Belara Dosage/Direction for Use

Before starting treatment with Belara, a thorough general and gynaecological examination should be carried out and pregnancy ruled out. Unless otherwise prescribed by the doctor, the following dosage of Belara applies.
Take the 1st tab on the 1st day of menstruation, even if a different contraceptive (pill) has been used previously.
Press out the 1st tab at the position on the pack which is marked with the corresponding weekday (eg, Sun for Sunday) and swallow without chewing. Then continue taking 1 tab everyday following the direction of the arrows, if possible at the same time of the day (preferably in the evening). It is essential to take Belara regularly in order to ensure its contraceptive reliability. The interval between taking 2 tabs should be 24 hrs as regularly as possible. The days printed on the pack allows the patient to check everyday whether the tab has been taken for that particular day. After taking the last tab, there is a 7-day medication-free interval during which bleeding occurs within 2-4 days after taking the last tablet. After the 7-day medication-free interval, continue taking Belara with the next pack regardless of whether the bleeding has already stopped or is still present.
During the use of Belara, a gynaecological check-up should be done every 6 months.
Contraception starts with the 1st day of intake and also continues during the 7-day medication-free intervals.
If Belara is taken soon after childbirth or miscarriage, consult a doctor whether additional protective measures are necessary during the 1st cycle.
Belara may be taken for years.
After discontinuing Belara, the reproductive glands rapidly resume their full function in most cases and the ability to conceive is restored. The 1st cycle is usually prolonged by about 1 week. However, if a normal cycle does not develop within the first 2-3 months, consult a doctor.
Intake errors, vomiting or intestinal diseases accompanied by diarrhoea, long-term use of certain medicines at the same time (see Interactions) and very rare individual metabolic disorders may affect contraceptive effectiveness. Mild laxatives do not reduce reliability.
In the Event of Vomiting or Diarrhoea While Taking Belara: The hormones contained in Belara are usually rapidly absorbed by the body. If vomiting or diarrhoea occurs shortly after taking Belara (up to 4 hrs afterwards), immediately take the next tablet in order to ensure continued contraceptive protection. The cycle will then be shortened by 1 day.
If vomiting occurs several times or complaints persist for >12 hrs, continue taking the tablets for the cycle but additional mechanical methods of contraception (eg, condoms) should be used.
Missed Dose: Take the tablet within the next 12 hrs at the latest. If the usual intake interval is exceeded by >12 hrs, effective contraception is no longer guaranteed during the cycle. In such cases, continue taking pills from the current calendar pack as scheduled but leaving out the missed tablet in order to prevent premature bleeding. Mechanical protective measures should also be taken.