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Juliana®

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Juliana®

Juliana® is a birth control medication used for long-term oral contraception. The medication also regulates the menstrual period, alleviates pain during periods, reduces risk of ectopic (tubal) pregnancy and female cancer. As a contraceptive, Juliana® works by protecting the ovary from the egg release and does not allow the sperm fertilize an egg. Read more

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Description

Juliana® is manufactured by Synokem. It is a low-dose monophasic combined oral contraceptive, which comprises two female sex hormones – Desogestrel (third generation progestin) and Ethinyl Estradiol (estrogen).

Indications:

- prevention of pregnancy.

Health benefits from Juliana®:

- regulates menstrual cycles;

- reduces blood flow during menstruation and less iron may be lost;

- relieves pain or other symptoms during menstruation;

- reduces the risk of ectopic (tubal) pregnancy may occur less frequently;

- reduces the risk of noncancerous cysts or lumps in the breast;

- reduces the risk of acute pelvic inflammatory disease;

- provides protection against developing cancer of the ovaries and cancer of the lining of the uterus.

MOA (mechanism of action):

Desogestrel and Ethinyl Estradiol work in conjunction and help to prevent pregnancy by inhibiting the secretion of gonadotropins (follicle stimulating hormone, FSH and luteinizing hormone, LH). Ethinyl Estradiol stops ovaries from releasing an egg, while Desogestrel works primarily by preventing the release of an egg from the ovary (stops ovulation). It also increases the thickness of the natural mucus at the neck of the womb, making it more difficult for sperm to reach the womb. This minimizes the successful fertilization of any egg that is released. Desogestrel also changes the quality of the womb lining (endometrium). This prevents the attaching of a fertilized egg onto the womb, thereby preventing pregnancy.

Dosage

Take one tablet a day orally, with food or after the meal.

Swallow the tablet whole with water. Do not crush or chew the tablet.

The cycle of using Juliana® takes 21 days.

Take one tablet daily for 21 days consecutively.

To achieve maximum contraceptive effectiveness, Juliana® must be taken exactly as directed and at intervals not exceeding 24 hours.

It is recommended to take Juliana® tablets at the same time each day.

Start the cycle of Juliana® according to its package directions (on the first day of your menstrual period or on the first Sunday of your menstrual period).

After the last tablet, you should begin with the next package of Juliana® on the next day.

While taking Juliana® you may experience the breakthrough bleeding. Tell your doctor if this bleeding continues or is very heavy.

Missing a dose

If you miss a tablet, take the dose as soon as you remember about the missing or take two tablets at the time of your next regularly scheduled dose. You do not need to use another birth control. Note, that missing a dose increases your risk of becoming pregnant.

If you miss 2 tablets in a row during the first or second week, take two tablets each for the next two regularly scheduled doses (one missed tablet plus one regularly scheduled tablet for 2 days in a row). Use another form of birth control for at least 7 days following the missed tablets.

If you miss 2 tablets in a row during the third week, or if you miss 3 tablets in a row during any of the first 3 weeks, throw out the rest of the pack and start a new package on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday.

On Sunday, throw out the rest of the pack and start a new pack of pills that same day. You may not have a period that month, but this is expected. However, if you miss your period 2 months in a row, call your doctor because you might be pregnant.

If you miss a tablet, you may become pregnant if you have sex in the 7 days after you missed it. You must use another birth control method (condoms, spermicides) as a back-up for those 7 days.

Overdose

If an overdose occurs and you are feeling unwell, you should seek emergency medical attention or contact your healthcare provider immediately. Symptoms of overdose are unusual vaginal bleeding, feeling drowsy, vomiting, extreme tiredness, nausea.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Juliana® are:

  • allergic reactions
  • migraine
  • lightheadedness
  • vomiting
  • scalp hair loss
  • pain of the breast
  • nausea
  • vaginal itching
  • increasing of hair growth
  • stomach cramps
  • weight changes
  • problems with menstrual period
  • dark face
  • appetite changes
  • tiredness
  • problems with sexual life
  • nervousness
  • contact lenses problems

Side effects occurrence does not only depend on the medication you are taking, but also on your overall health and other factors.

Contraindications

Do not take Juliana® if you are allergic to its components.

Do not take Juliana® if you are using another oral contraception.

Do not take Juliana® if you are pregnant, plan to have a baby, or are breastfeeding.

Do not take Juliana® if you suffer from or have a history of jaundice; liver disease; stroke; breast, liver or uterine cancer; unusual vaginal bleeding; blood clot; heart valve disorder; problems with circulation; severe high blood pressure.

Do not smoke while taking Juliana® because it can cause heart attack, stroke or blood clots.

Juliana® can make your skin more sensitive to sunlight. So, try to protect your skin.

Do not take Juliana® if you are taking medications, including anticonvulsants (phenytoin, carbamazepine, topiramate), barbiturates (e.g. Phenobarbital), anti-infectives (rifampicin, rifabutin, nelfinavir, griseofulvin, cyclosporine), antibiotics (penicillin), herbal remedy St John's Wort, medical charcoal, ascorbic acid (Vitamin C) or acetaminophen (Tylenol), HIV medicines (amprenavir, atazanavir, tipranavir), phenylbutazone (Butazolidin, Azolid), seizure medicines (phenytoin, carbamazepine, felbamate, oxcarbazepine).

Do not take Juliana® if you have or have had chloasma (patches of yellow/brown pigmentation).

Be careful with Juliana® if you suffer from or have a history of asthma, chest pain, heart condition, gallbladder or fibrocystic breast diseases, irregular menstrual periods, high blood pressure, high cholesterol, lumps, nodules, congestive heart failure, diabetes, epilepsy, depression.

Be careful with Juliana® if you are going to have a surgery (dental or other).

Do not consume alcohol while taking Juliana®, as it may cause excessive drowsiness, calmness, minor side effects.

Juliana® doesn't protect you and your partner from sexually transmitted diseases (HIV and the others). Keep Juliana® away from children and don't give it to other people for using.

Q: What is Juliana®?

A: Juliana® is a birth control medication used for long-term oral contraception. The medication also regulates the menstrual period, alleviates pain during periods, reduces risk of ectopic (tubal) pregnancy and female cancer. As a contraceptive, Juliana® works by protecting the ovary from the egg release and does not allow the sperm fertilize an egg.

Q: Can I smoke while taking Juliana®?

A: Do not smoke cigarettes while taking Juliana® because it can cause heart attack, stroke or blood clots.

Q: What should I do if I overdose?

A: If an overdose occurs and you are feeling unwell, you should seek emergency medical attention or contact your healthcare provider immediately. Symptoms of overdose are unusual vaginal bleeding, feeling drowsy, vomiting, extreme tiredness, nausea.

Q: How does Juliana® work?

A: Ethinyl Estradiol stops ovaries from releasing an egg, while Desogestrel works primarily by preventing the release of an egg from the ovary (stops ovulation).

Target Point Shipping Method Tracking Delivery Time Price
Worldwide Shipping

Worldwide Shipping

Registered Mail  Not trackable 14-21 business days USD 15.00 per order
EMS  Trackable, where available 5-9 business days USD 25.00 per order

Delivery time is:

Registered Mail - 14-21 business days, price - USD 15.00, no signature is required on delivery.
EMS - 5-9 business days, price - USD 25.00, signature is required on delivery.
Your order will be packed safe and secure and dispatched within 24 hours.

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