Spedifen Ibuprofen L Arginine 600 Mg Granules For Oral Administration30S

• No preceding hormonal contraceptive use (in the past month) Tablet-taking has to start on Day 1 of the woman’s natural cycle (i.e. the first day of her menstrual bleeding). The woman should be instructed to take a pink active tablet from the green section of the pack, corresponding to that day of the week. If started on Day 1 in this way, protection against pregnancy is immediate and no additional methods of contraception are required. Starting on Days 2 – 5 of the menstrual cycle is allowed, but during the first 7 days of the first cycle, a barrier method is recommended in addition to tablet-taking. • Changing from another combined hormonal contraceptive (combined oral contraceptive/COC), vaginal ring or transdermal patch The woman should start with YAZ preferably on the day after the last active tablet of her previous COC, but at the latest on the day following the usual tablet-free or placebo tablet interval of her previous COC. YAZ should be started by taking a pink active tablet from the green section of the pack. In case a vaginal ring or transdermal patch has been used, the woman should start using YAZ preferably on the day of removal, but at least when the next application would have been due. • Changing from a progestogen-only-method (minipill, injection, implant) or from a progestogen-releasing intrauterine system (IUS) The woman may switch from the minipill on any day, from an implant or IUS on the day of its removal, or from an injectable when the next injection would be due. However, in all of these cases the woman must be advised to additionally use a barrier method for the first 7 days of tablet-taking. • Following first-trimester abortion The woman may start immediately. When doing so, she need not take additional contraceptive measures. • Following delivery or second-trimester abortion Women should be advised to start at day 21 to 28 after delivery or second-trimester abortion. When starting later, the woman should be advised to additionally use a barrier method for the first 7 days of tablet-taking. However, if intercourse has already occurred, pregnancy should be excluded before the actual start of COC use or the woman has to wait for her first menstrual period. For breastfeeding women see 4.4 Special warnings and precautions for use. • Management of Missed Tablets Missed white pills from the last row of the blister are placebo tablets and thus can be disregarded. However they should be discarded to avoid unintentionally prolonging the placebo tablet phase. The following advice only refers to missed active tablets: If the woman is less than 24 hours late in taking any light pink active tablet, contraceptive protection is not reduced. The woman should take the tablet as soon as she remembers and should take further tablets at the usual time. If she is more than 24 hours late in taking any light pink active tablet, contraceptive protection may be reduced. The management of missed tablets can be guided by the following two basic rules: