General Practice 2022

Selene: what it is for, how to take it and side effects

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Selene: what it is for, how to take it and side effects
Selene: what it is for, how to take it and side effects
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Selene is an oral contraceptive, which contains ethinylestradiol and cyproterone acetate in its composition, two substances that help regulate the levels of hormones in the body that, when altered, can cause an increase in skin oiliness, hair in the body or cysts on the ovaries. Therefore, it is indicated for the treatment of acne, mild hirsutism or polycystic ovary syndrome, for example.

This contraceptive can be found in pharmacies or drugstores and should only be used with the indication and guidance of the gynecologist, for the treatment of the conditions described above, not being indicated exclusively to prevent pregnancy.

What is it for

Selene is indicated for the treatment of changes in the levels of androgen hormones circulating in the blood. Therefore, it is typically indicated for the treatment of conditions such as:

  • Seborrheic or papular-pustular acne, which is the presence of rounded, indurated and reddened bumps on the skin containing pus;
  • Acne nodule cystic, with formation of internal nodules under the skin, on the face, back and chest;
  • Mild hirsutism, characterized by the presence of hair in regions of the body that normally do not have hair, such as the face, chest, belly and inner thigh;
  • Polycystic ovary syndrome, which can lead to symptoms such as irregular menstruation or difficulty getting pregnant.

It is recommended that treatment with Selene be discontinued as soon as symptoms improve, as directed by the gynecologist.

Does Selene prevent pregnancy?

Although Selene is an oral contraceptive, it should not be used exclusively to prevent pregnancy, being indicated only for the treatment of symptoms of androgen hormone alterations in women.

In case you need a contraceptive only to prevent pregnancy, you should consult your gynecologist to assess the best option. See how to choose the best contraceptive.

How to take Selene

Selene should be taken orally, 1 tablet a day for 21 consecutive days, always at the same time until the pack is finished. When vomiting or severe diarrhea occurs 3 to 4 hours after taking the tablet, it is recommended to use another contraceptive method for the next 7 days.

To start treatment with Selene, when no other hormonal contraceptive has been used before, the Selene tablet must be taken on the first day of menstruation and, after finishing the pack, a break of 7 days must be taken. before starting the next.

If the woman is using another oral contraceptive with combined hormones, the start of treatment with Selene should be done on the day following the interruption of the previous contraceptive, or at the latest, the day after the last day of break or taking hormone-free inactive pills from the previously used contraceptive.

To change from the vaginal ring or transdermal patch to Selene, you should start using Selene on the day of removal of the vaginal ring or patch, or at the latest, on the day scheduled for the next application.

What to do if you forget to take Selene

When forgetting is less than 12 hours from the usual time, take the forgotten tablet and take the next tablet at the correct time. In this case, the contraceptive effect of the pill will be maintained.

When forgetting is more than 12 hours before the usual time, consult the following table:

Week of oblivion

What to do?

Use another contraceptive method?

1st week

Take the missed pill immediately as soon as you remember, even if it means taking two pills at the same time, and taking the remaining pills at the usual time Yes, use condoms or other barrier method within 7 days after forgetting

2nd week

Take the missed pill immediately as soon as you remember even if it means taking two pills at the same time, and taking the remaining pills at the usual time It is not necessary to use another contraceptive method, if in the 1st week you have taken it at the correct times and without forgetting. Otherwise, condom or other barrier method should be used for 7 days

3rd week

If in the 7 days prior to forgetting, the pill was taken correctly and without forgetting, you can choose one of the following options:

  1. Take the missed pill immediately as soon as you remember, even if it means taking two pills at the same time, and taking the remaining pills at the usual time. However, you must start the new card as soon as you finish the current one, without pausing between one card and another;
  2. Stop taking the pills from the current pack and take a break of 7 days, counting on the day of forgetting and, after the break, start a new pack
It is not necessary to use another contraceptive method. However, if in the previous weeks there was also forgetfulness, a condom or other barrier method should be used for 7 days

Generally, a woman runs the risk of becoming pregnant when she forgets about it in the 1st week of the pack and if the person has had sexual intercourse in the previous 7 days. In the 2nd or 3rd weeks, the risk of pregnancy is lower if the woman has taken it correctly in the previous weeks.

If more than 1 tablet from the same pack is forgotten, it is recommended to consult a gynecologist.

Treatment time with Selene should be guided by the gynecologist, according to the condition to be treated, but usually varies from 3 to 12 months.

Possible side effects

The most common side effects that may occur during treatment with Selene are headache, abdominal pain, nausea, diarrhea, weight gain, breast pain or tenderness, mood swings, depression or changes in sexual appetite.

Although they are rare, other side effects that can arise are intolerance to contact lenses, vaginal discharge or thromboembolism.

Does Selene get fat?

A common side effect of Selene treatment is increased body weight or swelling of the body due to fluid retention, which also leads to weight gain. However, this effect varies from woman to woman, and there are even cases where there is a decrease in body weight.

Who should not use

Selene should not be used by people with a current or previous history of thrombosis or pulmonary embolism, heart attack, stroke, or angina pectoris that causes severe chest pain.

Furthermore, it should also not be used by people at high risk for clot formation or who suffer from a certain type of migraine accompanied by focal neurological symptoms, people with diabetes mellitus with blood vessel damage, with a history of liver disease, certain cancers, or unexplained vaginal bleeding.

Selene should not be used by pregnant or nursing women or people who are allergic to any of the components of the formula.

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