WHAT IS MILIANA?

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MILIANA is a combined oral contraceptive, which contains two types of female hormones, namely progestogen or desogestrel and an estrogen or ethinyl estradiol

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WHAT MILIANA IS USED FOR?

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MILIANA is used to stop you from getting pregnant, just as your natural hormones

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WARNING & PRECAUTION:

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TALK TO DOCTOR

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Talk to your doctor before taking this medicine, if you:

nAre allergic to ethinylestradiol or desogestrel, or any of the other ingredients of this medicine
nHave or have ever had a blood clot in a blood vessel of your legs (deep vein thrombosis, DVT), your lungs (pulmonary embolus, PE) or other organs
nHave or ever had a heart attack or stroke, angina pectoris (a condition that causes severe chest pain and may be a first sign of a heart attack)
nHave a type of migraine called ?migraine with aura?
nHave inflammation of the pancreas (pancreatitis) or liver disease
nAre suspected of having breast cancer or cancer of the genital organs
nHave any unexplained bleeding from the vagina
nHave overgrowth of the lining of the uterus (womb)
nHave sickle cell anemia (an inherited disease of the red blood cells)
nHave epilepsy
nHave elevated levels of fat in the blood (hypertriglyceridemia)
nHave varicose veins
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PREGNANCY & BREAST FEEDING

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If you are pregnant, do not take MILIANA
nIf you think you may be pregnant while taking MILIANA stop immediately and contact your doctor
nIf you are planning to have a baby during this treatment, contact your doctor for advice
nUse of MILIANA is not advisable if you are breast-feeding

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CHILDREN & ADOLESCENTS

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The use of MILIANA is not recommended in children and adolescents under 18 years of age

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DRIVING & USING MACHINES

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Use of MILIANA is unlikely to affect your capacity to drive or use of machines

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INTERACTIONS:

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Tell your doctor if you are taking, have recently taken or might take any other medicines including medicines obtained without prescription or herbal products

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DIRECTIONS & FOR USE:

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Always take this medicine exactly as your doctor has told you
nTake one tablet of MILIANA every day with a small amount of water
nYou may take the tablets with or without food, but you should take the tablets every day around the same time.
nThe strip contains 21 tablets. Next to each tablet is printed the day of the week that it should be taken. If, for example you start on a Wednesday, take a tablet with ?WED? next to it. Follow the direction of the arrow on the strip until all 21 tablets have been taken
nThen take no tablets for 7 days. In the course of these 7 tablet-free days (otherwise called a stop or gap week) bleeding should begin. This so-called ?withdrawal bleeding? usually starts on the 2nd or 3rd day of the gap week
nOn the 8th day after the last tablet of MILIANA tablets (that is, after the 7-day gap week), you should start with the following strip, whether your bleeding has stopped or not

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If you take more MILIANA

nIf you take several tablets at once then you may experience nausea or vomiting. Young girls may have bleeding from the vagina in such case, contact your doctor for advice
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nIf you forget to take MILIANA
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nIf you are less than 12 hours late taking a tablet, the protection against pregnancy is not reduced. Take the tablet as soon as you remember and then take the following tablets again at the usual time
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nIf you are more than 12 hours late taking a tablet, the protection against pregnancy may be reduced. The greater the number of tablets that you have forgotten, the greater is the risk of becoming pregnant
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nIf you stop taking MILIANA
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nDo not stop taking MILIANA unless told by your doctor
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SIDE EFFECTS OF MILIANA:

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SERIOUS

n• Formation of blood clots in your veins (venous thromboembolism) or blood clots in your arteries (arterial thromboembolism)
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COMMON

n• Irregular bleeding
n• Weight gain
n• No bleeding (amenorrhea)
n• Tender breasts, breast pain
n• Depression, headache, nervousness
n• Dizziness, nausea, acne
n• High blood pressure
n• Stomach (abdominal) pain
n• Spotting or breakthrough bleeding (metrorrhagia)
n• Change in your mood
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UNCOMMON

n• Breast enlargement
n• Decreased sexual desire
n• Migraine, vomiting, diarrhoea
n• Rash, nettle-rash (urticaria)
n• Fluid retention
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RARE

n• Vaginal candidiasis (fungal infection of the vagina)
n• Impaired hearing or loss of hearing (otosclerosis)
n• Increased sexual desire
n• Eye irritation due to contact lens
n• Loss of hair (alopecia)
n• Itching
n• Erythema nodosum ? a skin disease associated with joint pain, fever, hypersensitivity or infection and characterised by small, painful, pink to blue
n• Vaginal discharge, breast discharge
n• Loss of weight
n• Hypersensitivity (itchy red rash with swelling of the face, lips and/or tongue and difficulty breathing)
n• Harmful blood clots in a vein or artery for example in a leg or foot (i.e. DVT), in a lung (i.e. PE),
n• Stroke or mini-stroke or temporary stroke-like symptoms, known as a transient ischaemic attack (TIA)
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STORAGE:

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Keep this medicine out of reach of children
nStore at room temperature (15-25°C)
nDo not use this medicine after the expiry date