{"id":17606,"date":"2022-01-19T11:42:42","date_gmt":"2022-01-19T11:42:42","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17606"},"modified":"2022-01-20T10:55:35","modified_gmt":"2022-01-20T10:55:35","slug":"mercilon-28","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/mercilon-28\/","title":{"rendered":"Mercilon 28 &#8211; Desogestrel \/ Ethinyl estradiol uses, dose and side effects"},"content":{"rendered":"\n<p>tablets<br>desogestrel \/ ethinyl estradiol<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Mercilon 28 is and what it is used for<\/h2>\n\n\n\n<p><strong>Composition and type of&nbsp;pill<\/strong><\/p>\n\n\n\n<p>Mercilon 28 is a combined\u00a0contraceptive pill.\u00a0Each large tablet contains a small amount of two different female\u00a0hormones.\u00a0These are desogestrel (yellow body hormone) and Ethinyl estradiol (\u00a0estrogen\u00a0).\u00a0The small tablets do not contain any\u00a0hormones\u00a0at all and are called placebo tablets.\u00a0Because Mercilon 28 contains small amounts of\u00a0hormones, it is called a low-dose\u00a0birth control pill.\u00a0Because all active tablets contain the same amount of\u00a0hormone, it is also called a monophasic\u00a0contraceptive pill.<\/p>\n\n\n\n<p><strong>Why use Mercilon 28?<\/strong><\/p>\n\n\n\n<p>Mercilon 28 is used to protect against unwanted pregnancy.<\/p>\n\n\n\n<p>If you take the tablets correctly, the risk of getting pregnant is very small.<\/p>\n\n\n\n<p>Mercilon 28 inhibits ovulation and affects the lining of the uterus&nbsp;so&nbsp;that a fertilized egg is more difficult to develop.&nbsp;The passage of sperm through the cervix is \u200b\u200balso made more difficult.&nbsp;The effect remains even during the 7 days when the hormone-free tablets are taken.&nbsp;The ovaries return to their normal functions after treatment, and it is possible to become pregnant again.<\/p>\n\n\n\n<p>Desogestrel \/ Ethinylestradiol contained in Mercilon 28 may also be approved for the treatment of other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Mercilon 28<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">General information<\/h2>\n\n\n\n<p>Before you start using Mercilon 28, read the information on blood clots in section 2. You must read the symptoms of blood clots &#8211; see section 2, &#8220;Blood clots&#8221;).<\/p>\n\n\n\n<p>This leaflet describes several situations when you should stop using Mercilon 28, or when the protection against pregnancy may be reduced.\u00a0In such situations, you should not have intercourse or you should protect yourself with a contraceptive that does not contain\u00a0hormones, such as condoms or any other so-called\u00a0barrier method.\u00a0Do not use safe periods or temperature methods.\u00a0They may be unsafe because Mercilon 28 affects the normal changes in temperature and mucus in the vagina that occur during the menstrual cycle.<\/p>\n\n\n\n<p><strong>Keep in mind that Mercilon 28, like other\u00a0birth control pills, does\u00a0not protect against\u00a0HIV\u00a0infection\u00a0(\u00a0AIDS\u00a0) or any other sexually transmitted disease.<\/strong><\/p>\n\n\n\n<p>When using\u00a0birth control pills, your doctor\/midwife will call you for regular check-ups, usually once a year.<\/p>\n\n\n\n<p><strong>Do not use Mercilon 28<\/strong><\/p>\n\n\n\n<p>Do not use Mercilon 28 if you have any of the conditions listed below.\u00a0If you have any of these conditions, you must tell your doctor\/midwife.\u00a0Your doctor\/midwife will discuss which other type of contraception may be more appropriate.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have (or have had) a blood clot in a blood vessel in your legs (deep&nbsp;vein thrombosis&nbsp;, DVT), in your lungs (&nbsp;pulmonary embolism&nbsp;, PE) or any other organ.<\/li><li>if you know you have a disease that affects blood coagulation &#8211; eg&nbsp;protein&nbsp;C deficiency,&nbsp;protein&nbsp;S deficiency, antithrombin III deficiency, Factor V Leiden or antiphospholipid antibodies.<\/li><li>if you need to have an operation or if you stay in bed for a long period of time (see section &#8220;Blood clots&#8221;).<\/li><li>if you have (or have had) a heart attack or a&nbsp;stroke&nbsp;.<\/li><li>if you have (or have had) angina (a condition that causes severe chest pain and may be a first sign of a heart attack) or&nbsp;transient&nbsp;ischemic attack (&nbsp;TIA&nbsp;&#8211; transient stroke symptoms).<\/li><li>if you have any of the following conditions that may increase the risk of a blood clot in your arteries:<ul><li>severe&nbsp;diabetes&nbsp;with damaged blood vessels<\/li><li>very high&nbsp;blood pressure<\/li><li>a very high level of fat in the blood (&nbsp;cholesterol&nbsp;and&nbsp;triglycerides&nbsp;)<\/li><li>a condition called hyperhomocysteinemia.<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have or have had a type of&nbsp;migraine&nbsp;called &#8220;migraine with aura&#8221;.<\/li><li>if you have or have had&nbsp;pancreatitis&nbsp;(&nbsp;inflammation&nbsp;of the pancreas) combined with high levels of blood fats.<\/li><li>if you have or have had severe liver disease and your liver is not yet functioning normally.<\/li><li>if you have or have had cancer that is affected by sex hormones (in the breast or abdomen).<\/li><li>if you have or have had a&nbsp;tumor&nbsp;in your liver.<\/li><li>if you have genital bleeding for no known reason.<\/li><li>if you have&nbsp;hyperplasia&nbsp;of the endometrium (abnormal growth of the lining of the uterus).<\/li><li>if you are allergic (hypersensitive) to desogestrel, ethinyl estradiol or to any of the other ingredients of Mercilon 28.<\/li><li>if you have&nbsp;hepatitis&nbsp;C and are taking medicines containing ombitasvir \/ paritaprevir \/ ritonavir and dasabuvir or glekaprevir \/ pibrentasvir (see section \u201cOther medicines and Mercilon 28\u201d).<\/li><\/ul>\n\n\n\n<p><br>If you have any of the conditions described above or should be affected by any of these conditions for the first time when using Mercilon 28, discontinue treatment and contact your doctor\/midwife.\u00a0In the meantime, use a contraceptive that does not contain\u00a0hormones, such as a condom.\u00a0Also, read the section &#8220;General information&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>When should you contact a doctor?<br><strong>Seek medical attention immediately<\/strong><br>if you notice possible signs of a blood clot that may mean you have a blood clot in your leg (ie deep\u00a0vein thrombosis\u00a0), a blood clot in your lung (ie\u00a0pulmonary embolism\u00a0), a heart attack, or\u00a0stroke\u00a0(see section &#8220;Blood clots&#8221; below). For a description of the symptoms of these serious\u00a0side effects\u00a0go to &#8220;How to recognize a blood clot&#8221;.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>You should not use Mercilon 28 to delay your period, but if you need to do so for any reason, you should contact your doctor\/midwife.<\/p>\n\n\n\n<p><em>What you need to know before you start with Mercilon 28<\/em><\/p>\n\n\n\n<p>If you use combined\u00a0contraceptive pills\u00a0when you have any of the following diseases or conditions, you may need extra controls.\u00a0Your doctor\/midwife can explain this to you.\u00a0Therefore, tell your doctor\/midwife before starting Mercilon 28 if any of the following apply to you.<\/p>\n\n\n\n<p><strong>Tell your doctor\/midwife if any of the following conditions apply to you.<\/strong><\/p>\n\n\n\n<p>If the condition occurs or worsens when you use Mercilon 28, you should also contact your doctor\/midwife.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you smoke<\/li><li>if you have&nbsp;diabetes<\/li><li>if you are overweight<\/li><li>if you have high&nbsp;blood pressure<\/li><li>if you have a valve or any arrhythmia in your heart<\/li><li>if someone in your immediate family has had a blood clot, heart attack or stroke<\/li><li>if you have&nbsp;migraines<\/li><li>if you have&nbsp;epilepsy<\/li><li>if you or someone in your immediate family has or has had high blood fats (&nbsp;cholesterol&nbsp;or&nbsp;triglycerides&nbsp;)<\/li><li>if someone in your immediate family has or has had breast cancer<\/li><li>if you have liver disease (eg jaundice) or gallbladder disease (eg&nbsp;gallstones&nbsp;)<\/li><li>if you have&nbsp;Crohn&#8217;s disease&nbsp;or&nbsp;ulcerative colitis&nbsp;(&nbsp;chronic&nbsp;inflammatory&nbsp;bowel disease)<\/li><li>if you have systemic lupus erythematosus (&nbsp;SLE&nbsp;&#8211; a disease that affects your natural immune system)<\/li><li>if you have&nbsp;hemolytic uremic syndrome&nbsp;(HUS &#8211; a disorder of blood coagulation that leads to&nbsp;kidney failure&nbsp;)<\/li><li>if you have&nbsp;sickle cell anemia&nbsp;(a hereditary disease of the red&nbsp;blood cells&nbsp;)<\/li><li>if you have increased blood fats (&nbsp;hypertriglyceridemia&nbsp;) or heredity for this condition.&nbsp;Hypertriglyceridemia&nbsp;has been associated with an increased risk of developing&nbsp;pancreatitis&nbsp;(inflammation of the pancreas)<\/li><li>if you need to have an operation or stay in bed for a longer period (see section 2 &#8220;Blood clots&#8221;)<\/li><li>if you have just given birth, you are at increased risk of blood clots.&nbsp;Ask your doctor how soon after giving birth you can start using Mercilon 28.<\/li><li>if you have an&nbsp;inflammation&nbsp;of the veins under the skin (superficial&nbsp;thrombophlebitis&nbsp;)<\/li><li>if you have varicose veins<\/li><li>if you have a condition that first appeared or worsened during pregnancy or previous use of sex hormones (eg hearing loss, a metabolic disease called&nbsp;porphyria&nbsp;, a skin disease called&nbsp;herpes&nbsp;gestationis, a neurological disease called Sydenham&#8217;s chorea)<\/li><li>if you have or have had chloasma (yellow-brown pigment spots on the skin, especially on the face);&nbsp;in that case you should avoid too much sunlight or ultraviolet rays<\/li><li>if you have previously had&nbsp;angioedema&nbsp;with symptoms such as swelling of the face, tongue or throat, or difficulty swallowing or rash along with difficulty breathing.<\/li><\/ul>\n\n\n\n<p><strong>Blood clots<\/strong><\/p>\n\n\n\n<p>Using combined hormonal contraceptives such as Mercilon 28 increases the risk of blood clots compared to not using these drugs.&nbsp;In rare cases, a blood clot can block the blood vessels and cause serious problems.<\/p>\n\n\n\n<p>Blood clots can form<\/p>\n\n\n\n<p>\u2022 in veins (called venous\u00a0thrombosis, venous\u00a0thromboembolism\u00a0or VTE)<\/p>\n\n\n\n<p>\u2022 in\u00a0arteries\u00a0(called\u00a0arterial\u00a0thrombosis,\u00a0arterial\u00a0thromboembolism,\u00a0or ATE).<\/p>\n\n\n\n<p>It is not always possible to fully recover from blood clots.&nbsp;In rare cases, they can have serious lasting effects and, in very rare cases, be fatal.<\/p>\n\n\n\n<p><strong>It is important to remember that the overall risk of a dangerous blood clot due to Mercilon 28 is small.<\/strong><\/p>\n\n\n\n<p><strong>How to recognize a blood clot<\/strong><\/p>\n\n\n\n<p><strong>Seek medical attention immediately<\/strong>\u00a0if you notice any of the following signs or symptoms.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\">Do you experience any of these signs?<\/th><th scope=\"col\">What can you possibly suffer from?<\/th><\/tr><\/thead><tbody><tr><td>swelling of a leg or along a vein in the leg or foot, especially if you also get: pain or tenderness in the leg that is only felt when you stand or walk increased heat in the affected leg color change of the skin on the leg eg pale, red or blue.<\/td><td>Deep&nbsp;vein thrombosis<\/td><\/tr><tr><td>sudden unexplained shortness of breath or rapid breathing sudden cough for no apparent reason that could cause you to cough up blood severe chest pain that may increase with deep breathing severe instability or dizziness fast or irregular heartbeat severe pain in the abdomen.<br>If you are unsure, consult a doctor as some of these symptoms such as cough and shortness of breath can be mistakenly interpreted as a milder condition such as a respiratory infection (eg a common cold).<\/td><td>Pulmonary embolism<\/td><\/tr><tr><td>Symptoms that usually occur in one eye: immediate loss of vision or blurred vision without pain that can lead to vision loss<\/td><td>Retinal&nbsp;venous thrombosis(blood clot in the eye)<\/td><\/tr><tr><td>chest pain, discomfort, pressure, heavinesspressure or feeling of fullness in the chest, arm, or below the sternum feeling full, indigestion or feeling of suffocationdiscomfort in the upper body that radiates to the back, jaw, neck, arm, and abdomensweating, nausea, vomiting or dizziness extreme weakness, anxiety or shortness of breakfast or irregular heartbeat.<\/td><td>Myocardial infarction<\/td><\/tr><tr><td>sudden weakness or numbness in the face, arms, or legs, especially on one side of the body sudden confusion, difficulty speaking or understanding sudden vision problems in one or both eyes sudden difficulty walking, dizziness, loss of balance or coordination Sudden, severe or prolonged headache for no known reason consciousness or fainting with or without seizures.<br>Sometimes the symptoms of a\u00a0stroke\u00a0can be short-lived with almost immediate or complete recovery, but you should still seek medical attention immediately because you are at risk of having a new\u00a0stroke.<\/td><td>Stroke<\/td><\/tr><tr><td>swelling and slight blue discoloration of an arm or leg severe pain in the abdomen (\u00a0acute\u00a0abdomen).<\/td><td>Blood clots that block other blood vessels<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Blood clots in a friend<\/strong><\/p>\n\n\n\n<p><strong>What can happen if a blood clot forms in a vein?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The use of combined hormonal contraceptives has been associated with an increased risk of blood clots in the vein (venous&nbsp;thrombosis&nbsp;).&nbsp;However, these&nbsp;side effects&nbsp;are rare.&nbsp;They usually occur during the first year of using a combined hormonal contraceptive.<\/li><li>If a blood clot forms in a vein in the leg or foot, it can lead to deep&nbsp;vein thrombosis&nbsp;(DVT).<\/li><li>If a blood clot moves from the bone and stays in the lung, it can lead to a&nbsp;pulmonary embolism&nbsp;.<\/li><li>In very rare cases, a blood clot can form in a vein in another organ, such as the eye (&nbsp;retinal&nbsp;venous thrombosis&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>When is the risk of developing a blood clot in a vein greatest?<\/strong><\/p>\n\n\n\n<p>The risk of developing a blood clot in a vein is greatest during the first year that you use combined hormonal contraceptives for the first time.&nbsp;The risk can also be higher if you start again with a combined hormonal contraceptive (same product or another product) after a break of 4 weeks or longer.<\/p>\n\n\n\n<p>After the first year, the risk decreases, but it is always slightly higher than if you do not use a combined hormonal contraceptive.<\/p>\n\n\n\n<p>When you stop using Mercilon 28, the risk of a blood clot returns to normal within a few weeks.<\/p>\n\n\n\n<p><strong>How big is the risk of developing a blood clot?<\/strong><\/p>\n\n\n\n<p>The risk depends on your natural risk of VTE and the type of combined hormonal contraceptive you are taking.<\/p>\n\n\n\n<p>The total risk of a blood clot in the leg or lungs with Mercilon 28 is small.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Of 10,000 women who do not use a combined hormonal contraceptive and are not pregnant, about 2 develop a blood clot in one year.<\/li><li>Of 10,000 women who use a combined hormonal contraceptive that contains levonorgestrel, norethisterone, or norgestimate, about 5-7 develop a blood clot in a year.<\/li><li>Of 10,000 women who use a combined hormonal contraceptive that contains desogestrel such as Mercilon 28, about 9-12 develop a blood clot in a year.<\/li><li>The risk of blood clots varies depending on your medical history (see &#8220;Factors that may increase the risk of a blood clot&#8221; below).<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><\/th><th scope=\"col\">Risk of developing a blood clot during a year<\/th><\/tr><\/thead><tbody><tr><td>Women who\u00a0<strong>do not use<\/strong>\u00a0a combined hormonal contraceptive pill\/patch\/ring and who are not pregnant<\/td><td>About 2 out of 10,000 women<\/td><\/tr><tr><td>Women using a combined hormonal contraceptive containing\u00a0<strong>levonorgestrel, norethisterone, or norgestimate<\/strong><\/td><td>About 5-7 out of 10,000 women<\/td><\/tr><tr><td>Women using Mercilon 28<\/td><td>About 9-12 out of 10,000 women<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong><br>Factors that may increase the risk of a blood clot in a vein<\/strong><\/p>\n\n\n\n<p>The risk of a blood clot with Mercilon 28 is small but some conditions increase the risk.&nbsp;The risk is higher:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are very overweight (body mass index or&nbsp;BMI&nbsp;over 30 kg \/ m&nbsp;<sup>2<\/sup>&nbsp;)<\/li><li>if someone in your family has had a blood clot in their bones, lungs or other organ at a young age (eg for about 50 years).&nbsp;In this case, you may have a hereditary blood clotting disease.<\/li><li>if you need to undergo surgery or stay in bed for a long period of time due to injury or illness, or if your leg is plastered.&nbsp;The use of Mercilon 28 may need to be stopped for several weeks before an operation or while you are less mobile.&nbsp;If you have to stop using Mercilon 28, ask your doctor when you can start using it again.<\/li><li>with increasing age (especially if you are over about 35 years old)<\/li><li>if you gave birth a few weeks ago.<\/li><\/ul>\n\n\n\n<p>The more conditions you have, the greater the risk of developing a blood clot.<\/p>\n\n\n\n<p>Air travel (&gt; 4 hours) can temporarily increase the risk of a blood clot, especially if you have any of the other factors listed here.<\/p>\n\n\n\n<p>You must tell your doctor if any of these conditions apply to you, even if you are unsure.\u00a0Your doctor may decide that you must stop using Mercilon 28.<\/p>\n\n\n\n<p>If any of the above conditions change while you are using Mercilon 28, such as close relative suffering from a blood clot for an unknown reason or you gain a lot of weight, talk to your doctor.<\/p>\n\n\n\n<p><strong>Blood clots in an&nbsp;artery<\/strong><\/p>\n\n\n\n<p><strong>What can happen if a blood clot forms in an\u00a0artery?<\/strong><\/p>\n\n\n\n<p>Like a blood clot in a vein, a clot in an\u00a0artery\u00a0can lead to serious problems.\u00a0It can, for example, cause a heart attack or\u00a0stroke.<\/p>\n\n\n\n<p><strong>Factors that may increase the risk of a blood clot in an&nbsp;artery<\/strong><\/p>\n\n\n\n<p>It is important to know that the risk of a heart attack or&nbsp;stroke&nbsp;due to the use of Mercilon 28 is very small but may increase:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>with increasing age (after about 35 years of age)<\/li><li><strong>if you smoke.&nbsp;<\/strong>When using combined hormonal contraceptives such as Mercilon 28, you should stop smoking.&nbsp;If you can not stop smoking and are over 35 years old, your doctor may advise you to use another type of contraceptive.<\/li><li>if you are overweight<\/li><li>if you have high&nbsp;blood pressure<\/li><li>if a close relative has had a heart attack or&nbsp;stroke&nbsp;at a young age (younger than 50 years).&nbsp;In this case, you may also be at greater risk for a heart attack or&nbsp;stroke&nbsp;.<\/li><li>if you or a close relative have high blood fats (&nbsp;cholesterol&nbsp;or&nbsp;triglycerides&nbsp;)<\/li><li>if you get&nbsp;migraines&nbsp;, especially&nbsp;migraines&nbsp;with an&nbsp;aura<\/li><li>if you have heart problems (valve disease, a heart rhythm disorder called&nbsp;atrial fibrillation&nbsp;)<\/li><li>if you have&nbsp;diabetes&nbsp;.<\/li><\/ul>\n\n\n\n<p>If you have more than one of these conditions or if any of them are particularly serious, the risk of developing a blood clot can be even greater.<\/p>\n\n\n\n<p>If any of the above conditions change while you are using Mercilon 28, such as if you start smoking, a close relative suffers from a blood clot for an unknown reason, or if you gain a lot of weight, talk to your doctor.<\/p>\n\n\n\n<p><strong>Birth control pills&nbsp;and cancer<\/strong><\/p>\n\n\n\n<p>Breast cancer has been detected somewhat more often in women who use\u00a0birth control pills\u00a0than in women of the corresponding age who do not use\u00a0birth control pills.\u00a0If you stop\u00a0taking birth control pills, the increased risk gradually disappears over 10 years.\u00a0It is not known if this difference is due to the contraceptive pill.\u00a0It may be that the women go for more check-ups so that the breast cancer is detected earlier.<\/p>\n\n\n\n<p>In rare cases, benign liver tumors, and in even more rare cases, malignant liver tumors, have been reported among women using\u00a0birth control pills.\u00a0These\u00a0tumors\u00a0can cause internal bleeding.\u00a0Contact a doctor immediately if you experience severe abdominal pain.<\/p>\n\n\n\n<p>Cervical cancer is caused by an&nbsp;infection&nbsp;with human&nbsp;papillomavirus (&nbsp;HPV&nbsp;).&nbsp;Cervical cancer has been reported more frequently in women who use combined&nbsp;oral contraceptives&nbsp;for a long time.&nbsp;It is not certain that the contraceptive pill itself is the cause, but it may also be due to sexual habits or other factors (eg cell sampling).<\/p>\n\n\n\n<p><strong>Mental disorders<\/strong><br>Some women who use hormonal contraceptives, including Mercilon 28, have reported depression or depression.&nbsp;Depression can be severe and can sometimes lead to suicidal thoughts.&nbsp;If you experience mood swings and symptoms of depression, you should contact a doctor as soon as possible for advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Efficacy and safety have not been studied in adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Mercilon 28<\/h2>\n\n\n\n<p>Always tell your doctor\/midwife which medicines or (traditional) herbal medicines you are already using.\u00a0Also, tell other doctors or dentists who prescribe medicines and the relevant pharmacy staff that you are using Mercilon 28. They may tell you if you need to use supplemental protection (for example a condom) and if so, for how long or if the use of any other medicine you need needs to be changed.<\/p>\n\n\n\n<p>Do not use Mercilon 28 if you have&nbsp;hepatitis&nbsp;C and are taking medicines containing ombitasvir \/ paritaprevir \/ ritonavir and dasabuvir or glekaprevir \/ pibrentasvir<\/p>\n\n\n\n<p>as it may cause elevated liver function values \u200b\u200b(elevation of the liver enzyme&nbsp;ALT&nbsp;).<\/p>\n\n\n\n<p>Your doctor will prescribe another type of contraceptive before starting treatment with these drugs.<\/p>\n\n\n\n<p>Mercilon 28 can be used again approximately 2 weeks after the end of this treatment (see section \u201cDo not use Mercilon 28\u201d).<\/p>\n\n\n\n<p>Some medicines<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>may have an effect on the blood levels of Mercilon 28<\/li><li>may make it&nbsp;<strong>less effective in preventing pregnancy<\/strong><\/li><li>may cause unexpected bleeding.<\/li><\/ul>\n\n\n\n<p><br>This applies to medicines for the treatment of:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>epilepsy&nbsp;(eg primidone,&nbsp;phenytoin&nbsp;, phenobarbital, carbamazepine, oxcarbazepine, <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/topiramate-1a-pharma\/\">topiramate<\/a>, felbamate)<\/li><li>tuberculosis&nbsp;(eg rifampicin, rifabutin)<\/li><li>HIV&nbsp;infection&nbsp;(eg ritonavir, nelfinavir&nbsp;, nevirapine, efavirenz)<\/li><li>hepatitis&nbsp;C virus infection (eg boceprivir, telarevir)<\/li><li>other infectious diseases (eg griseofulvin)<\/li><li>high&nbsp;blood pressure&nbsp;in the blood vessels of the lungs (&nbsp;bosentan&nbsp;)<\/li><li>depression ((traditional) herbal medicines containing&nbsp;St. John&#8217;s wort&nbsp;).<\/li><\/ul>\n\n\n\n<p><br>If you are taking other medicines or (traditional) herbal medicines that could reduce the effect of Mercilon 28, you should also use a\u00a0barrier method.\u00a0Some medicines may affect the effect of Mercilon 28 up to 28 days after stopping treatment.\u00a0It is, therefore, necessary to use\u00a0barrier\u00a0method one during this time.<br><br>Mercilon 28 may affect the effectiveness of other medicines, e.g.<\/p>\n\n\n\n<p>medicines containing ciclosporin<\/p>\n\n\n\n<p>&#8211; the epilepsy drug lamotrigine (this may lead to an increased frequency of seizures)<\/p>\n\n\n\n<p><em>Laboratory samples<\/em><\/p>\n\n\n\n<p>If you need to take a blood or urine sample, tell your doctor or laboratory staff that you are taking&nbsp;birth control pills&nbsp;as they may affect the results of certain tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p><em>Pregnancy<\/em><\/p>\n\n\n\n<p>Mercilon 28 should not be used by women who are pregnant or think they may be pregnant.<\/p>\n\n\n\n<p>If you think you are pregnant while you are already taking Mercilon 28, stop the treatment and contact your doctor\/midwife as soon as possible.<\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>In general, Mercilon 28 is not recommended for use during breastfeeding.\u00a0If you want to use\u00a0birth control pills\u00a0while breastfeeding, contact your doctor\/midwife.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>There is no reason to believe that the Mercilon 28 would affect your ability to drive.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mercilon 28 contains lactose<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor\/midwife before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Mercilon 28<\/h2>\n\n\n\n<p>Always use Mercilon 28 exactly as your doctor\/midwife has told you.\u00a0If you are not sure, talk to your doctor\/midwife or pharmacist.<\/p>\n\n\n\n<p>Each tablet map contains 28 white tablets: 21 large tablets with active substance (numbers 1-21) and 7 small hormone-free tablets (numbers 22-28).\u00a0Take one tablet at about the same time of day, along with fluids if needed.\u00a0Start the first day of menstruation with tablet number 1, which is located in the upper left corner (marked with start).\u00a0Then follow the direction of the arrows until all 28 tablets are exhausted.\u00a0You take all large tablets first and finally the small hormone-free tablets.\u00a0During the seven days, you take the hormone-free tablets, menstruation usually begins (bleeding).\u00a0It usually starts 2-3 days after the last white tablet.\u00a0Start with the next card immediately after the last hormone-free tablet, even if you are still menstruating.\u00a0This means that you will always start a new map on the same day of the week\u00a0and that you will have your period for about the same day each month.\u00a0Occasionally there may be no bleeding.\u00a0If you have taken the tablets according to the instructions, it does not necessarily mean that you have become pregnant.\u00a0Therefore, start as usual on the new map.<\/p>\n\n\n\n<p>It is important to take&nbsp;birth control pills&nbsp;regularly according to the instructions to get adequate protection.<\/p>\n\n\n\n<p><strong>When to use Mercilon 28<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>When you have not used any hormonal method the month before<br><\/em>Start using Mercilon 28 on the first day of your menstrual cycle, ie the first day of bleeding.&nbsp;Mercilon 28 will start working immediately, you do not need to use any extra protection.&nbsp;You can also start on day 2-5, but then you must use an extra protection (&nbsp;barrier method&nbsp;such as a condom) for the first 7 days.<\/li><li><em>When switching from a combined contraceptive (combined&nbsp;contraceptive pill&nbsp;,&nbsp;vaginal ring&nbsp;or&nbsp;patch&nbsp;)<br><\/em>You can start using Mercilon 28 days after the last tablet from your current&nbsp;oral contraceptive pill&nbsp;(ie without taking a tablet break).&nbsp;If your current&nbsp;contraceptive pill&nbsp;contains hormone-free tablets (&nbsp;placebo&nbsp;), you can start with Mercilon 28 the day after you take the last&nbsp;<strong>active<\/strong>&nbsp;tablet (if you are not sure what to do, talk to your doctor \/ midwife or pharmacist).&nbsp;You can also start later, but not later than the day after stopping the tablet with your current&nbsp;oral contraceptive pill(or the day after the last placebo tablet from your current&nbsp;pill&nbsp;).&nbsp;If you have used a&nbsp;vaginal ring&nbsp;or&nbsp;patch&nbsp;, you should preferably start with Mercilon 28 on the day you remove the ring or remove the patch.&nbsp;You can also start with Mercilon 28 on the day you should have started with a new ring or a new&nbsp;patch&nbsp;, but not at a later time than that.&nbsp;If you have used your&nbsp;birth control pills&nbsp;,&nbsp;patches&nbsp;or&nbsp;vaginal ring&nbsp;correctly and without interruption and are sure that you are not pregnant, you can stop using your previously combined hormonal contraceptive at any time and start immediately with Mercilon 28. If you follow these advice, you do not need to use any extra protection.<\/li><li><em>When switching from a&nbsp;progestogen&nbsp;&#8211; only&nbsp;contraceptive pill&nbsp;( mini-&nbsp;pills&nbsp;)<br><\/em>You can stop&nbsp;taking mini-pills&nbsp;any day and start taking Mercilon 28 the next day, at the same time.&nbsp;If you have intercourse, use extra protection (a&nbsp;barrier method&nbsp;, such as a condom) for the first seven days of taking Mercilon 28.<\/li><li><em>When switching from&nbsp;injection&nbsp;,&nbsp;implant&nbsp;or progestogen-releasing&nbsp;IUD<\/em>Start with Mercilon 28 the day you should have received the next&nbsp;injection&nbsp;or the day your&nbsp;implant&nbsp;or IUD is removed.&nbsp;If you have intercourse, use extra protection (a&nbsp;barrier method&nbsp;, such as a condom) for the first seven days of taking Mercilon 28.<\/li><li><em>After giving birth<\/em>If you have just given birth, your doctor \/ midwife will probably ask you to wait to start using Mercilon 28 until you have had your period back.&nbsp;In some cases, you can start earlier.&nbsp;Your doctor \/ midwife will give you advice.&nbsp;If you are breast-feeding and want to start using Mercilon 28, you should first discuss this with your doctor \/ midwife.<\/li><li><em>After a miscarriage or abortion<\/em><br>Your doctor \/ midwife will inform you when you can start.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Mercilon 28 than you should<\/h2>\n\n\n\n<p>There are no reports of serious injuries if you have taken several tablets of Mercilon 28 at the same time.\u00a0If you take several tablets at the same time, you may feel sick, vomit, and have bleeding from the abdomen.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Mercilon 28<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If&nbsp;<strong>less than 12 hours<\/strong>&nbsp;have passed since you should have taken your tablet, you are still protected against pregnancy.&nbsp;Take the tablet as soon as you remember and take the next tablet at the usual time.<\/li><li>If it has been&nbsp;<strong>more than 12 hours<\/strong>&nbsp;since you should have taken your tablet, the protection against pregnancy may be reduced.&nbsp;The more tablets in a row that you have forgotten, the greater the risk that the contraceptive effect has decreased.&nbsp;The risk of getting pregnant is especially high if you forget tablets at the beginning of the tablet chart or if you forget any of the tablets in the third week (the week before you start with the small tablets).&nbsp;Therefore, always follow the instructions given below (see also the diagram):<\/li><li><strong>More than 1 forgotten tablet in the tablet map<\/strong>&nbsp;:Contact your doctor \/ midwife for advice.<\/li><li><strong>1 tablet forgotten during week 1<\/strong>&nbsp;:Take the forgotten tablet as soon as you remember (even if it means taking two tablets at the same time).&nbsp;Take the following tablets at the usual time, but do not forget to use extra protection (&nbsp;barrier method&nbsp;, eg condom) for seven days.&nbsp;If you had intercourse during the week before the forgotten tablet, there is a risk that you will become pregnant.&nbsp;Therefore, you should contact your doctor \/ midwife immediately.<\/li><li><strong>1 tablet forgotten during week 2<\/strong>&nbsp;:Take the forgotten tablet as soon as you remember (even if it means taking two tablets at the same time) Take the next tablet at the usual time.&nbsp;Assuming you have taken the tablet correctly for the next 7 days before the forgotten tablet, the combined oral contraceptives still have the desired effect and you do not need to use extra protection.<\/li><li><strong>1 tablet forgotten during week 3<\/strong>&nbsp;:You can choose between two options, without the need for extra protection:<ol><li>Take the forgotten tablet as soon as you remember (even if it means taking two tablets at the same time), and take the next tablet at the usual time.&nbsp;Take the following white active tablets at the usual time, but skip the small white hormone-free tablets and start on the next map immediately.&nbsp;You will probably not have a proper dropout bleeding until the end of the second tablet chart, and you may experience irregular bleeding (splashing and breakthrough bleeding) during the days you are taking active tablets.<br><em>Or:<\/em><\/li><li>You can stop taking the white active tablets and instead take the small white hormone-free tablets for a maximum of 6 days, (the total number of placebo tablets including the forgotten tablet must never be more than seven).&nbsp;Then start on a new tablet map as usual.&nbsp;If you do it this way, you can always start on a map on the same day of the week that you are used to.<br><\/li><\/ol><\/li><li><strong>1 tablet forgotten during week 4<\/strong>&nbsp;:You still have the protection of your&nbsp;birth control pills&nbsp;.&nbsp;Take the tablet as soon as you remember and take the next tablet at the usual time.<br><\/li><li>If you forget to take tablets on a tablet chart and you do not experience bleeding during the first normal period of placebo tablets, you may have become pregnant.&nbsp;In this case, you must contact your doctor \/ midwife before starting the next tablet chart.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19940617000070#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/1987378c-d01a-40ab-87b4-c8574c32f4a6\" alt=\"In case of forgotten tablet\" title=\"In case of forgotten tablet\"\/><\/a><\/figure>\n\n\n\n<p><strong>If you have stomach upset (vomiting and diarrhea)<\/strong><\/p>\n\n\n\n<p>If you vomit or have severe diarrhea, the body may not absorb the&nbsp;hormones&nbsp;in the tablets well enough and the pregnancy protection will be reduced.&nbsp;In such situations, you should use extra protection (non-hormonal, eg condoms) for seven days.&nbsp;If you vomit within 3-4 hours after taking the tablet, follow the same advice as if you had forgotten a tablet.<\/p>\n\n\n\n<p><strong>If you want to change the start date<\/strong><\/p>\n\n\n\n<p>If you take your tablets according to the instructions, you will get your period on about the same day every four weeks.\u00a0If you want to change this, you can shorten (never prolong) the next period with hormone-free tablets.\u00a0For example, if you usually get your period on a Friday and instead want it on a Tuesday (three days earlier), you should start on the next tablet chart three days earlier than usual.\u00a0If you take a few hormone-free tablets (three days or less), you may not get your period that time.\u00a0You may also experience irregular bleeding (splashing or breakthrough bleeding) when taking the large tablets on the next map.<\/p>\n\n\n\n<p><strong>If you experience unexpected bleeding<\/strong><\/p>\n\n\n\n<p>During the first months of using\u00a0the contraceptive pill, you may experience irregular bleeding (breakthrough bleeding or splashing).\u00a0You may need to use menstrual protection, at least continue to take your tablets as usual.\u00a0The irregular bleeding usually disappears when the body has adapted to the contraceptive pill (usually after about three months).\u00a0Talk to your doctor\/midwife if you continue to have irregular bleeding after three months, if it becomes heavier or if irregular bleeding suddenly occurs after three months.<\/p>\n\n\n\n<p><strong>If you do not get a period<\/strong><\/p>\n\n\n\n<p>If you have taken all your tablets at the right time, and you have not vomited, had severe diarrhea, or used other medicines at the same time, it is unlikely that you are pregnant.\u00a0Continue to take Mercilon 28 as usual.<\/p>\n\n\n\n<p>If you do not get your period twice in a row, you may be pregnant.\u00a0Contact your doctor\/midwife immediately.\u00a0Do not start the next tablet card until you have received confirmation that you are not pregnant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Mercilon 28<\/h2>\n\n\n\n<p>You can stop using Mercilon 28 whenever you want.\u00a0If you do not want to get pregnant, ask your doctor\/midwife for advice on another method of contraception.<\/p>\n\n\n\n<p>If you stop taking Mercilon 28 because you want to get pregnant, it is recommended that you wait until you have had a natural menstrual period before trying to conceive.&nbsp;This will make it easier for you to calculate the expected date of birth.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>If you get any\u00a0side effects, especially if they are serious or persistent, or if your health changes and you think it may be due to Mercilon 28, talk to your doctor.<\/p>\n\n\n\n<p>An increased risk of blood clots in the veins (venous&nbsp;thromboembolism&nbsp;(VTE) or blood clots in the&nbsp;arteries&nbsp;(&nbsp;arterial&nbsp;thromboembolism&nbsp;(ATE)) is available for all women who use combined hormonal contraceptives. For more information on the different risks of using combined hormonal contraceptives, see section 2. &#8220;What you need to know before you use Mercilon 28&#8221;.<\/p>\n\n\n\n<p>During the first months of treatment, a large proportion (10-30%) of women may experience some side effects, such as chest tightness, nausea, spotting.\u00a0These\u00a0side effects\u00a0are often mild and usually, go away within 2-4 months.\u00a0If the bleeding becomes troublesome, you should contact a doctor\/midwife.\u00a0Contact your doctor\/midwife if you experience\u00a0side effects, especially if they are serious or do not go away, or if you notice anything else with your body that you think may be due to the contraceptive pill.<\/p>\n\n\n\n<p>Serious&nbsp;side effects&nbsp;and symptoms that may be related to&nbsp;birth control pills&nbsp;are described in the sections: &#8220;Blood clots \/ Birth&nbsp;control pills&nbsp;and cancer&#8221;.<\/p>\n\n\n\n<p><em>Common&nbsp;side effects&nbsp;(affects more than 1 in 100 women)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>depression, mood swings,<\/li><li>headache<\/li><li>nausea, abdominal pain<\/li><li>sore breasts, chest tightness<\/li><li>weight gain<\/li><li>abdominal bleeding<\/li><\/ul>\n\n\n\n<p><em>Uncommon&nbsp;side effects&nbsp;(affects more than 1 user in 1,000 but less than 1 in 100 women)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fluid retention<\/li><li>decreased sexual desire<\/li><li>migraine<\/li><li>vomiting, diarrhea<\/li><li>redness&nbsp;, rash,&nbsp;hives<\/li><li>breast augmentation<\/li><li>no loss of bleeding<\/li><li>high&nbsp;blood pressure<\/li><\/ul>\n\n\n\n<p><em>Rare&nbsp;side effects&nbsp;(affects less than 1 in 1,000 women)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hypersensitivity reaction&nbsp;er<\/li><li>increased sexual desire<\/li><li>difficulty wearing contact lenses, due to reduced tear flow<\/li><li>erythema nodosum, erythema multiforme (a form of reddening of the skin), chloasma (brown pigmented skin spots),&nbsp;itching<\/li><li>exuding breasts, discharge from the abdomen<\/li><li>weight loss<\/li><li>changes in liver function values, jaundice,&nbsp;gallstones&nbsp;, benign liver tumors<\/li><li>elevated blood sugar, decreased glucose tolerance, increased insulin requirements<\/li><li>dangerous blood clots in a vein or&nbsp;artery&nbsp;, eg:<ul><li>in one leg or foot (ie DVT)<\/li><li>in the lungs<\/li><li>myocardial infarction<\/li><li>stroke<\/li><li>mini &#8211;&nbsp;stroke&nbsp;or transient stroke-like symptoms called&nbsp;transient&nbsp;ischemic attack (&nbsp;TIA&nbsp;)<\/li><li>blood clots in the liver, stomach \/ intestines, kidneys or eyes.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>The risk of developing a blood clot may be higher if you have other conditions that increase this risk (see section 2 for more information on the conditions that increase the risk of blood clots and the symptoms of a blood clot).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Mercilon 28<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p><em>The active substances are:<\/em><\/p>\n\n\n\n<p>in the large tablets: Ethinyl estradiol 20 \u03bcg and desogestrel 150 \u03bcg<\/p>\n\n\n\n<p>in the smaller tablets: no active substances<\/p>\n\n\n\n<p><em>Other ingredients are:<\/em><\/p>\n\n\n\n<p>in the large tablets: potato starch, anhydrous\u00a0colloidal\u00a0silica,\u00a0lactose monohydrate, povidone, stearic acid, alpha-tocopherol.<\/p>\n\n\n\n<p>in the smaller tablets:\u00a0lactose monohydrate, magnesium stearate, potato starch<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Mercilon 28 is available in packs of 3 tablet charts.&nbsp;Each map contains 28 tablets (21 large and 7 smaller).<\/p>\n\n\n\n<p>The large tablets are round, white, biconvex and 6 mm in diameter (active tablets).\u00a0On one side, the tablet is marked TR4, and with Organon on the other.<\/p>\n\n\n\n<p>The smaller hormone-free tablets are round, white and 4.5 mm in diameter, marked with KH2 on one side and a small square on the other side.<\/p>\n\n\n\n<p>Mercilon 28 is available in packs of 3 tablet charts.&nbsp;Each map contains 28 tablets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder:<\/h2>\n\n\n\n<p>NV Organon<\/p>\n\n\n\n<p>Kloosterstraat 6<\/p>\n\n\n\n<p>5349 AB Oss<\/p>\n\n\n\n<p>Netherlands<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mercilon 28 is a combined contraceptive pill . Each large tablet contains a small amount of two different female hormones . These are desogestrel (yellow body hormone) and ethinyl estradiol ( estrogen ). The small tablets do not contain any hormones at all and are called placebo tablets. Because Mercilon 28 contains small amounts of hormones , it is called a low-dose birth control pill . Because all active tablets contain the same amount of hormone , it is also called a monophasic contraceptive pill .<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[5765,5767,5768,3375,3378,5385,17141,17145,17144,9524,15735,5766,3919,17142,17143],"class_list":["post-17606","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-desogestrel","tag-desogestrel-side-effects","tag-desogestrel-tablet","tag-ethinyl-estradiol","tag-ethinyl-estradiol-side-effects","tag-ethinyl-estradiol-tablet","tag-mercilon-28","tag-mercilon-28-side-effects","tag-mercilon-28-tablet","tag-what-desogestrel-is-used-for","tag-what-ethinyl-estradiol-is-used-for","tag-what-is-desogestrel","tag-what-is-ethinyl-estradiol","tag-what-is-mercilon-28","tag-what-mercilon-28-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=17606"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17606\/revisions"}],"predecessor-version":[{"id":17682,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17606\/revisions\/17682"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}