Common use

This product contains Drospirenone (a synthetic hormone progestin)and Ethinyl Estradiol and is used as a preventive drug to avoid pregnancy. It interferes with woman menstrual cycle and tricks the body as if ovulation has taken place even if it has not. So a ripened egg is not released by the ovaries. The drug changes condition of cervical mucus and uterine lining and hampers movement of sperm cells to the uterus and attachment of a fertilized egg to the uterus.



Dosage and direction

Start treatment on the very first day of your menstrual cycle and then take one pill daily. If you missed a daily dose take taking two pills as a single dose. Risk of your pregnancy increases if you miss more than one dose. Do not take other contraceptive pill concomitantly to avoid serious hormonal imbalance. Each pill contains 3.0 mg of drospirenone and 0.030 mg of ethinyl estradiol, while 7 'inactive' pills do not contain the hormones.



Precautions

Additional birth control methods (condoms or a spermicide) may be needed when you start to use this medicine.

Intake of hormones may increase the risk of blood clotting, heart attack, stroke, especially in the patients over 35 y.o. or smokers. Inform your doctor if you have problems with heart, blood pressure, congestive heart failure, angina, high cholesterol, depression in history, seizures or epilepsy, diabetes, gallbladder disease, varicose veins, tuberculosis, uterine fibroid tumors, a history of fibrocystic breast disease, nodules, lumps.



Contraindications

You should not use this medication in patients with hypersensitivity to the medication, undiagnosed abnormal genital bleeding, breast cancer (known, suspected, or in history), known or suspected estrogen-dependent neoplasia, blood clots, myocardial infarction, pregnancy, breastfeeding, problems with liver, plague. The medication cannot be used in the girls who have not yet had their first menstrual period.



Possible side effect

It may increase potassium levels in some individuals, thus, women with kidney disease, liver bug, or adrenal disease should not be treated by it. Also some women may develop nausea, vomiting, weight gain, headaches, palpitations, fainting or dizziness, breast tenderness and enlargement, changes in the menstrual cycle, vaginal thrush, water retention in the body. More serious but rare adverse reactions include increase in blood pressure, depression, liver disorders and blood clots in vessels.



Drug interaction

There are drugs which can interact with it Inform your doctor about all prescribed and over-the counter medications, herbal products and food supplements you use and especially about theophylline (Respbid, Theo-Dur), acetaminophen (Tylenol) or ascorbic acid (vitamin C), prednisolone (Orapred), St. John's wort, seizure medications, cyclosporine (Gengraf, Neoral, Sandimmune), a barbiturate sedatives, HIV or AIDS medications, and antibiotics.



Missed dose

If you missed a pill risk of becoming pregnant increases. If you forgot to take one 'active' pill, take two pills as soon as you remember then return to your schedule. If you miss two 'active' pills in a row in first or second week of treatment, take two pills a day for two days in a row. Then return to your schedule. Use birth control test during seven days if such a 'mistake' occurred. If you miss two 'active' pills in a row during third week, or if you miss three pills in a row during any of the first three weeks, you need to start a new pack of pills as if you are a First Day starter.

If you did not take three 'active' pills in a row during any of the first three weeks, start a new pack on the same day as if you are a First Day starter.

If you skipped intake of two or more pills, you may not have a monthlies during this month. If you miss a period for two months in a row you might be pregnant.

If you miss any reminder pills, throw the missed pills away and return to your schedule.



Overdose

Signs of overdose include nausea and vomiting, vaginal bleeding, increased level of blood potassium. If you suspect overdose contact your health care provider the soonest or seek immediate medical attention.



Storage

Store at room temperature, below 25 C (77 F) and out of reach and children and pets.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.