Millinette is a type of the combined contraceptive pill, the most popular form of contraception in the UK. It comes in two different strengths: 20/75 and 30/75. Millinette 20/75 contains a lower dose of estrogen.
Millinette prevents pregnancy by stopping ovulation from occurring. This is when the ovaries release an egg ready for fertilisation. If this doesn't happen, the womb lining is shed and leaves the body as menstrual blood. Millinette releases synthetic versions of the estrogen and progesterone hormones to override your natural cycle. This means an egg won't be released and the womb lining will be thinner to stop a fertilised egg from attaching. It also causes the mucus surrounding the entrance to the cervix to thicken, making it difficult for sperm to enter.
Millinette is over 99% effective when it is taken correctly.
If Millinette is started on the first day of your period, it will work immediately. You can also start taking it on days 2-5 of your cycle, but you may not be protected against pregnancy for the first 7 days so an additional contraceptive should be used during this time.
Millinette can also be given to ease PMS and painful, irregular periods, resulting in a regular period that is lighter and less painful. It may also be prescribed to treat acne and for managing the symptoms of endometriosis.
Millinette can be used for period delay. To use it in this way, skip the pill free week between packs. If you are looking for a specific treatment for period delay, Noristherone is available to order from Dr Felix and has been designed specifically for this purpose.
You may need to try more than one type of contraceptive pill before finding one that works for you. If you are switching to Millinette from another combined pill, then finish your current pill strip and start taking Millinette right away, skipping the 7 day break. When switching from the mini pill (progesterone only pill) you can do this at any time during the month, but you will not be fully protected against pregnancy for the first 7 days. In this case, you should use condoms or other contraceptive for 7 days.
The active ingredients in Millinette 20/75 are 20mg ethinylestradiol and 75mg Gestodene. Millinette 30/75 contains 30mg ethinylestradiol and 75mg Gestodene.
The other ingredients contained in Millinette are sodium edetate, magnesium stearate, silica colloidal anhydrous, Povidone K-30, maize starch, lactose monohydrate, Quinoline yellow (E 104), povidone K-90, titanium dioxide (E171), Macrogol 6000, Talc calcium carbonate (E170), Sucrose.
If you have missed a pill, your contraception may be affected. The first thing you should do is take the missed pill; this can be done at the same time as your next one if needed. Continue to take the rest of your pills on time and ensure you use an additional method of contraception for the next 7 days. If you have had unprotected sex during this time, see your doctor as soon as possible as there is a chance you may be pregnant.
If you take your pill within 12 hours of your usual time, your protection will not be affected. If it has been more than 12 hours since you were due to take it, follow the instructions for a missed pill to ensure that you do not get pregnant.
If you vomit within 3-4 hours of taking Millinette, it may not be as effective. Take another pill as soon as you can and keep on taking the rest of the pack as usual. This will mean that your cycle will be one day shorter. If the vomiting continues, follow the guidance for what to do if you miss a pill.
Millinette is safe to take long term if you do not have any pre-existing medical conditions which put you at risk of a blood clot. Taking the combined pill heightens the risk of experiencing a blood clot for all women. Your GP or pharmacist will assess your suitability before prescribing you the pill. There is also detailed information included with Millinette which should be read before taking the pill. This outlines who can and cannot take the pill and what the warning signs are for blood clots.
Millinette should be started on the first day of your period. It will begin to work right away. If this isn't possible, you can start it on days 2-5 of your period however, you won't be fully protected against pregnancy for the first 7 days. In this case, you would need to use additional contraception for the first week.
Millinette should be taken once a day for 21 days. It can be taken at any time of the day, but it must be taken consistently at the same time each day. When you reach the end of a pill strip, wait 7 days until starting the next one. This is when you will have your withdrawal bleed, similar to your period.
Millinette comes in two different strengths; 20/75 and 30/75. Each tablet contains either 20 or 30mg of ethinylestradiol, which is a synthetic version of progesterone and 75mg of gestodene. One tablet should be taken daily.
To use Millinette for period delay, skip the pill-free week between packs and begin the next pack the day after you finish your current one. This will delay your period until the end of the second pill pack.
Common side effects may include:
Less common side effects may include:
Reduced sex drive
Increased blood pressure
Excessive hair growth
Rare side effects can include:
Eye irritation when wearing contact lenses
Decrease in serum folate levels
Worsening of varicose veins
Exacerbation of systemic lupus erythematosus
Exacerbation of porphyria
Exacerbation of Chorea
Inflammatory intestinal disorder
Do not use Millinette if:
You have ever had a blood clot
You have a condition which affects your blood clotting
You need an operation or will be off your feet for a long time
You have ever had a heart attack or stroke
You have ever had angina pectoris
You have ever had a transient ischaemic attack
You have ever had a migraine with aura
You have ever had severe diabetes with blood vessel damage
You have very high blood pressure
You have high cholesterol or triglycerides
You have hyperhomocysteinaemia
You have ever had pancreatitis
You have liver problems
You have ever had breast, Cervical or vaginal cancer
You have unexplained vaginal bleeding
You are allergic to any of the ingredients contained in the pill
Tell you doctor if any of the following apply to you:
High level of fat in the blood
Systemic lupus erythematosus
Haemolytic uraemic syndrome
Chronic inflammatory bowel disease
Sickle cell anemia
If you have recently given birth
High blood pressure
Certain medications can interfere with the way Millinette works, causing it to be less effective. These include:
Hepatitis C medications
St. John's wort
Millinette can interfere with the way the following medicines work:
Speak to your doctor if you are taking any of the medications listed above.
It's fine to drink alcohol while you're taking Millinette.
You may experience mood changes while taking Millinette, including feeling depressed, nervous or agitated. If this persists, try writing down how you are feeling and talk to friends and family. Finding appropriate methods of self care is important and if it is having a significant impact on your life then see your GP.
The hormones contained in Millinette can help to treat acne and achieve clearer skin. This is the case for all types of the combined pill. The progesterone only pill (mini) does not help acne and can exacerbate it.
Hormonal contraceptives are usually offered in the first instance as a treatment option for women with endometriosis. This is because the combined pill takes control of menstrual bleeding, replacing your period with an artificial cycle. Millinette 20/75 is best for endometriosis as it contains a lower dose of estrogen.
Millinette 20/75 has a lower dose of estrogen than Millinette 30/75. This may be preferable for women who are sensitive to estrogen and experience side effects when taking a regular strength pill.
Millinette is a combined contraceptive pill which means it contains two types of hormones; oestrogen and progesterone. The mini pill is also known as the progesterone only pill as it just contains the progesterone hormone. The mini pill results in fewer side effects and is suitable for women who are unable to take the combined pill. It must be taken on time for it to be effective and it cannot be used to control your period.
Millinette 30/75 is the same as the Femodene and Katya combined pills. Femodette and Sunya contain the same strength of ethinylestradiol and gestodene as Millinette 20/75. Dr Felix stock all available forms of the pill in the UK. The mini pill is a good alternative for women who are unable to take the combined pill as the health risks are lower. Long term reversible contraceptives are available from your GP or family planning clinic such as the coil, implant or injection. Condoms are the only form of contraception which protect against sexually transmitted infections.
If you stop taking Millinette, you are at risk of getting pregnant at any time. Your natural period will usually return within a month and if you are planning to start a family it's recommended to speak to your GP or family planning clinic about coming off the pill. They will be able to ensure you have all the information and resources available to have a healthy conception and pregnancy.
It's common to get your period 2-4 weeks after coming off the pill, but this will vary from one woman to the next. Your periods may be irregular at first, but they will settle down in the first three months.
Weight gain is a possible side effect of taking Millinette but not everyone will experience this. If this becomes a problem for you, talk to your doctor as they may recommend a different type of pill.
Mood changes and Nervousness is a possible side effect of taking Millinette. If this is having a significant effect on you, you should speak to your doctor about your symptoms and how you've been feeling.
Patient Information Leaflet https://www.medicines.org.uk/emc/product/4213/pil
NHS> When Will My Periods Come Back After I Stop Taking the Pill? https://www.nhs.uk/conditions/contraception/when-periods-after-stopping-pill/
Net Doctor> Millinette 20/75 and 30/75 https://www.netdoctor.co.uk/medicines/sexual/a8935/millinette-ethinylestradiol-and-gestodene/
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