* Generic Name: drospirenone and ethinyl estradiol
* Brand Name: Yasmin
* What is drospirenone and ethinyl estradiol?
* What are the possible side effects of drospirenone and ethinyl
estradiol?
* What is the most important information I should know about
drospirenone and ethinyl estradiol?
* What should I discuss with my healthcare provider before taking
drospirenone and ethinyl estradiol?
* How should I take drospirenone and ethinyl estradiol?
* What happens if I miss a dose?
* What happens if I overdose?
* What should I avoid while taking drospirenone and ethinyl
estradiol?
* What other drugs will affect drospirenone and ethinyl
estradiol?
* Where can I get more information?
What is drospirenone and ethinyl estradiol?
Drospirenone and ethinyl estradiol is a combination birth control
pill containing female hormones that prevent ovulation (the release
of an egg from an ovary). This medicine also causes changes in your
cervical mucus and uterine lining, making it harder for
sperm to reach the uterus and harder for a fertilized egg to
attach to the uterus.
Drospirenone and ethinyl estradiol is used as contraception to prevent
pregnancy. This medicine is also used to treat moderate acne in women
who are at least 14 years old and have started having menstrual
periods, and who wish to use birth control pills. There are many
available brands of drospirenone and ethinyl estradiol. Not all brands
are listed on this leaflet.
Yaz is also used to treat the symptoms of premenstrual dysphoric
disorder (PMDD), such as anxiety, depression, irritability, trouble
concentrating, lack of energy, sleep or appetite changes, breast
tenderness, joint or muscle pain, headache, and weight gain.
Drospirenone and ethinyl estradiol may also be used for purposes not
listed in this medication guide.
What are the possible side effects of drospirenone and ethinyl estradiol?
Get emergency medical help if you have signs of an allergic reaction:
hives; difficult breathing; swelling of your face, lips, tongue, or
throat.
Stop using birth control pills and call your doctor at once if you
have:
* signs of a stroke--sudden numbness or weakness (especially on
one side of the body), sudden severe headache, slurred speech,
problems with vision or balance;
* signs of a blood clot--sudden vision loss, stabbing chest pain,
feeling short of breath, coughing up blood, pain or warmth in
one or both legs;
* heart attack symptoms--chest pain or pressure, pain spreading to
your jaw or shoulder, nausea, sweating;
* liver problems--loss of appetite, upper stomach pain,
tiredness, dark urine, clay-colored stools, jaundice
(yellowing of the skin or eyes);
* increased blood pressure--severe headache, blurred vision, pounding
in your neck or ears;
* swelling in your hands, ankles, or feet;
* a change in the pattern or severity of migraine headaches; or
* symptoms of depression--sleep problems, weakness, tired feeling,
mood changes.
Common side effects may include:
* nausea, vomiting;
* breast tenderness;
* headache, mood changes, feeling tired or irritable;
* weight gain; or
* changes in your menstrual periods, decreased sex drive.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about drospirenone and
ethinyl estradiol?
Do not use if you are pregnant or if you recently had a baby.
You should not take this medicine if you have: an adrenal gland
disorder, kidney disease, uncontrolled high blood pressure,
heart disease, coronary artery disease, circulation
problems (especially with diabetes), undiagnosed vaginal
bleeding, liver disease or liver cancer, severe migraine
headaches, if you also take certain hepatitis C medication, if you
have major surgery, if you smoke and are over 35, or if you have ever
had a heart attack, a stroke, a blood clot, jaundice caused
by pregnancy or birth control pills, or cancer of the breast,
uterus/cervix, or vagina.
Taking this medicine can increase your risk of blood clots, stroke, or
heart attack.
Smoking can greatly increase your risk of blood clots, stroke, or heart
attack. You should not take this medicine if you smoke and are over 35
years old.
Yasmin Patient Information including How Should I Take
Birth Control: Methods, Side Effects and Effectiveness
Birth Control Slideshow Pictures
RxList
Think You Know Birth Control? Quiz
What should I discuss with my healthcare provider before taking drospirenone
and ethinyl estradiol?
Taking this medicine can increase your risk of blood clots, stroke, or
heart attack. You are even more at risk if you have high blood
pressure, diabetes, high cholesterol, or if you are overweight.
Your risk of stroke or blood clot is highest during your first year of
taking birth control pills. Your risk is also high when you restart
birth control pills after not taking them for 4 weeks or longer.
Smoking can greatly increase your risk of blood clots, stroke, or heart
attack. Your risk increases the older you are and the more you smoke.
You should not take this medicine if you smoke and are over 35 years
old.
Do not use if you are pregnant. Stop using this medicine and tell your
doctor right away if you become pregnant, or if you miss 2 menstrual
periods in a row. If you have recently had a baby, wait at least 4
weeks before taking this medicine.
You should not take this medicine if you have:
* an adrenal gland disorder;
* kidney disease;
* untreated or uncontrolled high blood pressure;
* heart disease (coronary artery disease, history of heart attack,
stroke, or blood clot);
* an increased risk of having blood clots due to a heart problem
or a hereditary blood disorder;
* circulation problems (especially if caused by diabetes);
* a history of hormone-related cancer, or cancer of the breast,
uterus/cervix, or vagina;
* unusual vaginal bleeding that has not been checked by a doctor;
* liver disease or liver cancer;
* severe migraine headaches (with aura, numbness, weakness, or
vision changes), especially if you are older than 35;
* a history of jaundice caused by pregnancy or birth control pills;
* if you smoke and are over 35 years old; or
* if you take any hepatitis C medication containing
ombitasvir/paritaprevir/ritonavir (Technivie).
To make sure this medicine is safe for you, tell your doctor if you
have ever had:
* heart problems, high blood pressure, or if you are prone to
having blood clots;
* high levels of potassium in your blood;
* high cholesterol or triglycerides, or if you are overweight;
* depression;
* liver or kidney disease;
* underactive thyroid, diabetes, gallbladder disease; or
* a migraine headache.
The hormones in this medicine can pass into breast milk and may harm a
nursing baby. This medicine may also slow breast milk production. Do
not use if you are breast feeding.
How should I take drospirenone and ethinyl estradiol?
Follow all directions on your prescription label. Do not take this
medicine in larger or smaller amounts or for longer than recommended.
Take your first pill on the first day of your period or on the first
Sunday after your period begins. You may need to use back-up birth
control, such as condoms with spermicide, when you first start
using this medication.
Take one pill every day, no more than 24 hours apart. When the pills
run out, start a new pack the following day. You could get pregnant if
you do not take one pill daily.
You may have breakthrough bleeding, especially during the first 3
months. Tell your doctor if this bleeding continues or is very heavy.
If you need major surgery with long-term bed rest, you may need to stop
using this medicine for a short time. Any doctor or surgeon who
treats you should know that you are using this medicine.
Store at room temperature away from moisture and heat.
Yasmin Patient Information including If I Miss a Dose
Birth Control: Methods, Side Effects and Effectiveness
Birth Control Slideshow Pictures
RxList
Think You Know Birth Control? Quiz
What happens if I miss a dose?
Follow the patient instructions provided with your medicine. Ask your
doctor or pharmacist if you do not understand these instructions.
Missing a pill increases your risk of becoming pregnant.
If you miss 1 active pill, take 2 pills on the day that you remember.
Then take 1 pill per day for the rest of the pack.
If you miss 2 active pills in a row in Week 1 or 2, take 2 pills per
day for 2 days in a row. Then take 1 pill per day for the rest of the
pack. Use back-up birth control for at least 7 days following the
missed pills.
If you miss 2 active pills in a row in Week 3, throw out the rest of
the pack and start a new pack the same day if you are a Day 1 starter.
If you are a Sunday starter, keep taking a pill every day until Sunday.
On Sunday, throw out the rest of the pack and start a new pack that
day.
If you miss 3 active pills in a row in Week 1, 2, or 3, throw out the
rest of the pack and start a new pack on the same day if you are a Day
1 starter. If you are a Sunday starter, keep taking a pill every day
until Sunday. On Sunday, throw out the rest of the pack and start a new
pack that day.
If you miss 2 or more pills, you may not have a period during the
month. If you miss a period for 2 months in a row, call your doctor
because you might be pregnant.
If you miss a reminder pill, throw it away and keep taking 1 reminder
pill per day until the pack is empty.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at
1-800-222-1222. Overdose may cause nausea or vaginal bleeding.
What should I avoid while taking drospirenone and ethinyl estradiol?
Do not smoke while taking this medicine, especially if you are older
than 35 years of age.
This medicine will not protect you from sexually transmitted diseases,
including HIV and AIDS. Using a condom is the only way to
protect yourself from these diseases.
What other drugs will affect drospirenone and ethinyl estradiol?
Other drugs may interact with drospirenone and ethinyl estradiol,
including prescription and over-the-counter medicines, vitamins, and
herbal products. Some drugs can make this medicine less effective,
which may result in pregnancy. Tell your doctor about all your current
medicines and any medicine you start or stop using.
Where can I get more information?
Your pharmacist can provide more information about drospirenone and
ethinyl estradiol.
__________________________________________________________________
Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by
Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United
States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or
recommend therapy. Multum's drug information is an informational
resource designed to assist licensed healthcare practitioners in caring
for their patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of a
warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not assume
any responsibility for any aspect of healthcare administered with the
aid of information Multum provides. The information contained herein is
not intended to cover all possible uses, directions, precautions,
warnings, drug interactions, allergic reactions, or adverse effects. If
you have questions about the drugs you are taking, check with your
doctor, nurse or pharmacist.
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