel, many times higher than the content of this hormone in oral contraceptives. This dose is a powerful blow to the ovaries. In addition to the fact that the onset of pregnancy will be interrupted, the menstrual cycle may be disrupted.

Therefore, this drug should not be used more than 2 times a year and considered as one of the possible contraceptives! This applies in particular to young women under the age of 18, whose hormonal balance has not yet been established.

Any preparation of emergency contraception contains a “shock” dose of hormones - this is the basis of the principle of its action. All are approximately equally unsafe in terms of hormonal imbalance. Choose other measures and methods of protection.

Sardine Lida

escapelle, but this is also almost a mini abortion, there are no less harmless ones with the same result. here I read about washing with lemon juice, drinking decoctions from the motherboard, etc., but it seems to me that this is tantamount to putting a net on the pussy with iodine and waiting for the result ... choose for yourself a different method of contraception than the calendar one - my friend flew into having sex during her period ...

Cheap analogues of Russian production

On the pharmaceutical market, there are analogues for emergency contraception, which are cheaper than Postinor. The difference in price is due to the active substance used in the preparation, its concentration and the manufacturer.

Ginepriston

The drug contains an active substance different from all other means - mifepristone. Additionally included are:

  • calcium stearate;
  • sodium glycolate;
  • microcellulose.

The drug blocks the action of progesterone at the receptor level, competes with glucocorticosteroids, promotes myometrial contractility, inhibits ovulation, and prevents the implantation of a fertilized egg.

Produced by the domestic concern "Obninskaya KhPK", which is located in the Kaluga region. It is used for urgent prevention of pregnancy. Contraindicated in the following conditions:

  • allergic reaction to the drug;
  • adrenal insufficiency;
  • violations of fibrinolytic activity of the blood;
  • inflammatory diseases of the uterus and appendages;
  • extragenital pathology in a severe degree.

It is not recommended to use Ginepristone in conjunction with non-steroidal anti-inflammatory drugs. The effectiveness of the drug is high when used within three days after intercourse. There is currently no information on cases of overdose.

The basis of the drug is mifepristone. Produced in Russia by the company "Izvarino Pharma". According to the pharmacological action, the drug is an antiprogestogen. In different dosages, it can effectively influence the state of the female genital area.

For emergency postcoital contraception, 10 mg of the drug should be used within 72 hours after contact. At a dosage of 50 mg, it can depress the growth of myoma nodes in the uterus. Not used as a primary contraceptive.

Genale causes inhibition of ovulation and prevents the implantation of a fertilized egg. It has a high bioavailability - up to 80%. Prohibited for use at the slightest suspicion of pregnancy, regardless of the topical location.

There is a possibility of profuse bleeding during the reception, so the use of Genale is allowed only under the strict supervision of a medical professional. This side effect may require an instrumental revision of the uterine cavity (curettage).

The drug is not prescribed in parallel with anti-inflammatory drugs. Breast-feeding should be stopped and not resumed within two weeks after taking Genale.

Eskinor-F

Contraceptive drug manufactured by Femme Care Ltd. Like Postinor, it contains 0.75 mg of levonorgestrel. Against the background of the use of Eskinor-F, pregnancy is prevented: the embryo is not attached to the endometrium of the uterus. Also, the drug is able to inhibit ovulation.

Given the presence of lactase and its derivatives, Eskinor-F is contraindicated in glucose-galactose malabsorption. It is used with caution in diseases of the liver and biliary tract. Later, its use is not able to terminate the pregnancy, since the dose of levonorgestrel contained in the tablet is not enough for this. If the drug worked, then menstrual-like bleeding soon occurs.

A well-known Israeli medicine, which is produced by the Lab. Leon Pharma. It contains an increased dose of levonorgestrel - 1.5 mg. This is twice its concentration in Postinor.

According to scientific data, it was possible to prevent pregnancy while taking it in 88% of patients.

The cost of the original is about 400 rubles for a small package. The Russian manufacturer offers its own pharmacological agents.

The most famous close substitutes for the domestic market are Genale and Ginepriston.

  • Genale.
    It does not differ in composition and main active ingredient.
  • Ginepriston.
    The drug is also prohibited for pregnant and lactating mothers.

Russian generics differ little from Postinor. The list of indications, contraindications and side effects is almost identical.

Ginepriston differs in hormonal composition. However, the domestic manufacturer offers to purchase goods cheaper than the Hungarian original.

Compare the synonyms with the Hungarian generic:

  • Genale. It does not differ in composition and main active ingredient.
    However, if pregnancy persists after taking the drug, then the risk of giving birth to a sick child with many pathologies is high.
    The list of contraindications and side effects is almost the same as the original. However, it is better to check the dosage and dosage regimen with your doctor.
    The price does not differ from the cost of the Hungarian original, it depends on the number of tablets in the blister and ranges from 360 to 780 rubles.
  • Ginepriston. The drug is also prohibited for pregnant and lactating mothers.
    If it is necessary to take a pill during lactation, it is forbidden to breastfeed a child for two weeks until the active substance is completely removed from the body.
    Do not use the drug in patients who have a history of heart disease and dysfunction of the kidneys, adrenal glands and liver.
    Often there are violations of the digestive system after taking the pills, often there is pain in the abdomen and dizziness.
    With individual intolerance to the components, allergic reactions appear. The active substance is mifepristone. Ginepriston is in the price category from 250 rubles.

Are there analogues of postinor? but not as strong

1.5 mg of levonorgestrel in one tablet, which provides the necessary dosage of levonorgestrel, sufficient to ensure that pregnancy does not occur, and moderately low in order to prevent the onset of an unwanted pregnancy for a woman in the most gentle way. 1.5 mg of levonorgestrel is a safe dose of the drug for the female body, which has been confirmed by numerous clinical studies around the world.

Levonorgestrel does not prevent fertilization in all cases. In the case when the time of sexual intercourse is not exactly known, or when more than 96 hours have passed since intercourse without contraception, the probability of fertilization is high. In such cases, taking the Escapelle tablet after the second sexual intercourse will not bring the desired result.

all postcoital contraceptives are essentially the same - they contain a horse dose of hormones, and they are all equally harmful to health ... this, as they say, is an extreme measure, it is better not to take it at all, the consequences are very unpleasant (I know from my own experience)

The safest drug substitutes

Despite the frequent use of Postinor, its generally recognized, safe and most effective analogues are hormonal preparations or an intrauterine device. All of them are recommended by WHO to prevent unwanted pregnancy.

Mirena

This tool is an intrauterine device that contains 52 mg of levonorgestrel (this is many times more than its concentration in Postinor). Additionally, it includes the elastomer polydimethylsiloxane, barium sulfate, iron oxide. The spiral in the complex consists of:

  • tubes for introduction;
  • piston
  • flange;
  • corps;
  • slider.

The intrauterine contraceptive itself has a T-shape. Its main task is a local gestagenic effect on the uterus. Due to the high concentration of levonorgestrel, the cellular structural morphology of the endometrium changes, the motor activity of spermatozoa is inhibited, and cervical mucus thickens. This whole chain leads to the prevention of fertilization.

The active substance begins to flow immediately after the installation of the spiral and enters directly into the target organ (uterus and appendages). Mirena must be administered within the first 5-6 days after unprotected intercourse, which guarantees the prevention of pregnancy.

Also contraindications are:

  • the presence of pregnancy;
  • acute inflammatory process of the pelvic organs;
  • cervical dysplasia;
  • malignant neoplasms of the uterus or ovaries;
  • allergic to the components of the spiral.

The installation of the spiral should only be done by an experienced specialist, since the risk of perforation of the uterus is high.

Escapelle

The basis of the drug is also levonorgestrel in the average therapeutic dosage of 1.5 mg. Produced by Gedeon Richter, Hungary. As an emergency contraceptive, the drug affects ovulation and fertilization. Effective in the first 72 hours after intercourse, in which contraceptive methods were not used. In a later period, it is ineffective, since there is a high probability of implantation of the fetal egg in the uterine cavity.

Drug properties

Accordingly, pregnancy is a contraindication, as well as individual intolerance to the drug and liver failure. Escapelle does not replace regular contraception and does not affect menstrual function. After using this medication, local barrier contraceptives (condom, spermicides, neck cap) must be used throughout the subsequent cycle.

Of the side effects most often occur:

  • nausea or vomiting;
  • headache;
  • stool disorders;
  • bleeding not associated with menstruation;
  • increased fatigue.

Dwella

It is a representative of a group of hormonal drugs-modulators of the reproductive system, a means of emergency contraception. Produced by the Hungarian pharmaceutical company Gedeon Richter. The tablet contains 30 mg of the active ingredient - unipristal acetate.

Additional substances are: lactose monohydrate, povidone and magnesium stearate. It can be used, unlike Postinor, within 5 days after unprotected sexual contact. If vomiting occurs 2 hours after taking the tablet, you should drink another one.

Dwella is a less harmful analogue of Postinor. Cases of occurrence of undesirable effects are rare. Manufacturers report the likelihood of vomiting, nausea, dysmenorrhea. It has a moderate property to influence the ability to drive a vehicle, therefore, when taking it, it is necessary to refuse to drive.

Imported substitutes have always been very popular among the population. It is believed that foreign goods are of better quality and action.

Name
Indications for use and description
Contraindications
Side effects
Average cost per pack
Microlute

The drug is also prohibited for patients with diseases of the genitourinary system, should not be taken with individual intolerance to the components

300 rubles
Escapelle

Also, the drug is not indicated for people with cardiovascular diseases, with liver and kidney disease.

450 rubles
Eskinor
250 rubles

Among foreign generics, you can even find cheaper ones. The composition, indications, contraindications and even side effects do not differ from the original drug.

Check with your gynecologist for the scheme, dosage, and which medication to choose for emergency contraception.

Important! Read the instructions for use carefully.

Name Indications for use and description Contraindications Side effects Average cost per pack
Microlute German-made drug of similar action and composition This method of emergency contraception is not used during pregnancy, during lactation.
The drug is also prohibited for patients with diseases of the genitourinary system, should not be taken with individual intolerance to the components
The list of side effects has been supplemented: in some cases, due to hormonal failure in the body, hair loss, swelling, and even a mental disorder may occur. 300 rubles
Escapelle Does not differ in indications and composition with Postinor Children under 16 years of age, should not be taken by women during pregnancy and lactation.
Also, the drug is not indicated for people with cardiovascular diseases, with liver and kidney disease.
Abdominal pain may appear, the menstrual cycle may go astray, and the abundance of discharge will decrease. Headaches often appear, the work of the gastrointestinal tract is disturbed 450 rubles
Eskinor Indian analogue of the Hungarian contraceptive Do not use in children under 16 years of age, with heart disease, impaired liver and kidney function, as well as during pregnancy and lactation The list of side effects occurs with the same frequency 250 rubles

Other foreign substitutes

The cost of Postinor and its popular analogues in Russian pharmacies is presented in Russia.

These drugs are complete analogues of Postinor in terms of therapeutic effect, and some of them are in terms of chemical composition.

Escapelle

Drug properties

Eskinor-F

However, Postinor has many side effects and contraindications.
For example, the use of Postinor is strictly prohibited for women with liver disease. In this case, safe analogues of Postinor will help, of which there are already quite a large number, and, by the way, these analogues of Postinor are cheaper. The most famous analogues of Postinor are:

  • Escapelle;
  • Ginepriston;
  • Microlute;
  • Eskinor-F;

All of the above drugs have the same properties as Postinor, but differ significantly in price and the presence of side effects, as well as the degree of safety. Since Postinor is a rather old drug, its safety is not as high as that of modern contraceptives.

Analog Postinor Escapel
- a more modern method of emergency contraception, but this does not mean that it does not have the same contraindications as Postinor. It should be remembered that the safety of these drugs is not high enough. Each of them has its own contraindications and side effects that adversely affect a woman's health.

The safety and effectiveness of these contraceptives also depend on how accurately the woman followed the instructions. If any side effect occurs, you should immediately consult a doctor.

Thus, both Postinor and Escapel have similar indications, and therefore it is necessary to decide which drug to take together with your doctor after a careful examination and the patient has passed all the necessary tests.

Zhenale's and Ginepriston's analogues

Many girls also wonder which is better: Genale or Postinor? The choice here is individual. Genale also has its contraindications and side effects. Therefore, it is also better to discuss its use with your doctor.

Regular use of the drug is strictly prohibited, as it can cause serious complications. It is also necessary to remember the fact that if, after applying Jenale, pregnancy nevertheless occurred, the risk of having a child with pathologies is quite high.

As for Ginepristone, it also has a number of contraindications:

  • Pregnancy;
  • Breastfeeding within two weeks after taking the pill is prohibited;
  • Chronic diseases of the adrenal glands, kidneys or liver;
  • Heart diseases;

There are also many side effects
which may appear even with full observance of the instructions for use:

  • allergic reactions;
  • Pain in the lower abdomen;
  • Discharge of blood from the vagina;
  • Delayed menstruation;
  • headache / dizziness;
  • Nausea, vomiting;

Which is worse: Postinor or medical abortion

Postinor is an emergency contraceptive drug used to prevent pregnancy after unprotected intercourse. A medical abortion is a non-surgical termination of pregnancy.

It is necessary to take Postinor within 72 hours after sexual intercourse, but medical abortion is used already during an established pregnancy. By the way, there is a misconception that emergency contraception causes an abortion if a woman takes pills while already pregnant.

It should also be remembered that medical abortion can only be performed under medical supervision, but emergency contraceptive drugs are available to every woman without exception.

Thus, it is impossible to say which is worse: Postinor or medical abortion, since each of them is used in different situations and each has its own indications and side effects.

How much does Postinor cost in pharmacies

Prices for Postinor in pharmacies depend on the region where the pharmacy is located, as well as on the pharmacy itself. It often happens that in one pharmacy a drug costs much more than in another.

Now specifically about the cost: Postinor is dispensed without a doctor's prescription, the cost of Postinor fluctuates around 400-500 rubles per package containing two tablets.

In conclusion, I would like to note that no emergency contraceptive drug can protect against sexually transmitted diseases. It should also be remembered that the regular use of emergency contraceptives can lead to serious complications, and therefore it is necessary to reduce or even limit their use.

14 reviews

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    I drank in 48 years. And the next day, according to the plan, they began to start monthly, and then in less than 4 days of zatrimka.


    Now my son is almost 12 years old.

    Everything, I said everything.
    I took postinor back in 2004, it helped ... then in the same year I got pregnant six months later and gave birth.
    Now my son is almost 12 years old.
    But this drug is really only for emergencies.
    and any nonsense about excess weight ... unjustified.
    Therefore, read less bad advice on the internet, but rather go to the doctor.
    Everything, I said everything.

    Hello! It so happened that on 12.03 I had an unprotected PA, I drank a pill after 48 hours and then after 12 2 tablets of Postinor, on the 5th day I started to bleed and ache in the lower abdomen, is this normal? I'm not pregnant?

    I do not persuade him to drink! Personally, I drank it three times with an interval of six months! I didn't have any side effects! Everything is quiet! After that, she got pregnant! I just think that if you are not ready for a child, it is better to drink postinor in the first hours than to have an abortion later. What is in all...
    I do not persuade him to drink! Personally, I drank it three times with an interval of six months! I didn't have any side effects! Everything is quiet! After that, she got pregnant! I just think that if you are not ready for a child, it is better to drink postinor in the first hours than to have an abortion later. Which in every respect is more dangerous for physical and psychological health! I think many did not read the instructions correctly, or some already had health problems, and this aggravated it!



    For me, postinor is the only salvation from an unwanted pregnancy, otherwise I will have an abortion. I have been taking it, after each unprotected PA, for 20 years now. At the same time, I have two adult children.
    Of course, Postinor is a poison, as, by the way, are most medicines, but there is no other way.
    And the causes of infertility, I think, should be looked for elsewhere.

    I want to tell my story about the use of Postinor and warn all girls, girls and women. My first acquaintance with Postinor was 12 years ago. When I met my future first husband, I got pregnant. We did not plan a child, but there was no question of having an abortion. We got married,…
    I want to tell my story about the use of Postinor and warn all girls, girls and women. My first acquaintance with Postinor was 12 years ago. When I met my future first husband, I got pregnant. We did not plan a child, but there was no question of having an abortion. We got married, but six months later we had a miscarriage. I forgot to mention that my periods were always delayed. After the miscarriage, I had some kind of mania that every month, when there was a delay, then I was definitely pregnant. Once, while waiting for my period, and there was a delay of about a week, I took a Postinor pill. I still don’t understand what was in my head then and what I thought. In general, this happened 2 more times.
    As a result, my husband and I separated.
    I learned about the consequences of Postinor 10 years later. When I got married a second time and we were planning a child, nothing worked. 5 years of torment, treatment and examinations. The end result was a diagnosis of infertility. I had a complete obstruction of the tubes. They told me that apart from IVF, nothing would help me. Then my husband and I collected money for IVF, then tests for thousands of hryvnias, worries about what if it doesn’t work out.
    Thanks to God, I got pregnant on the first try and now our daughter is 3 years old.
    So that's why I wrote this long review. So that you don't make the same mistakes that I made. By the way, that girl, my classmate, who suggested these pills to me 12 years ago, used them herself. She still has no children. And there is a very significant problem. She is barren.
    For the sake of interest, I looked for analogues of Postinor. Postinor contains the active ingredient - levonorgestrel. This is a very powerful tool and dangerous. There are other drugs that contain norgestrel. This is Microlute, Norplant. This norgestrel is half as strong as levonorgestrel and, of course, less dangerous. But still, the use of such drugs is still not desirable.

    I recently heard that a girl died from Postinor ... Her ovary burst and they did not have time to take her to the hospital. Like this. If I were in the place of medical supervision, I would have removed this drug from the shelves of pharmacies a long time ago ...

    Angel

    Do not even think about drinking postinor if your health and the health of your future children are dear to you, this is a very unsafe drug that can also affect excess weight, believe me, I speak from personal experience.

    Postinor does not save from unwanted pregnancy. Three weeks ago there was an unprotected PA ... After everything I went to the shower ... I took postinor just in case, but two days later. Now the lower abdomen aches, sometimes it makes me feel nauseous, I don’t understand because I’m pregnant, or a side effect ... I had the same sensations during my first pregnancy ...

    Lovely girls! Don't accept this crap! You will not just destroy your body, you can inflict mental trauma on yourself for the rest of your life - in the form of infertility. Postinor is a ticking time bomb. At first, nothing, but over the years you find yourself with a bunch of incomprehensible diseases ...
    Lovely girls! Don't accept this crap! You will not just destroy your body, you can inflict mental trauma on yourself for the rest of your life - in the form of infertility. Postinor is a ticking time bomb. At first, nothing, but over the years you find yourself with a bunch of incomprehensible diseases in gynecology and shrug, saying where. And all the fault of 2 Postinor tablets. It generally needs to be removed from pharmacies, now there are a lot of contraceptives that are better and more advanced than this muck. I beg you - do not take Postinor!

Postinor is used after unprotected intercourse in cases of emergency contraception. The main active ingredient of the drug is levonorgestrel.
. In pharmacies, the remedy is not always on sale, but there are postinor analogues with a similar composition.

The drug reduces the likelihood of ovulation, has high bioavailability and is completely absorbed in a short period of time. The effectiveness of the drug depends on the time factor. It is recommended to use the tool as soon as possible after unprotected sex.

The instructions say that you can avoid the onset of ovulation in 95% if you use postinor within the next 24 hours. The cost of packing tablets 0.75 mg, 2 pcs. is 350 rubles.

List of postinor structural analogues

This list indicates the means most closely corresponding to postinor. The active substance is levonorgestrel
.

1. Escapelle (Gedeon Richter, Germany)
. It is a synthetic gestogenic agent capable of preventing fertilization. When taking an escapelle
during the first 24 hours after intercourse, the effectiveness of the drug is 95%, on the second day 85 percent, on the third only 58%.

It is used as an emergency method of contraception. It has a list of restrictions for admission: age up to 16 years, individual intolerance to components, dangerous sensitivity to lactose, lack of lactase, impaired absorption of simple carbohydrates in the intestines, pregnancy, liver failure.

After taking Escapelle during lactation, you should stop feeding the baby for a day, since levonorgestrel is absorbed into mother's milk. One of the best analogues of postinor with an identical composition.

  • The cost of packaging 1.5 mg, 1 pc. - 390 rubles.

2. Eskinor-F (Fami Ker Limited, India)
. Used for the next 72 hours as a way to prevent unwanted pregnancy. The action of the drug is associated with a local effect on the endometrium, fallopian tubes and the viscosity of the mucus in the cervical canal, which creates obstacles for the movement of spermatozoa.

P.S. At the time of writing, Eskinor-F
was not found in stock in most online pharmacies.

  • Packing price tab. 0.75 mg 2 pieces - 340 r.

Analogues by pharmacological group and action

1. Genale (Izvarino Pharma, Russia)
. The active substance mifepristone
. The action of the drug is associated with blocking ovulation and reducing the likelihood of a fertilized egg attaching to the walls of the uterus. Helps to avoid unintended pregnancy.

Jenale
quickly absorbed, bioavailability approaches 70%. Contraindication: intolerance to mifepristone
, pregnancy, lactation, liver and kidney disease in the acute phase, low hemoglobin levels, weakening of adrenal function, prolonged use of glucocorticosteroids.

  • Price tab. in a blister 10 mg 1 piece - 330 rubles.

2. Ginepriston (Obninskaya KhPK CJSC, Russia)
. Active ingredient mifepristone
. Under the influence of the drug, the functional layer of the endometrium is exfoliated. Taking after unprotected intercourse in the first 72 hours prevents pregnancy. It has a large list of contraindications, use strictly under medical supervision.

  • Tablet in a pack of 10 mg 1 pc. - 340 r.

These postinor analogues can cause side effects: urticaria, dizziness, spotting, nausea, cycle disorder. The medication is prescribed by a gynecologist, taking into account chronic and current diseases. Only a doctor is able to assess the possible risk of taking these drugs.

In the event of an unplanned unprotected intercourse, Postinor will come to the rescue. The drug is designed to cleanse the uterine cavity and tubes from fertilized cells.

https://www.youtube.com/watch?v=ytcopyrightru

Tablets are not indicated for regular use. Read the instructions for use, about the features of the drug, and also what are the cheap analogues of Postinor.

Postinor, the instructions for use of which must be strictly observed, is a popular drug for women that can prevent unwanted pregnancy. Pills are a means of emergency contraception.

Release form and composition

Birth control pills Postinor are white. The size of one piece is about 6 mm, the color is white.

The active substance is levonorgestrel. The composition also includes anhydrous colloidal silicon dioxide and other excipients.

Indications

If you need to apply Postinor, the instructions must be followed exactly as indicated on the package.

Indications for use are as follows:

  • unprotected sex;
  • use of unreliable contraceptives;
  • rupture or displacement of barrier contraceptives - condom, diaphragm;
  • skipping the daily intake of hormonal oral contraceptives;
  • error in calculating the days of ovulation;
  • forced sexual intercourse.

The manufacturer of the drug claims that the prevention of unwanted conception occurs in about 85% of all cases.

How does it work?

Postinor tablets are a means of emergency contraception, antiestrogen, progestogenic. It is based on levonorgestrel, an artificially synthesized hormone.

The action of the drug is as follows:

  1. Inhibition of the process of maturation of the egg, delayed ovulation. After taking the drug, the egg is not able to leave the ovary and go into the fallopian tube, therefore, conception becomes impossible.
  2. Creating an obstacle to the movement of spermatozoa. Male cells are deprived of the opportunity to reach the egg.
  3. Changes in the structure of the tissues of the internal cavity of the uterus. As a result, if conception still occurs, the embryo cannot implant in the uterus.

If there is a need to take Postinor tablets, the instructions for use state that they can be used on any day of a woman's cycle.

If a woman's menstrual cycle is irregular, it is first necessary to exclude the presence of pregnancy.

Instruction:

  1. Tablets are taken orally, washed down with water.
  2. The first tablet must be taken within the first 72 hours after unprotected intercourse.
  3. The second tablet is taken 12 hours after the first (it is important that this is no later than 4 pm).
  4. For maximum effect, both the first and second tablets should be taken as soon as possible after an unprotected relationship (no later than 72 hours).
  5. If, after the first or second tablet, the woman vomited, it is necessary to take another one.

After using this emergency contraceptive until the day of the next menstruation, a woman needs to be more careful and use barrier contraceptives for protection.

Efficiency

Estimates of pharmacists and reviews of women who used Postinor confirm the high effectiveness of drugs. It is possible to avoid undesirable consequences in 85% of all cases.

However, the success of an emergency abortion largely depends on when the first pill was taken after an unprotected intercourse:

  • taking the drug during the first 24 hours - about 95% of the effectiveness;
  • taking the drug within 48 hours - about 85% of the effectiveness;
  • taking the drug within 72 hours is about 58% effective.

Contraindications

There are contraindications to the use of birth control pills, which should be considered:

  • pregnancy and breastfeeding;
  • age less than 16 years;
  • diseases of the biliary tract and liver;
  • individual intolerance to individual components.

If there is a need to take medication for a nursing woman, breastfeeding should be stopped for one day, since levonorgestrel is excreted in breast milk.

Side effects

Even if you follow the instructions for using Postinor, the following side effects may occur:

  • bloody issues;
  • pain in the lower abdomen;
  • weakness;
  • nausea and vomiting;
  • dizziness, headache;
  • pain in the mammary glands;
  • diarrhea;
  • lack of menstruation on time;
  • allergic reactions.

Possible consequences

The consequences of Postinor can manifest themselves in different ways. And if in one case they are unpleasant, then in another they are dangerous for a woman and require urgent medical attention.

Possible scenario after taking emergency contraception:

  • . The active substance of the drug changes the endometrium in the uterine cavity. The reason is a sharp increase in the amount of progestogen in a woman's body. As a result, bleeding begins. Similar consequences are likely when the period of 12 hours between two tablets is not observed, as indicated in the instructions. When bleeding, medical attention is needed.
  • . The reasons are either in the conception that has occurred, or in the appearance of problems in the reproductive system. A doctor's examination is required.

Postinor should not be taken by pregnant women. But if emergency contraception was used and pregnancy nevertheless occurred, then according to the available data, there is no negative effect on the fetus and its development.

Analogues

There are safe analogues of Postinor.

Preparations containing exactly the same active substance:

  • Eskinor-F;
  • Escapelle.

Other drugs that have a similar effect in unprotected intercourse:

  • Lactinet;
  • Genale;
  • Implanton;
  • Ginepriston.

These drugs can be used only after consulting a doctor.

Price

How much does Postinor cost, a question that women often ask.

The price in a pharmacy starts from 300 rubles for one package, in which there are two tablets. The cost depends on the manufacturer and the policy of the pharmacy chain.

Despite the availability of the drug, it should be remembered that the drug can harm the body and reproductive health. In order to avoid negative consequences, it is worth visiting a doctor before taking the pills.

Video about emergency contraception

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