Melian Tablet

Adult dosage

Take 1 tablet daily for 21 days in the order indicated, and then take a break for 7 days. It is advisable to take the medication at the same time each day if possible. For first-time users - If no hormonal contraceptive was used last month, start taking it on the first day of menstruation. - If switching from combined hormonal contraceptives, start taking this medication the day after the last tablet of the previous contraceptive.

This medication can significantly increase the risk of cardiovascular side effects, especially thrombosis, in women who smoke, so smoking should be avoided. In particular, female smokers over the age of 35 should not take this medication. This medication should not be used in individuals with certain diseases or conditions, such as estrogen-dependent tumors, thrombosis, cardiovascular diseases, liver dysfunction, or during pregnancy. Additionally, patients with lactose intolerance or certain genetic metabolic disorders should avoid this medication. Women over 40 years old, patients with epilepsy, those with a family history of breast cancer, or a history of depression should use this medication with caution. Various adverse reactions such as headaches, nausea, weight changes, depression, and skin rashes may occur; if symptoms persist or worsen, consult a healthcare professional. It is important to have regular check-ups for blood pressure, breasts, and uterus before and during use, especially if there is high risk of thrombosis. Use should be discontinued or discussed with a doctor before and after surgery, during periods of immobility, or if there is a family history of thrombosis. This medication should not be taken by pregnant women, those who may become pregnant, or breastfeeding mothers, and use should be discontinued immediately if pregnancy is confirmed. It may interact with other medications, so if you are taking any, you must inform your healthcare provider, especially when taken with medications that affect liver metabolism, additional contraceptive methods should be used. This medication does not prevent HIV or sexually transmitted diseases, so additional protective measures should be followed. In case of overdose, symptoms such as nausea, vomiting, and drowsiness may occur, and there is no specific antidote, so treatment based on symptoms is required. This medication should be stored in a sealed container to prevent exposure to air or moisture, and it is advisable not to transfer it to another container.

Serious side effects

Hives, severe swelling (edema), anaphylaxis/anaphylactic reactions (severe reactions accompanied by angioedema, respiratory and circulatory symptoms), thrombotic venous inflammation, thrombosis, arterial thromboembolism, stroke, cerebral hemorrhage, cerebral thrombosis, myocardial infarction, pulmonary embolism, increased blood pressure, hypertension, severe generalized edema accompanied by increased blood pressure, jaundice, cholestatic jaundice, liver dysfunction, malignant and benign liver tumors, hepatic adenoma, hepatocellular carcinoma

Mild side effects

• Contact lens intolerance
• nausea
• abdominal pain
• vomiting
• diarrhea
• weight gain
• fluid retention
• weight loss
• headache
• migraine

Drug interactions

This medication may interact with direct-acting antiviral agents for hepatitis C, phenytoin, barbiturates, primidone, carbamazepine, rifampicin, lupinavir, aprepitant, bosentan, efavirenz, oxcarbazepine, topiramate, felbamate, griseofulvin, St. John's wort, beta-blockers (such as metoprolol), benzodiazepines, cyclosporine, ritonavir, modafinil, flunarizine, atorvastatin, rosuvastatin.

Food interactions

Do not take this medication with grapefruit juice.

This medication should be stored in a sealed container to prevent air or moisture from entering, and the storage temperature should be maintained at room temperature between 1 degree and 30 degrees Celsius. By storing it this way, the effectiveness of the medication can be well maintained and used safely.

Appearance

White round tablet

Package unit

21 tablets/PTP