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Drospirenone, ethinyl estradiol, and levomefolate

Generic name: drospirenone, ethinyl estradiol, and levomefolate [droe-SPYE-re-none, ETH-in-il-ES-tra-DYE-ol, and-LEE-voe-me-FOE-late]
Brand names: Beyaz, Safyral, Rajani, Tydemy
Oral tablet: (3 mg-0.02 mg-0.451 mg; 3 mg-0.03 mg-0.451 mg)
Drug class: contraceptives

What is Drospirenone, ethinyl estradiol, and levomefolate?

Drospirenone and ethyl estradiol both prevent ovulation. They also change your cervical mucus lining and make it more difficult for sperm to reach the uterus. Levomefolate, a B vitamin, helps to prevent a birth defect in babies if they are pregnant while on birth-control pills. Combination medicine containing drospirenone, ethinyl esteradiol, and levomefolate can be used to prevent pregnancy. Beyaz, the brand name of drospirenone, ethinyl esteradiol, and levomefolate, is used to treat mild acne in women over 14 who have begun menstruating and wish to use pill birth control. Beyaz can also be used to treat symptoms of premenstrual disorder (PMDD), including anxiety, depression, and irritability. It is also prescribed for sleep disturbances, changes in appetite, breast tenderness or pain, headaches, and joint or muscle discomfort. This medication guide does not list all possible uses for ethinyl esteradiol, levomefolate, or drospirenone.

Side Effects of Drospirenone, ethinyl estradiol, and levomefolate

If you experience any of the following signs and symptoms of an allergic reaction: difficulty breathing, hives or swelling to face lips throat

This medicine can cause serious side effects. If you experience:

  • Signs of stroke: sudden numbness, weakness, or headache (especially one side), slurred or shaky speech, or problems with vision, balance, or coordination;
  • Signs of a blood clot: sudden vision loss, stabbed chest pain, feeling of shortness of breath, blood in the cough, or pain or warmth on one or both legs.
  • Heart attack symptoms: chest pain or pressure; pain spreading into your jaw or shoulder; nausea; and sweating.
  • Liver problems: fatigue, nausea, bloating, dark urine, clay-colored stools, and jaundice.
  • Increased blood pressure—severe head pain, blurred vision, or a pounding sensation in the neck or ears
  • You may experience swelling of your ankles, feet, or hands.
  • A change in the frequency or intensity of migraine headaches
  • Depression symptoms often include sleep issues, fatigue and mood changes.

Some of the common side effects associated with drospirenone (ethinyl esteradiol), levomefolate, and ethinyl oestradiol include:

  • Nausea;
  • Breast tenderness
  • Headache;
  • Bleeding.

There may be other side effects. Call your physician immediately if experiencing side effects. For the latest advice regarding adverse reactions.The FDA can be contacted at 1-800-FDA-1088 to report side effects.

Warnings

Do not use it if you are pregnant or if you have just had a Baby. This medicine should not be taken if: you suffer from an adrenal gland disorder; kidney disease; uncontrolled high blood pressure; heart disease and coronary artery diseases; circulation problems, especially with diabetes; undiagnosed vaginal blood; liver cancer or disease; or severe migraine headaches. You shouldn't take it if: you are planning major surgery or if your blood clots were caused by birth control pills or pregnancy; you smoke; you are over 35 years old; you have had a previous heart attack or stroke; a This medicine increases your risk of stroke, heart attack, and blood clots. Smoking increases your risk for blood clots and stroke. This medicine should not be taken if you are over 35.

Before you take this drug

This medicine increases your risk of stroke, heart attack, and blood clots. If you are overweight, have high blood sugar, high cholesterol, or high blood pressure, you are at even greater risk. The risk of stroke and blood clots is greatest during the first year you take this medication. You are at high risk of stroke or blood clots if you take this medication again after a break of 4 weeks.

Smoking increases your risk of blood clots and strokes. The more you smoke, the greater the risk. This medicine should not be taken if you are older than 35 and smoke. Do not use this medication if pregnant. Tell your doctor immediately if you are pregnant or if two menstrual cycles are missed in a row. Wait at least four weeks after giving birth before you take this medication.

This medicine should not be taken if:

  • An adrenal gland disorder
  • Kidney disease
  • Untreated or uncontrolled hypertension;
  • Heart disease (coronary arterial disease, history of stroke, blood clot, or heart attack);
  • An increased risk of blood clots as a result of a heart condition or hereditary blood disorder.
  • Circulatory problems (especially when caused by diabetes);
  • A history of cancers of the breast, uterus, cervix, or vagina
  • Unusual vaginal bleeding not checked by a physician;
  • Liver disease, or liver cancer
  • Severe migraine headaches, especially if older than 35.
  • A history of jaundice due to pregnancy or birth control pills
  • If you are older than 35 and smoke,
  • If you take any hepatitis c medication containing ombitasvir, paritaprevir, or ritonavir (technivie).

Tell your doctor about any of the following to ensure that this medicine will be safe for you:

  • If you have heart problems, high blood pressure, or are susceptible to blood clots, then this is the product for you.
  • High potassium levels in the blood
  • If you have high cholesterol, triglycerides, or are overweight, this may be a sign.
  • Depression;
  • Liver or kidney disease
  • Gallbladder diseases, thyroid disease, and diabetes
  • A headache.

This medicine contains hormones that can be passed into breast milk, which may cause harm to a nursing infant. This medicine can also reduce breast milk production. Use caution if you're breastfeeding.

How to take Drospirenone, ethinyl estradiol, and levomefolate?

Do not increase or reduce the dosage or take it longer than directed. Do not exceed the recommended dosage or take it for a longer period of time. Take your first tablet on the day your period starts or the first Sunday following your period. When you start taking this medication, you may need to use a backup birth control method, such as condoms containing spermicide. One pill per day is recommended, but no more than one every 24 hours. Start a new package the next day, when the pills are finished. If you don't take one pill every day, you could become pregnant. This medicine will only work if you take it in the correct order. You must follow the arrows on each row in your blister package. You will only take the last few pills if you do not want to take birth control or contraceptive medicines. If you have severe diarrhea or vomiting, use backup birth control. During the first three months, you may experience bleeding. If the bleeding persists or becomes very heavy, tell your doctor. You may need to temporarily stop taking this medicine if you are going to have major surgery or be bedridden for an extended period of time. You should let any doctor or surgeon that treats you know you're taking this medication. Store away from heat and moisture at room temperature.

What happens if I miss the dose?

Please read the instructions that come with your medication. If you don't understand the instructions, ask your doctor or pharmacist. You are more likely to become pregnant if you miss a pill. If you forget to take a pill in Weeks 1, 2, and 3, you should take two pills the next day. Take one pill per day until your pack runs out; if two are missed in Weeks 1-4 then take them on consecutive days; otherwise take one per day until completed; use an alternative birth control method for at least seven days to help manage an interruption to birth control adherence. If you missed 2 pills in a week in Week 3, you can throw away the remaining pack of pills and begin a new one the next day if you started on Day 1. If you started on Sunday, continue taking one pill each day until Sunday. On Sunday, discard the remainder of the package and begin a brand new one.

If you missed 3 pills in a week in Week 1, 2, or 3, you can throw the rest out and start again on the day you started if you were a Day 1 starter. If you started on Sunday, continue taking one pill each day until Sunday. On Sunday, discard the remainder of the package and begin a brand new one. You may not get a period if you miss more than two pills. Call your doctor if you have missed two periods in a row. You might be pregnant. If you missed a pill of levomefolate in Week 4, toss it away and continue taking one pill per day until the entire pack is gone.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. An overdose can cause nausea or bleeding.

What should be avoided?

Do not smoke while taking this medicine, especially if you're older than 35. This medicine does not protect against sexually transmissible diseases, including HIV or AIDS. The only way to prevent these diseases is by using a condom.

Interaction with other drug

Other drugs, such as prescription and over-the-counter medicines, vitamins, and herbal products, may interact with Drospirenone. This medicine can be less effective if you take certain drugs. Pregnancy may occur. Inform your doctor of all the medications you are taking and those that you stop or start using.