The Web Health

Subscribe

Simpesse (extended cycle)

Generic name: ethinyl estradiol and levonorgestrel (extended cycle) [ETH-in-ill-ess-tra-DYE-ol-and-lee-voe-nor-JESS-trel]
Brand names: Amethia Ashlyna Camrese Camrese Lo Daysee… Show all 18 brands
Drug class: contraceptives

What is Simpesse (extended cycle)?

Simpesse contains a combination of female hormones that prevents ovulation. Simpesse can also cause changes to your cervical mucus or uterine lining. This makes it more difficult for sperm and fertilised eggs to reach the uterus. Simpesse can be used to prevent pregnancy. This medication guide does not list all possible uses of Simpesse.

Side effects of Simpesse (extended cycle)

If you experience any of the following symptoms of an allergic reaction: hives, difficulty breathing or swelling of lips, face, tongue or throat. Seek medical assistance immediately.

Birth control pills can cause serious side effects. Call your doctor immediately if:

  • Signs of a Stroke: sudden numbness, weakness, or a severe headache; slurred words; problems with balance.
  • Signs of a blood clot: sudden vision loss, chest pains, shortness of breath, blood in the cough, swelling of an arm or leg
  • Heart attack symptoms: chest discomfort or pressure, radiating to your jaw and shoulders, nausea or sweating.
  • If you are living with liver disease, symptoms may include fatigue, nausea, dark urine or stools, fever and jaundice.
  • Increased blood pressure: severe headache, blurred or distorted vision, or a pounding sensation in the neck, ears, or head;
  • You may experience swelling of your ankles, feet, or hands.
  • Changes in the pattern of migraine headaches or their severity;
  • A breast lump,
  • Symptoms of depression include sleep problems, fatigue, and mood changes.

Simpesse can cause the following side effects:

  • Mild nausea, especially when you start taking the medicine for the first time; vomiting; and stomach cramps.
  • Breast tenderness, swelling, or discharge.
  • Increased hair growth or loss of scalp hair.
  • Changes in weight or appetite
  • Contact lenses: problems with contact lenses
  • Vaginal itching, or discharge
  • Changes in menstrual cycles and/or reduced sexual drive could indicate that something may have gone amis.

There may be other side effects. For medical advice on side effects, call your doctor. The FDA can be contacted at 1-800-FDA-1088 to report side effects.

Similar/related drugs

Norethindrone, Depo-Provera, Provera, Levonorgestrel, Medroxyprogesterone, Yaz

Warnings

Avoid using birth control pills while pregnant or after having a recent baby.

Birth control pills should not be used if: you have uncontrolled high blood pressure, heart problems, coronary artery diseases, circulation issues (especially in diabetes), undiagnosed bleeding vaginal, liver disease or cancer, severe headaches or migraines, if your surgery will require major surgery, if you are smoking and older than 35, if a blood clot has occurred, if jaundice was caused by pregnancy, birth control pills, or cancers of the breasts, uterus, or cervix

Birth-control pills may increase your risk for blood clots or stroke. Smoking increases your risk of blood clots and strokes. Do not take Simpesse if you are over 35.

Before you take this drug

This medicine increases your risk of a stroke or heart attack. If you suffer from high blood pressure, diabetes, high cholesterol, or obesity, you're at an even greater risk. The risk of stroke and blood clots is greatest during the first year you take birth control pills. Retaking this medication after an absence of four weeks or more poses significant risk. Smoking increases your risk of blood clots and strokes. The more you smoke, the higher your risk. If you are older than 35 and smoke, it is not recommended that you take birth control pills.

Do not use it if you are pregnant. Stop using this medicine and tell your doctor right away if you become pregnant or miss two menstrual periods in a row. Wait at least four weeks postpartum before beginning to take birth control pills.

If you are pregnant, or if:

  • Untreated or uncontrolled hypertension;
  • Heart disease (chest discomfort, coronary artery diseases, stroke history, or blood clots);
  • 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.
  • Experience of jaundice due to pregnancy or birth control pills
  • If you take any hepatitis C medication that contains ombitasvir, paritaprevir or ritonavir (Technivie), please be aware of possible risks.

Inform your doctor of any of the following issues:

  • If you have heart disease, high blood pressure, or are susceptible to blood clots, then this is the right product for you.
  • If you have high cholesterol, triglycerides, or are overweight, this may be a sign.
  • Depression;
  • Gallbladder diseases, and diabetes.
  • A seizure or migraine headache;
  • Menstrual irregularities;
  • Fibrocystic breast disease, lumps or nodules on mammograms

Simpesse may slow down the production of breast milk. Simpesse can slow down breast milk production.

How to take Simpesse (extended cycle)?

Read all instructions or guides that come with your medication and follow all directions. Follow the directions on the label. First, take your first pill the day after you start your period. When you start taking Simpesse, you may need to use a backup birth control method, such as 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 new package the next day when the pills are finished. If you don't take one pill every day, you may become pregnant. Refill your prescription before you run out. While taking the extended-cycle pill, you will not experience a monthly period. Your period should be every 12 weeks.

The 91-day birth control kit contains three trays and cards with 84 "active pills" and seven "reminder pills". To maintain a regular cycle, it's essential that your pills be taken in an organized fashion. Each tray holds 28 pills. Tray 3 contains 35 pills, including 7 reminder pills. Use these reminder pills to start your period. You might experience bleeding during the first three months. If this bleeding persists and becomes heavy, contact a healthcare provider immediately. If you have severe nausea or diarrhoea, use backup birth control.

You may have to temporarily stop taking this medication if you are going to be undergoing major surgery or a long period of bed rest. You should let any doctor or surgeon that treats you know that you use birth control pills. You will need to see your doctor regularly if you are taking birth control pills. Store this medication away from moisture or heat at room temperature.

What happens if I miss the dose?

Please read the instructions that come with your medication. Missed pills increase your risk of becoming pregnant. Take two pills the next day if you forget to take one. Take one pill a day for the remainder of the pack. Take two pills a day for the next two days if you have missed two active pills. Take one pill a day for the remainder of the package. After missing a pill, use a backup birth control method for at least seven days.

Do not take any missed pills if you have missed three pills. Continue to take 1 pill daily according to the instructions on the pill package. Leave the missed pills inside the package. If you miss three pills, there may be some bleeding or spotting. Use a backup birth control method for the next seven days.

If you forget to take a pill reminder, just throw it out and continue taking one pill reminder per day until your pack is empty. If you miss the reminder pill, you do not need backup birth control. Call your doctor if your period doesn't start when you take the reminder pill. You could be pregnant.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. Overdose symptoms can include nausea and vaginal bleeding.

What should be avoided?

Do not smoke while taking birth control pills, especially if you're older than 35.

Birth control pills do not protect against sexually transmissible diseases, including HIV and 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 also interact with birth-control pills. Birth control pills can be less effective if you take certain drugs. This may lead to pregnancy. Inform your doctor of all the medications you are taking and those that you stop or start using.