{"id":3602,"count":10,"description":"The combined oral contraceptive pill (\"the Pill\") and progestogen-only pill (\"mini-pill\") remain the most-used reversible contraception worldwide. The MedsBase Contraceptive Pill catalogue stocks the major COCP and POP brands by progestogen type. (Browse our Contraceptive alternative<\/a> pentru contracep\u021bia de urgen\u021b\u0103 \u0219i alternative de brand.) Toate produsele sunt furnizate de produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\nCOCP pe baz\u0103 de Levonorgestrel.<\/strong> Cel mai prescris \u0219i cel mai bine studiat progestogen pentru COCP \u2014 cu efecte androgenice u\u0219or mai accentuate (acneie u\u0219oar\u0103\/piele gras\u0103 la unele utilizatoare), dar cu cel mai bun profil de siguran\u021b\u0103 cardiovascular\u0103 \u0219i cea mai sc\u0103zut\u0103 rat\u0103 de TEV \u00een clasa COCP. Branduri disponibile: Loette<\/a> (etinilestradiol 20 mcg + levonorgestrel 100 mcg \u2014 doza modern\u0103 cu cel mai sc\u0103zut nivel de estrogen, util\u0103 pentru utilizatoarele \u00een v\u00e2rst\u0103 sau precaute la TEV), Ovral-L<\/a> (EE 30 mcg + LNG 150 mcg \u2014 doza intermediar\u0103 standard), Ovral G<\/a> (EE 50 mcg + LNG 250 mcg \u2014 doza mai mare, mai veche, pentru compensarea pilulelor uitate sau indica\u021bii selectate), Duoluton L<\/a> (alternativ\u0103 la doz\u0103 mic\u0103), \u0219i trifasicul Triquilar<\/a> (ambalaj de 21 de zile cu doze variabile care imit\u0103 ciclul natural).\n\nCOCP pe baz\u0103 de Drospirenon\u0103.<\/strong> Drospirenona este un progestogen derivat din spironolacton\u0103 cu activitate anti-mineralocorticoid\u0103 \u0219i anti-androgen\u0103 \u2014 util pentru femeile cu sindrom premenstrual, balonare u\u0219oar\u0103 sau acnee, dar are o rat\u0103 u\u0219or mai mare de TEV comparativ cu COCP pe baz\u0103 de levonorgestrel. Disponibil sub formele Yaz<\/a> (regim de 24 de zile active + 4 zile placebo pentru interval f\u0103r\u0103 pilul\u0103 mai scurt) \u0219i Yasmin<\/a> (standard 21 de zile). Yaz este aprobat de FDA \u0219i pentru acnee moderat\u0103 la femeile care solicit\u0103 contracep\u021bie.\n\nOp\u021biuni pe baz\u0103 de Desogestrel.<\/strong> Desogestrelul este un progestogen de genera\u021bia a treia cu efecte androgenice reduse. Disponibil sub form\u0103 de COCP combinat Femilon<\/a> (EE 20 mcg + desogestrel 150 mcg).\n\nCOCP bazat pe acetat de ciproteron\u0103 pentru acnee moderat-sever\u0103.<\/strong> Diane 35<\/a> combin\u0103 etinilestradiolul cu acetatul de ciproteron\u0103 (un progestogen cu puternic\u0103 activitate anti-androgen\u0103) \u2014 utilizat pentru acnee moderat-sever\u0103 \u0219i hirsutism la femeile care solicit\u0103 contracep\u021bie. Ghidurile moderne (EMA 2013) limiteaz\u0103 utilizarea la tratamente scurte acolo unde tratamentele standard au e\u0219uat din cauza ratei mai mari de TEV.\n\nProgestogen-only \"mini-pill\".<\/strong> POP-urile moderne cu desogestrel (75 mcg) men\u021bin suprima\u021bia ovula\u021biei \u0219i au o fereastr\u0103 de 12 ore pentru pilula uitat\u0103. Potrivite pentru femeile care nu pot lua estrogen \u2014 fum\u0103toare peste 35 de ani, care al\u0103pteaz\u0103, migren\u0103 cu aur\u0103, hipertensiune, antecedente de TEV sau IMC > 35. Disponibile sub form\u0103 de Cerazette<\/a>.\n\nContracep\u021bie de urgen\u021b\u0103.<\/strong> Levonorgestrel \u00een doz\u0103 unic\u0103 (Postpone 72, i-pill) \u2014 consulta\u021bi sec\u021biunea noastr\u0103 Pilula de urgen\u021b\u0103<\/a> categorie.\n\nCum s\u0103 alegi.<\/strong> Utilizator pentru prima dat\u0103, f\u0103r\u0103 factori de risc \u2192 COCP cu levonorgestrel \u00een doz\u0103 mic\u0103 (Loette, Ovral-L). SPM, balonare u\u0219oar\u0103, acnee u\u0219oar\u0103 \u2192 COCP cu drospirenon\u0103 (Yaz, Yasmin). Intoleran\u021b\u0103 la estrogen \u2192 POP cu desogestrel (Cerazette). Acnee cu nevoie de contracep\u021bie \u2192 drospirenon\u0103 (Yaz) mai \u00eent\u00e2i, ciproteron\u0103 (Diane 35) doar dac\u0103 tratamentele standard e\u0219ueaz\u0103.\n\nImportant.<\/strong> Take the pill at the same time each day \u2014 missed-pill rules differ between COCPs and POPs (read the patient leaflet). VTE risk is small in absolute terms but real \u2014 quit smoking before starting COCPs if over 35. Migraine with aura is an absolute contraindication to COCPs because of stroke risk. Modern guidance: most antibiotics do NOT reduce pill efficacy (only rifampicin \/ rifabutin do); St John's wort, some anticonvulsants, and many enzyme-inducing drugs do reduce efficacy.\n\nAll MedsBase Contraceptive Pill products ship from produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/contraceptive-pill-the-pill\/","name":"Pilul\u0103 contraceptiv\u0103 (Pilula)","slug":"contraceptive-pill-the-pill","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3602","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}