Currently, there are many contraceptives in the form of tablets for women, which, in addition to preventing pregnancy (if you choose the right drug), help normalize hormonal levels. The list of these medications is quite large, but more often gynecologists advise using the described remedy. This is a combined hormonal agent that has a pronounced and broad effect. But this drug may not be suitable for some reason. In this case, the doctor selects analogs based on composition or action, which will be discussed below.
Jess or Yarina: which is better?
To understand which drug is better, you need to consider the differences between them. Both of them are monophasic oral contraceptives. They have a similar composition, although they act on the body differently.
The main difference between them is that the drug described is a low-dose drug, while Jess is a micro-dose drug. Thanks to this, the first tablets are prescribed to patients at a more mature age, and the second drug has a gentle effect, so it is suitable for women under 30 years of age.
In addition, Jess, in comparison with other oral medications, implies a different mode of use. Active tablets are taken for 24 days, then dummy tablets are taken for 4 days, and then a new package of medicine begins to be taken without interruption.
In any case, the selection of a remedy should be trusted to a qualified specialist, since self-medication can harm your body.
Opinion of doctors and women
Experts often face the question “What is the difference between Yarina plus and Jess plus.”
Doctors answer: the whole difference is that the drugs contain different dosages of hormones (active ingredients). Young girls are better off taking Yarina, and older women are better off choosing Jess.
Feedback from women is mostly positive. Many are satisfied with the effect of the drug Yarina.
By the way, according to statistics, the most popular contraceptives are Yarina plus and Jess plus.
What is the difference between Yarina and Yarina plus
These medications belong to the group of tablets for oral administration, which help prevent unwanted conception; in addition, under their action, hormonal levels in the female body are normalized, and the menstrual cycle returns to normal. Both drugs have the same active ingredients: ethinyl estradiol and drospirenone in equal quantities.
The drugs differ in that Yarina Plus contains calcium levomefolate, which is folic acid in a biologically active form. This component helps restore normal folate levels in the body. They are needed for active restoration of the body and for the normal functioning of the nervous system.
Janine as an analogue
These are monophasic oral contraceptives with identical composition and mechanism of action on the body. The drugs help:
- Block or change the course of menstruation in case of heavy and prolonged bleeding. This allows you to stop the proliferation of benign tissue and the release of the egg from the ovary, which helps avoid unwanted pregnancy.
- Reduce the synthesis of fluid in the uterus, which prevents conception.
- Neutralize hormones that increase appetite and weight gain.
- Remove excess fluid from the body.
- Fight acne.
- Stop the nutrition of the endometrium and the development of neoplasms due to the monophasic composition of female sex hormones.
The difference lies in the dosage of the active substance – drospirenone. There are also the following differences due to which Yarina is preferred over Janine:
- Yarina is more effective because it contains most of the active ingredients.
- This medicine is absorbed by the body faster (literally within an hour and a half compared to 2 hours of absorption for Janine).
- Yarina has fewer restrictions on use. Moreover, it is sometimes prescribed to normalize weight and get rid of extra pounds, while Janine should not be taken if there are problems with metabolism. It will make the situation even worse.
- When a woman stops taking Yarina, she notes the positive effect of the medicine, and Zhanine only works during therapy.
It is worth considering that hormonal agents actively affect the body as a whole, regardless of the dosage of the active ingredients and their combination. Therefore, the doctor must decide which drug is better after interviewing and examining the patient and passing certain tests.
Yarina tab N21 (Bayer)
If any of the conditions, diseases and risk factors listed below currently exist, the potential risks and expected benefits of combined oral contraceptives should be carefully weighed on an individual basis and discussed with the woman before she decides to start taking drug. In case of worsening, intensification or the first manifestation of any of these conditions, diseases or an increase in risk factors, a woman should consult with her doctor, who may decide on the need to discontinue the drug. Diseases of the USSR The results of epidemiological studies indicate a relationship between the use of combined oral contraceptives and an increase in the incidence of venous and arterial thrombosis and thromboembolism (such as deep vein thrombosis, pulmonary embolism, myocardial infarction, cerebrovascular disorders) when taking combined oral contraceptives. These diseases are rare. The risk of developing VTE is greatest in the first year of taking such drugs. An increased risk is present after initial use of combined oral contraceptives or resumption of use of the same or different combined oral contraceptives (after a dosing interval of 4 weeks or more). Data from a large prospective study involving 3 groups of patients show that this increased risk is predominantly present during the first 3 months. The overall risk of VTE in patients taking low-dose combined oral contraceptives (ethinyl estradiol content less than 50 mcg) is 2-3 times higher. than in non-pregnant patients who do not take combined oral contraceptives, however, this risk remains lower than the risk of VTE during pregnancy and childbirth. VTE can be life-threatening or fatal (in 1–2% of cases). VTE, manifested as deep vein thrombosis or pulmonary embolism, can occur with the use of any combined oral contraceptives. Very rarely, thrombosis of other drugs occurs with the use of combined oral contraceptives blood vessels (eg hepatic, mesenteric, renal, cerebral veins and arteries or retinal vessels). There is no consensus regarding the relationship between the occurrence of these events and the use of combined oral contraceptives. Symptoms of deep vein thrombosis (DVT) include the following: unilateral swelling of the lower extremity or along a vein in the leg, pain or discomfort in the leg only when standing or walking, localized warmth in the affected leg, redness or discoloration of the skin on the leg. Symptoms Pulmonary embolism (PE) consists of the following: difficulty or rapid breathing; sudden cough, incl. with hemoptysis; sharp pain in the chest, which may intensify with deep inspiration; sense of anxiety; severe dizziness; fast or irregular heartbeat. Some of these symptoms (eg, shortness of breath, cough) are nonspecific and may be misinterpreted as signs of other more or less serious events (eg, respiratory tract infection). Arterial thromboembolism can lead to stroke, vascular occlusion, or myocardial infarction. Symptoms of a stroke include: sudden weakness or loss of feeling in the face, arm or leg, especially on one side of the body, sudden confusion, problems with speech and comprehension; sudden unilateral or bilateral vision loss; sudden disturbance in gait, dizziness, loss of balance or coordination; sudden, severe or prolonged headache for no apparent reason; loss of consciousness or fainting with or without an epileptic seizure. Other signs of vascular occlusion: sudden pain, swelling and mild blueness of the extremities, acute abdomen. Symptoms of myocardial infarction include: pain, discomfort, pressure, heaviness, a feeling of squeezing or fullness in the chest, arm or chest; discomfort radiating to the back, cheekbone, larynx, arm, stomach; cold sweat, nausea, vomiting or dizziness, severe weakness, anxiety or shortness of breath; fast or irregular heartbeat. Arterial thromboembolism can be fatal. The risk of developing thrombosis (venous and/or arterial) and thromboembolism increases: - with age; - in smokers (with increasing number of cigarettes or increasing age, the risk increases, especially in women over 35 years old). If there is: - obesity (body mass index more than than 30 kg/m2); - family history (for example, venous or arterial thromboembolism ever in close relatives or parents at a relatively young age). In the case of a hereditary or acquired predisposition, the woman should be examined by an appropriate specialist to decide on the possibility of taking combined oral contraceptives; - prolonged immobilization, major surgery, any leg surgery or major trauma. In these situations, it is advisable to stop using combined oral contraceptives (in the case of planned surgery, at least 4 weeks before it) and not to resume use for 2 weeks after the end of immobilization; - dyslipoproteinemia; - arterial hypertension; - migraine; - heart valve disease ;- atrial fibrillation. The question of the possible role of varicose veins and superficial thrombophlebitis in the development of venous thromboembolism remains controversial. The increased risk of thromboembolism in the postpartum period should be taken into account. Impaired peripheral circulation can also be observed in diabetes mellitus, systemic lupus erythematosus, hemolytic uremic syndrome, chronic inflammatory bowel disease (Crohn's disease or ulcerative colitis) and sickle cell anemia. An increase in the frequency and severity of migraines during the use of combined oral contraceptives (which may precede cerebrovascular events) may be grounds for immediate discontinuation of these drugs. Biochemical indicators indicating a hereditary or acquired predisposition to venous or arterial thrombosis include the following: resistance to activated protein C, hyperhomocysteinemia, antithrombin-III deficiency, protein C deficiency, protein S deficiency, antiphospholipid antibodies (anticardiolipin antibodies, lupus anticoagulant). When assessing the risk-benefit ratio, it should be taken into account that adequate treatment of the relevant condition may reduce the associated risk of thrombosis. It should also be taken into account that the risk of thrombosis and thromboembolism during pregnancy is higher than when taking low-dose oral contraceptives (ethinyl estradiol content - 0.05 mg). Tumors The most significant risk factor for the development of cervical cancer is persistent human papillomavirus infection. There are reports of a slight increase in the risk of developing cervical cancer with long-term use of combined oral contraceptives. However, the connection with the use of combined oral contraceptives has not been proven. The possibility of interrelating these data with disease screening is discussed. There remains controversy regarding the extent to which these findings are related to screening for cervical pathology or to sexual behavior (lower use of barrier methods). A meta-analysis of 54 epidemiological studies found that there is a slightly increased relative risk of breast cancer , diagnosed in women currently taking combined oral contraceptives (relative risk - 1.24). The increased risk gradually disappears within 10 years of stopping these drugs. Because breast cancer is rare in women under 40 years of age, the increase in breast cancer diagnoses in women currently or recently taking combined oral contraceptives is small relative to the overall risk of breast cancer. Its connection with the use of combined oral contraceptives has not been proven. The observed increased risk may also be a consequence of careful monitoring and earlier diagnosis of breast cancer in women using combined oral contraceptives. In women who have ever used combined oral contraceptives, earlier stages of breast cancer are detected than in women who have never used them. In rare cases, during the use of combined oral contraceptives, the development of benign, and in extremely rare cases, malignant liver tumors has been observed , which sometimes led to life-threatening intra-abdominal bleeding. In case of severe abdominal pain, liver enlargement or signs of intra-abdominal bleeding, this should be taken into account when making a differential diagnosis. Malignant tumors can be life-threatening or fatal. Other conditions Clinical studies have shown no effect of drospirenone on plasma potassium concentrations in patients with mild to moderate renal failure. However, in patients with impaired renal function and an initial potassium concentration at the ULN level, the risk of developing hyperkalemia cannot be excluded while taking drugs that lead to potassium retention in the body. In women with hypertriglyceridemia (or a family history of this condition), an increase in risk of developing pancreatitis while taking combined oral contraceptives. Although slight increases in blood pressure have been described in many women taking combined oral contraceptives, clinically significant increases have rarely been observed. However, if a persistent, clinically significant increase in blood pressure develops while taking the drug, these drugs should be discontinued and treatment of arterial hypertension should be initiated. The drug can be continued if normal blood pressure values are achieved with antihypertensive therapy. The following conditions have been reported to develop or worsen both during pregnancy and while taking combined oral contraceptives (but have not been shown to be associated with combined oral contraceptives): jaundice and/or pruritus associated with cholestasis; formation of gallstones; porphyria; systemic lupus erythematosus; hemolytic uremic syndrome; chorea; herpes during pregnancy; hearing loss associated with otosclerosis. Cases of Crohn's disease and ulcerative colitis have also been described during the use of combined oral contraceptives. In women with hereditary forms of angioedema, exogenous estrogens may cause or worsen the symptoms of angioedema. Acute or chronic liver dysfunction may require discontinuation of the drug until liver function tests return to normal. Recurrent cholestatic jaundice, which develops for the first time during pregnancy or previous use of sex hormones, requires discontinuation of the drug. Although combined oral contraceptives may have an effect on insulin resistance and glucose tolerance, there is no need to change the therapeutic regimen in diabetic patients using low-dose combined oral contraceptives (ethinyl estradiol content less than 0.05 mg). However, women with diabetes should be closely monitored while taking this drug. Chloasma may sometimes develop, especially in women with a history of chloasma of pregnancy. Women with a tendency to chloasma while taking Yarina® should avoid prolonged exposure to the sun and exposure to UV radiation. Preclinical safety data Preclinical data obtained from standard studies to identify toxicity with repeated doses of the drug, as well as genotoxicity, carcinogenic potential and reproductive toxicity do not indicate a particular risk to humans. However, it should be remembered that sex steroids may promote the growth of certain hormone-dependent tissues and tumors. Laboratory tests Taking combined oral contraceptives may affect the results of some laboratory tests, including liver, kidney, thyroid, adrenal function, plasma transport protein levels, indicators of carbohydrate metabolism, indicators of blood coagulation and fibrinolysis. Changes usually do not go beyond normal values. Drospirenone increases plasma renin activity and plasma aldosterone levels, which is associated with its antimineralocorticoid effect. Reduced effectiveness The effectiveness of Yarina® may be reduced in the following cases: when tablets are missed, with vomiting and diarrhea (see “Taking missed tablets”) or in as a result of drug interactions. Insufficient control of the menstrual cycle While taking the drug Yarina®, irregular (acyclic) spotting/bleeding from the vagina (spotting or breakthrough bleeding) may be observed, especially during the first months of use. Therefore, evaluation of any irregular menstrual-like bleeding should be carried out after an adaptation period of approximately 3 cycles. If irregular menstrual-like bleeding recurs or develops after previous regular cycles, careful evaluation should be performed to rule out malignancy or pregnancy. Some women may not develop withdrawal bleeding during a break from taking the pills. If Yarina® is taken as recommended, it is unlikely that the woman is pregnant. However, if the drug is not used regularly and there are no two consecutive menstrual-like bleedings, the drug cannot be continued until pregnancy is excluded. Medical examinations Before starting or resuming use of the drug Yarina®, it is necessary to familiarize yourself with the woman’s life history, family history, and conduct a thorough general medical and gynecological examination , exclude pregnancy. The scope of research and the frequency of follow-up examinations should be based on existing standards of medical practice, with the necessary consideration of the individual characteristics of each patient. As a rule, blood pressure and heart rate are measured, body mass index is determined, the condition of the mammary glands, abdominal cavity and pelvic organs is checked, including a cytological examination of the cervical epithelium (Papanicolaou test). Typically, follow-up examinations should be carried out at least once every 6 months. The woman should be warned that hormonal contraceptives do not protect against HIV infection (AIDS) and other sexually transmitted diseases. Impact on the ability to drive a car or perform work that requires increased physical speed and mental reactions. Not found.
Efficacy of Midiana as a Substitute
Both medications are most often prescribed to prevent unwanted pregnancy. But these drugs can also be prescribed for therapeutic purposes to get rid of:
- from acne - acne;
- from edema caused by changes in hormonal levels;
- from seborrhea - a skin pathology caused by increased production of sebaceous gland secretions.
The effect of the drugs on the body is the same, since their chemical composition and dose of active substances do not differ. Based on clinical studies and reviews of women who used Yarina and Midiana, we can conclude that the drugs have an equivalent effect on the body and are well tolerated. The difference between the drugs lies in the manufacturers and price. Midiana is a cheaper remedy, although just as effective.
Regulon or Yarina: what to choose
Regulon is similar in action and method of application - it should also be drunk for 21 days and take a break for 7 days during menstruation. In addition, both drugs have a common active ingredient - ethinyl estradiol, and in equal dosages.
Doctor's opinion: “The main difference between the drugs is the gestagenic component. Yarina contains drospirenone, which is a third-generation androgenic gestagen that has an antimineralocorticoid effect, and Regulon is an older hormonal contraceptive containing desogestrel.”
The main misconception is that the female body will tolerate a more modern remedy better. Each person's body is unique, so the reaction to taking various hormonal drugs will be individual. So it is imperative that a qualified specialist choose an oral contraceptive medication.
Analogues in action
- Pegulon (OAO “Gedeon Richter”, Hungary) is a monophasic hormonal contraceptive. It is notable for the fact that it is often prescribed for the treatment of female pathologies (fibroids, ovarian cysts). The package contains 21 tablets. After finishing the package, you need to take a 7-day break, and on the eighth day start taking a new pack. The average price is 410 rubles (may vary depending on the place of purchase).
- Tri Mercy (HB Organon, Occ, Netherlands) – refers to COCs. It is often prescribed to regulate heavy and painful periods. The package contains 21 tablets. After finishing the package, you need to take a 7-day break, and on the eighth day start taking a new pack. The average price is 995 rubles (may vary depending on the place of purchase).
- Lindinet 20 (OAO Gedeon Richter, Hungary) is a combined oral contraceptive. In addition to its direct purpose, it is also used to normalize the menstrual cycle. The package contains 21 tablets. After finishing the package, you need to take a 7-day break, and on the eighth day start taking a new pack. The average price is 390 rubles (may vary depending on the place of purchase). Read more about Lindinet 20.
- Diane 35 (Bayep Beymar GmbH and Co. KG, Germany) is a low-dose monophasic oral contraceptive (low dose of hormones in the composition). The blister contains 21 tablets, after which a 7-day break is taken. The average price is 890 rubles (depending on the place of purchase).
- Novinet (OAO “Gedeon Richter”, Hungary) – the blister contains 21 contraceptive pills, after which a 7-day break is taken. The average price is 490 rubles (depending on the place of purchase).
- Jess Plus (Bayep Beymar GmbX and Co. KG, Germany) is a monophasic oral contraceptive. The package contains 21 active tablets and 7 tablets containing vitamins. There is no need to take a break between packages. The average price is 1090 rubles (depending on the place of purchase).
- Janine (Bayer Pharma AG) – KOC. The blister contains 21 tablets, which means a 7-day break upon completion. The average cost is 740 rubles (depending on the place of purchase).
Having the entire list before our eyes, we can name analogues that are significantly cheaper than Yarina. These are: Lindinet 20, Regulon, Novinet, Zhannin, Midiana, Dimia.
Note that a lower price does not affect the quality of the drug or the body’s reaction to taking these drugs. It all comes down to the individual characteristics of the body and the presence of contraindications. Therefore, when choosing a hormonal contraceptive, it is so important to undergo a full examination and get a detailed consultation with a gynecologist.
Don't be shy to ask your doctor questions. It’s better to ask again 10 times than to suffer from unexpected consequences later.
Belar and Yarina: comparative characteristics
Both medications are drugs from the group of hormone-based drugs, so they are not recommended to be used without medical advice. Both drugs contain the active substance ethinyl estradiol. The second active component of Yarina is drospirenone, and Belara is chlormadinone acetate.
Both medications help prevent unwanted conception by suppressing the production of sex hormones and thickening secretions in the cervical canal. In addition, with their help, the menstrual cycle is normalized and the possibility of anemia is reduced.
As an auxiliary action, Yarina helps get rid of acne and normalizes lipid levels by increasing HDL levels. Also, according to some data, the active component of Yarina - drospirenone - helps reduce the risk of cancer in the ovaries and endometrium.
The restrictions on use for these medications are similar, although Belara has a large number of contraindications, which is why these pills are not suitable for every woman. For the most part, the contraindications are due to the chlormadinone acetate found in them.
From this we can conclude that it is better to give preference to Yarina, since it has fewer restrictions on its use. The drug also has an additional therapeutic effect. But do not forget that both drugs belong to the group of hormonal drugs, so self-administration can cause the development of serious consequences and pathological reactions. If a doctor prescribes a medicine, you should not replace it with analogues yourself.
Comparison of drugs
We propose to conduct a detailed comparison of some drugs and find out what the difference is. And what can replace Yarina or Yarina plus.
Yarina and Jess - which is better?
How are these drugs similar and different from each other?
Both drugs are monophasic COCs; they are similar in composition, but differ in action.
Their main difference is that Jess is micro-dosed (estrogen dose up to 20 mg), and Yarina is a low-dose drug (estrogen dose up to 30 mg).
Therefore, Jess is considered a drug with a more gentle effect and is usually prescribed to young girls, and Yarina to older women.
In any case, your doctor should select the appropriate oral contraceptive for you. And not just any person, but someone who doesn’t care about your health.
The process of selecting hormonal contraceptives - read.
Let's also say that the main difference between Jess and other oral contraceptives is in the mode of administration:
- You take active tablets for 24 days in a row
- And for the remaining 4 days you take placebo pills
- Then immediately start a new package of the drug
Thus, taking Jess does not imply a break.
Yarina plus and Jess plus – what to choose?
Both drugs contain:
- Ethinyl estradiol (Yarina 30 mcg; Jess 20 mcg) – an analogue of endogenous estradiol
- Drospirenone (3 mg) – has an antiandrogenic effect
- Calcium levomefolate (451 mcg per inactive tablet) – biologically active folic acid formula
We see that the difference is again in the dosage of Ethinyl estradiol. Otherwise they are almost identical.
Read more about Jess Plus.
Read more about Yarina Plus.
It’s best to consult your doctor about how to switch from Jess (Jess plus) to Yarina (Yarina plus) or vice versa. Of course, usually they just finish the pack and then start drinking another OK one. But the body is individual, so consulting a specialist will not be superfluous.
Belara or Yarina - comparison
Which is better and what's the difference?
Yarina is a low-dose monophasic oral drug with antimineralocorticoid and antiandrogenic effects. Belara is the same, but the difference is that there is no antimineralocorticoid effect.
Thanks to this difference, Yarina prevents disturbances in water-salt metabolism and increased blood pressure. For the same reason, Belara does not have a diuretic effect. Otherwise, the drugs are similar to each other. However, it is believed that Yarina is a more severe COC. Therefore, you need to discuss everything in detail with your doctor.
Vidora or Yarina
To understand which is better, you need to compare them.
Vidora is a low-dose drug. Similar to Yarina Plus, but only cheaper (about 400 rubles per package). Both products are similar in composition and action.
Vidora micro (Drospirenone 3.0 mg and Ethinyl estradiol 0.02 mg) is an analogue of Jess Plus, but only costs less (about 400 rubles per pack). The difference from Jess Plus is again in the reception mode. Vidora micro is taken like Yarina plus - 21 tablets with active substances and 7 tablets with vitamins.
Janine or Yarina
Which is better and what's the difference?
Feedback from women and girls shows that there is no clear answer to this question. What suits one does not suit another. Still, we will make a comparison.
Dosage form. Yarina is available in tablets, and Zhanine is available in the form of a film-coated dragee.
Both products are manufactured by Bayer and are monophasic. The common component is ethinyl estradiol (the dosage in both drugs is 30 mcg).
But that's where the similarities end. The second active component in Yarin is drospirenone, and in Janine it is dienogest. Excipients also vary in dosage and set of ingredients.
What is better for endometriosis? Janine or Yarina are indicated in the initial stages of endometriosis, when you need to act quickly. Yarina copes with the pathological division of endometrial cells more effectively. In some cases, the drug Yarina is replaced with the less active Janine.
How does Yarina work for endometriosis?
This hormonal drug is one of the best among COCs for treatment, because. it:
- Blocks the pituitary gland's synthesis of gonadotropes and their release
- Suppresses the production of sex hormones by the ovaries
- Neutralizes proliferative changes in the endometrium
As a result, cyclic processes in the endometrium stop, and with prolonged use (course), atrophy begins and the functioning of endometriotic foci is suppressed.
Klaira or Yarina
Firstly, the difference in dosage:
- Yarina – low-dose contraceptive (up to 30 mcg Ethinyl estradiol)
- Klaira – microdosed (up to 20 mcg)
Secondly, the difference in active components:
- Yarina – Ethinyl estradiol and Drospirenone
- Qlaira – Estradiol valerate and Dienogest
Thirdly, the difference in the combination of hormones:
- Yarina – monophasic contraceptive (one combination of hormones for all tablets throughout the entire cycle)
- Qlaira – multiphase (more than three combinations, namely four)
As you can see, just by reading the information, it is difficult to determine what is best for you - Klaira or Yarina. To find out, you must take tests and undergo a full examination.
How to switch from Klaira to Yarina? Switching from Qlaira to Yarina: finish all Qlaira tablets (as scheduled) and start taking Yarina the next day.
Yarina or Logest
What is better and what to choose?
The active ingredients in Logest are Ethinyl estradiol and Gestodene, in Yarin - Ethinyl estradiol and Drospirenone.
Both drugs are low-dose (up to 30 mcg) monophasic combined oral contraceptives.
It is impossible to determine in advance which product will suit you best. You need to undergo examination and take tests.
Novinet or Yarina
What is better and what to choose?
The active ingredients in Novinet are Ethinyl estradiol (20 mcg) and Desogestrel (150 mcg). Those. It's microdosed.
In Yarin, the dosage of hormones is slightly higher, and it is a low-dose remedy.
What is right for you depends on your age and individual characteristics of your body. To select a suitable product, consult a trusted gynecologist.
Silhouette or Yarina
Yarina is a low-dose monophasic contraceptive. Active ingredients – Ethinyl estradiol (30 mcg) and Drospirenone (3 mg).
Siluet has 2 active components: Ethinyl estradiol (30 mcg) and Dienogest (2 mg), in fact, being an analogue of Janine. Siluet is prescribed in the following cases: contraception; acne; cycle failure; painful periods; anemia and large blood loss during menstruation; endometriosis.
Read more about Siluet.
Yarina or Siluet for endometriosis?
As mentioned above, Yarina is one of the most effective hormonal drugs in the treatment of endometriosis. How does Siluet deal with this?
- Atrophies endometrioid lesions, regardless of their location
- Blocks proliferative cyclic changes
- Stops inflammatory reactions
As a result, the condition of the female body is normalized.
Read more about the Siluet action.
Diana is 35 or Yarina
Diane-35 is a low-dose monophasic oral combined estrogen-antiandrogen contraceptive drug. Active ingredients: Ethinyl estradiol (35 mcg) and Cyproterone acetate (2 mg)
Active ingredients of Yarina: Ethinyl estradiol (30 mcg) and Drospirenone (3 mg). Yarina is also a low-dose monophasic COC.
As you can see, Diane contains a larger dose of hormones than Yarina.
What suits your body best needs to be determined by taking tests and being examined by a doctor. No one can tell you in advance how taking a particular drug will affect your body. Side effects for all drugs are static. The only difference is that some people have them and some don’t. To do this, you need to undergo a full examination to find out which drug will work more harmoniously with your body.
Transition from Diane to Yarina
Because the dose of hormones in Yarin is slightly lower, then during the transition you need to use additional means of protection for the first time (from 7 days to a month) (in case ovulation occurs). And so the rules are the same as for all pills - you finish the package of Diana, take a break for 7 days, as expected, and then you start drinking Yarina. You can not take a break (or take less), the main thing is to start packing Yarina no later than the eighth day after finishing taking Diane, so that there is no decline in the contraceptive effect.
In any case, consult a competent obstetrician-gynecologist.
Lindinet or Yarina
To understand the differences between them, let’s first look at the composition.
Composition of Lindinet 20:
- Ethinyl estradiol 20 mcg – per 1 tablet
- Gestodene 75 mcg – per 1 tablet
Composition of Lindinet 30:
- Ethinyl estradiol 30 mcg – per 1 tablet
- Gestodene 75 mcg – per tablet
Yarina's composition:
- Ethinyl estradiol 30 mcg – per tablet
- Drospirenone 3 mg – per tablet
All three drugs are monophasic combined oral contraceptives.
The difference between Yarina and Lindinet 30 is the second active substance (gestodene versus drospirenone).
Yarina and Lindinet 20 also have different dosages of hormones. Lindinet 20 is a micro-dose drug, while Lindinet 30 and Yarina are low-dose.
What is best for you depends on your age and individual characteristics of the body.
Yarina or Midiana
In order to understand what the difference is, you need to compare Median and Yarin.
They are absolutely identical in composition and dosage of hormones: the active ingredients in both cases are Ethinyl estradiol (30 mcg) and Drospirenone (3 mg).
Both drugs are monophasic COCs. So everything is the same here too.
And even the blister contains 21 active tablets (Yarina also has 7 vitamin tablets). Therefore, the regimen for Median and Yarina is the same.
Therefore, it is impossible to say in advance which is better for you - Median or Yarina.
Klaira as an analogue
Qlaira belongs to the group of combined drugs. Women almost always tolerate it well. This drug helps suppress the ovulation process and increase the viscosity of the secretion. Due to this, the sperm that penetrates the vagina cannot enter the egg and fertilize it. In addition, under the influence of Qlaira, the duration of menstruation decreases and the severity of painful manifestations decreases.
Although Yarina and Klaira are contraceptives, they differ significantly from each other. The main difference is the active ingredients and their dosage. Yarina has a large amount of hormonal substances in its composition. One or another remedy is prescribed to protect against unwanted pregnancy, but taking Yarina helps additionally treat acne and eliminate swelling.
Important! Compared to Yarina, Klaira has some advantages:
- a slight possibility of negative reactions, since hormones are contained in small quantities;
- recommended for use by women who smoke and after reaching 35 years of age;
- has a beneficial effect on the endometrium, due to which the drug is often used to treat endometriosis.
Both patients respond mostly positively. But the components in Yarin can have a negative effect on the liver, which is why the drug is contraindicated if there are problems in the organ. Qlaira is a modern medicine that has a milder effect.
Expert opinion about the drug Yarina and its analogues
Prevention from unwanted pregnancy using hormonal agents has been practiced all over the world for more than 50 years. The WHO Medical Eligibility Criteria for Contraceptive Methods considers COCs to be one of the most effective and reliable methods of contraception.
Yarina and Yarina Plus are modern drugs for oral contraception , containing a minimal amount of hormonal components and having not only a contraceptive, but a therapeutic and prophylactic effect.
In addition to the contraceptive effect and a pronounced positive effect on the condition of skin prone to acne due to the increased activity of male sex hormones, Yarina has other positive effects. The International Federation of Obstetricians and Gynecologists has recognized all modern COCs as one of the best medicines for uterine bleeding.
It has been established that women who use COCs are less likely to suffer from iron deficiency anemia, since the intensity and duration of menstrual bleeding decreases, and along with them, iron loss decreases.
In addition, long-term use of COCs reduces the risk of uterine and ovarian cancer, and the protective effect lasts more than 20 years after stopping oral contraceptives.
Clinical trials of Yarina, Yarina Plus and hormonal contraceptives similar in composition have shown that they do not have a negative effect on the blood coagulation system, prevent the occurrence of swelling characteristic of premenstrual syndrome, and, importantly, inhibit weight gain, which often occurs with the use of other low-dose COCs.
Therefore, Yarina is one of the most effective and safe contraceptive drugs.
In addition to Yarina, there are many drugs that are identical in composition and properties. Each woman, after consulting with a gynecologist, will be able to choose for herself an analogue of Yarina in composition, which will cost less and have an equal level of effectiveness.
Diana is 35 or Yarina: which is better
It is a low-dose monophasic combined contraceptive for oral use. One of the active ingredients in these drugs is ethinyl estradiol, but in different dosages (for Diana 35 it is slightly higher). The second active ingredient is drospirenone, and Diane 35 is cyproterone acetate.
Which medicine is suitable in each specific case should be decided with a doctor after appropriate diagnosis. Since each of the medications has some contraindications that must be excluded so that no adverse reactions or complications arise.
Logest and Yarina: what to choose
Logest is a microdosed contraceptive drug. It is analogous to Yarina in action. In addition, it contains one similar active ingredient - ethinyl estradiol, but in smaller quantities, therefore it has a more gentle effect on the body. The second active ingredient in its composition is the hormone gestodene.
Logest is taken in the same way as the indicated medication: with a one-week break after 3 weeks of use.
The gynecologist must choose which drug to take, since self-medication is fraught with consequences.
Analogues in composition
Below are Yarin's analogues for active ingredients:
- Jess (Beijer Beymar GmbX and Ko. KG, Germany) is a monophasic COC with antiandrogenic (cosmetic) action. The package contains 28 tablets, i.e. The drug must be taken daily without a break between packs. The average price is 1070 rubles (may vary depending on the place of purchase). Read more about Jess.
- Dimia (OAO Gedeon Richter) is a monophasic contraceptive pill with antiandrogenic and antimineralocorticoid action. The package contains 28 tablets, i.e. The drug must be taken daily without a break between packs. The average price is 760 rubles (may vary depending on the place of purchase).
- Midiana (OAO Gedeon Richter) is a COC with antiandrogenic action. The package contains 21 tablets. After finishing the package, you need to take a 7-day break, and on the eighth day start taking a new pack. The average price is 740 rubles (may vary depending on the place of purchase).
Dimia as a substitute
The drug is a monophasic hormonal contraceptive. They contain similar active substances in equal dosages.
The contraceptive effect of the pills is identical: they help suppress the production of hormonal substances in the ovaries. This leads to a stop in the menstrual cycle and the release of eggs. In addition to the absence of ovulation, there is a modification of the secretion synthesized in the glands of the cervix.
Possible pathological reactions to taking drugs are also similar. There is a possibility of headaches, irritability, discomfort in the mammary glands, and decreased libido.
Important! The main difference between the medications is the presence of placebo tablets in the package with the second drug, so a woman may not have to count the days it takes to stop taking the contraceptive.
While Yarina’s package contains only pills containing hormones, so you will have to regulate the duration of the break yourself.
Dimia contains ethinyl estradiol in a lower dosage compared to the indicated medication, and drospirenone is present in equal amounts. The cost of the first one is slightly lower.
Whatever remedy is preferred to prevent conception, you should initially consult with a gynecologist.
Contraindications
Let's consider the conditions in which Yarina's medication is contraindicated:
- risk of venous thromboembolism;
- diabetes;
- severe arterial hypertension;
- renal/liver failure;
- vaginal bleeding;
- increased susceptibility to the composition of the drug Yarina;
- cerebrovascular disorders;
- thrombosis;
- tumors of different localization;
- Contraindicated for children under 18 years of age, as well as pregnant and lactating women;
- severe dyslipoproteinemia.
The drug Yarina® is contraindicated in the simultaneous use of drugs containing ombitasvir/paritaprevir/ritonavir and dasabuvir.
A woman is not recommended to take Yarina during pregnancy. During lactation, if the use of medication is necessary, it is not recommended to feed the baby with breast milk, since the use of this drug may reduce the amount of milk produced, and its composition may also change.
Silhouette and Yarina: comparative characteristics
Taking medications is recommended for female representatives to normalize the menstrual cycle, restore hormonal levels and prevent unwanted pregnancy. Silhouette is a low-dose monophasic combined contraceptive based on the active component ethinyl estradiol.
These medications are analogues, since they contain exactly the same active ingredients. They differ only in cost.
If you have to choose between these drugs, the doctor must take into account all the indications and contraindications. In this situation, they are completely identical for some tablets and for other tablets. So you can give preference to any medicine.
Possible substitutes for Yarina
Not all drugs that are similar to Yarina in composition or mode of action are listed above. You can find other analogues in pharmacies: Anabella, Dimia, Modell Trend, Delsia, Vidora micro, Leya.
All of them contain the same active substances as Yarina: ethinyl estradiol and drospirenone. Therefore, if you need an analogue of Yarina no, you can buy one of these drugs cheaper, since their contraceptive and therapeutic effects are identical.
If what comes to the fore is not so much the therapeutic effect of using COCs, but rather reliable contraception, after consulting a doctor, you can opt for such safe low-dose drugs as Mercilon, Tri-Mercy and Marvelon. They contain ethinyl estradiol and desogestrel.
List of cheaper analogues
This medication can be purchased at any pharmacy, but it is quite expensive. If necessary, you can purchase cheaper drugs that are analogues in terms of active ingredients, indications and method of use. This may be one of the following contraceptives:
- Rigevidon – from 160 rubles;
- Modell Pro – from 270 rubles;
- Miniziston 20 Fem – from 330 rubles;
- Lindinet - from 340 rubles.
The main requirement when choosing a contraceptive is that you should not self-medicate.