Bizan Tablet (Dienogest)

Adult dose

Take 1 tablet daily without a break in treatment. If possible, take it at the same time each day with a small amount of water; it may be taken with or without food. Continue taking the tablets consecutively regardless of vaginal bleeding. After finishing the pack, start the next pack without a break. Treatment may be started on any day of the menstrual cycle. If a dose is missed or vomiting or diarrhea occurs within 3-4 hours after taking this medicine, its effectiveness may be reduced. If 1 or more tablets are missed, take 1 tablet as soon as remembered and continue taking the tablets at the usual time the following day. If a tablet was not absorbed due to vomiting or diarrhea, take 1 additional tablet in the same way. Patients with renal impairment: No dose adjustment is required in patients with renal impairment.

This medication should not be taken if you are pregnant or suspect that you may be pregnant. Patients with a history of thrombosis or cardiovascular diseases should not use this medication. Patients with severely impaired liver function or those with liver tumors should also avoid this medication. Use is not recommended in individuals with or suspected of having hormone-dependent cancers, and in cases of unexplained vaginal bleeding. Patients with allergies to any components of this medication or certain genetic conditions such as lactose intolerance should avoid taking it. Patients with severe uterine bleeding should be carefully evaluated before taking this medication, and if bleeding worsens or persists, they should consult a physician. Patients with cardiovascular disease risk or those with hypertension should carefully monitor their condition while on this medication. There are reports of cancer risks related to breast cancer and liver tumors; therefore, individuals with a history of or suspected cancer should consult a physician before use. Patients at risk of osteoporosis should assess their bone health before and after treatment because this medication may affect bone health. Patients with a history of depression should be monitored closely, as depressive symptoms may worsen during treatment. Diabetic patients may experience changes in blood sugar control; therefore, regular monitoring is required. Women with a history of ectopic pregnancy or tubal dysfunction should carefully consider the risks before taking this medication. This medication is not to be used in children, particularly in premenarche girls. Common side effects during treatment may include headache, breast discomfort, mood changes, acne, weight gain, weight loss, increased appetite, sleep disturbances, irritability, decreased libido, mood fluctuations, anxiety, depression, mood changes, migraine, autonomic nervous system imbalance, attention disorders, dry eyes, tinnitus, palpitations, hypotension, nausea, abdominal pain, bloating, abdominal distension, vomiting, diarrhea, constipation, abdominal discomfort, gastrointestinal inflammation, gingivitis, hair loss, dry skin, hyperhidrosis, and more. Menstrual patterns may change, and amenorrhea or irregular bleeding may occur. This medication may interact with other drugs, especially those metabolized in the liver, so inform your physician if you are taking such medications. This medication should not be used during pregnancy, and its use during breastfeeding is not recommended. In cases where contraception is needed, non-hormonal methods are preferred. Store the medication out of reach of children in its original container, protecting it from light.

• Petechiae
• irregular bleeding
• amenorrhea
• headache
• breast discomfort
• depressed mood
• acne
• anemia
• weight gain
• weight loss

This medication must be stored in a tightly closed container to protect it from air and moisture. It is also important to store it at a cool temperature below 25 degrees Celsius to maintain its effectiveness.

Appearance

White to gray, round, flat, and slightly beveled tablet with the letter B engraved on one side.

Package unit

28 tablets (14 tablets/PTP x 2)