Belara (ethinylestradiol + chlormadinone) is an oral contraceptive. It combines an estrogen medication (ethinylestradiol) with a progestin (chlormadinone). This is known as a monophasic contraceptive because all the tablets contain the same strength, unlike other oral contraceptives that vary in strength according to the day of the monthly ovarian cycle that they will be taken.
Dosage
Follow the doctor’s instructions. The standard procedure is to take the first tablet on the first day of menstruation. For the next 20 days, take one tablet each day, following the sequence of the arrows that are printed on the backs of the pill sheets. At the end of three weeks, no tablets should be taken for 7 days. It is normal for menstruation to start 2–4 days after the last tablet was taken. After the 7-day break, the cycle starts again with a new pack of Belara, on the same day of the week as the previous first dose.
If a dose was missed, it can be taken within a few hours on the same day, but if more than 12 hours have passed, the degree of the protection in the current cycle is diminished. The missed dose must be discarded, and it is advisable to use additional non-hormonal contraception to supplement the protection.
This text is for informational purposes only. Please consult a doctor or pharmacist before using any medication.Â
Read the information leaflet that comes with the medication.
Most people who use Belara do not experience any negative side effects. Doctors prescribe Belara because they assess that the benefits that such treatment yields outweighs any likely unwanted effects.
Some of the side effects that have been reported include:
- irregular menstruation
- absence of menstruation
- pain during menstruation
- headache
- dizziness
- sensitivity of the breasts or secretion of milk from the breasts
- nausea
- vomiting
- stomach ache
- changes in body weight
- mood changes
- changes in libido (sexual urge)
- rash
- tiredness
- visual disorders
- acne
- feeling of heaviness in the legs
- back and muscle pain
- inflammation or fungal infections of the vagina
- diarrhea
- hair loss.
Rare side effects that have been reported are conjunctivitis, decrease in hearing ability or ringing in the ears (tinnitus), varicose veins, hives, dermatitis, itching, worsening of psoriasis, excessive hair, increased appetite, or inflammation of the skin (erythema). If these appear, consult a doctor immediately.
Extended use of the pills may cause dark blotches to appear on the skin, and women with such a tendency must avoid exposure to the sun or to ultraviolet light.
Not all side effects are listed here. If these or other unlisted symptoms persist or worsen, consult a healthcare provider or pharmacist.
Belara is an oral contraception that can be taken to control the levels of the sex hormones estrogen and progesterone.
Estrogen is the key hormone involved in regulating the menstrual cycle. Belara supplies synthetic estrogen to help maintain stable hormone levels, which influences menstrual bleeding by maintaining a consistent endometrial lining (the lining of the uterus) which prevents the lining from building up excessively, leading to lighter and more regular menstrual periods. By stabilizing the endometrial lining, estrogen can reduce the intensity of menstrual cramps, making periods more manageable.
Belara helps regulate menstrual cycles, ensuring that bleeding occurs at predictable intervals.
Progesterone plays a crucial role in preventing pregnancy by inhibiting ovulation and also thickening the mucus produced by the cervix. This creates a barrier that makes it difficult for sperm to enter the uterus and reach any egg that was released. Belara combines both estrogen and progesterone to control the menstrual cycle and ensure a high level of contraceptive efficacy.
Important Information Regarding Hormone Replacement Therapy (HRT):
HRT medications are powerful tools for managing hormonal changes. To ensure the medication’s safety and effectiveness, it’s important to understand who can benefit from it most. According to Israeli Ministry of Health regulations, Belara can currently only be prescribed for individuals assigned as female at birth.