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Miliana Tablet
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Miliana Tablet

Manufactured byZydus Cadila
ContainsDesogestrel (0.15 mg) + Ethinyl Estradiol (0.03 mg)
Description
Miliana Tablet is a combination of Desogestrel and Ethinyl Estradiol. It is used for oral contraception (prevention of pregnancy). It works by preventing the fertilization of the egg. Miliana Tablet may cause some side effects like nausea, vomiting, abdominal pain, weight gain, irregular or missed periods, slight bleeding between periods, breast enlargement, changes in mood, etc. Most of these side effects subside with time as your body gets used to the medication. Consult your doctor if these side effects persist for a long time or worsen. Seek immediate medical attention if you experience symptoms like blurred vision, chest pain, unexplained swelling in the arms or legs, severe headache, rashes, hives (itchy, painful eruptions that sting), itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing, etc. Miliana Tablet should be taken every day for 21 days starting from the first day of your menstrual cycle (first day of bleeding). Then there should be a gap of seven days, after which the medicine should be continued again. Take this medicine at the same time every day for the ease of remembering. Make sure you do not miss a dose, as you are more likely to become pregnant in such cases. Avoid smoking during treatment with Miliana Tablet as it may increase the risk of blood clots, heart attack, or stroke (brain damage due to the interrupted blood supply to the brain). Miliana Tablet should be avoided if you have heart or liver problems, stroke, uncontrolled high blood pressure, undiagnosed vaginal bleeding, or liver, breast, or uterus/cervix cancer. Inform your doctor if you have other medical conditions to make sure this medicine is safe for you. Miliana Tablet is not recommended for use before menarche (the first occurrence of menstruation). It is not recommended for use if you are pregnant, planning a pregnancy, or are breastfeeding.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Miliana Tablet

  • Nausea
  • Abdominal pain
  • Diarrhoea
  • Vomiting
  • Depression
  • Acne
  • Missed or irregular menstrual periods
  • Weight gain
  • Breast pain and tenderness
  • Dizziness
  • Back pain
  • Headache
  • Vaginal discharge
  • Oedema (accumulation of water in the tissues)
  • Breast enlargement

Uses of Miliana Tablet

What is it prescribed for?

  • Contraception
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The amount of time required for Miliana Tablet to show its action is not clinically established.
  • How long do the effects of this medicine last?
    The time duration for which Miliana Tablet remains active in your body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported for Miliana Tablet.
  • Can this medicine be taken during pregnancy?
    Miliana Tablet is unsafe for use during pregnancy. It should be withdrawn immediately if pregnancy occurs.
  • Can this medicine be taken while breast-feeding?
    Miliana Tablet is not recommended for use while breastfeeding as small amounts of this medicine may pass into breastmilk. Your doctor may suggest alternative means of contraception if you are breastfeeding.

Allergic reaction

Avoid taking Miliana Tablet if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, hives (itchy, painful eruptions that sting), itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing, etc.

Undiagnosed vaginal bleeding

Miliana Tablet is not recommended for use if you experience episodes of abnormal bleeding from the vagina, as this medicine may worsen your condition.

Cardiovascular Disease

Miliana Tablet is not recommended for use if you have any heart or blood vessels disorders such as deep vein thrombosis (blood clots that form in the deep veins of the body, usually in the thigh or lower leg), pulmonary embolism (blood clots that block one or more arteries in the lung), recent heart attack, stroke (a condition that occurs due to reduced blood supply to the brain), other blood clotting disorders, etc. Taking this medicine may worsen your condition.

Estrogen-dependent tumor

Miliana Tablet is not recommended for use if you have or have had cancer that is attributed to abnormal levels of the hormone oestrogen in your body such as breast or uterus cancer.

Liver disease

Miliana Tablet is not recommended for use if you have liver problems or liver tumour, as it may further worsen your condition.

Uncontrolled hypertension

Hypertension refers to high blood pressure. Miliana Tablet is not recommended for use if you have uncontrolled hypertension as it may further worsen your condition.
Warnings for special population

Pregnancy

Miliana Tablet is unsafe for use during pregnancy. It should be withdrawn immediately if pregnancy occurs.

Breast-feeding

Miliana Tablet is not recommended for use while breastfeeding as small amounts of this medicine may pass into breastmilk. Your doctor may suggest alternative means of contraception if you are breastfeeding.
General warnings

Breast Cancer

Miliana Tablet should be used with caution as it may increase the risk of breast cancer.

Diabetes Mellitus

Miliana Tablet should be used with caution if you have diabetes (high blood sugar levels) as it may increase the risk of undesired effects.

Jaundice

Jaundice is a condition characterised by yellowing of the skin, whites of the eyes, and mucous membranes because of a high level of bilirubin, a yellowish pigment formed due to the breakdown of red blood cells. Use of Miliana Tablet can cause jaundice due to its effect on the liver and the gall bladder. Report the presence of any symptoms indicative of jaundice such as yellowing of the skin and whites of the eyes, dark-coloured urine, clay-coloured stool, vomiting, fever and chills, stomach pain, etc., to your doctor on priority.

Abnormalities in vision

Miliana Tablet has been associated with partial or complete loss of vision in some rare cases. Any abnormalities in vision should be promptly reported to your doctor. Special precautions should be taken if you are using contact lenses.

Driving vehicles or operating machines

Use of Miliana Tablet may cause symptoms such as dizziness or blurred vision in some cases. Avoid driving vehicles or operating machines if you experience any of these symptoms during treatment with this medicine.

Smoking

Avoid smoking during treatment with Miliana Tablet as it may increase the risk of blood clots, heart attack, or stroke (brain damage due to the interrupted blood supply to the brain).

High lipid levels

Use of Miliana Tablet may cause high cholesterol and triglyceride (fats) levels in your blood. Your doctor may recommend tests to frequently monitor your blood lipid levels to ensure your cardiovascular health is not affected.

Depression

Miliana Tablet should be used with caution as it may cause depression. Contact your doctor immediately if you experience mood changes or develop suicidal thoughts.

Surgeries

Inform your doctor about the use of Miliana Tablet before undergoing a surgery. The use of this medicine in such cases may increase your risk of developing blood clots. It should be discontinued at least four weeks prior to a surgical procedure and two weeks after a surgical procedure, under the supervision of your doctor.

Missed Dose

If you miss a dose of Miliana Tablet, contact your doctor immediately for further instructions. The instructions may vary based on the day the dose is missed. You may also require additional means of contraception as a backup if you miss a dose. The possibility of pregnancy should be considered at the first missed period and the medicine should be discontinued upon confirmation of pregnancy.

Overdose

Never take more than the prescribed dose. Seek emergency medical attention in case of an overdose of Miliana Tablet.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine

Carbamazepine

Prednisolone

Tetracycline

Tranexamic Acid

Warfarin

Sulfadiazine

Phenytoin

Rifampicin

Cyclosporine

Disease interactions

Hypertension

Miliana Tablet should be used with caution if you have high blood pressure as it may increase the risk of other heart-related complications.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Miliana Tablet may be taken with or without food as directed by your doctor. Do not break, chew, or crush the tablet. Take this medicine at the same time every day to ensure compliance. Follow all the instructions mentioned on the prescription label/package insert. Do not take Miliana Tablet in larger or smaller amounts than prescribed. Do not stop the use of this medicine without consulting your doctor, as you are more likely to become pregnant. Consult your doctor immediately if you experience any undesirable effects that persist or worsen. Avoid smoking, or consuming alcohol, caffeine, and grapefruit juice while taking Miliana Tablet, as it may increase the risk of undesired effects. Your doctor may recommend frequent monitoring of your blood pressure, blood lipid levels, and change in weight for the duration you are taking this medicine. Miliana Tablet does not protect against sexually transmitted diseases. Also, it will not help as an emergency contraceptive after unprotected sexual contact. If you feel sick with severe diarrhoea and vomiting, it may lead to the reduced effectiveness of this medicine. Hence use an additional birth-control method to prevent unwanted pregnancy in such cases. Keep this medicine out of the reach of children and pets. Ensure the proper disposal of expired or unused medicine.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Miliana Tablet is a combination of Desogestrel and Ethinyl Estradiol. It prevents the fertilization of the egg.
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Contraceptives

Schedule

Schedule H

Medicines.org.uk. 2021. Marvelon Tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: [Accessed 18 January 2022].

https://www.medicines.org.uk/emc/product/1359/smpc#gref

Accessdata.fda.gov. 2017. DESOGEN® Tablets (desogestrel and ethinyl estradiol tablets USP). [online] Available at: [Accessed 18 January 2022].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020071s025lbl.pdf

Mayoclinic.org. 2022. Desogestrel And Ethinyl Estradiol (Oral Route) Side Effects - Mayo Clinic. [online] Available at: [Accessed 18 January 2022].

https://www.mayoclinic.org/drugs-supplements/desogestrel-and-ethinyl-estradiol-oral-route/side-effects/drg-20061362?p=1

Cleveland Clinic. 2022. Ethinyl Estradiol; Desogestrel tablets. [online] Available at: [Accessed 18 January 2022].

https://my.clevelandclinic.org/health/drugs/20763-ethinyl-estradiol-desogestrel-tablets
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Information on this page was last updated on 7 Sep 2022

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