Yasmin 21 tablets
Yasmin 21 tablets
Yasmin WHAT IS AND WHAT IT IS USED
Yasmin is a contraceptive pill and is used to prevent pregnancy.
Each tablet contains a small amount of two different female hormones, namely prospirenon and ethinylestradiol.
Contraceptive pills that contain two hormones are called "combined" pills.
2 BEFORE YOU TAKE Yasmin
Before you can start taking Yasmin, your doctor will ask you some questions concerning your personal medical history and that of your close relatives. The doctor ing measure your blood pressure and depending on your condition can make some other studies.
In this leaflet, several situations are described where you should stop taking Yasmin, or where the reliability of Yasmin may be decreased. In such situations you should either avoid sex or use additional, non-hormonal method of contraception, eg. use a condom or other barrier method. Do not use rhythm or temperature method. These methods can be unreliable because Yasmin leads to changes in the monthly changes in body temperature and cervical muscle.
Yasmin, like other hormonal contraceptives, does not protect against HIV infection or other sexually transmitted diseases.
Do not take Yasmin:
if you have (or have had in the past) a blood clot (thrombosis) in a blood vessel of the leg, lung (embolus) or other organs.
if you have (or have had in the past) a heart attack or stroke.
if you have (or have had in the past) disease, which may be an indication of a heart attack (eg, angina, in which there is severe chest pain) or stroke (such as transient mild stroke with no residual effects).
if you have a condition that may increase the risk of thrombosis in arteries. This applies to the following diseases:
? mellitus with blood vessel damage
? very high blood pressure
? very high level of fats in the blood (cholesterol or triglycerides)
if you have a bleeding disorder (eg, protein C deficiency).
if you have (had) some form of migraine (with so-called focal neurological symptoms).
if you have (had) an inflammation of the pancreas (pancreatitis)
if you have or have ever had liver disease and your liver function tests continue to be outside the norm.
if your kidneys are not working properly (renal failure)
if you have or have ever had liver tumor
if you have (had) or suspect that you have breast cancer or genital organs.
if you have unexplained vaginal bleeding
if you are allergic (hypersensitive) to ethinylestradiol or drospirenone or any of the other ingredients of Yasmin. This is known as pruritus, rash and swelling.
Take special care with Yasmin
In some situations, you should pay particular attention to the use of Yasmin or other combined oral contraceptive, and you may need to regularly browse with your doctor. If any of these conditions apply to you, you should tell your doctor before you start using Yasmin. In addition, if any of the following occur or worsen when using Yasmin, you should consult with your doctor:
if a close relative has or had breast cancer
if you have liver disease or gallbladder
if you have diabetes
if you have depression
if you have Crohn's disease or ulcerative colitis (inflammatory bowel disease)
if you have HUS (hemolytic uremic syndrome, a blood disorder in which the kidneys are damaged)
if you have sickle cell anemia (an inherited disease of the red blood cells)
if you have epilepsy (see "Taking other medicines")
if you have SLE (systemic lupus erythematosus, a disease of the immune system)
if you have a disease that is manifested for the first time during pregnancy or previous use of sex hormones (eg hearing loss, porphyria, herpes gestationis, Sydenham's chorea
if you have or have had chloasma (golden brown pigment patches, so-called "pregnancy patches", especially on the face). In such a case, avoid direct exposure to sunlight or ultraviolet rays
if you have hereditary angioedema, products containing estrogens may induce or worsen symptoms of angioedema. You should immediately consult your doctor if you experience symptoms of angioedema such as swollen face, tongue and / or pharynx and / or difficulty swallowing or rash difficulty breathing.
Yasmin and thrombosis
Use of combined pills, including Yasmin, increases the risk in women of developing venous thrombosis (formation of a blood clot in vessels) compared to women who take the contraceptive pill.
The risk of venous thrombosis in users of combined pills increases:
if you are overweight
if someone in your immediate family as a young had a blood clot (thrombosis) in a blood vessel of the leg, lung or other organs
if you need to operate (surgery), any period of prolonged immobilization or if you had a serious accident. It is important to tell your doctor that you are taking Yasmin, as you may need treatment to be stopped. Your doctor will tell you when to start again Yasmin. This is usually two weeks after the leg again.
Risks of developing a blood clot increases when taking the pills.
100 000 women who take pills and pregnant 5-10 can get a blood clot in one year
100 000 women taking pills like Yasmin, 30-40 can get a blood clot within a year, the exact number is not known
100 000 women who are pregnant, 60 may obtain a blood clot within a year
Blood clot in the veins can reach the lungs and block blood vessels (the so-called pulmonary embolism). Blood clots in the veins can be fatal in 1-2% of cases.
The level of risk may vary according to the type of pill taking. Discuss with your doctor options available.
The use of combination pills are associated with increased risk of arterial thrombosis (blockage of an artery), for example in the blood vessels of the heart (heart attack) or the brain (stroke).
The risk of arterial thrombosis in users of combined pills increases:
if you smoke. Strongly advised to stop smoking while using Yasmin, especially if you are older than 35 years
If you have high content of fat in the blood (cholesterol or triglycerides)
if you are overweight
if someone in your immediate family as a young had a heart attack or stroke
if you have high blood pressure
if you have a migraine
if you have heart problems (damage to the heart valves, abnormal heart rhythm)
Immediately stop taking Yasmin and tell your doctor if you notice possible signs of thrombosis:
severe pain and / or swelling in one of your legs
sudden severe chest pain, which can reach the left hand
sudden shortness of breath
sudden cough without apparent reason
any unusual, severe or prolonged headache or migraine condition deteriorated
partial or complete loss of vision or double vision
difficulty speaking or inability to speak
dizziness or fainting
weakness, strange feeling or numbness in any part of the body
Yasmin and cancer
Breast cancer has been diagnosed slightly more often in women who use contraceptive pills, but it is not known whether this is due to the treatment. Perhaps the reason is that women who use combined pills are found more often tumors as they are tested more frequently than the physician. The risk of breast cancer decreased gradually after discontinuation of combination hormonal contraceptives. It is important to check your breasts regularly and you should immediately contact your doctor if you feel any lump. In rare cases, using pills reported benign liver tumors and even more rarely, malignant liver tumors. Consult your doctor if you have unusual severe abdominal pain.
Bleeding between menstrual periods
During the first few months of taking Yasmin, you may receive unexpected bleed (bleeding out the week without taking pills). If it bleed lasted more than a few months, or if you start in a few months, your doctor should examine the case.
What to do if a week without taking tablet no bleeding occurs
If you have taken all tablets correctly, you have not had vomiting or severe diarrhea and have not taken any other medicines, it is unlikely that you are pregnant.
If the expected menstrual bleeding does not appear twice in a row, you may be pregnant.
Contact your doctor immediately. Do not start the next blister pack until you are sure you are not pregnant.
Yasmin and other medicines
Always tell the doctor who prescribed Yasmin, what drugs or herbal products you are already using. Also tell your doctor or dentist who prescribes another medicine that you are taking Yasmin. They can tell you whether you need to take extra contraceptive precautions (eg condoms) and if so - for how long.
Some medicines can make Yasmin less effective in preventing pregnancy or cause unexpected bleeding. This includes the drugs used for treatment of:
? epilepsy (e.g.. Primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine)
? tuberculosis (eg. Rifampicin)
? HIV infections (ritonavir, nevirapine) or other infections (antibiotics such as griseofulvin, penicillin, tetracycline)
? high blood pressure in the blood vessels of the lungs (bosentan)
? herb St. John's wort
Yasmin may interfere with the action of other drugs, such .:
? drugs containing tsiklopsorin
? anti-epileptic lamotrigine (this could lead to increased seizure frequency)
Ask your doctor or pharmacist before taking any medicine.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
If you need a blood test, tell your doctor or laboratory personnel that you are taking pills as oral contraceptives may affect the results of some tests.
If you are pregnant, you should not take Yasmin. If you become pregnant while taking Yasmin, you should immediately stop taking and inform your doctor.
Ask your doctor or pharmacist before taking any medicine.
Using Yasmin is generally not recommended for women who are breastfeeding. If you want to take the pills while breastfeeding, you should tell your doctor.
Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
There is no information on whether the use of Yasmin affects driving or operating machinery.
Important information about some of the ingredients of Yasmin
Yasmin contains lactose monohydrate.
If you can not tolerate some sugars, contact your doctor before taking Yasmin.
3 How to take Yasmin
Take one tablet Yasmin every day, if necessary with some water. You can take the tablets with or without food, but you have to take them every day at the same time.
The blister contains 21 tablets. To each tablet is marked day of the week, when it should be taken. If, for example, start on a Wednesday, take the tablet that it is marked "Wed". Follow the direction of the arrow on the blister until take all 21 tablets.
Then do not take the tablets seven days. Before the 7 days without pills (aka week without taking tablets) should start bleeding. This so-called "withdrawal bleeding" usually starts on the second or third day of the week without taking tablets.
On the eighth day after the last tablet Yasmin (this is after the seventh day of the week without taking tablets), start the next blister, even if the bleeding has not stopped. This means that you have to start the next blister on the same day of the week and bleeding due to discontinuation should appear on the same day next month.
If you are using Yasmin thus, you are protected from pregnancy during the seven-day period, when not taking a tablet.
When can you start with the first blister
If you have not used a contraceptive with hormones in the previous month
Start with Yasmin on the first day of the cycle (ie the first day of your period). If you start with Yasmin on the first day of your period, you are immediately protected from pregnancy. You can start and days 2-5 of the cycle, but then you need to take additional protective measures (eg condom) for the first 7 days.
Changing from a combined hormonal contraceptive, or combined contraceptive vaginal ring or on tape
You can start taking Yasmin preferably on the day after taking the last active tablet (the last tablet containing the active substance) of your previous pill, but not later than the day after the interval without taking the tablets or the end of your previous pill (or after last inactive tablet of your previous pill). When you switch from a combined contraceptive vaginal ring, follow your doctor's instructions.
Changing from progestogen only method (progestogen-only pill, injection, implant or a progestogen-releasing IUD, IUD)
You can move in any day of the pill contains only progestogen (from an implant or the IUS on the day of its removal, from an injectable when should be the next injection), but in all these cases should be used additional protective equipment (eg. condom) during the first 7 days of taking the tablets.
Follow your doctor's instructions
After the birth you can start with Yasmin between 21 and 28 days later. If you start later than 28 days, so you should use a barrier method (eg. Condom) within the first seven days of use of Yasmin.
After birth if you had intercourse before Yasmin (again), you should first make sure you are not pregnant or wait until your next menstrual bleeding.
Ask your doctor if you are not sure when to start!
If you are breastfeeding and want to start Yasmin (again) after birth
Read the section on "Nursing"
If you take more dose Yasmin
No serious harmful effects from taking too many tablets Yasmin.
If you take several tablets at once, you may get complaints from nausea and vomiting. Young girls may experience vaginal bleeding.
If you take too many tablets Yasmin or find that your child has taken several, seek advice from your doctor or pharmacist.
If you forget to take Yasmin
If you are late with less than 12 hours with tablets, your defense with respect to pregnancy is not reduced. Take the tablet as soon as you remember and take your next tablet at the usual time.
If you are late more than 12 hours with tablets, your defense with respect to pregnancy may be reduced. The more tablets you have forgotten to take, the greater the risk of reduced protection against pregnancy.
The risk of incomplete protection against pregnancy is higher if you miss a tablet at the beginning or end of the blister. Therefore, you must observe the following rules.
Forgot more than one tablet from the blister
Tell your doctor.
Forgot one tablet in 1 week
Take the missed tablet as soon as you remember, even if this means taking two tablets at the same time. Take the tablet again at the usual time and use extra precautions for the next 7 days, for example, a condom. If you had sexual intercourse in the week before or you forgot to start a new blister after a period without taking tablets, you should know that there is a risk of pregnancy. In that case, tell your doctor.
Forgot one tablet in 2 weeks
Take the missed tablet as soon as you remember, even if this means taking two tablets at the same time. Take the tablet at the usual time again. Protection against pregnancy has not diminished and must take extra precautions.
Forgot one tablet every 3 weeks
You can choose between two options:
Take the missed tablet as soon as you remember, even if this means taking two tablets at the same time. Take the tablets again at the usual time. Instead free interval tablets, proceed directly to the next blister.
Most likely to emerge bleeding (withdrawal bleeding) at the end of the second blister, but can also occur spotting or breakthrough bleeding while taking second blister.