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What is Simliya?
Simliya contains a mixture of female hormones that prevents ovulation. Simliya can also cause changes to your cervical mucus, uterine lining, and other areas. Fertilised eggs find it more difficult to attach themselves to the uterus.
Simliya can be used to stop pregnancy. This medicine is available in many different brands. This leaflet does not list all available brands. Simliya can be used in other ways not mentioned in the medication guide.
Side effects of Simliya
If you experience any of the following symptoms of an allergy reaction, seek immediate medical attention: difficulty breathing, hives, swelling in your lips, face, throat, or tongue.
Some birth control pills can cause severe side effects. Call your doctor immediately if:
- Signs of Stroke: sudden numbness, weakness or severe headache; speech that slurs or falters.
- Signs of a pulmonary blood clot: chest pain, sudden cough and shortness of breath; dizziness.
- Signs of a deep blood clot—pain or swelling in one leg
- Heart attack symptoms: chest discomfort, shoulder and jaw pressure or pain, nausea and sweating.
- Liver problems: swelling around the midsection of your body; upper right stomach pain; lack of appetite; dark coloured urine; clay-coloured stool; jaundice (yellowing skin or eyes);
- Increased blood pressure—severe head pain, blurred or distorted vision, and a pounding sensation in the neck, ears, or shoulders;
- Depression: mood changes, low self-worth feelings, lack of interest in activities you used to enjoy, sleep disturbances, and thoughts of harming yourself.
- A breast lump or swelling of the hands, feet, or ankles;
- Changes in migraine headaches' pattern or severity
Side effects common to Simliya include:
- Weight gain or nausea (vomiting), breast tenderness (bleeding), or breakout bleeding.
- Acne is a darkening or discoloration of the skin.
- Contact lenses are causing problems.
There may be other side effects. For medical advice on side effects, call your doctor. Report side effects by calling the FDA at 1-800-FDA-1088.
Warnings
Avoid taking birth control pills when you're pregnant or have just had a child. Birth control pills should be avoided if: you suffer from heart disease, circulatory problems, vaginal bleeding that is not diagnosed, liver issues, severe migraines, you are planning major surgery, you take certain hepatitis C medications, you will undergo major surgery, you smoke, you're over 35 and you had a previous heart attack or stroke, a blood clot or jaundice due to pregnancy, birth control pills or cancerous breast, uterus/cervix, or vaginal tissue.
Before you take this drug
Birth control pills may increase your risk of blood clots, strokes and heart attacks. If you suffer from hypertension or diabetes, you may be at greater risk. The risk of a blood clot or stroke is greatest during the first year you take birth control pills. You are at high risk when you start taking birth control pills again after a break of 4 weeks.
Smoking increases your risk for blood clots and strokes caused by birth control pills. This is especially true if you're older than 35. Avoid using Simliya if pregnant. Tell your doctor immediately if you are pregnant or have missed more than two periods. Wait at least four weeks after giving birth if you've just had your baby.
If you are pregnant, or if:
- Untreated or uncontrolled hypertension, heart disease (chest discomfort, coronary artery disease), history of stroke, heart attack or circulation issues, blood clots, etc.) Or increased blood clot risk due to heart problems or hereditary blood disorders;
- A history of cancers of the breast, uterus, or cervix, or of vaginal or ovarian origin;
- Unusual vaginal bleeding not checked by your doctor
- Liver disease or liver cancer, if you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir with or without dasabuvir, or if you have a history of jaundice caused by pregnancy or birth control pills;
- Severe migraine headaches with aura, numbness, weakness, or changes in vision, especially for those older than 35 who smoke and/or are above 35,
If you've ever:
- Heart disease, high blood pressure, varicose veins, or If you have a tendency to have blood clots or high triglycerides or cholesterol,
- Gallbladder disease, depression, migraine headaches, and diabetes
- Liver or kidney disease
- Irregular periods, fibrocystic breast disease, or lumps and nodules on a mammogram.
A doctor can tell you if breastfeeding is possible while taking this medication.
How to take Simliya?
Read all the instructions or guides that come with your medication and follow all the directions. Follow the directions on your prescription label.
Your first pill will be taken on your period's first day or the Sunday following your period. When you start taking this medication, it may be necessary to use a backup birth control method, like a condom or spermicide. You should follow your doctor's advice. One pill per day is recommended, but no more than one every 24 hours. Start a fresh pack of pills the next day when the old ones run out. If you don't take one daily pill, it is possible to become pregnant. Refill your prescription before the pills run out.
Several birth control packages contain "reminder pills" to help you maintain your cycle. Usually, your period begins while you're using the reminder pills. It is possible that you are bleeding through the skin. If the pain persists or worsens significantly, inform your physician immediately. If you have severe nausea or diarrhoea, use backup birth control. You should tell any doctor who treats you that you use birth control pills. If you take birth-control pills, regular visits to your physician for check-ups will be required. Keep away from heat and moisture. Store at room temperature.
What happens if I miss the dose?
Read all the instructions or guides that come with your medication. You are more likely to become pregnant if you miss a pill. Take two active pills the next day if you forget. Take one pill a day until the remainder of the package is used. Take two pills a day for the next two consecutive days if you missed two active pills back to back in Week 1. Take one pill a day until the end of your pack. After missing a pill, use a backup birth control method for at least seven days.
You can start fresh the next day if your Day 1 starter pack is empty. You can continue taking the pill until Sunday if you started on Sunday. On Sunday, discard any unneeded pills and begin a brand new package of pills on that same day. You can start over if you missed three pills consecutively in the first, second, or third week. You can continue to take a pill each day up until Sunday if you started on Sunday. Throw out the remaining pills on Sunday and begin a brand new package that same day.
You may miss your period if you don't take two pills or more. Call your doctor if you have missed two periods in a month. You might be pregnant. You can throw away the missed pill and continue taking one pill per day until you finish your pack.
What happens if I overdose?
Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. Overdose symptoms include nausea, vomiting, and vaginal blood.
What should be avoided?
Don't smoke when taking birth-control pills, particularly if you are more than 35 years old. Birth control pills do not stop the spread of your illness. Share razors and toothbrushes. Consult your doctor about how to avoid HIV transmission when sexing.
Interaction with other drug
Inform your doctor of all other medications you are taking, including:
- Phenylbutazone;
- Griseofulvin;
- Bosentan;
- Rifampin;
- John's Wort;
- Glecaprevir/pibrentasvir;
- Anticonvulsants are antiepileptic drugs such as carbamazepine (oxcarbazepine), lamotrigine (topiramate), or felbamate.
The list below is not exhaustive. Simliya may be affected by other drugs, such as prescription or over-the-counter medicines, vitamins, and herbal products. This list does not include all interactions with other drugs.