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