Hana Daily Contraceptive 75mg 3 Month Supply Hana Daily Contraceptive 75mg 3 Month Supply

Do not take Hana

• if you have cancer that is affected by sex-steroid hormones, such as certain types of breast cancer, ovarian cancer, endometrial (uterine) cancer
• if you have a blood clot in the legs (deep vein thrombosis) or lungs (pulmonary embolism)
• if you have, or have had, kaundice (yellowing of the skin or whites of the eyes) of severe liver diseases and blood tests show your liver has not returned to normal
• if you have any unexplained vaginal bleeding between your periods, of if you repeatedly have bleeding after sex
• if you are allergic to desogestrel, or any of the other ingredients of Hana
• if you a pregnant or think you may be pregnant

Talk to your doctor or family planning nurse if any of these apply to you. Your doctor or family planning nurse may advise you to use a different birth control method.

Warning and Precautions

Talk to your pharmacist, doctor, or family planning nurse before taking Hana if you:

If any of these apply to you, you may still be able to take Hana but your doctor may want to see you from time to time.

It is common for women taking Hana to have bleeding patterns that are different from their usual periods. Some women will have bleeding less often, or none at all; some will have bleeding more often. Bleeding patterns may settle with time. A change in your bleeding pattern is not something you should normally be worried about if you are taking your pill as directed.

Like all medicines, Hana can cause side effects, although not everybody gets them. Tell your pharmacist, doctor or family planning nurse if you notice any unwanted effect, especially if severe or persistent.

Severe allergic reactions

You may experience signs of a severe allergic reaction (hypersensitivity) including:

• Swollen face, lips, tongue and/or throat
• Difficulty swallowing or breathing

Seek immediate medical advice if you experience any of these.

Pregnancy outside of the uterus (ectopic pregnancy)

Rarely, women taking Hana have had an ectopic pregnancy, where the baby develops outside the uterus. Symptoms might include:

• A sudden or severe pain in the lower abdomen or stomach area with or without vaginal bleeding

Contact a doctor immediately if you get these.

Risk of blood clots

Women taking hormonal contraceptive pills are at increased risk of blood clots. Symptoms might include:

• swelling, redness or pain in the leg
• chest pain, breathlessness or coughing up blood

Contact your doctor immediately if you notice these.

Changes to your periods

You are likely to experience changes in your periods while using Hana. You do not need to take any action, just continue taking Hana exactly as directed, even if you start to have these changes:

• irregular periods: your periods may be less or more frequent, shorter or longer, lighter or heavier than before you started Hana
• spotting or bleeding when you are not having your period. This may be just slight staining which may not even require a pad, or heavier bleeding like a light period. You may need to use tampons or sanitary towels
• stop having periods while taking Hana

Contact your doctor or family planning nurse if you start to have these changes:

• your menstrual period differs from that which would be expected with Hana
• your menstrual period is more frequent than you find acceptable
• your menstrual period is unusually heavy
• you repeatedly have bleeding that is brought on by sex

Meanwhile, you must continue to take Hana every day.

Common side effects

These may affect up to 1 in 10 women

• altered mood, depressed mood
• decreased sexual drive (libido)
• headache
• nausea
• acne
• breast pain
• irregular or no periods
• increased body weight

Uncommon side effects

These may affect up to 1 in 100 women

• infection of the vagina
• difficulties in wearing contact lenses
• vomiting
• hair loss
• painful periods
• ovarian cysts
• tiredness

Rare side effects

These may affect up to 1 in 1,000 women

• rash
• hives
• painful blue-red skin lumps (erythema nodosum)

As well as these side effects, you may notice breast secretion or leakage.

Hana will not prevent pregnancy unless taken exactly as directed. Take one tablet at the same time every day, without a break between packs. Swallow the tablet whole. Never skip your daily tablet, even when you bleed or have spotting.

The days of the week are printed on the pack, and arrows show the order to take the tablets. Every time you start a new pack of Hana, take a tablet labelled with the correct day. For example, if you start on a Wednesday, take a tablet marked with Wed. Continue to take one tablet a day until the pack is empty, following the direction shown by the arrows. When a pack is empty, you must start with a new pack on the next day, without a break, and without waiting for a bleed.

Starting your first pack of Hana

Not currently using hormonal contraception:

If you are not using hormonal contraception now or in the past month, wait for your period to begin. It is preferable to take your first tablet on day 1 of your period. When doing so, you do not need to use extra contraception. If you take your first tablet on days 2-5 of your period, use extra contraception (for example, condoms) for the first 7 days of taking the tablets.

Changing from a combined pill:

If you have had your usual break from a combined pill, take the first Hana tablet on the day after your break, or when you have taken all the inactive tablets of your other contraceptive. If you follow these instructions, make sure you use extra contraception (for example, condoms) for the first 7 days of taking Hana.

If you haven't had your usual break from a combined pill, start taking Hana on the day after you take the last tablet from your present pill pack. Even if your other pill pack contains inactive tablets, you can start Hana on the day after taking the last active tablet. If you are not sure which this is, you can ask your pharmacist. If you follow these instructions, you do not need extra contraception.

Changing from a vaginal ring or skin patch:

If there has been a break between removal of the vaginal ring of skin patch (ie. You are not starting Hana on the day of removal), make sure you use extra contraception (for example condoms) for the first 7 days of taking Hana.

If you start taking Hana on the day of removal of the vaginal ring or skin patch, you do not need extra contraception.

Changing from another progestogen-only pill:

Switch on any day from another progestogen-only pill. You must start the day after you stop your other pill. You do not need extra contraception.

Changing from an injection, implant or hormone-containing coil (IUS):

When changing from an injection, start using Hana on the same day the injection is due. You do not need extra contraception.

When changing from an implant or hormone-containing coil (IUS), start Hana on the same day the IUS or implant is removed. Your doctor will advise you when the IUS should be removed and whether you need any extra contraception.

Starting or resuming Hana following emergency contraception:

Ask your pharmacist for advice on how to start taking or resume taking Hana following emergency contraception. If you have taken emergency contraception, it is advisable to wait until day 1 of your next menstrual period before taking Hana.

Emergency contraception containing levonorgestrel can be used with Hana. If you have used emergency contraception containing levonorgestrel during your cycle, you can start or continue taking Hana the same day, but you must use additional contraception (for example, condoms) every time you have sex for the next 7 days.

Using Hana and emergency contraception containing ulipristal acetate together can alter the effect of both these medicines, resulting in reduced contraceptive effect and increased risk of pregnancy. If you have used emergency contraception containing ulipristal acetate, you must wait 5 days before taking Hana and use additional contraception (for example, condoms) every time you have sex during the 5 days while you wait to start or resume taking Hana and for the first 7 days of taking Hana (for a total of 12 days).

If you have had a baby:

You can start Hana any day between day 1 and day 21 after the birth of your baby.

If you start later than 21 days afterwards, make sure that you use extra contraception (for example, condoms) for the first 7 days of taking Hana. If you have already had unprotected sex, take a pregnancy test or talk to your doctor before starting Hana. Your pharmacist, doctor or family planning nurse can also advise you.

If you have had a miscarriage or an abortion:

You can start Hana immediately or within 5 days of a miscarriage or an abortion. You do not need extra contraception.

The active substance is desogestrel.

Each film-coated tablet contains 75 microgram desogestrel.

The other ingredients are alpha-tocopherol; maize starch; povidone; stearic acid; hypromellose; macrogol 400; titanium dioxide (E 171); lactose monohydrate