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Why is Natazia prescribed?

Natazia is prescribed as a combination oral contraceptive to prevent pregnancy and to treat heavy menstrual bleeding that is not caused by diagnosed conditions of the uterus.

What does it do?

Natazia is a combination oral contraceptive that contains two hormones, dienogest (a progestin) and estradiol valerate (an estrogen). These hormones work together to prevent ovulation (the release of an egg from an ovary), thicken cervical mucus to block sperm, and thin the uterine lining to prevent a fertilized egg from attaching.

Natazia is also used to treat heavy menstrual bleeding that is not caused by any diagnosed conditions of the uterus. It helps reduce menstrual blood loss by thinning the lining of the uterus.

How should I take it?

To take Natazia effectively, follow the steps below:

• Take one pill at the same time each day. Try to take it at the same time every day to maintain consistent hormone levels.
• Take the pills in the order directed on the blister pack. Do not skip doses or delay taking your pill by more than 12 hours.
• Begin taking Natazia on the first day of your menstrual cycle (the first day of your menstrual bleeding).
• Use a non-hormonal contraceptive (like condoms) for the first 9 days of taking Natazia to ensure protection against pregnancy.

It's important to follow these guidelines to ensure Natazia is effective. If you have any questions or concerns, consult your healthcare provider.

What if I missed a dose?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Use a backup method of contraception if you miss more than one dose.

What are the special precautions before taking Natazia?

Before taking Natazia, there are several special precautions you should consider:

• Do not use Natazia if you smoke and are over age 35, as smoking increases the risk of serious cardiovascular side effects, including heart attack, blood clots, and stroke.
• Tell your doctor if you have a history of blood clots, breast cancer, heart disease, stroke, liver disease, or any other serious health conditions.
• Natazia should not be used if you are pregnant. Use effective contraception while taking this medication.
• If you have migraines with aura, discuss this with your doctor as it may increase your risk of stroke.
• Take Natazia exactly as prescribed by your doctor. Do not skip doses or start a new pack late.

Always inform your doctor about all the medications you are taking, your current and previous medical history.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects may include:
• Breast pain or tenderness
• Headache (often severe and throbbing)
• Nausea
• Irregular menstrual periods
• Normal menstrual bleeding occurring earlier or lasting longer than expected

Serious side effects may include:
• Abdominal or stomach pain
• Dark urine
• Difficulty breathing
• Dizziness
• Fever
• Rash
• Yellow eyes or skin

This is not a complete list of all possible side effects, and others may occur. For more information about side effects, please consult your healthcare provider.

Is it safe to take it with another drug?

Natazia (Estradiol/Dienogest) can interact with several other medications, which can affect its effectiveness or increase the risk of side effects. Some medications that are known to interact with Natazia includes:

• Azole antifungals like Ketoconazole, Fluconazole
• Diltiazem
• Hepatitis C medications
• HIV/AIDS medications
• Seizure medications

It's also important to inform your doctor about all the medications you are taking to avoid potential interactions.

How should I store it?

Store Natazia in its original packaging at room temperature, away from excessive heat and moisture. Typically, a temperature between 20°C and 25°C (68°F and 77°F) is ideal. Ensure that the medication is out of the reach of children.

What action should I take in case of overdose?

In case of an overdose with Natazia, it's important to seek medical attention immediately. Symptoms of an overdose may include nausea, vomiting, and unusual vaginal bleeding. Contact your healthcare provider or go to the nearest hospital right away.

Is it safe for pregnant or breastfeeding women?

Natazia (Estradiol/Dienogest) is not recommended for pregnant women. If you are pregnant or planning to become pregnant, you should consult your healthcare provider for alternative options.

For breastfeeding women, it's generally advised to avoid Natazia, especially during the first 4 weeks postpartum. Non-hormonal methods or progestin-only contraceptives are preferred during breastfeeding. Always consult your healthcare provider for personalized advice.

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