MILIANA TABLET 21'S

How MILIANA TABLET 21'S Works

• MILIANA TABLET 21'S is a combined oral contraceptive pill (COCP) that contains two synthetic hormones: Ethinylestradiol (an estrogen) and Gestodene (a progestin). These hormones work synergistically to prevent pregnancy through multiple mechanisms.
• **Suppression of Ovulation:** The primary mechanism by which MILIANA TABLET 21'S prevents pregnancy is by inhibiting ovulation. The combined estrogen and progestin in the pill 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. The reduced levels of FSH prevent the development of ovarian follicles, and the suppressed LH surge prevents the release of an egg (ovulation).
• **Changes to Cervical Mucus:** The progestin component, Gestodene, also alters the cervical mucus, making it thicker and more viscous. This thickened mucus acts as a barrier, hindering sperm from entering the uterus and reaching the egg, even if ovulation were to occur.
• **Alterations to the Endometrium:** Furthermore, MILIANA TABLET 21'S affects the endometrium, the lining of the uterus. It makes the endometrium thinner and less receptive to implantation. Even if fertilization occurs, the altered endometrium makes it difficult for a fertilized egg to implant and develop, thus preventing pregnancy.
• In summary, MILIANA TABLET 21'S effectively prevents pregnancy by suppressing ovulation, thickening cervical mucus to impede sperm movement, and altering the endometrium to prevent implantation. When taken consistently and correctly, as prescribed, it provides a reliable form of contraception.

Common side effects of Miliana Tablet may include: Nausea, vomiting, headache, breast tenderness, weight changes, mood changes, decreased libido, vaginal bleeding between periods, fluid retention, acne, skin changes, and changes in appetite. Uncommon side effects include: Migraine, changes in vision, bloating, increased blood pressure, rash, and hair loss. Rare side effects include: Blood clots (deep vein thrombosis, pulmonary embolism), liver problems, gallbladder disease, and allergic reactions. This is not an exhaustive list, and you should consult your doctor if you experience any unusual or concerning symptoms while taking Miliana Tablet.

• If you miss one tablet, take it as soon as you remember, unless it is almost time for your next tablet. In that case, skip the missed tablet and continue with your regular dosing schedule. Missing a tablet increases your risk of pregnancy.
• If you miss two or more tablets in a row, use a non-hormonal back-up method of contraception (such as condoms or spermicide) for the next 7 days.
• For detailed guidance tailored to your specific situation, consult the patient information leaflet included with your medication or speak with your healthcare provider.

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

• Take Miliana Tablet 21'S exactly as prescribed by your doctor. Consistency is key for optimal effectiveness. Try to take it at the same time each day to maintain stable hormone levels. This will also help you remember to take it regularly.
• If you experience spotting or breakthrough bleeding, especially during the first few months, don't panic. This is a common side effect as your body adjusts to the medication. However, if the bleeding is heavy or persists for an extended period, consult your doctor.
• Be aware that Miliana Tablet 21'S can interact with other medications, including some antibiotics and herbal supplements like St. John's Wort. Inform your doctor about all medications and supplements you are taking to avoid potential interactions and reduced efficacy.
• 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 product leaflet or your doctor for specific instructions, as this may compromise contraceptive effectiveness, and you may need to use backup contraception (e.g., condoms) for the next seven days.
• While taking Miliana Tablet 21'S, maintain a healthy lifestyle. This includes a balanced diet, regular exercise, and avoiding smoking. These habits can improve your overall health and reduce the risk of potential side effects associated with hormonal contraceptives. Also, regular checkups with your doctor are important to monitor your health.

• MILIANA TABLET 21'S: Food interaction information is not available. Please consult your doctor or pharmacist for specific guidance.