- Proper Use:
- Take Elinest once a day at the same time each day to help you remember and maintain consistent hormone levels.
- Do not skip days in between the packs. After finishing a 28-day pack, immediately start a new pack.
- Backup contraception may be necessary if you miss a dose, especially during the first week of starting the pill or after a missed dose.
- When to Start:
- You can begin taking Elinest on the first day of your period for immediate protection.
Alternatively, start on the first Sunday after your period. If you do so, use additional contraception for the first 7 days to ensure protection.
Elinest works through several mechanisms to prevent pregnancy:
- Prevents Ovulation: The synthetic estrogen and progestogen in Elinest prevent the release of eggs from the ovaries. Without ovulation, there is no egg available for fertilization.
- Thickens Cervical Mucus: The progestogen component (desogestrel) thickens the mucus in the cervix, making it harder for sperm to enter the uterus and reach any eggs that might be released.
- Alters Uterine Lining: Elinest also changes the lining of the uterus (endometrium), making it less suitable for a fertilized egg to implant.
This combination of actions helps to prevent pregnancy effectively when taken as directed.
While Elinest is generally well-tolerated, some women may experience side effects. These can include:
- Common Side Effects:
- Nausea
- Headaches
- Breast tenderness
- Mood changes, such as irritability or depression
- Weight changes
- Vaginal discharge or spotting
- Serious Side Effects (less common but more severe):
- Blood clots: Hormonal contraceptives, including Elinest, can slightly increase the risk of developing blood clots, which can lead to deep vein thrombosis (DVT), pulmonary embolism, or stroke.
- High blood pressure: Elinest may slightly increase blood pressure in some women.
- Heart problems: Women with existing heart disease should consult a doctor before using Elinest.
If you experience any signs of a blood clot (e.g., swelling, pain, or redness in the legs; chest pain; difficulty breathing), contact your healthcare provider immediately.
- Smoking and Age: Women over the age of 35 who smoke are at a higher risk of serious cardiovascular side effects, such as blood clots, when using combined oral contraceptives like Elinest. It’s advised not to smoke while using this medication.
- Pre-existing Conditions: Consult your doctor before using Elinest if you have a history of:
- Blood clots
- Heart disease
- High blood pressure
- Liver disease
- Breast cancer
- Pregnancy: Elinest should not be used during pregnancy. If you become pregnant while taking Elinest, stop taking the medication immediately and consult your healthcare provider.
Breastfeeding: Elinest may reduce milk production in some women. Consult your doctor if you are breastfeeding or plan to breastfeed while using this contraceptive.
- Elinest may interact with other medications, which can either increase or decrease its effectiveness. Some drugs that may interact with Elinest include:
- Antibiotics (e.g., rifampin)
- Anticonvulsants (e.g., phenytoin, carbamazepine)
- Antifungals (e.g., griseofulvin)
- Certain HIV medications and herbal supplements like St. John’s Wort.
It is important to inform your doctor about all medications you are currently taking, including over-the-counter drugs and supplements.
- Initial Dosage: Start by taking one pill per day, either on the first day of your period or the first Sunday after your period. Continue taking one pill every day for 21 days, followed by 7 days of placebo (inactive) pills.
- Missed Pills:
- 1 missed pill: Take it as soon as you remember and continue your regular schedule. No additional contraception is needed.
- 2 missed pills: Take the most recent pill immediately and use backup contraception (like condoms) for the next 7 days.
Switching from Another Birth Control: If you’re switching from another form of contraception, your doctor will guide you on how to transition smoothly to Elinest.
Elinest is a prescription-only medication, which means you need to consult a healthcare provider to obtain a prescription. Before prescribing Elinest, your doctor will assess your medical history, including any risk factors for cardiovascular disease, blood clots, or other serious health conditions.