JULIANA TABLET 21'S

How JULIANA TABLET 21'S Works

• JULIANA TABLET 21'S is a combined oral contraceptive pill (COCP) that contains two synthetic hormones: ethinylestradiol (an estrogen) and levonorgestrel (a progestin). These hormones work synergistically to prevent pregnancy through multiple mechanisms.
• The primary way JULIANA TABLET 21'S prevents pregnancy is by inhibiting ovulation. Estrogen and progestin suppress the release of gonadotropin-releasing hormone (GnRH) from the hypothalamus. This, in turn, reduces the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary gland. FSH is essential for the development of ovarian follicles, and LH triggers ovulation. By suppressing FSH and LH, the development of a mature egg is prevented, and ovulation does not occur.
• In addition to preventing ovulation, JULIANA TABLET 21'S also affects the cervical mucus and the endometrium. The progestin component thickens the cervical mucus, making it difficult for sperm to penetrate the uterus. This creates a physical barrier that hinders fertilization. Furthermore, the hormones alter the lining of the uterus (endometrium), making it less receptive to implantation of a fertilized egg. Even if fertilization were to occur, the altered endometrium reduces the likelihood of successful implantation and pregnancy.
• Ethinylestradiol, the estrogen component, primarily works by providing hormonal support and stabilizing the endometrial lining, preventing irregular bleeding. It also contributes to the suppression of FSH, further inhibiting follicular development. Levonorgestrel, the progestin component, is responsible for thickening the cervical mucus and altering the endometrium, as well as contributing significantly to the suppression of LH, preventing ovulation.
• The combined effect of these hormones provides a highly effective method of contraception when JULIANA TABLET 21'S is taken consistently and correctly, according to the prescribed schedule. Adherence to the daily regimen is crucial for maintaining the hormonal balance necessary to prevent pregnancy.

Common side effects of Juliana Tablet may include nausea, vomiting, headache, breast tenderness, changes in weight or appetite, bloating, stomach cramps, altered menstrual periods, vaginal itching or discharge, nervousness, dizziness, acne, changes in libido, and fluid retention. Less common but potentially serious side effects include blood clots (deep vein thrombosis, pulmonary embolism), stroke, heart attack, high blood pressure, liver problems, gallbladder disease, and certain types of cancer (e.g., breast, cervical). Other reported side effects are mood swings, depression, difficulty wearing contact lenses, changes in vision, skin discoloration, hair loss, and allergic reactions.

• If you forget to take Juliana Tablet 21's at the usual time, take it as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one, as this could increase the risk of side effects. If you miss more than one tablet, consult your doctor for advice.

• Keep JULIANA TAB 1X21 away from the reach of children and pets.
• Store JULIANA TAB 1X21 at room temperature.

• Take Juliana tablets exactly as prescribed by your doctor. Typically, you'll take one tablet daily, at the same time each day. Consistency is key for its effectiveness in preventing pregnancy. Set a daily reminder to help you remember.
• If you miss a pill, take it as soon as you remember, even if it means taking two pills in one day. If you miss more than one pill, consult the package insert or your doctor for instructions, as you may need to use backup contraception, such as condoms.
• Be aware of potential side effects. Common side effects include nausea, headache, breast tenderness, and changes in your menstrual cycle. These often subside within the first few months. If side effects persist or become bothersome, consult your doctor.
• Juliana tablets can interact with certain medications, including some antibiotics, antifungals, and herbal supplements like St. John's Wort. Inform your doctor about all the medications and supplements you are taking to avoid potential interactions.
• Store Juliana tablets at room temperature, away from moisture and direct sunlight. Keep them in a safe place out of reach of children. Properly dispose of any unused medication according to your local regulations. Do not flush them down the toilet.