{"id":33397,"date":"2022-11-16T10:54:58","date_gmt":"2022-11-16T10:54:58","guid":{"rendered":"https:\/\/zeepedia.com\/?p=33397"},"modified":"2022-11-17T10:53:58","modified_gmt":"2022-11-17T10:53:58","slug":"yasminelle","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/yasminelle\/","title":{"rendered":"Yasminelle &#8211; Ethinylestradiol\/drospirenone uses, dose and side effects"},"content":{"rendered":"\n<p>0.02 mg\/3 mg\u00a0film-coated tablets<br>ethinylestradiol\/drospirenone<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Yasminelle is and what it is used for<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Yasminelle is a\u00a0birth control pill\u00a0and is used to prevent pregnancy.<\/li><li>Each film-coated tablet contains a small amount of two different female sex hormones;\u00a0drospirenone and ethinylestradiol.<\/li><li>Birth control pills\u00a0that contain two\u00a0hormones\u00a0are called combination\u00a0birth control pills.<\/li><\/ul>\n\n\n\n<p><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Yasminelle<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>General notes<\/strong><br>Before you start using Yasminelle, read the information about blood clots in section 2. You must read the symptoms of blood clots (see section 2, \u201cBlood clots\u201d).<br>Before you can start taking Yasminelle, your doctor\/midwife will ask you some questions about your own and your close relatives&#8217; medical history.\u00a0The doctor\/midwife will also measure your\u00a0blood pressure\u00a0and it is possible that, depending on your situation, the doctor\/midwife will also take other samples.<br>This leaflet describes several situations when you must stop taking Yasminelle or when Yasminelle&#8217;s reliability may be reduced.\u00a0In such situations, you should either refrain from having sex or use other, non-hormonal contraceptives, e.g.\u00a0use a condom or another\u00a0barrier method.\u00a0Do not use the rhythm method or the temperature method.\u00a0These methods can be unreliable, as Yasminelle affects the monthly changes in body temperature and cervical secretions.<br>yasminelle<strong>, like other hormonal contraceptives, does not protect against\u00a0HIV\u00a0infection\u00a0(\u00a0AIDS\u00a0)\u00a0or other sexually transmitted diseases.<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Do not use Yasminelle<\/strong><\/p>\n\n\n\n<p>Do not use Yasminelle if you have any of the conditions listed below.&nbsp;If you have any of these conditions, you must tell the doctor.&nbsp;The doctor will discuss what other type of contraception might be more appropriate.<\/p>\n\n\n\n<p><strong>Do not use Yasminelle:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have (or have had) a blood clot in a blood vessel in the legs (deep\u00a0vein thrombosis, DVT), in the lungs (\u00a0pulmonary embolism\u00a0), or in any other organ<\/li><li>if you know you have a disease that affects blood clotting \u2013 e.g.\u00a0protein\u00a0C deficiency,\u00a0protein\u00a0S deficiency, antithrombin III deficiency, Factor V Leiden or antiphospholipid antibodies<\/li><li>if you need to undergo an operation or if you will be bedridden for a long period (see the section &#8220;Blood clots&#8221;)<\/li><li>if you have (\u00a0or have had) a heart attack or a\u00a0stroke<\/li><li>if you have (or have had) angina (a condition that causes severe chest pain and can be the first sign of a heart attack) or\u00a0transient\u00a0ischemic attack (\u00a0TIA\u00a0&#8211; transient stroke symptoms)<\/li><li>if you have any of the following diseases that can increase the risk of a blood clot in the arteries:<ul><li>severe\u00a0diabetes\u00a0with damaged blood vessels<\/li><li>very high\u00a0blood pressure<\/li><li>a very high level of fat in the blood (\u00a0cholesterol\u00a0or\u00a0triglycerides\u00a0)<\/li><li>a condition called hyperhomocysteinemia<\/li><\/ul><\/li><li>if you have (or have had) a type of\u00a0migraine\u00a0called \u201cmigraine with aura\u201d<\/li><li>if you have (or have had) liver disease and your liver function is not yet normal<\/li><li>if your kidneys are not working properly (\u00a0kidney failure\u00a0)<\/li><li>if you have (or have had) a\u00a0tumor\u00a0in the liver<\/li><li>if you have (or have had) or if you are suspected of having breast or genital cancer<\/li><li>if you have unexplained vaginal bleeding<\/li><li>if you are allergic to ethinylestradiol or drospirenone, or any of the other ingredients of this medicine (listed in section 6).\u00a0This can cause\u00a0itching, rash, or swelling.<br>Do not use Yasminelle if you have\u00a0hepatitis\u00a0C and are being treated with medicines containing ombitasvir\/paritaprevir\/ritonavir and dasabuvir or glecaprevir\/pibrentasvir (see also section &#8220;Other medicines and Yasminelle&#8221;).<\/li><\/ul>\n\n\n\n<p><strong>Additional information on special patient groups<\/strong><\/p>\n\n\n\n<p><em>Children and young people<\/em><\/p>\n\n\n\n<p>Yasminelle is not intended for use by women who have not yet had their period.<\/p>\n\n\n\n<p><em>Older women<\/em><\/p>\n\n\n\n<p>Yasminelle is not intended for use after\u00a0menopause.<\/p>\n\n\n\n<p><em>Women with impaired liver function<\/em><\/p>\n\n\n\n<p>Do not use Yasminelle if you have liver problems.&nbsp;See also the sections \u201cDo not use Yasminelle\u201d and \u201cWarnings and precautions\u201d.<\/p>\n\n\n\n<p><em>Women with impaired renal function<\/em><\/p>\n\n\n\n<p>Do not use Yasminelle if you have problems with your kidneys or\u00a0acute\u00a0kidney failure.\u00a0See also the sections \u201cDo not use Yasminelle\u201d and \u201cWarnings and precautions\u201d.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>When should you contact a doctor?<br><strong>Seek medical attention immediately<\/strong>if you notice possible signs of a blood clot which could mean you have a blood clot in the leg (ie deep\u00a0vein thrombosis\u00a0), a blood clot in the lung (ie\u00a0pulmonary embolism\u00a0), a heart attack or a\u00a0stroke\u00a0(see section &#8216;Blood clots&#8217; below). For a description of the symptoms of these serious\u00a0side effects, go to &#8220;How to recognize a blood clot&#8221;.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Tell your doctor if any of the following conditions apply to you.<\/strong><\/p>\n\n\n\n<p>In some situations, you need to be especially careful when using Yasminelle or other combined\u00a0oral contraceptives, and it may be necessary for you to be checked regularly by your doctor\/midwife.\u00a0If the condition occurs or worsens while using Yasminelle, you should also contact a doctor.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if a close relative has or has had breast cancer<\/li><li>if you have any liver or biliary disease<\/li><li>if you have\u00a0diabetes<\/li><li>if you suffer from depression<\/li><li>if you have\u00a0Crohn&#8217;s disease\u00a0or\u00a0ulcerative colitis\u00a0(\u00a0chronic\u00a0inflammatory\u00a0bowel disease)<\/li><li>if you have\u00a0hemolytic uraemic syndrome\u00a0(HUS &#8211; a blood clotting disorder leading to\u00a0kidney failure\u00a0)<\/li><li>if you have\u00a0sickle cell anemia\u00a0(an inherited disorder of the red\u00a0blood cells\u00a0)<\/li><li>if you have increased blood fats (\u00a0hypertriglyceridemia\u00a0) or a genetic predisposition to this condition.\u00a0Hypertriglyceridemia\u00a0has been associated with an increased risk of developing\u00a0pancreatitis\u00a0(inflammation of the pancreas)<\/li><li>if you need to undergo an operation or will be bedridden for a longer period (see section 2 &#8220;Blood clots&#8221;)<\/li><li>if you have recently given birth, you are at increased risk of blood clots.\u00a0Ask the doctor how soon after delivery you can start using Yasminelle<\/li><li>if you have an\u00a0inflammation\u00a0of the veins under the skin (superficial\u00a0thrombophlebitis\u00a0)<\/li><li>if you have varicose veins.<\/li><li>if you have\u00a0epilepsy\u00a0(see \u201cOther medicines and Yasminelle\u201d)<\/li><li>if you have systemic lupus erythematosus (\u00a0SLE\u00a0\u2013 a disease that affects your natural immune system)<\/li><li>if you have a disease that first appeared during pregnancy or during previous use of sex hormones (e.g. hearing loss, a blood disorder called\u00a0porphyria, skin rash with blisters during pregnancy (herpes of pregnancy), a nerve disorder that causes sudden twitching of the body (Sydenham&#8217;s chorea )<\/li><li>if you have or have had chloasma (a discoloration of the skin, especially on the face or neck, so-called &#8220;pregnancy spots&#8221;).\u00a0In this case, avoid direct exposure to sunlight or ultraviolet light.<\/li><li>if you have hereditary\u00a0angioedema, products containing\u00a0estrogen\u00a0may induce or worsen symptoms.\u00a0You should see a doctor immediately if you experience symptoms of\u00a0angioedema, such as\u00a0swelling of the face, tongue, and\/or throat, and\/or difficulty swallowing or hives with difficulty breathing.<\/li><\/ul>\n\n\n\n<p><strong>BLOOD CLOTS<\/strong><\/p>\n\n\n\n<p>If you use combined hormonal contraceptives such as Yasminelle 28, the risk of blood clots increases compared to if you do not use these preparations.&nbsp;In rare cases, a blood clot can block blood vessels and cause serious problems.<\/p>\n\n\n\n<p>Blood clots can form<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>in veins (called venous\u00a0thrombosis, venous\u00a0thromboembolism,\u00a0or VTE)<\/li><li>in\u00a0arteries\u00a0(called\u00a0arterial\u00a0thrombosis,\u00a0arterial\u00a0thromboembolism,\u00a0or ATE).<\/li><\/ul>\n\n\n\n<p>It is not always possible to fully recover from blood clots.&nbsp;In rare cases, they can have serious lingering effects and, in very rare cases, be fatal.<\/p>\n\n\n\n<p><strong>It is important to remember that the overall risk of a dangerous blood clot due to Yasminelle 28 is small.<\/strong><\/p>\n\n\n\n<p><strong>THIS IS HOW YOU RECOGNIZE A BLOOD CLOT<\/strong><\/p>\n\n\n\n<p><strong>Seek medical attention immediately<\/strong>\u00a0if you notice any of the following signs or symptoms.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\">Are you experiencing any of these signs?<\/th><th scope=\"col\">What could you possibly be suffering from?<\/th><\/tr><\/thead><tbody><tr><td>swelling of a leg or along a vein in the leg or foot, especially if you also get: pain or tenderness in the leg that is felt only when standing or walking increased heat in the affected leg discoloration of the skin on the leg, e.g.\u00a0pale, red or blue<\/td><td>Deep&nbsp;vein thrombosis<\/td><\/tr><tr><td>sudden unexplained shortness of breath or rapid breathing sudden coughing for no apparent reason which could lead to you coughing up blood severe chest pain that may increase with deep breath severe unsteadiness or dizziness fast or irregular heartbeat severe pain in the stomach if you are not sure, consult a doctor because some of these symptoms, e.g.\u00a0cough and shortness of breath, can be mistaken for a milder condition such as a respiratory infection (e.g. a common cold).<\/td><td>Pulmonary embolism<\/td><\/tr><tr><td>Symptoms that usually occur in one eye: immediate vision loss or blurred vision without pain that can lead to vision loss<\/td><td>Retinal&nbsp;vein thrombosis&nbsp;(blood clot in the eye)<\/td><\/tr><tr><td>chest pain, discomfort, pressure, heavinesspressure or feeling fullness in the chest, arm, or below the sternum feeling of fullness, indigestion or feeling of suffocationdiscomfort in the upper body that radiates to the back, jaw, neck, arm, and stomach sweating, nausea, vomiting or dizziness extreme weakness, anxiety, or shortness of breakfast or irregular heartbeats<\/td><td>Myocardial infarction<\/td><\/tr><tr><td>sudden weakness or numbness in the face, arms, or legs, especially on one side of the body sudden confusion, difficulty speaking or understanding sudden vision problems in one or both eyes sudden trouble walking, dizziness, loss of balance or coordination sudden, severe or prolonged headache with no known cause unconsciousness or fainting with or without seizures sometimes the symptoms of a\u00a0stroke\u00a0can be short-lived with almost immediate or complete recovery, but you should still seek medical attention immediately because you are at risk of another\u00a0stroke.<\/td><td>Stroke<\/td><\/tr><tr><td>swelling and slight blue discoloration of an arm or leg severe pain in the stomach (\u00a0acute\u00a0abdomen)<\/td><td>Blood clots that block other blood vessels<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>BLOOD CLOTS IN A VEIN<\/strong><\/p>\n\n\n\n<p><strong>What can happen if a blood clot forms in a vein?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The use of combined hormonal contraceptives has been associated with an increase in the risk of blood clots in the vein (venous\u00a0thrombosis\u00a0).\u00a0However, these\u00a0side effects\u00a0are rare.\u00a0They most often occur during the first year of using a combined hormonal contraceptive.<\/li><li>If a blood clot forms in a vein in the leg or foot, it can lead to deep\u00a0vein thrombosis\u00a0(DVT).<\/li><li>If a blood clot dislodges from the leg and lodges in the lung, it can lead to a\u00a0pulmonary embolism.<\/li><li>In very rare cases, a blood clot can form in a vein in another organ such as the eye (\u00a0retinal\u00a0vein thrombosis\u00a0).<\/li><\/ul>\n\n\n\n<p><strong>When is the risk of developing a blood clot in a vein the greatest?<\/strong><\/p>\n\n\n\n<p>The risk of developing a blood clot in a vein is greatest during the first year that you first use combined hormonal contraceptives.&nbsp;The risk may also be higher if you start again with a combined hormonal contraceptive (the same product or a different product) after a break of 4 weeks or longer.<\/p>\n\n\n\n<p>After the first year, the risk decreases, but it is always slightly higher than if you did not use a combined hormonal contraceptive.<\/p>\n\n\n\n<p>When you stop using Yasminelle, the risk of a blood clot returns to normal within a few weeks.<\/p>\n\n\n\n<p><strong>How big is the risk of developing a blood clot?<\/strong><\/p>\n\n\n\n<p>The risk depends on your natural risk of VTE and the type of combined hormonal contraceptive you are taking.<\/p>\n\n\n\n<p>The overall risk of a blood clot in the leg or lungs with Yasminelle is small.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Out of 10,000 women who are not using a combined hormonal contraceptive and are not pregnant, about 2 develop a blood clot within a year.<\/li><li>Out of 10,000 women using a combined hormonal contraceptive containing levonorgestrel or norethisterone or norgestimate, around 5-7 develop a blood clot within a year.<\/li><li>Out of 10,000 women using a combined hormonal contraceptive containing drospirenone such as Yasminelle, around 9-12 develop a blood clot within a year<\/li><li>The risk of blood clots varies depending on your medical history (see \u201cFactors that can increase the risk of a blood clot\u201d below).<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><\/th><th scope=\"col\"><strong>Risk of developing a blood clot over a year<\/strong><\/th><\/tr><\/thead><tbody><tr><td>Women who&nbsp;<strong>do not use<\/strong>&nbsp;combined hormonal&nbsp;birth control pills&nbsp;and who are not pregnant<\/td><td>About 2 in 10,000 women<\/td><\/tr><tr><td>Women using a combined hormonal contraceptive containing\u00a0<strong>levonorgestrel, norethisterone, or norgestimate<\/strong><\/td><td>About 5-7 in 10,000 women<\/td><\/tr><tr><td>Women using Yasminelle<\/td><td>About 9\u201312 out of 10,000 women<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Factors that can increase the risk of a blood clot in a vein<\/strong><\/p>\n\n\n\n<p>The risk of a blood clot with Yasminelle 28 is small, but certain conditions increase the risk.&nbsp;The risk is higher:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are overweight (body mass index or\u00a0BMI\u00a0over 30 kg\/m\u00a0<sup>2<\/sup>\u00a0)<\/li><li>if someone in your family has had a blood clot in the bones, lungs, or another organ at a young age (e.g. under the age of about 50).\u00a0In this case, you may have an inherited blood clotting disorder<\/li><li>if you need to undergo an operation, or are bedridden for an extended period due to injury or illness, or if your leg is cast.\u00a0The use of Yasminelle may need to be stopped for several weeks before an operation or while you are less mobile.\u00a0If you have to stop taking Yasminelle, ask your doctor when you can start taking it again<\/li><li>with increasing age (especially if you are over about 35)<\/li><li>if you have given birth a few weeks ago<\/li><\/ul>\n\n\n\n<p>The risk of developing a blood clot increases the more conditions you have.<\/p>\n\n\n\n<p>Air travel (over 4 hours) may temporarily increase the risk of a blood clot, especially if you have any of the other factors listed here.<\/p>\n\n\n\n<p>You must tell the doctor if any of these conditions apply to you, even if you are not sure.\u00a0The doctor may decide that you must stop taking Yasminelle.<\/p>\n\n\n\n<p>If any of the above conditions change while using Yasminelle, e.g.&nbsp;a close relative suffers from a blood clot of unknown cause, or if you gain a lot of weight, talk to your doctor.<\/p>\n\n\n\n<p><strong>BLOOD CLOTS IN AN&nbsp;ARTERY<\/strong><\/p>\n\n\n\n<p><strong>What can happen if a blood clot forms in an\u00a0artery?<\/strong><\/p>\n\n\n\n<p>Just like a blood clot in a vein, a clot in an\u00a0artery\u00a0can lead to serious problems.\u00a0It can e.g.\u00a0cause a heart attack or\u00a0stroke.<\/p>\n\n\n\n<p><strong>Factors that can increase the risk of a blood clot in an&nbsp;artery<\/strong><\/p>\n\n\n\n<p>You must know that the risk of a heart attack or\u00a0stroke\u00a0as a result of using Yasminelle is very small but may increase:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>with increasing age (after about age 35)<\/li><li><strong>if you smoke.\u00a0<\/strong>When using combined hormonal contraceptives such as Yasminelle, you should stop smoking.\u00a0If you cannot stop smoking and are over 35, your doctor may advise you to use another form of contraception<\/li><li>if you are overweight<\/li><li>if you have high\u00a0blood pressure<\/li><li>if a close relative has had a heart attack or a\u00a0stroke\u00a0at a young age (younger than 50 years).\u00a0In this case, you may also be at greater risk of a heart attack or a\u00a0stroke<\/li><li>if you or a close relative have high blood fats (\u00a0cholesterol\u00a0or\u00a0triglycerides\u00a0)<\/li><li>if you get\u00a0migraines, especially\u00a0migraines\u00a0with an\u00a0aura<\/li><li>if you have problems with your heart (valvular disease, a heart rhythm disorder called\u00a0atrial fibrillation\u00a0)<\/li><li>if you have\u00a0diabetes.<\/li><\/ul>\n\n\n\n<p>If you have more than one of these conditions or if any of them are particularly severe, your risk of developing a blood clot may be even greater.<\/p>\n\n\n\n<p>If any of the above conditions change while using Yasminelle, e.g.&nbsp;if you start smoking, a close relative has a&nbsp;thrombosis&nbsp;of unknown cause, or if you gain a lot of weight, talk to your doctor.<\/p>\n\n\n\n<p><strong>Yasminelle and cancer<\/strong><\/p>\n\n\n\n<p>Breast cancer has been observed slightly more often in women using combined\u00a0oral contraceptives, but it is not known whether this is caused by the treatment.\u00a0For example, it may be that more\u00a0tumors\u00a0are detected in women who use combined\u00a0oral contraceptives\u00a0because they are more often examined by doctors.\u00a0The incidence of breast tumors gradually decreases after the end of treatment with combined hormonal contraceptives.\u00a0It is important to regularly examine your breasts and you should contact your doctor if you feel a lump.<\/p>\n\n\n\n<p>In rare cases, benign liver tumors, and in even fewer cases, malignant liver tumors, have been reported in oral contraceptive users.&nbsp;Contact your doctor if you experience unusually severe abdominal pain.<\/p>\n\n\n\n<p><strong>Mental disorders<\/strong>&nbsp;<\/p>\n\n\n\n<p>Some women using hormonal contraceptives, including Yasminelle, have reported depression or low mood.&nbsp;Depression can be severe and sometimes lead to suicidal thoughts.&nbsp;If you experience mood changes and symptoms of depression, you should contact a doctor for advice as soon as possible.<\/p>\n\n\n\n<p><strong>Interstitial bleeding<\/strong><\/p>\n\n\n\n<p>During the first months when you use Yasminelle, you may have unexpected bleeding (bleeding outside the interweek).&nbsp;If this type of bleeding lasts longer than a few months, or if it occurs after a few months, your doctor\/midwife needs to find out what is wrong.<\/p>\n\n\n\n<p><strong>What to do if you do not have any bleeding during the intervening week<\/strong><\/p>\n\n\n\n<p>If you took all the tablets correctly, did not vomit, and did not have severe diarrhea and if you did not take other medications, it is very unlikely that you became pregnant.<\/p>\n\n\n\n<p>If the expected bleeding does not occur twice in a row, you may be pregnant.\u00a0Contact your doctor\/midwife immediately.\u00a0Do not start the next tablet map until it is certain that you are not pregnant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Yasminelle<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Always tell your doctor\/midwife which medicines or natural remedies you are already using.\u00a0Also, tell other doctors or dentists who prescribe other medicines (or pharmacists) that you are using Yasminelle.\u00a0They can tell you if you need to use additional contraceptive protection (eg condoms), and if so for how long, or if the use of another medicine you need needs to be changed.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Certain medicines<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>may affect the level of Yasminelle in the blood<\/li><li>may make it&nbsp;<strong>less effective at preventing pregnancy<\/strong><\/li><li>may cause unexpected bleeding.<\/li><\/ul>\n\n\n\n<p>This applies, among other things<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs used for the treatment of<ul><li>epilepsy\u00a0(eg primidone,\u00a0phenytoin\u00a0,\u00a0barbiturates\u00a0, carbamazepine, oxcarbazepine)<\/li><li>tuberculosis\u00a0(eg rifampicin)<\/li><li>HIV\u00a0and\u00a0hepatitis\u00a0C virus infections (so-called\u00a0protease inhibitors\u00a0and non-nucleoside reverse transcriptase inhibitors such as ritonavir, nevirapine, and efavirenz)<\/li><li>fungal infections (eg, griseofulvin,\u00a0ketoconazole\u00a0)<\/li><li>arthritis,\u00a0osteoarthritis\u00a0(etoricoxib)<\/li><li>high\u00a0blood pressure\u00a0in the blood vessels of the lungs (\u00a0bosentan\u00a0)<\/li><\/ul><\/li><li>the natural remedy St. John&#8217;s\u00a0wort<\/li><\/ul>\n\n\n\n<p>yasminelle can\u00a0affect the effectiveness\u00a0of other medicines, e.g.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines containing ciclosporin<\/li><li>the anti-epileptic medicine lamotrigine (this may lead to an increase in the number of seizures)<\/li><li>theophylline (to treat breathing problems)<\/li><li>tizanidine (for the treatment of muscle pain and\/or muscle cramps)<\/li><\/ul>\n\n\n\n<p>Do not use Yasminelle if you have&nbsp;hepatitis&nbsp;C and are taking medicines containing ombitasvir\/paritaprevir\/ritonavir and dasabuvir or glecaprevir\/pibrentasvir<\/p>\n\n\n\n<p>as it can lead to increased liver values \u200b\u200b(increase in the liver enzyme transaminase).\u00a0The doctor will prescribe another contraceptive before starting treatment with this drug combination.\u00a0yasminelle can be restarted approximately 2 weeks after treatment has ended.\u00a0See the section &#8220;Do not use Yasminelle&#8221;.<\/p>\n\n\n\n<p><em>Consult a doctor, midwife, or pharmacist before taking any medicine.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Yasminelle with food and drink<\/h2>\n\n\n\n<p>yasminelle can be taken with or without food, if necessary with a little water.<\/p>\n\n\n\n<p><strong>Laboratory tests<\/strong><br>If you need to give a blood test, tell your doctor or the laboratory staff that you are using\u00a0birth control pills, as hormonal contraceptives can affect the results of some tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy<\/h2>\n\n\n\n<p>If you are pregnant, you should not use Yasminelle.&nbsp;If you become pregnant while taking Yasminelle, you must stop immediately and contact your doctor\/midwife.&nbsp;If you want to get pregnant, you can stop taking Yasminelle at any time (see also &#8220;If you stop using Yasminelle&#8221;).<\/p>\n\n\n\n<p><em>Consult a doctor, midwife, or pharmacist before taking any medicine.<\/em><\/p>\n\n\n\n<p><strong>Breastfeeding<\/strong><br>In general, breastfeeding is not recommended while using Yasminelle.&nbsp;If you want to use the pill while breastfeeding, you should contact your doctor\/midwife.<\/p>\n\n\n\n<p><em>Consult a doctor, midwife, or pharmacist before taking any medicine.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>There is no information to suggest that the use of Yasminelle affects the ability to drive or use machines.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Yasminelle contains lactose<\/h2>\n\n\n\n<p>If you have an intolerance to some sugars, talk to your doctor before taking Yasminelle.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Yasminelle<\/h2>\n\n\n\n<p>Take one tablet of Yasminelle daily, with a small amount of water if necessary.&nbsp;You can take the tablets with or without food, but you should take the tablets at about the same time each day.<\/p>\n\n\n\n<p>A tablet chart contains 21 film-coated tablets.&nbsp;Next to each tablet is written which day of the week the tablet should be taken.&nbsp;For example, if you start the tablet map on a Wednesday, you should take the tablet that says &#8220;WEDNESDAY&#8221;.&nbsp;Follow the direction of the arrow on the tablet chart until you have taken all 21 tablets.<\/p>\n\n\n\n<p>After that, you should not take any tablets for 7 days.\u00a0During these 7 tablet-free days (called the break or interweek) the bleeding should start.\u00a0This is called &#8220;withdrawal bleeding&#8221; and it generally starts on the second or third day of the winter week.<\/p>\n\n\n\n<p>On the eighth day after the last Yasminelle tablet (that is, after the intervening period of 7 days), you should start the next tablet chart, regardless of whether the bleeding has stopped or not.\u00a0This means that you should start each tablet chart on the same day of the week and that the withdrawal bleeding should occur on the same days of each month.<\/p>\n\n\n\n<p>If you use Yasminelle in this way, you are protected against pregnancy even during the 7 days when you do not take any tablets.<\/p>\n\n\n\n<p><strong>When can you start with the first tablet map?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>If you have not used a hormonal contraceptive in the previous month<\/em><br>Start Yasminelle on the first day of your menstrual cycle (ie the day your period starts).\u00a0If you start Yasminelle on the first day of your period, you are immediately protected against pregnancy.\u00a0You can also start on days 2-5 of the menstrual cycle, but then you must use additional protection methods (eg condoms) for the first 7 days.<\/li><li><em>Changing from a combined hormonal\u00a0birth control pill<\/em>, or combination preparation in the form of\u00a0a vaginal ring\u00a0or\u00a0patch<br>You can advantageously start Yasminelle the day after the last active tablet (the last tablet containing active substances) of your previous\u00a0birth control pill, but no later than the day after the tablet-free period of your previous\u00a0pill\u00a0(or after the last inactive tablet of your previous\u00a0pill\u00a0).\u00a0When changing from a combination preparation in the form of a vaginal ring or\u00a0patch, follow your doctor&#8217;s\/midwife&#8217;s advice.<\/li><li>Changing from a progestagen-only method\u00a0( mini-pill, injection, implant, or a progestogen-releasing\u00a0intrauterine\u00a0system\u00a0(\u00a0hormonal\u00a0IUD\u00a0)\u00a0) You can change from\u00a0mini-pills<br>any day\u00a0(from\u00a0an implant\u00a0or hormonal IUD on the day it is removed, from an injectable contraceptive at the time of the next\u00a0injection\u00a0) but in all these cases you must use extra protection (e.g. a condom) during the first 7 days of tablet intake.<\/li><li>After a miscarriage<br>Follow your doctor&#8217;s advice.<\/li><li>After delivery<br>You can start with Yasminelle between 21 and 28 days after delivery.\u00a0If you start later than day 28, use a so-called\u00a0barrier method\u00a0(eg a condom) for the first seven days of using Yasminelle.<br>If you had sex before you start using Yasminelle (again) after giving birth, make sure you are not pregnant or wait until your next period.<\/li><li><em>If you are breastfeeding and wish to start Yasminelle (again) after giving birth<\/em><br>Read the &#8220;Breastfeeding&#8221; section.<\/li><\/ul>\n\n\n\n<p><strong>Ask your doctor\/midwife what to do if you are not sure when to start.<\/strong><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have taken too much Yasminelle<\/h2>\n\n\n\n<p>There are no reports of serious adverse effects from taking too many Yasminelle tablets.<\/p>\n\n\n\n<p>If you take several tablets at the same time, you may experience nausea, vomiting, or vaginal bleeding.\u00a0Even girls who have not had their first period, but accidentally used this medicine, can experience this type of bleeding.<\/p>\n\n\n\n<p><em>If you have taken too many Yasminelle tablets or discover that a child has swallowed tablets, you should contact a doctor or hospital for risk assessment and advice.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Yasminelle<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If&nbsp;<strong>less than 12 hours<\/strong>&nbsp;have passed since you should have taken your tablet, the pregnancy prevention effect is not reduced.&nbsp;Take the tablet as soon as you remember and then take the next tablet at the usual time.<\/li><li>If&nbsp;<strong>more than 12 hours<\/strong>&nbsp;have passed since you should have taken your tablet, the contraceptive effect may be reduced.&nbsp;The more tablets you have forgotten, the greater the risk of pregnancy.<\/li><\/ul>\n\n\n\n<p>The risk of incomplete protection against pregnancy is greatest if you forget a tablet at the beginning or end of the tablet map.&nbsp;Therefore, you should follow the following rules (see also the diagram):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>More than 1 tablet forgotten in the tablet chart<\/strong><br>Contact your doctor\/midwife.<\/li><li><strong>1 tablet was <\/strong>forgotten during week 1<br>Take the forgotten tablet as soon as you remember, even if it means you have to take two tablets at the same time.\u00a0Then continue to take tablets at the usual time and use\u00a0extra protection\u00a0for the next seven days, e.g.\u00a0condom.\u00a0If you had sex the week before you forgot the pill, you could be pregnant.\u00a0In that case, contact your doctor.<\/li><li>1 tablet was forgotten during week 2<br>Take the forgotten tablet as soon as you remember &#8211; even if it means you have to take two tablets at the same time.\u00a0Continue taking tablets at the usual time.\u00a0Protection against pregnancy is not reduced and you do not need to use extra protection.<\/li><li>1 tablet was forgotten during week 3<br>You can choose between two options:<ol><li>Take the forgotten tablet as soon as you remember, even if it means you have to take two tablets at the same time.\u00a0Then continue to take the tablets at the usual time.\u00a0Do not take a tablet break, but start the next tablet map.<br>You are likely to have your period at the end of the second tablet chart &#8211; and you may have light or period-like bleeding while using the second tablet chart.<\/li><li>You can also interrupt intake from the current tablet map and continue with the tablet-free period of 7 days (\u00a0note which day you forgot your tablet\u00a0).\u00a0If you want to start on a new tablet map on the same day as you usually do, make the tablet-free period\u00a0shorter than 7 days.<\/li><\/ol><\/li><\/ul>\n\n\n\n<p>If you follow either of these two recommendations, you are still protected against pregnancy.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have forgotten a tablet in a tablet map and you do not have any bleeding during the first tablet-free period, it may mean that you are pregnant.&nbsp;Contact your doctor\/midwife before starting the next tablet chart.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20051220000015#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/Bayer\/Media\/Yasmin\/Bild20PIL.jpg\" alt=\"Forgotten tablet\" title=\"Forgotten tablet\"\/><\/a><\/figure>\n\n\n\n<p><strong>If you vomit or have severe diarrhea<\/strong><br>If you vomit within 3-4 hours after taking a tablet or if you have severe diarrhea, there is a risk that the active substances in the pill will not be completely absorbed by the body.\u00a0This situation is almost the same as forgetting a tablet.\u00a0After vomiting or diarrhea, take a new tablet from a spare tablet chart as soon as possible.\u00a0If possible, take it\u00a0within 12 hours\u00a0of the time you normally take your\u00a0pill.\u00a0If this is not possible or if 12 hours have already passed, you should follow the advice under &#8220;If you forget to take Yasminelle&#8221;.<\/p>\n\n\n\n<p><strong>Staggering your period: what you need to know<\/strong><br>Although not recommended, you can bring your period forward by starting straight away on a new Yasminelle chart without taking a tablet break and finishing that entire chart.&nbsp;You may have light or period-like bleeding while taking the second tablet chart.&nbsp;After the usual tablet break of 7 days, start on the next tablet map.<\/p>\n\n\n\n<p><strong><em>You can consult your doctor\/midwife before deciding to postpone your period<\/em><\/strong><\/p>\n\n\n\n<p><strong>Changing the first day of your period: what you need to know<\/strong><br>If you take your pills as directed, your period will start during the pill-free week.&nbsp;If you have to change this day, you can reduce the number of tablet-free days (&nbsp;<em>but never extend \u2013 7 is the maximum!<\/em>&nbsp;).&nbsp;For example, if you normally start your tablet-free days on a Friday, and you want it to start on a Tuesday (three days earlier), start on the new tablet map three days earlier than usual.&nbsp;If you take a very short tablet-free period (eg three days or less) you may not have any bleeding during this time.&nbsp;You may then have light or menstrual-like bleeding.<\/p>\n\n\n\n<p><strong><em>Contact your doctor\/midwife if you are not sure what to do.<\/em><\/strong><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Yasminelle<\/h2>\n\n\n\n<p>You can stop taking Yasminelle whenever you want.\u00a0If you do not want to get pregnant, consult your doctor\/midwife about other reliable methods of contraception.\u00a0If you want to get pregnant, stop taking Yasminelle and wait for your period before trying to get pregnant.\u00a0You will then be able to calculate the expected delivery date.<\/p>\n\n\n\n<p><em>If you have further questions about this medicine, contact your doctor, midwife, or pharmacist.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>If you get any\u00a0side effects, especially if they are severe or persistent, or if your health changes and you think it may be due to Yasminelle, talk to your doctor.<\/p>\n\n\n\n<p>As with all women taking combined hormonal contraceptives, there is an increased risk of blood clots in your veins (venous\u00a0thromboembolism, VTE) or blood clots in your\u00a0arteries\u00a0(\u00a0arterial\u00a0thrombosis, ATE).\u00a0More information about the different risks when using combined hormonal contraceptives can be found in section 2 &#8220;What you need to know before taking Yasminelle&#8221;.<\/p>\n\n\n\n<p>Below is a list of&nbsp;side effects&nbsp;that have been associated with the use of Yasminelle.<\/p>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(between 1 and 10 in 100 users may be affected):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Mood swings<\/li><li>headache<\/li><li>stomach pain<\/li><li>acne<\/li><li>breast pain, breast enlargement, sore breasts, painful or irregular periods<\/li><li>weight gain<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;(between 1 and 10 in 1,000 users may be affected):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>candida\u00a0(fungal infection)<\/li><li>herpes\u00a0simplex\u00a0blisters<\/li><li>allergic reactions<\/li><li>increased appetite<\/li><li>depression, nervousness, sleep problems<\/li><li>tingling\/pins and needles, dizziness (\u00a0vertigo\u00a0)<\/li><li>visual disturbances<\/li><li>irregular heartbeat or unusually high heart rate<\/li><li>blood clot (\u00a0thrombosis\u00a0) in the lung (\u00a0pulmonary embolism\u00a0), increased\u00a0blood pressure, decreased\u00a0blood pressure,\u00a0migraine, varicose veins<\/li><li>pharyngitis<\/li><li>nausea, vomiting,\u00a0inflammation\u00a0of the stomach and\/or intestines, diarrhea, constipation<\/li><li>sudden swelling of the skin and\/or mucous membranes (e.g. tongue or throat), and\/or difficulty swallowing or\u00a0hives\u00a0along with difficulty breathing (\u00a0angioedema\u00a0), hair loss (\u00a0alopecia\u00a0),\u00a0eczema,\u00a0itching, rash, dry skin, increased skin peeling (\u00a0seborrhea\u00a0)<\/li><li>neck pain, pain in arms\/legs, muscle cramps<\/li><li>inflammation\u00a0of the bladder<\/li><li>breast lumps (benign and cancerous), milk production without being pregnant (\u00a0galactorrhea\u00a0), ovarian tumor (\u00a0cyst\u00a0), hot flashes, absence of menstrual bleeding, very heavy menstrual bleeding,\u00a0vaginal\u00a0discharge, dry vagina, pelvic pain, abnormal smears (cell samples) from the cervix, decreased sex drive<\/li><li>fluid retention, lack of energy, severe thirst, increased sweating<\/li><li>weight loss<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;side effects&nbsp;(<\/strong>&nbsp;between 1 and 10 in 10,000 users may be affected):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>asthma<\/li><li>impaired hearing<\/li><li>erythema nodosum (characterized by painful reddish nodules on the skin)<\/li><li>erythema multiforme (characterized by a rash with ring-shaped\u00a0redness\u00a0or sores).<\/li><li>dangerous blood clots in a vein or\u00a0artery, such as:<ul><li>in a leg or foot (ie DVT)<\/li><li>in the lungs<\/li><li>myocardial infarction<\/li><li>stroke<\/li><li>mini-stroke\u00a0or transient stroke-like symptoms, called\u00a0transient\u00a0ischemic attack (\u00a0TIA\u00a0)<\/li><li>blood clots in the liver, stomach\/intestines, kidneys, or eyes.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>The risk of developing a blood clot may be higher if you have other conditions that increase this risk (see section 2 for more information about the conditions that increase the risk of blood clots and the symptoms of a blood clot).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Yasminelle should be stored<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>This medicine does not require any special storage instructions.<\/p>\n\n\n\n<p>Use before the expiry date which is stated on the carton after &#8220;Exp. date.&#8221;<\/p>\n\n\n\n<p>The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">What Yasminelle contains<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>The active substances<\/strong>\u00a0are ethinylestradiol (as betadexclatrate) and drospirenone.<br>Each tablet contains 0.020 milligrams of ethinylestradiol (as betadexclathrate) and 3 milligrams of drospirenone.<\/li><li><strong>Other ingredients<\/strong>\u00a0are\u00a0lactose monohydrate, corn starch, magnesium stearate (E470b), hypromellose (E464), talc (E553b), titanium dioxide (E171), and red iron oxide (E172).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What Yasminelle looks like and the contents of the package<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Each Yasminelle blister contains 21 light pink film-coated tablets.<\/li><li>yasminelle is film-coated tablets;\u00a0which means that the tablet is covered by an outer layer.\u00a0The tablets are light pink, round, and have convex edges.\u00a0One side is marked with the letters &#8220;DS&#8221; within an equilateral hexagon.<\/li><li>Yasminelle is available in packs of 1, 3, 6, and 13 tablet maps and each tablet map contains 21 tablets.<\/li><\/ul>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder<\/h2>\n\n\n\n<p>Bayer AB<\/p>\n\n\n\n<p>Box 606<\/p>\n\n\n\n<p>SE-169 26 Solna<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Bayer AG<br>133 42 Berlin<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>and<\/p>\n\n\n\n<p>Bayer Weimar GmbH und Co.&nbsp;KG<br>D\u00f6bereinerstr.&nbsp;20, 99427 Weimar<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>This medicine is registered in the member countries of the European Economic Area (EEA) under the following names:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, Germany, Greece, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovenia, Spain, Sweden:&nbsp;<strong>Yasminelle<\/strong><\/li><li>France:&nbsp;<strong>Jasminelle<\/strong><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>0.02 mg\/3 mg\u00a0film-coated tablets<br \/>\nethinylestradiol\/drospirenone<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22505],"tags":[3563,5387,18749,28141,17588,18751,5386,18750,28138,28139,28137,28140],"class_list":["post-33397","post","type-post","status-publish","format-standard","hentry","category-medicines","category-y","tag-drospirenone","tag-drospirenone-tablet","tag-ethinylestradiol","tag-ethinylestradiol-tablet","tag-what-drospirenone-is-used-for","tag-what-ethinylestradiol-is-used-for","tag-what-is-drospirenone","tag-what-is-ethinylestradiol","tag-what-is-yasminelle","tag-what-yasminelle-is-used-for","tag-yasminelle","tag-yasminelle-tablet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/33397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=33397"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/33397\/revisions"}],"predecessor-version":[{"id":33810,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/33397\/revisions\/33810"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=33397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=33397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=33397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}