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CategoryDescriptionDrospirenone and Ethinyl Estradiol(draw-SPEER-a-none and
ETH-in-il es-tra-DYE-ole)
This medicine is known also as the
Pill, OCs, BCs, BC tablets, or birth control pills. This medicine usually
contains two types of hormones, estrogens (ES-troh-jenz )
and progestins (proh-JES-tins)
and, when taken properly,
prevents pregnancy. It works by stopping a woman's egg from fully developing
each month. The egg can no longer accept a sperm and fertilization is prevented.
Although oral contraceptives have other effects that help prevent a pregnancy
from occurring, this is the main action.
This medicine is available only with your doctor's prescription, in the
following dosage form:
Oral
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Drospirenone and Ethinyl Estradiol
Before Using This MedicineIn deciding to use a medicine,
the risks of taking the medicine must be weighed against the good it will
do. This is a decision you and your doctor will make. For drospirenone and
ethinyl estradiol, the following should be considered:
Allergies - Tell your doctor if you have ever had any unusual
or allergic reaction to estrogens or progestins. Also tell your health care
professional if you are allergic to any other substances, such as foods, preservatives,
or dyes.
Diet - Make certain your health care professional
knows if you are on any special diet, such as a low-sodium or low-sugar diet.
Pregnancy - Drospirenone and ethinyl estradiol is not recommended
for use during pregnancy and should be discontinued if you become pregnant
or think you are pregnant. Women who are not breast-feeding may begin to take
oral contraceptives four weeks after having a baby.
Breast-feeding - Drospirenone and ethinyl estradiol pass into
the breast milk and can change the content or lower the amount of breast milk.
Also, they may shorten a woman's ability to breast-feed. It may be necessary
for you to use another method of birth control or to stop breast-feeding while
taking drospirenone and ethinyl estradiol.
Children - This medicine is not designed for girls that have
not reached menarche.
Adolescents - This medicine is frequently used for birth control
in teenage females and has not been shown to cause different side effects
or problems than it does in adults. Some teenagers may need extra information
on the importance of taking this medication exactly as prescribed.
Other medicines - Although certain medicines should not be used
together at all, in other cases two different medicines may be used together
even if an interaction might occur. In these cases, your doctor may want to
change the dose, or other precautions may be necessary. When you are taking
drospirenone and ethinyl estradiol, it is especially important that your doctor
and pharmacist know if you are taking any of the following:
-
Angiotensin-converting enzyme (ACE) inhibitors (e.g., Accupril, Aceon,
Altace, Capoten, Lotensin, Mavik, Monopril, Prinivil, Univasc, Vasotec, and
Zestril) - Potassium in the blood may be increased by drospirenone
-
Carbamazepine (e.g., Tegretol) or
-
Phenobarbital (e.g., Barbita) or
-
Phenytoin (e.g., Dilantin) or
-
Rifampin (e.g., Rifadin) - These medicines may cause
reduced birth control effect of drospirenone and ethinyl estradiol and increased
irregular menstrual bleeding
-
Cyclosporine (e.g., Neoral) or
-
Theophylline (e.g., Elixophyllin) - Oral contraceptives may increase
the effects of these medicines and increase the chance of problems occurring
-
Griseofulvin (e.g., Fulvicin) - May cause unplanned pregnancy;
using additional birth control methods while taking griseofulvin
-
Smoking tobacco - Smoking may decrease the effect of oral contraceptives
and increase the chance of causing serious blood clot, vein, or heart problems
Although certain medicines should not be used together at all, in other
cases two different medicines may be used together even if an interaction
might occur. In these cases, your doctor may want to change the dose, or other
precautions may be necessary. Tell your health care professional if you are
taking any other prescription or nonprescription (over-the-counter [OTC])
medicine.
Other medical problems - The presence of other medical
problems may affect the use of drospirenone and ethinyl estradiol. Make sure
you tell your doctor if you have any other medical problems, especially:
-
Abnormal changes in menstrual or uterine bleeding or
-
Fibroid tumors of the uterus - Oral contraceptives usually improve
these female conditions but sometimes they can make them worse or make the
diagnosis of these problems more difficult
-
Adrenal insufficiency or
-
Liver problems or
-
Kidney problems - these conditions may increase the risk of retaining
too much potassium in the blood
-
Blood clots (or history of) or
-
Heart or circulation disease or
-
Stroke (or history of) - If these conditions are already present,
oral contraceptives may have a greater chance of causing blood clots or circulation
problems, especially in women who smoke tobacco. Otherwise, oral contraceptives
may help prevent circulation and heart disease if you are healthy and do not
smoke
-
Cancer, including breast cancer (or history of or family history
of) - Oral contraceptives may worsen some cancers, especially when breast,
cervical, or uterine cancers already exist. Use of oral contraceptives is
not recommended if you have any of these conditions. If you have a family
history of breast disease, oral contraceptives may still be a good choice
but you may need to be tested more often
-
Gallbladder disease or gallstones (or history of) or
-
High blood cholesterol or
-
High blood potassium or
-
Liver disease (or history of, including jaundice during pregnancy)
or
-
Mental depression (or history of) - Oral contraceptives may make
these conditions worse or, rarely, cause them to occur again. Oral contraceptives
may still be a good choice but you may need to be tested more often
-
High blood pressure (hypertension) or
-
Migraine headaches - Oral contraceptives may cause fluid build-up
and may cause these conditions to become worse; however, some people have
fewer migraine headaches when they use oral contraceptives
Description
Yasmin is used to treat a wide variety of female problems such as regulating the menstrual cycle, putting a stop to or lessening the cramping that many women experience, and Yasmin is also used to treat menopause for certain women.
Yasmin should never be combined with nevirapine or rifampin. You should also not be using Yasmin if you have a heart, liver, bladder, or blood condition. If you are have a history of cancer or stroke you should also not be using Yasmin to prevent pregnancy.
This is a medication that will work best when you take it nearly at the same time everyday. You can save money-buying Yasmin online, because we offer free medical consultations. You can save money on your doctors' bills, and you can save money by ordering larger quantities of Yasmin for all your future prevention needs.
Yasmin Dosage
One tab is to be taken daily at about the same time for 21 consecutive days, following the order shown on the blister pack. Each subsequent pack is started after a 7-day tablet-free interval during which, a withdrawal bleed usually occurs. Starting the 1st Pack of Yasmin: When No Hormonal Contraceptive Has Been Used in the Past Month: Start taking Yasmin on the 1st day of the cycle, ie the 1st day of menstrual bleeding. Take a tablet marked with that day of the week (eg, menstrual period starts on a Friday, take a tablet marked Friday; then follow the days in order). May also start on days 2-5 of the cycle, but in that case, an additional contraceptive method (barrier method) for the first 7 days of tablet-taking in the 1st cycle is recommended. When Changing From Another Combined Pill: Yasmin should be started the day after taking the last tablet from the present pill pack (no tablet-free break). If the present pill pack also contains inactive tablets, Yasmin can be started on the day after taking the last active tablet (if uncertain when this is, consult the doctor or pharmacist).
She may also start later, but never later than the day following the tablet-free break of the present pill (or the day after the last inactive tablet of the present pill). When Changing From a Progestogen-Only Pill (Minipill): Intake of minipill may be stopped any day and Yasmin started the next day, at the same time. It is recommended to use an additional contraceptive method (a barrier method) for the first 7 days of tablet-taking when having intercourse. When Changing From an Injectable or Implant: Start taking Yasmin when the next injection is due or on the day that the implant is removed, but it is recommended that an additional contraceptive method (a barrier method) for the first 7 days of tablet-taking when having intercourse. After Having a Baby: After having a baby, the doctor may instruct the patient to wait until the first normal period before starting on Yasmin. It is possible to start sooner. Consult the doctor before taking Yasmin if breastfeeding. After a Miscarriage or an Abortion: Consult the doctor. Stopping Yasmin Treatment: Yasmin can be stopped at any time. Consult the doctor about other birth control methods. If pregnancy is wanted, it is generally recommended to wait until a natural period is established after stopping Yasmin before trying to conceive. This would help determine when the baby will be due. Missed Doses: In case of a missed dose, tablet could still be taken as long as it is « 12 hrs after the prescribed time, so that the reliability of the pill is maintained. Take the tablet as soon as remembered and take the next tablets at the prescribed time. If » 12 hrs after the prescribed time has passed before taking any tablet, the reliability of the pill may be reduced.
The more consecutive tablets missed, the higher the risk that the contraceptive effect is decreased. There is a particularly high risk of becoming pregnant if tablets are missed at the beginning or at the end of the pack. Therefore, the following rules should be followed: 1 Tablet Missed in Week 1: Take the missed tablet as soon as remembered (even if this means taking 2 tabs at the same time) and take the next tablets at the usual time. Use extra contraceptive precautions (barrier method) for the next 7 days. If the woman had sexual intercourse in the week before missing the tablet, there is a possibility of becoming pregnant. Inform the doctor immediately. 1 Tablet Missed in Week 2: Take the missed tablet as soon as remembered (even if this means taking 2 tabs at the same time) and take the next tablets at the usual time. The reliability of the pill is maintained. No need for extra contraceptive precautions. 1 Tablet Missed in Week 3: The following options may be considered, without the need for extra contraceptive precautions: (1) Take the missed tablet as soon as remembered (even if this means taking 2 tabs at the same time) and take the next tablets at the usual time. Start the next pack as soon as the current pack is finished so that no gap is left between packs. A withdrawal bleed may not occur until the end of the 2nd pack but there may be spotting or breakthrough bleeding on tablet-taking days. (2) Discontinue taking tablets from the current pack, have a tablet-free break of ?7 days (also count the day tablet is missed) and continue with the next pack. When following this method, the next pack can always be started on the same day of the week as the patient usually does. In case there are forgotten tablets in a pack and the expected period in the 1st normal tablet-free break is not observed, then there is a possibility of pregnancy. Consult a doctor before starting the next pack. If vomiting occurs within 3-4 hrs after taking Yasmin tablet, the active ingredients may not have been completely absorbed. This is the same as missing a tablet; therefore, follow the advice for missed tablets. Delaying the Period: Menstrual period may be delayed if the next pack of Yasmin is started immediately after finishing the current pack. This pack can be continued for as long as the patient wishes, until the pack is empty.
To begin menstrual period, it is sufficient to stop tablet-taking . While using the 2nd pack, there may be some breakthrough bleeding or spotting on tablet-taking days. Start with the next pack after the usual 7-day tablet-free break. Changing the Starting Day of the Period: If Yasmin is taken as directed, the period will be on the same day every 4 weeks. If this is to be changed, shorten (never lengthen) the next tablet-free break, eg if the period usually starts on a Friday and there is a desire to shift menstrual period to start on Tuesday (3 days earlier), the next pack should be started 3 days sooner than the usual. If the tablet-free break is made very short (eg, ?3 days), there may not be any bleeding during the break but breakthrough bleeding or spotting may occur during the use of the next pack. Unexpected Bleeding:
As with all pills, for the first few months, there may be irregular vaginal bleeding (spotting or breakthrough bleeding) in between periods. Use of sanitary protection may be needed, but tablet intake should be continued as normal. Irregular vaginal bleeding usually stops once the body has adjusted to the pill (usually after about 3 tablet-taking cycles). If bleeding continues, becomes heavy or starts again, inform the doctor. During a Missed Period: If all the tablets are taken at the right time and vomiting did not occur or any other medicines is not used, then pregnancy is unlikely to occur. Continue to take Yasmin as usual. If the period is missed twice in a row, pregnancy may occur. Inform the doctor immediately. Do not start the next pack of Yasmin until the doctor has checked the no pregnancy has occurred.
Yasmin Warning :
If any of the conditions/risk factors mentioned as follows is present, the benefits of combined oral contraceptive use has to be weighed against the possible risk for each individual woman. In the event of aggravation or first appearance of any of these conditions or risk factors, the physician should be consulted.
Vascular disorders with or without indication of arterial or venous thrombosis. The risk is increased for individuals with a respective family history of thrombosis, heart attack or stroke, advanced age, smoking, overweight, lipid metabolism disorders, hypertension, diabetes, immobilization, valvular disorders, atrial fibrillation, systemic lupus erythematosus, hemolytic-uremic syndrome, Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease), migraine. The following conditions should also be taken into account before starting treatment with Yasmin: Inflammation of the veins (superficial phlebitis), varicose veins, presence or family history of high blood levels of cholesterol or triglycerides, epilepsy, liver or gallbladder disease, sickle cell disease, chloasma. Tumors: The risk of having breast cancer is slightly elevated for women taking combined oral contraceptives.
Breast cancer is rare in women « 40 years, and the excess risk potentially caused by hormone intake gradually disappears during the course of 10 years after cessation of combined oral contraceptive use. Experiences from clinical studies do not provide evidence of a causal relation between the use of combined oral contraceptives and an increased incidence of breast cancer. An increased risk of cervical cancer in long-term users of COCs has been reported in some epidemiological studies. Annual routine checks by a physician are recommended. Yasmin, like all contraceptive pills, does not protect against HIV infection (AIDS) or any other sexually transmitted disease.
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