{"id":8440,"date":"2021-03-12T09:35:59","date_gmt":"2021-03-12T09:35:59","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8440"},"modified":"2022-11-24T16:48:55","modified_gmt":"2022-11-24T16:48:55","slug":"estrelen","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/estrelen\/","title":{"rendered":"Estrelen &#8211; Drospirenone Uses, Dose And Side Effects"},"content":{"rendered":"\n<p><strong>Estrelen 0.02mg \/ 3mg&nbsp;Ethinyl Estradiol \/ Drospirenone film-coated Tablet&nbsp;<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Estrelen Is And What It Is Used For<\/h2>\n\n\n\n<p>Estrelen is a&nbsp;birth control pill&nbsp;and is used to prevent pregnancy.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Each of the 24 pink tablets contains a small amount of two different female\u00a0hormones, called drospirenone and Ethinylestradiol.<\/li><li>The 4 white tablets do not contain any active substances and are also called placebo tablets.<\/li><li>Birth control pills\u00a0that contain two\u00a0hormones\u00a0are called combination\u00a0pills.<\/li><\/ul>\n\n\n\n<p>Ethinyl estradiol and drospirenone contained in Estrelen may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What You Need To Know Before Taking Estrelen<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>General information<\/strong><br>Before using Estrelen, read the information on blood clots in section 2. You must read the symptoms of blood clots &#8211; see section 2, \u201cBlood clots\u201d.<br>Before you start taking Estrelen, your doctor will ask you some questions about your own and your loved ones&#8217; medical history.\u00a0Your doctor will also measure your\u00a0blood pressure\u00a0and, depending on your individual situation, possibly perform some other tests.<br>This brochure describes several different situations when you should stop taking Estrelen, or when the reliability of Estrelen may be\u00a0reduced.\u00a0In such situations, you should either refrain from intercourse or use extra non-hormonal contraceptives.\u00a0for example\u00a0condoms or any other\u00a0barrier method.\u00a0Do not use the rhythm method (safe periods) or the temperature method.\u00a0These methods may be unsafe because Estrelen affects the monthly changes in body temperature and cervical secretions.<br><strong>Estrelen does not protect, like other hormonal contraceptives, against\u00a0HIV\u00a0&#8211;\u00a0infection you (\u00a0AIDS\u00a0) and other sexually transmitted diseases.<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Do not take Estrelen<\/strong> <strong>Acne<\/strong><\/p>\n\n\n\n<p>Do not use Estrelen if you have any of the conditions listed below.\u00a0If you have any of these conditions, tell your doctor.\u00a0The doctor will discuss what other type of contraception may be more appropriate.<\/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 your legs (deep\u00a0vein thrombosis\u00a0 DVT), in your lungs (\u00a0pulmonary embolism\u00a0), or in any other organ<\/li><li>If you know you have a disease that affects blood coagulation &#8211; e.g.\u00a0<ul><li>Protein\u00a0C deficiency<\/li><li>Protein\u00a0S deficiency<\/li><li>Antithrombin III deficiency<\/li><li>Factor V Leiden<\/li><li>Antiphospholipid antibodies<\/li><\/ul><\/li><li>If you need to have an operation or if you stay in bed for a longer period (see section &#8220;Blood clots&#8221;)<\/li><li>If you have (or have had) a heart attack or\u00a0stroke\u00a0(stroke)<\/li><li>If you have (or have had) angina (a condition that causes severe chest pain and may 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 may 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 ever had) liver disease and your liver function is still not normal<\/li><li>If your kidneys are not working properly (\u00a0kidney failure\u00a0)<\/li><li>If you have (or ever had) a\u00a0liver\u00a0tumor<\/li><li>If you have (or have ever had) or if you suspect you may have breast or genital cancer<\/li><li>If you have\u00a0vaginal\u00a0bleeding without explanation<\/li><\/ul>\n\n\n\n<p>If you are allergic to Ethinyl estradiol or drospirenone, or any of the other ingredients of <strong>Estrelen<\/strong> <strong>Acne<\/strong> (listed in section 6).\u00a0This can cause\u00a0itching, rash, or swelling<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have\u00a0hepatitis\u00a0C and are taking medicines containing ombitasvir\/paritaprevir\/ritonavir and dasabuvir (see also section \u201cOther medicines and Estrelen\u201d).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>When should you contact a doctor? <em>Seek medical attention immediately<\/em>&#8211; if you notice any possible signs of a blood clot which may mean that you have a blood clot in your leg (ie deep&nbsp;vein thrombosis&nbsp;), a blood clot in your lung (ie&nbsp;pulmonary embolism&nbsp;), a heart attack, or a&nbsp;stroke&nbsp;(see section \u201cBlood clots\u201d below). For a description of the symptoms of these serious&nbsp;side effects,&nbsp;go to &#8220;How to recognize a blood clot&#8221;.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>In some situations, you should be extra careful when using Estrelen or another combination pill, and your doctor may need to examine you regularly.<\/p>\n\n\n\n<p><strong>Tell your doctor if any of the following conditions develop or get worse when you take Estrelen.<\/strong><\/p>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before taking <strong>Estrelen<\/strong> <strong>Acne<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If a close relative has or has ever had breast cancer<\/li><li>If you have cancer<\/li><li>If you suffer from liver disease (such as obstruction of the bile duct, which can cause jaundice with symptoms such as\u00a0itching\u00a0) or bile disease (such as\u00a0gallstones\u00a0)<\/li><li>If you have kidney problems (other than those mentioned under \u201cDo not take Estrelen\u201d) and are taking medicines that increase potassium levels in your blood.\u00a0Your doctor can check the potassium levels in your blood.<\/li><li>If you suffer from\u00a0diabetes<\/li><li>If you suffer from depression.\u00a0Some women who use hormonal contraceptives, including Estron, have reported depression or depression.\u00a0Depression can be severe and can sometimes lead to suicidal thoughts.\u00a0If you experience mood swings and symptoms of depression, you should contact a doctor as soon as possible for advice.<\/li><li>If you have\u00a0Crohn&#8217;s disease\u00a0or\u00a0ulcerative colitis\u00a0(\u00a0chronic\u00a0inflammatory\u00a0bowel disease)<\/li><li>If you have a <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sle\/\">systemic lupus erythematosus<\/a> (\u00a0SLE\u00a0&#8211; a disease that affects your natural immune system)<\/li><li>If you have\u00a0hemolytic uremic syndrome\u00a0(HUS &#8211; a disorder of blood coagulation that leads to\u00a0kidney failure\u00a0)<\/li><li>If you have\u00a0sickle cell anemia\u00a0(a hereditary disease of the red\u00a0blood cells\u00a0)<\/li><li>If you have increased blood fats (\u00a0hypertriglyceridemia\u00a0) or a hereditary condition.\u00a0Hypertriglyceridemia\u00a0has been associated with an increased risk of developing\u00a0pancreatitis\u00a0(inflammation of the pancreas)<\/li><li>If you need to have an operation or stay in bed for a longer period (see section 2 &#8220;Blood clots&#8221;)<\/li><li>If you have just given birth, you are at increased risk of getting blood clots.\u00a0Ask your doctor how soon after giving birth you can start using Estrelen<\/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 suffer from\u00a0epilepsy\u00a0(see &#8220;Other medicines and Estrelen&#8221;)<\/li><li>If you suffer from a disease that first appeared during pregnancy or previous use of sex hormones (eg hearing loss, a blood disease called\u00a0porphyria, skin rash with blistering during pregnancy (\u00a0herpes\u00a0gestationis), a nerve disease that causes sudden body movements (Sydenham&#8217;s chorea)<\/li><li>If you have high\u00a0blood pressure\u00a0during treatment\u00a0that cannot be controlled with medication.<\/li><li>If you have or have ever had golden-brown pigment spots (chloasma), so-called &#8220;pregnancy spots&#8221;, especially on the face.\u00a0In this case,\u00a0<strong>avoid direct exposure<\/strong>\u00a0to sunlight or ultraviolet radiation while taking<strong> Estrelen akne.<\/strong><\/li><li>If you suffer from hereditary\u00a0angioedema,\u00a0estrogen\u00a0products may\u00a0cause or worsen your symptoms.\u00a0You should\u00a0<strong>see a doctor immediately<\/strong>\u00a0if you experience symptoms of\u00a0angioedema, such as a swollen face, swollen tongue, and\/or swollen throat and\/or difficulty swallowing or rash in combination with difficulty breathing.<\/li><\/ul>\n\n\n\n<p><strong>BLOOD CLOTS<\/strong><\/p>\n\n\n\n<p>Using combined hormonal contraceptives such as Estrelen increases the risk of blood clots compared to if you do not use these drugs.&nbsp;In rare cases, a blood clot can block the 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 lasting 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 Estrelen is small.<\/strong><\/p>\n\n\n\n<p><strong>HOW TO FEEL A BLOOD CLOTH AGAIN<\/strong><\/p>\n\n\n\n<p><em>Seek medical attention immediately<\/em>&nbsp;if 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\">Do you experience any of these signs?<\/th><th scope=\"col\">What can you possibly suffer 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 only felt when you stand or walk, 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>\u2022 Sudden unexplained shortness of breath or rapid breathing, Sudden <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">cough<\/a> for no apparent reason that could cause you to cough up blood, Severe chest pain that may increase with deep breathing, Strong feeling of instability or dizziness, Fast or irregular heartbeat, Severe pain in the abdomen<br>If you are not sure, talk to a doctor because some of these symptoms, e.g.\u00a0cough and shortness of breath, can be mistakenly interpreted as a mild condition such as a respiratory infection (such as a common <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cold\/\">cold<\/a>).<\/td><td>Pulmonary embolism<\/td><\/tr><tr><td>Symptoms that usually occur in one eye: Immediate loss of vision or, Blurred vision without pain that can lead to vision loss<\/td><td>Retinal&nbsp;venous thrombosis&nbsp;(blood clot in the eye)<\/td><\/tr><tr><td>Chest pain, Discomfort, Pressure, Heaviness, Pressure or feeling of fullness in the chest, arm, or below the sternum, Feeling full, Indigestion, or feeling suffocated, Discomfort in the upper body that radiates to the back, jaw, neck, arm, and abdomen, Sweating, Nausea, Vomiting or dizziness, Extreme weakness, anxiety or shortness of breath\u2022 fast or irregular heartbeat<\/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 difficulty walking, Dizziness, Loss of balance or coordination, Sudden, severe or prolonged headache without a known cause, Unconsciousness or fainting with or without seizures<br>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 having a new\u00a0stroke.<\/td><td>Stroke<\/td><\/tr><tr><td>\u2022 Swelling and slight blue discoloration of an arm or leg, Severe pain in the abdomen (\u00a0acute abdomen)<\/td><td>Blood clots that block other blood vessels<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>BLOOD CLOTS IN A FRIEND<\/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 increased risk of blood clots in the vein (venous\u00a0thrombosis\u00a0).\u00a0However, these\u00a0side effects\u00a0are rare.\u00a0They usually 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(DVT).<\/li><li>If a blood clot moves from the bone and stays in the lung, it can lead to pulmonary embolism.<\/li><li>In very rare cases, a blood clot may form in a vein in another organ such as the eye (\u00a0retinal\u00a0venous 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 use combined hormonal contraceptives for the first time.&nbsp;The risk may also be higher if you start again with a combined hormonal contraceptive (the same product or another 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 Estrelen, the risk of a blood clot returns to normal within a few weeks.<br><\/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 total risk of a blood clot in the leg or lungs with Estrelen is small.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Of 10,000 women who do not use a combined hormonal contraceptive and are not pregnant, about 2 develop a blood clot in one year.<\/li><\/ul>\n\n\n\n<p>Of 10,000 women who use a combined hormonal contraceptive that contains levonorgestrel or norethisterone or norgestimate, about 5-7 develop a blood clot in one year.<\/p>\n\n\n\n<p>Of 10,000 women who use a combined hormonal contraceptive containing drospirenone such as Estrelen, about 9 12 develop a blood clot in one year.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The risk of blood clots varies depending on your medical history (see &#8220;Factors that may increase the risk of a blood clot&#8221; below).<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><br><\/th><th scope=\"col\"><strong>Risk of developing a blood clot during a year<\/strong><\/th><\/tr><\/thead><tbody><tr><td>Women who&nbsp;<strong>do not use the<\/strong>&nbsp;combined contraceptive pill\/patch\/ring and who are not pregnant<\/td><td>About 2 out of 10,000 women<\/td><\/tr><tr><td>Women using a combined hormonal contraceptive containing&nbsp;<strong>levonorgestrel, norethisterone, or norgestimate<\/strong><\/td><td>About 5-7 out of 10,000 women<\/td><\/tr><tr><td>Women using Estrelen<\/td><td>About 9-12 out of 10,000 women<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Factors that may increase the risk of a blood clot in a vein<\/strong><\/p>\n\n\n\n<p>The risk of a blood clot with Estrelen 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 very overweight (body mass index or\u00a0BMI\u00a0over 30 kg \/ m2)<\/li><li>If someone in your family has had a blood clot in a bone, lung,g or another organ at a young age (eg under 50 years).\u00a0In this case, you may have a hereditary blood-clotting disease<\/li><li>If you need to have surgery, stay in bed for a long period of time due to injury or illness, or if your leg is plastered.\u00a0The use of Estrelen may need to be stopped for several weeks before an operation or while you are less mobile.\u00a0If you have to stop taking Estrelen, ask your doctor when you can start taking it again<\/li><li>With increasing age (especially if you are over 35 years old)<\/li><li>If you gave 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 (&gt; 4 hours) can 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 your doctor if any of these conditions apply to you, even if you are unsure.&nbsp;Your doctor may decide that you need to stop taking Estrelen.<\/p>\n\n\n\n<p>If any of the above conditions change when you use Estrelen, e.g.&nbsp;A close relative suffers from a blood clot with an unknown cause, or you gain a lot of weight, talk to your doctor.<br><\/p>\n\n\n\n<p><strong>BLOOD CLOTS IN AN&nbsp;ART<\/strong><\/p>\n\n\n\n<p><strong>What can happen if a blood clot forms in an&nbsp;artery?<\/strong><\/p>\n\n\n\n<p>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 may increase the risk of a blood clot in an&nbsp;artery<\/strong><\/p>\n\n\n\n<p>It is important to know that the risk of a heart attack or&nbsp;stroke&nbsp;due to the use of Estrelen is very small but may increase:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>With increasing age (after about 35 years of age)<\/li><li><strong>If you smoke.\u00a0<\/strong>When you use combined hormonal contraceptives Estrelen you should stop smoking.\u00a0If you can not stop smoking and are over 35 years old, your doctor may advise you to use another type of contraceptive<\/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\u00a0stroke\u00a0at a young age (younger than 50 years).\u00a0In this case, you may also be at greater risk of a heart attack or\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 heart problems (valve 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 serious, the risk of developing a blood clot can be even greater.<\/p>\n\n\n\n<p>If any of the above conditions change when you use Estrelen, e.g.\u00a0If you start smoking, a close relative suffers from thrombosis\u00a0of unknown cause, or you gain a lot of weight, talk to your doctor.<\/p>\n\n\n\n<p><strong>Estrelen and cancer<\/strong><\/p>\n\n\n\n<p>Breast cancer has been observed slightly more often in women using combination pills, but it is not known if this is caused by the treatment.&nbsp;For example, it may be that more&nbsp;tumors&nbsp;are detected in women who take combination pills because they are examined more often by their doctor.&nbsp;The incidence of breast tumors gradually decreases with the discontinuation of combined hormonal contraceptives.&nbsp;It is important to check your breasts regularly and you should contact your doctor if you notice a lump.<br><\/p>\n\n\n\n<p>In rare cases, benign liver tumors, and in even rare cases, malignant liver tumors, have been reported in users of the contraceptive pill.\u00a0Contact your doctor if you experience unusually severe abdominal pain, or swelling of the abdomen (which may be due to enlargement of the liver) or if you vomit blood, note blood in the stool or black tar-like stools as these may be signs of bleeding from the stomach.<\/p>\n\n\n\n<p><strong>Bleeding between periods<\/strong><\/p>\n\n\n\n<p>During the first few months of using Estrelen, you may experience unexpected bleeding (bleeding outside the days with\u00a0a placebo\u00a0).\u00a0If you have such bleeding for more than a few months, or if it starts after a few months, your doctor will need to investigate the cause.<\/p>\n\n\n\n<p><strong>What to do in case of bleeding during the&nbsp;placebo&nbsp;days<\/strong><\/p>\n\n\n\n<p>If you have taken all the pink active tablets as you should, have not vomited or had severe diarrhea, and have not taken any other medicines, it is highly unlikely that you are pregnant.<\/p>\n\n\n\n<p>If the expected bleeding does not occur twice in a row, you may be pregnant.&nbsp;Contact your doctor immediately.&nbsp;Do not start the next map until you are sure you are not pregnant.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Estrelen<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Always inform your doctor about which medicines or (traditional) herbal and herbal medicines you are already taking, have recently taken, or may be taking.\u00a0Also, tell any other doctor or dentist who prescribes other medicines to you (or\u00a0pharmacist\u00a0) that you are taking Estrelen.\u00a0They can tell you if you need to use extra contraceptives (eg condoms) and if so, for how long.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Do not use Estrelen if you have&nbsp;hepatitis&nbsp;C and are taking medicines containing ombitasvir\/paritaprevir\/ritonavir and dasabuvir as it may cause elevated liver function tests in blood tests (elevation of the liver enzyme&nbsp;ALT&nbsp;).&nbsp;Your doctor will prescribe another type of contraceptive before starting treatment with these medicines.&nbsp;Estrelen can be used again about 2 weeks after the end of treatment.&nbsp;See the section \u201cDo not take Estrelen\u201d.<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Some medicines may affect the blood levels of Estrelen and may make it\u00a0<strong>less effective in preventing pregnancy<\/strong>\u00a0or may cause unexpected bleeding.\u00a0These include:<\/li><li>Medicines used to treat:<ul><li>Epilepsy\u00a0(eg primidone,\u00a0phenytoin\u00a0,\u00a0barbiturates\u00a0, carbamazepine, oxcarbazepine, felbamate, topiramate) or\u00a0tuberculosis\u00a0(eg rifampicin)<\/li><li>HIV\u00a0and\u00a0Hepatitis\u00a0C\u00a0infections\u00a0(medicines called\u00a0protease inhibitors\u00a0and non-nucleoside reverse transcriptase inhibitors such as ritonavir, nevirapine, efavirenz) or other\u00a0infections\u00a0(medicines used to treat fungal infections such as griseofulvin or\u00a0ketoconazole\u00a0)<\/li><li>Aarthritis\u00a0or\u00a0osteoarthritis\u00a0(etoricoxib)<\/li><li>High\u00a0blood pressure\u00a0in the blood vessels in the lungs (\u00a0bosentan\u00a0)<\/li><li>The herbal medicine\u00a0St. John&#8217;s wort<\/li><\/ul><\/li><li>Estrelen may affect the effectiveness of other medicines, for example:<ul><li>Medicines containing ciclosporin<\/li><li>Antiepileptic lamotrigine (may lead to an increased frequency of seizures)<\/li><li>Theophylline (for the treatment of respiratory problems)<\/li><li>Tizanidine (for the treatment of muscle pain and\/or muscle cramps)<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Your doctor may take blood samples to check your potassium levels if you are taking certain medicines to treat heart problems (eg diuretics).<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Estrelen With Food, Drink, And Alcohol<\/h2>\n\n\n\n<p><strong>Laboratory tests<\/strong><\/p>\n\n\n\n<p>If you need to take a blood sample, tell your doctor or laboratory staff that you are taking this&nbsp;pill&nbsp;as hormonal contraceptives may affect the results of certain tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, Breastfeeding, And Fertility<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>You should not take Estrelen if you are pregnant.\u00a0If you become pregnant while taking Estrelen, stop taking it immediately and contact your doctor.\u00a0If you want to get pregnant, you can stop taking Estrelen at any time (see also \u201cIf you stop taking Estrelen\u201d).<\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Estrelen uses<\/span><\/strong> is generally not recommended when breastfeeding.\u00a0If you want to take the contraceptive pill while breastfeeding, contact your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving And Using Machines<\/h2>\n\n\n\n<p>There is no information that the use of Estrelen affects the ability to drive or use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Estrel Contains Lactose And Sodium<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking Estrelen.<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol\u00a0sodium\u00a0(23 mg) per tablet, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How To Use Estrelen<\/h2>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Estrelen uses<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Always take <strong> Estrelen akne<\/strong> exactly as your doctor or pharmacist has told you.\u00a0Ask your doctor or pharmacist if you are unsure.<\/li><li>Each blister contains 24 pink active tablets and 4 white placebo tablets.<\/li><li>The two different colored tablets of Estrelen are sorted in order.\u00a0One blister card contains 28 tablets.<\/li><\/ul>\n\n\n\n<p>Take one tablet of Estrelen daily, if necessary with a small amount of water.&nbsp;You can take the tablets with a meal, or not, but you should take them at about the same time each day.<br><\/p>\n\n\n\n<p><strong>Do not mix the tablets:<\/strong>\u00a0take one pink tablet for the first 24 days and then one white tablet for the last 4 days.\u00a0You should then immediately start a new tablet chart (24 pink and then 4 white tablets).\u00a0So you do not pause between two tablet maps.<\/p>\n\n\n\n<p>Because the tablets have different compositions, you must start with the first tablet at the top left and then take one tablet every day.\u00a0Follow the direction of the arrow for the correct sequence.<\/p>\n\n\n\n<p><strong>Prepare the map<\/strong><\/p>\n\n\n\n<p>To help the user keep track of the tablets, each Estrelen blister card comes with 7 labels, each with the 7 days of the week.&nbsp;Choose the weekly labels that start with the day you start taking the tablets.&nbsp;For example, if you started on a Wednesday, use the label that begins with &#8220;ONS&#8221;.<br><\/p>\n\n\n\n<p>Attach the weekly label along the top edge of the map where it says &#8220;Place the label here&#8221; so that the first day above the tablet is marked as &#8220;1&#8221;.&nbsp;It is now indicated one day above each tablet and you can see if you have taken a particular tablet or not.&nbsp;The arrows show the order in which to take the tablets.<br><\/p>\n\n\n\n<p>During the 4 days, you take white placebo tablets (the placebo days), the bleeding should begin (so-called dropout bleeding).&nbsp;This usually starts on the 2nd or 3rd day after the last pink active tablet Estrelen.&nbsp;When you have taken the last white tablet, you should start the next tablet chart, regardless of whether the bleeding has stopped or not.&nbsp;This means that you must start each tablet chart on the same day of the week and that the loss of bleeding must occur during the same days each month.<br><\/p>\n\n\n\n<p>If you use Estrelen in this way, you are protected against pregnancy even during the 4 days you take placebo tablets.<br><\/p>\n\n\n\n<p><strong>When can you start with the first map?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>If you have not used a contraceptive with hormones in the previous month<\/em><\/li><\/ul>\n\n\n\n<p>Start taking Estrelen on the first day of your regular menstrual cycle.\u00a0If you start taking Estrelen on the first day of your period, you will be immediately protected against pregnancy.\u00a0You can also start days 2-5 of the cycle, but then you must use an extra contraceptive (eg condom) for the first 7 days.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>When changing from a combination\u00a0contraceptive pill\u00a0or a combined hormonal contraceptive in the form of a\u00a0vaginal ring\u00a0or\u00a0transdermal patch<\/em><\/li><\/ul>\n\n\n\n<p>You should preferably start with Estrelen the day after you take the last active tablet (the last tablet containing active substances) of your previous&nbsp;pill, but no later than the day after the tablet-free days for your previous&nbsp;pill&nbsp;end (or after the last inactive tablet of your previous&nbsp;pill&nbsp;).&nbsp;When changing from a&nbsp;vaginal ring&nbsp;or&nbsp;transdermal patch, follow the advice given to you by your doctor.<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>V\u00a0id change from one method only\u00a0progestogen\u00a0(\u00a0mini-pill,\u00a0injection,\u00a0implants\u00a0(P-Rod) or progestogen\u00a0spiral\u00a0)<\/em><\/li><\/ul>\n\n\n\n<p>You can switch from\u00a0mini-pills\u00a0to an\u00a0implant\u00a0or\u00a0IUD\u00a0at any time, you should change it on the day it is removed, from a\u00a0syringe\u00a0at the time of the next planned\u00a0injection,\u00a0but in all these cases you must use extra protection (eg during the first 7 days of taking tablets.<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>After a miscarriage abortion<\/em><\/li><\/ul>\n\n\n\n<p>Follow your doctor&#8217;s advice.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>After giving birth<\/em><\/li><\/ul>\n\n\n\n<p>You can start taking Estrelen between 21 and 28 days after giving birth.&nbsp;If you start after day 28, you must use extra protection (eg condoms) for the first 7 days of taking Estrelen.<\/p>\n\n\n\n<p>If, after giving birth, you have had intercourse before starting to take Estrelen (again), you should first make sure that you are not pregnant or wait until your next period.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>If you are breast-feeding and want to start taking Estrelen (again) after giving birth<\/em><\/li><\/ul>\n\n\n\n<p>Read the section on &#8220;Breastfeeding&#8221;.<\/p>\n\n\n\n<p>Ask your doctor what to do if you are unsure when to start.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Use More Estrelen Than You Should\u00a0<\/h2>\n\n\n\n<p>There are no reports of serious adverse effects from the overdose of Estrelen tablets.<\/p>\n\n\n\n<p>If you take several tablets at the same time, you may experience nausea, vomiting, or bleeding from the vagina.\u00a0Even girls who have not had their first period but have accidentally used <strong> Estrelen akne<\/strong> may experience this type of bleeding.<\/p>\n\n\n\n<p>If you have taken too many Estrelen tablets or find that a child has ingested tablets, contact your doctor, hospital, or the Poison Information Center for risk assessment and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Forget Estrelen Uses<\/h2>\n\n\n\n<p>The last 4 tablets on the&nbsp;<strong>4th row of the<\/strong>&nbsp;map are placebo tablets.&nbsp;If you forget to take one of these tablets, it will have no effect on the reliability of Estrelen.&nbsp;Throw away the forgotten placebo tablet.<br><\/p>\n\n\n\n<p>If you forget to take a pink, active tablet (tablets 1-24 on the map), do the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Taking your tablet\u00a0<strong>less than 24 hours<\/strong>\u00a0late does not reduce the protection of the contraceptive.\u00a0You should take the tablet as soon as you remember and continue taking the following tablets at the usual time.<\/li><li>If you take your tablet\u00a0<strong>more than 24 hours<\/strong>\u00a0late, this means that the protection of the contraceptive may be reduced.\u00a0The greater the number of tablets you forgot, the greater the risk of getting pregnant.<\/li><\/ul>\n\n\n\n<p>The risk of inadequate protection against pregnancy is greatest if you forget a pink tablet at the beginning or end of the tablet chart.\u00a0You must therefore follow the rules below (see table):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>More than one missed tablet on this tablet map<\/strong><\/li><\/ul>\n\n\n\n<p>Contact your doctor.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>One missed tablet between days 1-7 (first line)<\/strong><\/li><\/ul>\n\n\n\n<p>Take the forgotten tablet as soon as you remember, even if it means taking two tablets at the same time.\u00a0Continue to take the tablets at the time you usually use them and use extra protection for the next 7 days, e.g.\u00a0a condom.\u00a0If you had intercourse during the week before you forgot to take the tablet, there is a risk that you are pregnant.\u00a0In this case, contact your doctor.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>One missed tablet between days 8-14 (second line)<\/strong><\/li><\/ul>\n\n\n\n<p>Take the forgotten tablet as soon as you remember, even if it means taking two tablets at the same time.\u00a0You should then continue to take your tablets at the usual time.\u00a0The protection against pregnancy has not decreased and you do not need to use extra protection.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>One missed tablet between days 15-24 (third or fourth line)<\/strong><\/li><\/ul>\n\n\n\n<p>You can choose between two options:<\/p>\n\n\n\n<p>1. Take the forgotten tablet as soon as you remember, even if it means taking two tablets at the same time.\u00a0You should then continue to take your tablets at the usual time.\u00a0Instead of taking the white placebo tablets on the current tablet map, discard them and start the next tablet map (the starting day will be different).<\/p>\n\n\n\n<p>You may have a period at the end of the second tablet &#8211; while taking the white placebo tablets &#8211; but you may experience slight or menstrual-like bleeding while using the other tablet.<\/p>\n\n\n\n<p>2. 2. You can also stop taking the pink active tablets and go straight and take up to 4 white placebo tablets (including the tablets for the days you missed\u00a0<strong>(write down which day you forgot to take your tablet before you start taking the placebo tablets)<\/strong>. want to start a new tablet map on the same day, as usual, and take placebo tablets for\u00a0less than 4 days.<\/p>\n\n\n\n<p>If you follow these two recommendations, you will remain protected against pregnancy.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you forgot one of the tablets on a tablet chart and you do not experience any bleeding during the placebo days, it may mean that you are pregnant.\u00a0You must then consult your doctor before starting the next tablet chart.<\/li><\/ul>\n\n\n\n<p>The following diagram describes what to do if you forget to take your tablet (s):<br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20110517000142#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/imaging\/resources\/7c075284-3076-4e1c-8548-ba4df470b6da\" alt=\"Schedule for forgotten tablet\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>What to do in case of vomiting or severe diarrhea<\/strong><\/p>\n\n\n\n<p>If you vomit within 3-4 hours after taking an active pink tablet, or if you have severe diarrhea, there is a risk that the active substance in the tablet will not be completely absorbed by the body.\u00a0The situation is almost the same as when you forget to take a tablet.\u00a0After vomiting or diarrhea, take a new pink tablet from a spare card as soon as possible.\u00a0If possible, take it within 24 hours of the time you usually take your tablet.\u00a0If this is not possible or if 24 hours have passed, follow the instructions in &#8220;If you forget to take Estrelen&#8221;.<\/p>\n\n\n\n<p><strong>Postpone your period: what you need to know<\/strong><\/p>\n\n\n\n<p>Although not recommended, you can delay your period by not taking the white placebo tablets on the 4th row but starting directly on a new tablet of Estrelen.\u00a0You may experience slight or menstrual-like bleeding when taking the other tablet map.\u00a0End the second tablet map by taking the 4 white tablets on the 4th row.\u00a0Then start the next tablet chart.<\/p>\n\n\n\n<p><strong>You should ask your doctor for advice before you decide to postpone your period.<\/strong><\/p>\n\n\n\n<p><strong>Change the first day of your period: what you need to know<\/strong><\/p>\n\n\n\n<p>If you take the tablets according to the instructions, menstruation begins during the\u00a0<strong>placebo days.\u00a0<\/strong>If you want to change this day, reduce the number of\u00a0<em><strong>placebo days<\/strong><\/em>\u00a0&#8211; the days you take white placebo tablets &#8211; (\u00a0<strong>do not increase them<\/strong>\u00a0&#8211; 4 is the maximum!).\u00a0For example, if you normally start taking placebo tablets on a Friday and you want to change this to a Tuesday (three days earlier), start a new tablet chart three days earlier than normal.\u00a0You may not experience any bleeding during this time.\u00a0You may then experience slight or menstrual-like bleeding.<\/p>\n\n\n\n<p><strong>Ask your doctor if you are unsure about what to do<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Stop Using Estrelen<\/h2>\n\n\n\n<p>You can stop taking Estrelen whenever you want.&nbsp;If you do not want to get pregnant, consult your doctor about other reliable contraceptives.&nbsp;If you want to get pregnant, stop taking Estrelen and wait for the next period before trying to conceive.&nbsp;It will then be easier to calculate the expected date of birth.<\/p>\n\n\n\n<p>If you have any further questions about the use of this product, ask your doctor or\u00a0pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible Estrelen 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 serious and persistent, or have any change in your health that you think may be due to Estrelen, talk to your doctor.<\/p>\n\n\n\n<p>There is an increased risk of blood clots in your veins (venous&nbsp;thromboembolism(VTE)) or blood clots in your&nbsp;arteries&nbsp;(&nbsp;arterial&nbsp;thromboembolism&nbsp;(ATE)) for all women taking combined hormonal contraceptives.&nbsp;For more detailed information on the different risks of using combined hormonal contraceptives, see section 2 &#8220;What you need to know before taking Estrelen&#8221;.<br><\/p>\n\n\n\n<p><strong>If any of the following&nbsp;side effects&nbsp;occur, you may need&nbsp;urgent&nbsp;medical attention.&nbsp;Stop taking Estron and contact a doctor or go to the nearest hospital immediately.<\/strong><br><\/p>\n\n\n\n<p><strong>Rare\u00a0Estrelen side effects\u00a0(may affect up to 1 in 1,000 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Inflammation\u00a0of the gallbladder<\/li><li>Hypersensitivity reactions\u00a0(allergic reactions with symptoms such as <ul><li>The swollen face, tongue, and\/or throat and\/or difficulty swallowing<\/li><li>Hives\u00a0with difficulty breathing<\/li><\/ul><\/li><li>Harmful blood clots in a vein or\u00a0artery,\u00a0for example:<ul><li>In one leg or foot (ie deep\u00a0vein thrombosis\u00a0(DVT))<\/li><li>Heart attack<\/li><li>Stroke<\/li><li>Mini-\u00a0stroke\u00a0or temporary\u00a0stroke-like symptoms, known as a\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 getting a blood clot may be higher if you have any other conditions that increase the risk (see section 2 for more information on the conditions that increase the risk of blood clots and symptoms of blood clots).<\/p>\n\n\n\n<p><strong>Other possible\u00a0side effects\u00a0are<\/strong><\/p>\n\n\n\n<p><strong>Common\u00a0side effects\u00a0are<\/strong>\u00a0(may affect up to 1 in 10 people<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Mood swings<\/li><li>Headache<\/li><li>Nausea<\/li><li>Chest pain<\/li><li>Menstrual problems such as <ul><li>Irregular menstruation<\/li><li>Missed periods<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>Less common\u00a0Estrelen side effects\u00a0are<\/strong>\u00a0(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression<\/li><li>Anxiety<\/li><li>Drowsiness<\/li><li>Dizziness<\/li><li>Tingling<\/li><li>Migraine<\/li><li>Varicose veins<\/li><li>High\u00a0blood pressure\u00a0(\u00a0hypertension\u00a0)<\/li><li>Abdominal pain<\/li><li>Vomiting<\/li><li>Indigestion<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/flatulence\/\">Gas in the stomach<\/a><\/li><li>Inflammation\u00a0of the stomach<\/li><li>Diarrhea<\/li><li>Acne<\/li><li>Itching\u00a0rash<\/li><li>Aches and pains such as\u00a0<ul><li>Back pain<\/li><li>Pain in the\u00a0extremities<\/li><li>Muscle cramps<\/li><\/ul><\/li><li>Vaginal\u00a0fungal infection<\/li><li>Pelvic pain<\/li><li>Breast enlargement<\/li><li>Benign lumps<\/li><li>Uterine\/vaginal bleeding (which often disappears with continued treatment)<\/li><li>Discharge from genitals, hot flashes<\/li><li>Inflammation\u00a0of the\u00a0vagina\u00a0(\u00a0vaginitis\u00a0)<\/li><li>Menstrual problems<\/li><li>Painful menstruation<\/li><li>Shortened periods<\/li><li>Very difficult menstruation<\/li><li>Dryness of the\u00a0vagina<\/li><li>Abnormal cell samples<\/li><li>Decreased sex drive<\/li><li>Lack of energy<\/li><li>Increased sweating<\/li><li>Fluid retention with signs such as <ul><li>Swelling of the face and limbs<\/li><\/ul><\/li><li>Weight gain<\/li><\/ul>\n\n\n\n<p><strong>Rare\u00a0side effects\u00a0are<\/strong>\u00a0(may affect up to 1 in 10, 00 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Candida\u00a0(a fungal infection)<\/li><li>Anemia<\/li><li>Increased\u00a0platelet count<\/li><li>Allergic reaction<\/li><li>Hormonal (\u00a0endocrine\u00a0) disease<\/li><li>Increased appetite<\/li><li>Decreased appetite<\/li><li>Abnormally high concentration of\u00a0potassium\u00a0in the blood<\/li><li>Abnormally low concentration of\u00a0sodium\u00a0in the blood<\/li><li>Inability to orgasm<\/li><li>Insomnia<\/li><li>Dizziness<\/li><li>Tremors<\/li><li>Eye diseases such as\u00a0<ul><li>Inflammation\u00a0of the eyelid<\/li><li>Dry eyes<\/li><\/ul><\/li><li>Abnormally fast heartbeat<\/li><li>Inflammation\u00a0of a vein<\/li><li>Nosebleeds<\/li><li>Fainting<\/li><li>Enlarged abdomen<\/li><li>Intestinal disease<\/li><li>Feeling of bloating<\/li><li>Stomach hernia<\/li><li>Fungal infection in the mouth<\/li><li>Constipation<\/li><li>Dry mouth<\/li><li>Pain in the bile ducts or gallbladder<\/li><li>Eczema<\/li><li>Hair loss<\/li><li>Acne-like\u00a0inflammation\u00a0of the skin<\/li><li>Dry skin<\/li><li>Skin inflammation with boils<\/li><li>Excessive hair growth<\/li><li>Skin diseases<\/li><li>Stretch marks on the skin<\/li><li>Skin inflammation<\/li><li>Photosensitive skin inflammation<\/li><li>Skin lumps<\/li><li>Problems having intercourse or pain during intercourse<\/li><li>Inflammation\u00a0of the\u00a0vagina(vulvovaginitis)<\/li><li>Bleeding after intercourse<\/li><li>Bleeding<\/li><li>Cysts<\/li><li>Increased number of breast cells (\u00a0hyperplasia\u00a0)<\/li><li>Abnormal growths on the cervical\u00a0mucosa<\/li><li>Shrinkage or loss of the uterine\u00a0lining\u00a0(cystic cysts, ovarian cysts)<\/li><li>Enlarged uterus<\/li><li>General malaise<\/li><li>Weight loss<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>\u00a0(occurs an the unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Erythema multiforme (rash with annular\u00a0redness\u00a0or sores).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">5. How To Store Estrelen<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this medicine out of the sight and reach of children.<\/li><li>Do not use this medicine after the date stated on the blister\/carton after &#8220;EXP:&#8221;.<\/li><li>The expiration date is the last day of the specified month.<\/li><li>This medicinal product does not require any special storage conditions.<\/li><\/ul>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.\u00a0Ask your pharmacist how to dispose of medicines no longer required.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents Of The Packaging And Other Information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content Declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>The active substances<\/strong>\u00a0are ethinylestradiol and drospirenone.<ul><li>Each film-coated tablet contains 0.02 milligrams of Ethinyl estradiol and 3 milligrams of drospirenone.<\/li><li>The white film-coated tablets do not contain any active substances.<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>The other ingredients are:<\/strong><ul><li>Pink active film-coated tablets:<\/li><\/ul><\/li><li>Tablet core:\u00a0<ul><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/lactose-intolerance\/\">Lactose<\/a> monohydrate<\/li><li>Pregelatinized\u00a0starch\u00a0(maize)<\/li><li>Povidone K-30 (E1201)<\/li><li>Croscarmellose sodium<\/li><li>Polysorbate 80<\/li><li>Magnesium stearate (E572)<\/li><\/ul><\/li><li><em>Film coating of the tablet:<\/em>\u00a0<ul><li>Polyvinyl alcohol partially hydrolyzed<\/li><li>Titanium dioxide (E171)<\/li><li>Macrogol 3350, talc<\/li><li>Iron oxide yellow (E172)<\/li><li>Iron oxide red (E172)<\/li><li>Iron oxide black (E172)<\/li><\/ul><\/li><li>White inactive film-coated tablets:<\/li><li><em>Tablet core:<\/em>\u00a0<ul><li>Anhydrous\u00a0lactose<\/li><li>Povidone K-30 (E1201)<\/li><li>Magnesium stearate (E572)<\/li><\/ul><\/li><li>Film coating of the tablet:<ul><li>Polyvinyl alcohol partially hydrolyzed<\/li><li>Titanium dioxide (E171)<\/li><li>Macrogol 3350<\/li><li>Talc<\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What The Medicine Looks Like And The Contents Of The Pack<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Each tablet contains 24 maps Estrelen pink, active-coated\u00a0tablets on the 1st, 2nd, 3rd, and 4th lines and 4 white-coated\u00a0placebo tablets on the 4th line.<\/li><li>Estrelen tablets, both pink and white, are coated;\u00a0ie the tablet core is coated.<\/li><li>Estrelen is available in packs of 1, 3, 6, and 13 cards, each with 28 (24 + 4) tablets.<\/li><li>Not all pack sizes may be marketed.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder And Manufacturer<\/h2>\n\n\n\n<p>Evolan Pharma AB<\/p>\n\n\n\n<p>Box 120<\/p>\n\n\n\n<p>182 12 Danderyd<\/p>\n\n\n\n<p>Manufacturer<\/p>\n\n\n\n<p>Laboratories Le\u00f3n Farma, SA<\/p>\n\n\n\n<p>Poligono Industrial Navatejera;<\/p>\n\n\n\n<p>La Vallina s \/ n;<\/p>\n\n\n\n<p>24008-Villaquilambre, Le\u00f3n<\/p>\n\n\n\n<p>Spain<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Estrelen is used to control pregnancy. It is also called combination pills. <\/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":[2205,2200],"tags":[3563,3566,3567,3565,3568,3570,3571,3569,2212,2210],"class_list":["post-8440","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-drospirenone","tag-drospirenone-dose","tag-drospirenone-side-effects","tag-drospirenone-uses","tag-estrelen","tag-estrelen-dose","tag-estrelen-side-effects","tag-estrelen-uses","tag-medicine","tag-tablet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8440","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=8440"}],"version-history":[{"count":154,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8440\/revisions"}],"predecessor-version":[{"id":35752,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8440\/revisions\/35752"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8440"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8440"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}