Drug Uses
Yasmin is a birth control
pill used to prevent pregnancy.
Yasmin differs from other birth
control pills because it
contains a progestin hormone
called drospirenone. It does not
protect against HIV infection
(AIDS) and other sexually
transmitted diseases.
How
Taken
This oral contraceptive comes
in a packet of 28 tablets. The
first 21 tablets are the active
pills; they contain the active
ingredients (hormones) ethinyl
estradiol and drospirenon. The
last seven tablets in a
28-tablet packet are the
reminder pills; they are
different in color and do not
contain any hormone. Day 1
start: Take the first active
pill of the first pack during
the first 24 hours of your
period. You will not need to use
a back-up method of birth
control, since you are starting
the pill at the beginning of
your period. Sunday start: Take
the first active pill of the
first pack on Sunday after your
period starts, even if you are
still bleeding. If your period
starts on Sunday, start the pack
that same day. Use another
method of birth control (such as
condoms or spermicides) if you
have sex during 7 days after you
start your first packet.
Warnings/Precautions
Do not take Yasmin without
first talking to your doctor if
you have had a stroke, heart
attack, or blood clot; high
blood pressure, angina, or heart
disease; a bleeding or
blood-clotting disorder; breast,
uterine, or another
hormone-related cancer; or
undiagnosed, abnormal vaginal
bleeding. Before taking Yasmin,
also tell your doctor if you
have diabetes; high cholesterol;
gallbladder disease; migraines
or other headaches; epilepsy; a
history of depression; a history
of scanty or irregular menstrual
periods; smoke cigarettes; or
need an extended period of bed
rest due to surgery or illness.
Yasmin is in the FDA pregnancy
category X. This means that it
has been reported to cause birth
defects in an unborn baby.
Hormonal changes during
pregnancy can have very serious
negative effects on a developing
baby. Do not take drospirenone
and ethinyl estradiol if you are
pregnant or if you think you
might be pregnant. Yasmin passes
into breast milk and may
decrease milk production. Do not
take Yasmin without first
talking to your doctor if you
are breast-feeding a baby. Avoid
smoking. Smoking greatly
increases the risk of heart
attack, stroke, or blood clot
formation.
Missed Dose
If you MISS 1 yellow active
pill: -Take it as soon as you
remember. Take the next pill at
your regular time. This means
you may take two pills in one
day. -You do not need to use a
back-up birth control method if
you have sex. If you MISS 2
yellow active pills in a row in
WEEK 1 OR WEEK 2 of your pack:
-Take two pills on the day you
remember and two pills the next
day. -Then take one pill a day
until you finish the pack. -You
MAY BECOME PREGNANT if you have
sex in the 7 days after you miss
pills. You MUST use another
birth control method (such as
condoms or spermicides) as a
back-up for those 7 days. If you
MISS 2 yellow active pills in a
row in the 3RD WEEK: -If you are
a Day 1 Starter: THROW OUT the
rest of the pill pack and start
a new pack that same day. If you
are a Sunday Starter: Keep
taking one pill every day until
Sunday. On Sunday, THROW OUT the
rest of the pack and start a new
pack of pills that same day.
-You may not have your period
this month but this is expected.
However, if you miss your period
two months in a row, call your
doctor or clinic because you
might be pregnant. -You MAY
BECOME PREGNANT if you have sex
in the 7 days after you miss
pills. You MUST use another
birth control method (such as
condoms or spermicides) as a
back-up for those 7 days. If you
MISS 3 OR MORE yellow active
pills in a row (during the first
3 weeks). - If you are a Day 1
Starter: THROW OUT the rest of
the pill pack and start a new
pack that same day. If you are a
Sunday Starter: Keep taking 1
pill every day until Sunday. On
Sunday, THROW OUT the rest of
the pack and start a new pack of
pills that same day. -You may
not have your period this month
but this is expected. However,
if you miss your period two
months in a row, call your
doctor or clinic because you
might be pregnant. -You MAY
BECOME PREGNANT if you have sex
in the 7 days after you miss
pills. You MUST use another
birth control method (such as
condoms or spermicides) as a
back-up for those 7 days.
Possible Side Effects
VAGINAL BLEEDING Irregular
vaginal bleeding or spotting may
occur while you are taking the
pills. Irregular bleeding may
vary from slight staining
between menstrual periods to
breakthrough bleeding, which is
a flow much like a regular
period. Irregular bleeding
occurs most often during the
first few months of oral
contraceptive use, but may also
occur after you have been taking
the pill for some time. Such
bleeding may be temporary and
usually does not indicate any
serious problems. It is
important to continue taking
your pills on schedule. If the
bleeding occurs in more than one
cycle or lasts for more than a
few days, talk to your doctor or
healthcare provider. CONTACT
LENSES If you wear contact
lenses and notice a change in
vision or an inability to wear
your lenses, contact your doctor
or healthcare provider. FLUID
RETENTION Oral contraceptives
may cause edema (fluid
retention) with swelling of the
fingers or ankles and may raise
your blood pressure. If you
experience fluid retention,
contact your doctor or
healthcare provider. MELASMA A
spotty darkening of the skin is
possible, particularly of the
face. OTHER SIDE EFFECTS Other
side effects may include change
in appetite, headache,
nervousness, and depression, and
dizziness, loss of scalp hair,
rash, and vaginal infections. If
any of these side effects bother
you, call your doctor or
healthcare provider.
Storage
Store at 25°C (77°F);
excursions permitted to 15°-30°C
(59°-86°F).
Overdose
Serious ill effects have not
been reported following acute
ingestion of large doses of
other oral contraceptives by
young children. Over dosage may
cause nausea, and withdrawal
bleeding may occur in females.
Drospirenone, however, is a
spironolactone analogue, which
has antimineralocorticoid
properties. Serum concentration
of potassium and sodium, and
evidence of metabolic acidosis,
should be monitored in cases of
overdose.
More
Information
Your healthcare provider will
take a medical and family
history before prescribing oral
contraceptives and will examine
you. The physical examination
may be delayed to another time
if you request it and the
healthcare provider believes
that it is appropriate to
postpone it. You should be
re-examined at least once a
year. Be sure to inform your
healthcare provider if there is
a family history of any of the
conditions listed previously in
this leaflet. Be sure to keep
all appointments with your
healthcare provider, because
this is a time to determine if
there are early signs of side
effects of oral contraceptive
use. Do not use the drug for any
condition other than the one for
which it was prescribed. This
drug has been prescribed
specifically for you; do not
give it to others who may want
birth-control pills.
Disclaimer
This drug information is for
your information purposes only,
it is not intended that this
information covers all uses,
directions, drug interactions,
precautions, or adverse effects
of your medication. This is only
general information, and should
not be relied on for any
purpose. It should not be
construed as containing specific
instructions for any particular
patient.
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consequences to persons or
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