Yasmin

BRAND: YASMIN

Yasmin is a combined oral contraceptive, commonly known as a ‘birth control pill’ or ‘the Pill’.   Yasmin is used to prevent pregnancy.

Yasmin contains drospirenone which has antiandrogenic properties and may be of some benefit in androgen-related acne, skin conditions or greasy hair.

You may also experience the following benefits:

• improvement in symptoms like bloating, swelling or weight gain related to fluid retention
• more regular and shorter periods and a decrease in the amount of blood you lose each month
• a decrease in anaemia (iron deficiency)
• a decrease in period pain

Some medical conditions such as pelvic inflammatory disease, ovarian cysts, ectopic pregnancy and disorders of the uterus (womb), ovaries and breast are less common in women using oral contraceptives.

When taken correctly, it prevents you from becoming pregnant in several ways:

• inhibiting the egg release by stopping it maturing
• changing the cervical mucus consistency, making it more difficult for the sperm to reach the egg
• changing the lining of the uterus, making it less suitable for Implantation.

YASMIN BRAND (Bayer) (orign: England)  1-month (21 days): $ 11.00
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VISIT YASMIN’s OFFICIAL WEBSITE

PATIENT INFORMATION

  Yasmin Patient Information (338.7 KiB, 26 hits)

MEDICATION GUIDE

  Yasmin Medication Guide (292.5 KiB, 32 hits)

SAFETY INFORMATION

Do not take YASMIN if you:

• have or have had a blood clot in:
  • the blood vessels of the legs (deep vein thrombosis)
  • the lungs (pulmonary embolism)
  • the heart (heart attack)
  • the brain (stroke)
  • other parts of the body.

• are concerned about an increased risk of blood clots. Blood clots are rare. Very occasionally blood clots may cause serious permanent disabilities, or may even be fatal. You are more at risk of having a blood clot when you take the Pill. But the risk when taking the Pill is less than the risk during pregnancy.

• are concerned about an increased risk of blood clots because of age or smoking. The risk of having a heart attack or stroke increases as you get older. It also increases if you smoke. You should stop smoking when using the Pill, especially if you are older than 35 years of age.

• have or have had:
  • angina pectoris or chest pain
  • severe kidney insufficiency or an acute failure of your kidney
  • migraine, accompanied by visual symptoms, speech disability, or weakness or numbness in any part of your body
  • diabetes mellitus with blood vessel damage
  • pancreatitis (an inflammation of the pancreas) associated with high levels of fatty substances in your blood
  • jaundice (yellowing of the skin)
  • severe liver disease cancer that may grow under the influence of sex hormones (e.g. of the breast or the genital organs)
  • benign or malignant liver tumor
  • unexplained vaginal bleeding.
  • are pregnant or think you might be pregnant.

• have an allergy to:
  • ethinyloestradiol and/or drospirenone, the active ingredients in YASMIN
  • any of the ingredients listed

  Some of the symptoms of an allergic reaction may include:

  • shortness of breath
  • wheezing or difficulty in breathing
  • swelling of the face, lips, tongue or other parts of the body
  • rash, itching or hives on the skin.

Before you start taking YASMIN:

• tell your doctor if:
  • you have allergies to any other medicines, foods, preservatives or dyes.
  • you smoke
  • you are overweight
  • you or anyone in your immediate family has had blood clots in the legs (thrombosis), a heart attack, a stroke, breast cancer or high cholesterol.

• tell your doctor if you have, or have had any of the following medical conditions:
  • diabetes
  • high blood pressure
  • heart valve disorders or certain heart rhythm disorders
  • inflammation of your veins (superficial phlebitis)
  • varicose veins
  • migraine
  • epilepsy
  • an increased potassium blood level (e.g. due to problems with your kidney/s) and also use diuretics or other drugs that may increase the potassium in your blood.

• ask your doctor to check if you have:
  • high cholesterol or triglycerides
  • liver disease
  • gall bladder disease
  • Crohn’s disease or ulcerative colitis (chronic inflammatory bowel disease)
  • systemic lupus erythematosus (SLE – a disease affecting the skin all over the body)
  • haemolytic uraemic syndrome (HUS– a disorder of blood coagulation causing failure of the kidneys)
  • sickle cell disease
  • a condition that occurred for the first time, or worsened during pregnancy or previous use of sex hormones (e.g. hearing loss, a metabolic disease called porphyria, a skin disease called herpes gestationis, a neurological disease called Sydenham’s chorea)
  • chloasma (yellowish-brown pigmentation patches on the skin, particularly of the face) – if so, avoid too much exposure to the sun or ultraviolet radiation
  • hereditary angio-oedema – you should see your doctor immediately if you experience symptoms of angio-oedema, such as swollen face, tongue and/or pharynx and/or difficulty swallowing, or hives together with difficulty in breathing.

While you are taking YASMIN:

• Tell any doctors, dentists and pharmacists who treat you that you are taking this medicine.

• Have regular check ups with your doctor When you are taking the Pill, your doctor will tell you to return for regular check ups, including getting a pap smear test. Your doctor will advise how often you need a pap smear test. A pap smear test can detect abnormal cells lining the cervix. Sometimes abnormal cells can progress to cancer.

• If you are going to have surgery, tell the surgeon or anesthetish beforehand that you are taking this medicine. The risk of having deep venous thrombosis is temporarily increased as a result of an operation or immobilisation (for example, when you have your leg or legs in plaster or splints). In women who use the Pill, the risk may be higher. The excess risk of thrombosis is highest during the first year a woman uses a combined oral contraceptive. Your doctor may tell you to stop taking the Pill several weeks before surgery, or at the time of immobilization, and when you can start taking the Pill again. If you notice possible signs of a thrombosis, stop taking the Pill and consult your doctor immediately.

• Consult your doctor if you develop high blood pressure while taking YASMIN – you may be told to stop taking it.

• If you become pregnant while taking this medicine, tell your doctor immediately.

• If you have unexpected bleeding and it continues, becomes heavy, or occurs again, tell you doctor. When taking these tablets for the first few months, you can have irregular vaginal bleeding (spotting or breakthrough bleeding) between your periods. You may need to use sanitary protection, but continue to take your tablets as normal. Irregular vaginal bleeding usually stops once your body has adjusted to the Pill, usually after about 3 months.

• If you have missed a period, but you have taken all your tablets, it is very unlikely that you are pregnant. Provided that:
  • you have taken the light yellow active tablets at the right time
  • you have not been taking medicine(s) that may interfere with YASMIN
  • you have not vomited or had severe diarrhoea during this cycle.

• If you miss your period twice in a row, you may be pregnant and you should seek advice from your doctor. Do not start thenext pack of YASMIN until your doctor has checked that you are not pregnant.

• To protect yourself from STDs, you will need to use additional barrier contraceptives (e.g. condoms). YASMIN will not protect you from HIV-AIDS or any other Sexually Transmitted Diseases (STDs), such as chlamydia, genital herpes, genital warts, gonorrhoea, hepatitis B, human papilloma virus and syphilis.

If this is so, continue to take YASMIN as usual.If you have any concerns consult your doctor or pharmacist.

POSSIBLE SIDE EFFECTS

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking YASMIN.
This medicine helps most people, but it may have unwanted side effects in a few people.  All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.  Do not be alarmed by the following lists of side effects. You may not experience any of them.

►MORE COMMON SIDE EFFECTS

• nausea
• stomach pain
• changes in weight
• headache, including migraines
• mood changes, including depression
• breast tenderness or pain.

These side effects are usually mild and lessen with time.

►VERY SERIOUS SIDE EFFECTS

SEEK IMMEDIATE MEDICAL ATTENTION if you experience any of the following:

• sharp chest pain
• breathlessness and/or difficulty breathing painful swelling in your leg(s)
• weakness, numbness or bad ‘pins and needles’ of an arm or leg
• severe stomach pains
• a bad fainting attack, or you collapse
• unusual headaches or migraines that are worse than usual
• sudden problems with your speech or eyesight
• jaundice (yellowing skin or yellowing eyes)
• you cough up blood
• breast lumps
• unexplained vaginal bleeding.

These side effects are usually mild and lessen with time.

Cancer and the Pill

Breast cancer has been diagnosed slightly more often in women who use the Pill than in women of the same age who do not use the Pill. This slight increase in the numbers of breast cancer diagnoses gradually disappears during the course of the 10 years after women stop using the Pill.

It is not known whether the difference is caused by the Pill. It may be that these women were examined more often, so that the breast cancer was noticed earlier.

In rare cases benign liver tumors and, even more rarely, malignant liver tumours have been reported in users of the Pill. These tumors may lead to internal bleeding. Contact your doctor immediately if you have severe pain in your abdomen.

Cervical cancer has been reported to occur more often in women who have been using the Pill for a long time. This finding may not be caused by the Pill, but may be related to sexual behavior and other factors.

DRUG INTERACTION

Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and Yasmin may interfere with each other. These include:

• medicines used to treat tuberculosis such as rifampicin, rifabutin
• medicines used to treat epilepsy such as phenytoin, primidone, barbiturates (e.g. phenobarbitone), carbamazepine, oxcarbazepine, topiramate, felbamate, lamotrigine
• medicines used to treat HIV, such as ritonavir or nevirapine
• antibiotics (penicillin, ampicillin, erythromycin, tetracycline)
• medicines used to treat fungal infections, such as ketoconazole and griseofulvin
• cyclosporin, an immunosuppressant medicine
• herbal medicines containing St John’s Wort.

These medicines may be affected by Yasmin, or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.

You might have an increase in potassium in the blood if you are taking Yasmin with medicines that may increase potassium levels in the blood. These include:

• medicines used to treat high blood pressure, such as ACE inhibitors, angiotensin-II- receptor antagonists and diuretics
• certain anti-inflammatory medicines, such as indomethacin
  aldosterone antagonists, such as spironolactone and eplerenone.

In a study of women taking drospirenone together with an ACE inhibitor, no significant differences were observed in the potassium levels when compared to the placebo.

You may need to use additional barrier methods of contraception (such as condoms or a diaphragm) while you are taking any of these medicines and for some time after stopping them.  Your doctor will be able to advise you about how long you will need to use additional contraceptive methods.