Viana 35 Tablet is a combination hormonal medicine containing cyproterone acetate and ethinyl estradiol, primarily prescribed for women of reproductive age to address androgen-sensitive conditions. These active ingredients work together to regulate hormonal imbalances, offering relief from symptoms often associated with conditions like Polycystic Ovary Syndrome (PCOS). The medication is not intended for general contraception alone due to its specific risk profile but does provide a contraceptive effect when used for its approved indications.
Management of Polycystic Ovary Syndrome (PCOS)
For women diagnosed with PCOS, Viana 35 Tablet can significantly help manage several key symptoms. PCOS is characterized by high levels of male hormones called androgens, which can cause a range of hormonal issues. Viana 35's dual-action formula directly targets these imbalances:
- Regulation of Androgens: The cyproterone component works by blocking androgen receptors and suppressing the overproduction of androgens in the ovaries, which is a core issue in PCOS.
- Regularized Menstrual Cycle: The ethinyl estradiol, a synthetic estrogen, works alongside cyproterone to regulate the menstrual cycle, addressing issues of irregular periods common in PCOS.
- Alleviating Associated Symptoms: By controlling androgen levels, the medication effectively treats excessive hair growth (hirsutism) and acne linked to the condition.
Treatment for Severe Hormonal Acne
Viana 35 is indicated for moderate to severe acne, particularly when it is related to androgen sensitivity and has not responded to other treatments, such as topical therapies or oral antibiotics. The hormonal regulation provided by the tablet helps in the following ways:
- Decreased Sebaceous Gland Function: The anti-androgenic effect of cyproterone reduces the function of sebaceous (oil) glands, leading to less oil production and fewer acne breakouts.
- Promotes Clearer Complexion: Over time, consistent use helps to manage hormone-related acne, promoting a clearer and healthier complexion for the patient.
Combating Hirsutism (Excessive Hair Growth)
Hirsutism, the growth of unwanted facial and body hair in women, is another androgen-dependent symptom that Viana 35 is effective in treating. By blocking androgen receptors, the cyproterone component directly addresses the hormonal cause of this excessive hair growth. This leads to a reduction in unwanted hair over the course of treatment.
Function as a Contraceptive
While primarily used for treating androgen-related conditions, Viana 35 Tablet also acts as an oral contraceptive. It works by inhibiting ovulation, which prevents conception. However, patients must be aware that this is a side effect of its hormonal therapy, and its use is not recommended for contraception alone due to a higher risk of blood clots compared to other combined oral contraceptives. Patients should not use any additional hormonal contraceptives while taking Viana 35.
Comparison with Standard Oral Contraceptives
It is critical to understand the distinction between Viana 35 and other standard combined oral contraceptives (COCs). While both contain hormones and prevent pregnancy, their primary purposes and risk profiles differ significantly.
| Feature | Viana 35 Tablet (Cyproterone/Ethinyl Estradiol) | Standard Combined Oral Contraceptive (e.g., Levonorgestrel/Ethinyl Estradiol) |
|---|---|---|
| Primary Indication | Treatment of moderate-to-severe androgen-sensitive acne, hirsutism, and PCOS symptoms. | Prevention of pregnancy. |
| Mechanism of Action | Combines anti-androgen and estrogenic effects to suppress androgens and inhibit ovulation. | Primarily relies on progestin and estrogen to inhibit ovulation. |
| Thromboembolism Risk | Higher risk of venous thromboembolism (VTE) compared to some standard COCs. | Risk of VTE is present but often lower than with Viana 35. |
| Length of Use | Typically prescribed for short-term use, and reviewed regularly by a doctor. | Often used for long-term contraception. |
| Combined Use | Should not be used with other hormonal contraceptives. | Can be used as the sole form of hormonal contraception. |
Considerations and Conclusion
Viana 35 Tablet is a powerful and effective hormonal medication for addressing specific androgen-related conditions in women, including PCOS symptoms, severe acne, and hirsutism. Its action as a contraceptive is an additional effect of this treatment. However, it comes with a noted risk of venous thromboembolism, particularly during the first year of use. Due to these risks, its usage should be carefully monitored by a doctor, who can determine if the benefits outweigh the risks for a specific patient. It is not a first-line treatment for acne and is not suitable for general contraceptive use. Patients should always consult with a healthcare professional before starting or stopping this medication and report any unusual symptoms promptly.
For more detailed information on the specific risks and benefits, patients and healthcare providers can refer to authoritative sources, such as the European Medicines Agency's recommendations regarding Diane 35, which contains the same active ingredients.
