{"id":2146,"date":"2025-09-18T11:55:25","date_gmt":"2025-09-18T09:55:25","guid":{"rendered":"https:\/\/rxquora.com\/en\/?p=2146"},"modified":"2025-09-21T11:44:57","modified_gmt":"2025-09-21T09:44:57","slug":"minerva-35-uses-side-effects-precaution","status":"publish","type":"post","link":"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/","title":{"rendered":"MINERVA-35: Uses, Side-Effects,Precaution"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>MINERVA-35<\/strong> is a prescription hormonal medicine used in women of reproductive age to treat certain skin and hair concerns that are linked to androgens (male-type hormones). In addition to improving acne, very oily skin (seborrhoea), and excessive hair growth (hirsutism)\u2014including when these occur with <strong>polycystic ovary syndrome (PCOS)<\/strong>\u2014MINERVA-35 also works as a <strong>combined oral contraceptive (\u201cthe Pill\u201d)<\/strong>. Because of its contraceptive action, your doctor will only prescribe it if they believe a hormonal contraceptive is also suitable for you.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Quick facts<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Active ingredients:<\/strong> ethinylestradiol 0,035 mg + cyproterone acetate 2 mg per beige tablet<\/li>\n\n\n\n<li><strong>Scheduling:<\/strong> <strong>S4<\/strong> (prescription only in South Africa)<\/li>\n\n\n\n<li><strong>Main uses:<\/strong> acne, very oily skin, and excessive hair growth in women of reproductive age; also prevents pregnancy<\/li>\n\n\n\n<li><strong>Pack:<\/strong> 28 tablets (21 <strong>beige<\/strong> hormone-containing tablets + 7 <strong>white<\/strong> hormone-free tablets)<\/li>\n\n\n\n<li><strong>Contains sugars:<\/strong> <strong>lactose<\/strong> and <strong>sucrose<\/strong><\/li>\n\n\n\n<li><strong>Not for:<\/strong> pregnancy, breastfeeding, men, or use alongside another hormonal contraceptive<\/li>\n\n\n\n<li><strong>No STI protection:<\/strong> does <strong>not<\/strong> protect against HIV\/AIDS or other sexually transmitted infections (use condoms to reduce STI risk)<\/li>\n<\/ul>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_it_is_and_what_it_is_used_for\"><\/span>What it is and what it is used for<span class=\"ez-toc-section-end\"><\/span><\/h2><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#What_it_is_and_what_it_is_used_for\" >What it is and what it is used for<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#How_it_works_simple_explanation\" >How it works (simple explanation)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Who_should_NOT_use_this_medicine\" >Who should NOT use this medicine<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Warnings_and_precautions_Read_before_use\" >Warnings and precautions (Read before use)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#MINERVA-35_and_blood_clots\" >MINERVA-35 and blood clots<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Pregnancy_planning_pregnancy_and_breastfeeding\" >Pregnancy, planning pregnancy, and breastfeeding<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Interactions\" >Interactions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#How_to_take_Step-by-step\" >How to take (Step-by-step)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Your_pack\" >Your pack<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Daily_dosing\" >Daily dosing<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#When_to_start_your_first_pack\" >When to start your first pack<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Missed_dose_and_gastrointestinal_upset\" >Missed dose and gastrointestinal upset<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Overdose\" >Overdose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#How_long_to_use\" >How long to use<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Dosing_table_from_source_guidance\" >Dosing table (from source guidance)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Possible_side_effects\" >Possible side effects<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Storage_and_disposal\" >Storage and disposal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#What_the_medicine_contains\" >What the medicine contains<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Pack_information_and_appearance\" >Pack information and appearance<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/#Practical_FAQs_based_ONLY_on_the_source\" >Practical FAQs (based ONLY on the source)<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Active ingredients and class<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ethinylestradiol (0,035 mg):<\/strong> a synthetic oestrogen.<\/li>\n\n\n\n<li><strong>Cyproterone acetate (2 mg):<\/strong> a progestogen with anti-androgen activity (it helps counter the effects of androgens).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Indications\/uses (as per source)<\/strong><br>MINERVA-35 is used to treat <strong>acne<\/strong>, <strong>very oily skin<\/strong>, and <strong>excessive hair growth<\/strong> in women of reproductive age, including those with <strong>PCOS<\/strong> who need treatment for these symptoms. It also functions as a <strong>hormonal contraceptive<\/strong> and should only be prescribed if your doctor considers a combined oral contraceptive appropriate. You should only take MINERVA-35 if your doctor decides that other anti-acne options (such as topical treatments or antibiotics) are not suitable for you.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_it_works_simple_explanation\"><\/span>How it works (simple explanation)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">MINERVA-35 combines an oestrogen (ethinylestradiol) and a progestogen with anti-androgen effects (cyproterone acetate). Together they:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Regulate hormone levels<\/strong> that can drive acne, oiliness, and unwanted hair growth.<\/li>\n\n\n\n<li><strong>Reduce androgen influence<\/strong> on the skin\u2019s oil glands and hair follicles, which helps clear acne, decrease oil production, and slow excessive hair growth.<\/li>\n\n\n\n<li><strong>Prevent ovulation and thicken cervical mucus,<\/strong> providing <strong>contraception<\/strong> when taken correctly.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Who_should_NOT_use_this_medicine\"><\/span>Who should NOT use this medicine<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do not take MINERVA-35 if any of the following apply:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You are <strong>allergic<\/strong> to ethinylestradiol, cyproterone acetate, or any tablet ingredient (e.g., rash, itching, swelling after use).<\/li>\n\n\n\n<li>You <strong>currently have or ever had a blood clot<\/strong> (e.g., deep vein thrombosis in the leg, pulmonary embolism in the lung) or any other serious clot anywhere in the body.<\/li>\n\n\n\n<li>You <strong>currently have or ever had<\/strong> a <strong>heart attack<\/strong> or <strong>stroke<\/strong>, or a condition that can warn of these (such as <strong>angina<\/strong> or a <strong>transient ischaemic attack<\/strong>).<\/li>\n\n\n\n<li>You have (or have ever had) a <strong>migraine<\/strong> with <strong>visual changes, speech difficulties, or weakness\/numbness<\/strong>.<\/li>\n\n\n\n<li>You have conditions that increase the risk of <strong>arterial clots<\/strong>, including:\n<ul class=\"wp-block-list\">\n<li><strong>Diabetes with blood-vessel involvement<\/strong><\/li>\n\n\n\n<li><strong>Very high blood pressure<\/strong><\/li>\n\n\n\n<li><strong>Very high cholesterol or triglycerides<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>You have a <strong>blood-clotting disorder<\/strong> (e.g., <strong>protein C deficiency<\/strong>).<\/li>\n\n\n\n<li>You have (or have ever had) <strong>liver disease<\/strong> and your liver is <strong>not yet normal<\/strong> (symptoms can include widespread itching or yellowing of the skin).<\/li>\n\n\n\n<li>You are <strong>taking certain hepatitis C antiviral combinations<\/strong> containing <strong>ombitasvir, paritaprevir, dasabuvir<\/strong> (alone or in combination).<\/li>\n\n\n\n<li>You have (or have ever had) a <strong>hormone-sensitive cancer<\/strong> (e.g., of the breast or genital organs).<\/li>\n\n\n\n<li>You have (or have ever had) <strong>liver tumours<\/strong> (benign or malignant).<\/li>\n\n\n\n<li>You have <strong>unexplained vaginal bleeding<\/strong>.<\/li>\n\n\n\n<li>You are <strong>using another hormonal contraceptive<\/strong>.<\/li>\n\n\n\n<li>You are <strong>pregnant<\/strong>, <strong>think you may be pregnant<\/strong>, or are <strong>breastfeeding<\/strong>.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Stop using MINERVA-35 and contact your doctor immediately<\/strong> if any of the above appear for the first time during use.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Warnings_and_precautions_Read_before_use\"><\/span>Warnings and precautions (Read before use)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Certain situations require <strong>extra care<\/strong> and possibly <strong>regular check-ups<\/strong> while using MINERVA-35. Tell your doctor if any of the following apply <strong>before you start<\/strong>, or if they <strong>develop or worsen<\/strong> during treatment:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Smoking<\/strong>, especially <strong>age &gt;35 years<\/strong><\/li>\n\n\n\n<li><strong>Diabetes<\/strong><\/li>\n\n\n\n<li><strong>Overweight<\/strong><\/li>\n\n\n\n<li><strong>High blood pressure<\/strong><\/li>\n\n\n\n<li><strong>Heart valve<\/strong> disease or certain <strong>heart rhythm<\/strong> disorders<\/li>\n\n\n\n<li><strong>Inflamed veins<\/strong> (superficial phlebitis) or <strong>varicose veins<\/strong><\/li>\n\n\n\n<li><strong>Personal or close family history<\/strong> of blood clots, heart attack, or stroke at a young age<\/li>\n\n\n\n<li><strong>Migraine<\/strong> (with or without aura)<\/li>\n\n\n\n<li><strong>Epilepsy<\/strong><\/li>\n\n\n\n<li>Personal or family history of <strong>high cholesterol\/triglycerides<\/strong><\/li>\n\n\n\n<li><strong>Breast cancer<\/strong> in a close relative<\/li>\n\n\n\n<li><strong>Liver or gallbladder disease<\/strong><\/li>\n\n\n\n<li><strong>Crohn\u2019s disease<\/strong> or <strong>ulcerative colitis<\/strong><\/li>\n\n\n\n<li><strong>PCOS<\/strong><\/li>\n\n\n\n<li><strong>Systemic lupus erythematosus (SLE)<\/strong><\/li>\n\n\n\n<li><strong>Haemolytic uraemic syndrome (HUS)<\/strong><\/li>\n\n\n\n<li><strong>Sickle cell disease<\/strong><\/li>\n\n\n\n<li>Conditions that first occurred or worsened during <strong>pregnancy<\/strong> or previous <strong>sex-hormone<\/strong> use (e.g., <strong>hearing loss<\/strong>, <strong>porphyria<\/strong>, <strong>herpes gestationis<\/strong>, <strong>Sydenham\u2019s chorea<\/strong>)<\/li>\n\n\n\n<li><strong>Chloasma<\/strong> (\u201cpregnancy patches\u201d): avoid <strong>sun<\/strong> and <strong>UV<\/strong> exposure<\/li>\n\n\n\n<li><strong>Hereditary angioedema<\/strong>: oestrogens may trigger or worsen swelling (seek urgent help if swelling of face\/tongue\/throat, trouble swallowing or breathing, or hives occur)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Depression and mood changes<\/strong><br>Some users of hormonal contraceptives, including MINERVA-35, have reported <strong>depression or low mood<\/strong>, which can be serious and may lead to <strong>suicidal thoughts<\/strong>. <strong>Seek medical advice promptly<\/strong> if you experience mood changes or depressive symptoms.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"MINERVA-35_and_blood_clots\"><\/span>MINERVA-35 and blood clots<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Combined pills slightly <strong>increase the risk of blood clots<\/strong> (thrombosis) compared with not using them. The risk is <strong>highest in the first year<\/strong> of use and is <strong>still lower than during pregnancy<\/strong>. Clots may form in veins (e.g., leg, lungs) or arteries (heart, brain).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Risk factors that further increase clot risk include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Getting older<\/li>\n\n\n\n<li><strong>Smoking<\/strong> (especially if you are over 35)<\/li>\n\n\n\n<li>Being <strong>overweight<\/strong><\/li>\n\n\n\n<li><strong>High blood pressure<\/strong><\/li>\n\n\n\n<li><strong>High cholesterol\/triglycerides<\/strong><\/li>\n\n\n\n<li><strong>Migraine<\/strong><\/li>\n\n\n\n<li><strong>Heart problems<\/strong> (valve defects, rhythm disorders)<\/li>\n\n\n\n<li><strong>Family history<\/strong> of early heart attack\/stroke or clots<\/li>\n\n\n\n<li><strong>Immobilisation<\/strong>, <strong>surgery<\/strong>, long <strong>bedrest<\/strong>, or a <strong>leg cast<\/strong> (you may need to stop MINERVA-35 several weeks before planned surgery\u2014your doctor will advise when to restart)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Symptoms of a possible blood clot\u2014seek urgent medical help and stop taking the tablets if you develop:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sudden cough for no clear reason; <strong>severe chest pain<\/strong> (may spread to left arm); <strong>shortness of breath<\/strong>; rapid or irregular heartbeat<\/li>\n\n\n\n<li><strong>Severe or unusual headache<\/strong>, worsening migraine; <strong>fainting<\/strong> or dizziness<\/li>\n\n\n\n<li><strong>Vision loss<\/strong> (partial or complete) or <strong>double vision<\/strong><\/li>\n\n\n\n<li><strong>Slurred speech<\/strong> or trouble speaking; sudden change in <strong>hearing, smell, or taste<\/strong><\/li>\n\n\n\n<li><strong>Weakness or numbness<\/strong> in any part of the body<\/li>\n\n\n\n<li><strong>Severe abdominal pain<\/strong><\/li>\n\n\n\n<li><strong>Severe pain or swelling<\/strong> in one leg<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cancer information<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Breast cancer<\/strong> has been observed slightly more often in users of combined pills; whether this is caused by the pill or due to more frequent medical checks is not certain. The excess risk gradually reduces after stopping. Check your breasts regularly and see your doctor if you feel a lump.<\/li>\n\n\n\n<li><strong>Rare liver tumours<\/strong> (benign or malignant) have been reported in pill users and may cause <strong>severe abdominal pain<\/strong> due to internal bleeding\u2014seek medical help if this occurs.<\/li>\n\n\n\n<li>Long-term pill use may be associated with a higher risk of <strong>cervical cancer<\/strong>; persistent <strong>HPV<\/strong> infection is the main risk factor.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bleeding changes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Irregular spotting or breakthrough bleeding<\/strong> can occur in the first <strong>three cycles<\/strong>. Continue tablets as usual. If bleeding <strong>continues, becomes heavy, or restarts<\/strong>, contact your doctor.<\/li>\n\n\n\n<li>If you took all tablets correctly and did not vomit or have severe diarrhoea, <strong>absence of the expected bleed<\/strong> during the white-tablet days makes pregnancy <strong>unlikely<\/strong>. If the expected bleed <strong>fails to occur twice in a row<\/strong> or if you <strong>missed tablets<\/strong>, speak to your doctor before starting a new pack and use <strong>non-hormonal contraception<\/strong> in the meantime.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Important:<\/strong> MINERVA-35 <strong>does not<\/strong> protect against <strong>HIV<\/strong> or any <strong>sexually transmitted infections<\/strong>\u2014use <strong>condoms<\/strong> to reduce STI risk.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pregnancy_planning_pregnancy_and_breastfeeding\"><\/span>Pregnancy, planning pregnancy, and breastfeeding<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Do not take MINERVA-35 if you are pregnant<\/strong> or think you may be pregnant. If you become pregnant while taking it, <strong>stop immediately<\/strong> and contact your doctor.<\/li>\n\n\n\n<li>If you plan a pregnancy, you can <strong>stop at any time<\/strong>. Waiting for one natural period before trying can make it easier to date the pregnancy.<\/li>\n\n\n\n<li><strong>Breastfeeding:<\/strong> <strong>Do not use<\/strong> MINERVA-35 while breastfeeding.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Interactions\"><\/span>Interactions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Always tell your doctor, pharmacist, or nurse about <strong>all<\/strong> medicines, complementary or traditional products, and <strong>herbal<\/strong> remedies you use. Some <strong>reduce effectiveness<\/strong> or cause <strong>unexpected bleeding<\/strong>; others may have their effect changed by MINERVA-35.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can reduce MINERVA-35\u2019s effectiveness or alter hormone levels (may cause breakthrough bleeding):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Epilepsy medicines:<\/strong> primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, topiramate, felbamate<\/li>\n\n\n\n<li><strong>Tuberculosis:<\/strong> rifampicin<\/li>\n\n\n\n<li><strong>HIV or HCV treatments:<\/strong> certain protease inhibitors and non-nucleoside reverse transcriptase inhibitors<\/li>\n\n\n\n<li><strong>Antifungals:<\/strong> griseofulvin; azoles such as itraconazole, voriconazole, fluconazole<\/li>\n\n\n\n<li><strong>Antibiotics (macrolides):<\/strong> clarithromycin, erythromycin<\/li>\n\n\n\n<li><strong>Cardiovascular (calcium channel blockers):<\/strong> verapamil, diltiazem<\/li>\n\n\n\n<li><strong>Analgesic\/anti-inflammatory:<\/strong> etoricoxib<\/li>\n\n\n\n<li><strong>Herbal remedy:<\/strong> <strong>St John\u2019s wort<\/strong><\/li>\n\n\n\n<li><strong>Food\/juice:<\/strong> <strong>grapefruit juice<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>MINERVA-35 may affect other medicines, including:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lamotrigine<\/strong>, <strong>cyclosporine<\/strong>, <strong>melatonin<\/strong>, <strong>midazolam<\/strong>, <strong>theophylline<\/strong>, <strong>tizanidine<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Laboratory tests:<\/strong> Oral contraceptives can <strong>affect blood test results<\/strong>; inform your healthcare provider and the laboratory that you are using MINERVA-35.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_to_take_Step-by-step\"><\/span>How to take (Step-by-step)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Key principle:<\/strong> MINERVA-35 must be taken <strong>regularly<\/strong> to maintain both therapeutic effects and <strong>contraceptive protection<\/strong>. <strong>Irregular use<\/strong> may cause <strong>inter-menstrual bleeding<\/strong> and reduce effectiveness.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Your_pack\"><\/span>Your pack<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>28 tablets total<\/strong>:\n<ul class=\"wp-block-list\">\n<li><strong>21 beige tablets<\/strong> (contain hormones: ethinylestradiol 0,035 mg + cyproterone acetate 2 mg)<\/li>\n\n\n\n<li><strong>7 larger white tablets<\/strong> (hormone-free)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Daily_dosing\"><\/span>Daily dosing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Take <strong>one tablet every day at about the same time<\/strong>, with a little water if needed.<\/li>\n\n\n\n<li>Follow the <strong>arrows<\/strong> on the blister through all <strong>28 tablets<\/strong>.<\/li>\n\n\n\n<li>Your <strong>withdrawal bleed<\/strong> usually starts while taking tablets from the <strong>silver section<\/strong> (during the white tablets), often <strong>2\u20133 days after<\/strong> the last <strong>beige<\/strong> tablet.<\/li>\n\n\n\n<li><strong>Do not leave a gap<\/strong> between packs: start the next pack <strong>the very next day<\/strong> after finishing the current one, even if your bleeding continues. This keeps your cycle predictable and maintains contraceptive protection.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"When_to_start_your_first_pack\"><\/span>When to start your first pack<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If you haven\u2019t used hormonal contraception in the previous month<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Wait for your next period<\/strong>. Start <strong>on Day 1 of bleeding<\/strong> from the <strong>silver section<\/strong> and select the correct day of the week (e.g., \u201cMO\u201d for Monday).<\/li>\n\n\n\n<li>Use <strong>extra contraception (e.g., condoms) for the first 14 days<\/strong> of your <strong>first cycle<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Switching from another combined pill, ring, or patch<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Start <strong>the day after<\/strong> the last <strong>hormone-containing<\/strong> tablet of your previous pack (i.e., <strong>no tablet-free break<\/strong>).<\/li>\n\n\n\n<li>If your pack has placebo tablets, start MINERVA-35 <strong>after the last active tablet<\/strong> (ask if unsure).<\/li>\n\n\n\n<li>If switching from a <strong>vaginal ring<\/strong> or <strong>patch<\/strong>, start on the <strong>day of removal<\/strong> of the final ring or patch of the cycle.<\/li>\n\n\n\n<li>When these instructions are followed, <strong>no additional contraception<\/strong> is needed.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Switching from a progestogen-only method (POP, injection, implant, or IUS)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You may switch <strong>any day<\/strong> from the <strong>POP<\/strong>; on the <strong>day of removal<\/strong> for an <strong>implant<\/strong> or <strong>IUS<\/strong>; or when the next <strong>injection<\/strong> would be due.<\/li>\n\n\n\n<li>Use <strong>extra contraception for the first 14 days<\/strong> after starting MINERVA-35.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>After a miscarriage<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Follow your doctor\u2019s advice and use <strong>extra protection for the first 14 days<\/strong> of the first cycle.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>After having a baby<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Your doctor may recommend waiting until <strong>after your first normal period<\/strong> to start, though some may advise <strong>earlier<\/strong>.<\/li>\n\n\n\n<li>Use <strong>extra protection for the first 14 days<\/strong> of the first cycle.<\/li>\n\n\n\n<li>If you had sex after delivery and before starting, ensure you\u2019re <strong>not pregnant<\/strong> or wait for your next period.<\/li>\n\n\n\n<li>If you are <strong>breastfeeding<\/strong>, discuss with your doctor before starting (MINERVA-35 is <strong>not<\/strong> to be used during breastfeeding).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Missed_dose_and_gastrointestinal_upset\"><\/span>Missed dose and <a href=\"https:\/\/rxquora.com\/en\/gastron-syrup-and-tablets-for-diarrhoea\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/gastron-syrup-and-tablets-for-diarrhoea\/\">gastrointestinal upset<\/a><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Missed white (hormone-free) tablets<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>No contraceptive effect<\/strong> relies on these. <strong>Take your next tablet at the usual time<\/strong> and <strong>discard<\/strong> the missed white tablet(s) to avoid confusion.<\/li>\n\n\n\n<li>If the <strong>last tablet<\/strong> in the pack is missed, it is <strong>still essential<\/strong> to start the next pack <strong>on time<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Missed beige (hormone-containing) tablets<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Less than 12 hours late:<\/strong> Take the tablet <strong>as soon as you remember<\/strong> and continue the next one at the <strong>usual time<\/strong>. Protection remains <strong>intact<\/strong>.<\/li>\n\n\n\n<li><strong>More than 12 hours late:<\/strong> Protection may be <strong>reduced<\/strong>. The more beige tablets missed, the higher the risk\u2014especially if missed <strong>right after the white-tablet days<\/strong> (start of the cycle) or <strong>towards the end<\/strong> (last of the 21 beige tablets).\n<ul class=\"wp-block-list\">\n<li><strong>Use condoms for the next 7 days<\/strong>.<\/li>\n\n\n\n<li><strong>Do not take more than two beige tablets in one day<\/strong> to catch up.<\/li>\n\n\n\n<li>If you missed beige tablets and <strong>no withdrawal bleed<\/strong> occurs during the white-tablet days, <strong>you may be pregnant<\/strong>\u2014contact your doctor before starting a new pack.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vomiting or severe diarrhoea<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If vomiting occurs <strong>within 3\u20134 hours<\/strong> after a <strong>beige<\/strong> tablet, treat it as a <strong>missed beige tablet<\/strong> and follow the missed-pill guidance above.<\/li>\n\n\n\n<li><strong>Severe diarrhoea<\/strong> may reduce absorption\u2014<strong>contact your doctor<\/strong>.<\/li>\n\n\n\n<li>Vomiting\/diarrhoea during the <strong>white tablets<\/strong> does <strong>not<\/strong> affect protection.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Overdose\"><\/span>Overdose<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Taking several hormone-containing tablets at once may cause <strong>nausea, vomiting, or vaginal bleeding<\/strong> (even in girls who haven\u2019t started menstruating). <strong>Seek advice<\/strong> from your doctor or pharmacist if too many tablets have been taken or a child has taken them.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_long_to_use\"><\/span>How long to use<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment typically lasts <strong>several months<\/strong>. <strong>Acne and oiliness<\/strong> usually improve <strong>sooner<\/strong> than <strong>hirsutism<\/strong>. It is recommended to <strong>continue for 3\u20134 cycles after symptoms have settled<\/strong>. If symptoms <strong>recur weeks or months<\/strong> after stopping, treatment may be <strong>resumed<\/strong>. If restarting after a <strong>\u22654-week break<\/strong>, note the <strong>increased venous thromboembolism (VTE) risk<\/strong> as per the blood-clot warnings.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Dosing_table_from_source_guidance\"><\/span>Dosing table (from source guidance)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Important:<\/strong> Follow the arrows on your blister and take <strong>one tablet daily<\/strong> at the <strong>same time<\/strong>.<\/p>\n<\/blockquote>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Situation<\/th><th>What to do<\/th><th>Extra contraception<\/th><\/tr><\/thead><tbody><tr><td><strong>Standard use<\/strong><\/td><td>1 tablet <strong>daily<\/strong>: <strong>21 beige<\/strong> (active) followed by <strong>7 white<\/strong> (hormone-free). Start next pack <strong>without a gap<\/strong>.<\/td><td>Not required if taken correctly<\/td><\/tr><tr><td><strong>First start (no hormones in past month)<\/strong><\/td><td>Start <strong>Day 1 of your period<\/strong> from the <strong>silver section<\/strong> and correct weekday.<\/td><td><strong>Yes \u2013 for first 14 days<\/strong><\/td><\/tr><tr><td><strong>Switching from combined pill\/ring\/patch<\/strong><\/td><td>Start <strong>day after<\/strong> last <strong>active<\/strong> tablet (no break), or <strong>day of ring\/patch removal<\/strong>.<\/td><td>Not required if instructions followed<\/td><\/tr><tr><td><strong>Switching from POP\/implant\/IUS\/injection<\/strong><\/td><td>Start <strong>any day<\/strong> (POP), <strong>on removal day<\/strong> (implant\/IUS), or <strong>when next injection due<\/strong>.<\/td><td><strong>Yes \u2013 for first 14 days<\/strong><\/td><\/tr><tr><td><strong>Missed white tablets<\/strong><\/td><td><strong>Skip<\/strong> missed white tablet(s); continue as normal.<\/td><td>Not required<\/td><\/tr><tr><td><strong>Beige tablet &lt;12 h late<\/strong><\/td><td>Take as soon as remembered; continue at usual time.<\/td><td>Not required<\/td><\/tr><tr><td><strong>Beige tablet &gt;12 h late<\/strong><\/td><td>Take latest missed tablet; continue; <strong>do not &gt;2 beige\/day<\/strong>.<\/td><td><strong>Yes \u2013 for next 7 days<\/strong><\/td><\/tr><tr><td><strong>Vomiting within 3\u20134 h of beige tablet<\/strong><\/td><td>Treat as <strong>missed beige tablet<\/strong>.<\/td><td>As per missed-pill rule<\/td><\/tr><tr><td><strong>Severe diarrhoea<\/strong><\/td><td><strong>Contact doctor<\/strong>.<\/td><td>As advised<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Possible_side_effects\"><\/span>Possible side effects<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Not everyone gets <a href=\"https:\/\/rxquora.com\/en\/donapan-tablet\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/donapan-tablet\/\">side effects<\/a>. If your general health worsens or you notice any troubling effect, <strong>seek medical advice<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Common (frequent)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nausea<\/strong>, <strong>abdominal pain<\/strong><\/li>\n\n\n\n<li><strong>Headache<\/strong><\/li>\n\n\n\n<li><strong>Weight gain<\/strong><\/li>\n\n\n\n<li><strong>Breast pain\/tenderness<\/strong><\/li>\n\n\n\n<li><strong>Depressed mood<\/strong> or <strong>mood changes<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Less common<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vomiting<\/strong>, <strong>diarrhoea<\/strong><\/li>\n\n\n\n<li><strong>Fluid retention<\/strong><\/li>\n\n\n\n<li><strong>Migraine<\/strong><\/li>\n\n\n\n<li><strong>Changes in sex drive<\/strong> (reduced or increased)<\/li>\n\n\n\n<li><strong>Breast enlargement<\/strong>, <strong>vaginal discharge<\/strong>, <strong>breast discharge<\/strong><\/li>\n\n\n\n<li><strong>Skin reactions:<\/strong> rash, <strong>hives<\/strong> (urticaria), <strong>erythema nodosum<\/strong> or <strong>erythema multiforme<\/strong><\/li>\n\n\n\n<li><strong>Contact lens intolerance<\/strong><\/li>\n\n\n\n<li><strong>Allergic reactions (hypersensitivity)<\/strong><\/li>\n\n\n\n<li><strong>Weight loss<\/strong><\/li>\n\n\n\n<li><strong>Venous blood clot<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Serious\u2014seek urgent help and stop tablets<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Signs of a blood clot<\/strong> (see detailed list under <em>Warnings and precautions<\/em>), such as chest pain, sudden breathlessness, severe headache, vision changes, leg pain\/swelling, weakness or numbness, slurred speech, severe abdominal pain.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reporting side effects<\/strong><br>Speak to your doctor or pharmacist if you get side effects.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Storage_and_disposal\"><\/span>Storage and disposal<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Keep out of sight and reach of children.<\/strong><\/li>\n\n\n\n<li><strong>Store at or below 30 \u00b0C.<\/strong><\/li>\n\n\n\n<li>Return <strong>unused<\/strong> medicine to your <strong>pharmacist<\/strong>. <strong>Do not<\/strong> dispose of in drains or toilets.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_the_medicine_contains\"><\/span>What the medicine contains<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Active (per beige tablet):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ethinylestradiol 0,035 mg<\/strong><\/li>\n\n\n\n<li><strong>Cyproterone acetate 2 mg<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Other ingredients (excipients):<\/strong><br>Calcium carbonate (precipitated), ferric oxide pigment yellow, <strong>lactose monohydrate<\/strong>, macrogol 6000, magnesium stearate, maize starch, montanglycol wax, povidone 25, povidone 700 000, <strong>sucrose<\/strong>, talc, glycerol 85 %, titanium dioxide.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong> Contains <strong>lactose<\/strong> and <strong>sucrose<\/strong>. If you have been told you have sugar intolerances, <strong>speak to your doctor before use<\/strong>.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pack_information_and_appearance\"><\/span>Pack information and appearance<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Blister pack<\/strong> containing <strong>21 beige hormone-containing coated tablets<\/strong> and <strong>7 larger white hormone-free coated tablets<\/strong> (total <strong>28 tablets<\/strong>).<\/li>\n\n\n\n<li>Blister materials: transparent <strong>PVC<\/strong> film and <strong>aluminium<\/strong> foil.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Practical_FAQs_based_ONLY_on_the_source\"><\/span>Practical FAQs (based ONLY on the source)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Does MINERVA-35 protect against HIV or STIs?<\/strong><br>No. It <strong>does not<\/strong> protect against <strong>HIV\/AIDS<\/strong> or other <strong>sexually transmitted infections<\/strong>. Use <strong>condoms<\/strong> to reduce the risk of STIs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can I use MINERVA-35 if I am pregnant or breastfeeding?<\/strong><br>No. <strong>Do not use<\/strong> if you are pregnant or think you may be pregnant. <strong>Do not use while breastfeeding.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>I forgot a white (hormone-free) tablet\u2014what now?<\/strong><br>Simply <strong>continue with the next tablet at the usual time<\/strong> and <strong>discard<\/strong> the missed white tablet(s). Start your next pack <strong>on time<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>I forgot a beige (hormone) tablet. What should I do?<\/strong><br>If <strong>&lt;12 hours late<\/strong>, take it as soon as remembered; protection is maintained. If <strong>&gt;12 hours late<\/strong>, take the most recently missed tablet, continue as normal (never more than <strong>two beige tablets in one day<\/strong>), and use <strong>extra contraception for 7 days<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What if I vomit after taking a beige tablet?<\/strong><br>If you <strong>vomit within 3\u20134 hours<\/strong>, treat it as a <strong>missed beige tablet<\/strong> and follow the missed-pill guidance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>When should I start after giving birth or a miscarriage?<\/strong><br><strong>After a miscarriage:<\/strong> follow your doctor\u2019s advice and use <strong>extra protection for the first 14 days<\/strong> of the first cycle.<br><strong>After having a baby:<\/strong> your doctor may advise starting <strong>after your first normal period<\/strong> (sometimes earlier). Use <strong>extra protection for the first 14 days<\/strong>; do not use if <strong>breastfeeding<\/strong> unless advised otherwise by your doctor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can I smoke while taking MINERVA-35?<\/strong><br>If you use a hormonal contraceptive such as MINERVA-35, you are <strong>strongly advised to stop smoking<\/strong>, especially if you are <strong>over 35 years<\/strong> of age, because smoking increases the risk of <strong>blood clots<\/strong>, <strong>heart attack<\/strong>, and <strong>stroke<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Will it affect my blood tests?<\/strong><br>Yes, <strong>oral contraceptives can affect some laboratory results<\/strong>. Tell your doctor or the lab that you are taking MINERVA-35.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can I drive or use machines while taking MINERVA-35?<\/strong><br><strong>No studies<\/strong> have been performed on the effects of MINERVA-35 on driving or machine use.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>How long should I keep taking it for acne or hirsutism?<\/strong><br>Treatment usually lasts <strong>several months<\/strong>. Continue for <strong>3\u20134 cycles after symptoms improve<\/strong>. If symptoms <strong>return<\/strong> weeks or months after stopping, talk to your doctor about <strong>restarting<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>MINERVA-35 is a prescription hormonal medicine used in women of reproductive age to treat certain skin and hair concerns that are linked to androgens (male-type hormones). In addition to improving acne, very oily skin (seborrhoea), and excessive hair growth (hirsutism)\u2014including when these occur with polycystic ovary syndrome (PCOS)\u2014MINERVA-35 also works as a combined oral contraceptive &#8230; <a title=\"MINERVA-35: Uses, Side-Effects,Precaution\" class=\"read-more\" href=\"https:\/\/rxquora.com\/en\/minerva-35-uses-side-effects-precaution\/\" aria-label=\"Read more about MINERVA-35: Uses, Side-Effects,Precaution\">Read more<\/a><\/p>\n","protected":false},"author":4,"featured_media":2151,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[39],"tags":[],"class_list":["post-2146","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-womens-health"],"_links":{"self":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts\/2146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/comments?post=2146"}],"version-history":[{"count":0,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts\/2146\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/media\/2151"}],"wp:attachment":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/media?parent=2146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/categories?post=2146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/tags?post=2146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}