Drug Uses
Yasmin is a birth control pill used to prevent pregnancy. Yasmin differs from other birth control pills because it contains a progestin hormone called drospirenone. It does not protect against HIV infection (AIDS) and other sexually transmitted diseases.
How Taken
This oral contraceptive comes in a packet of 28 tablets. The first 21 tablets are the active pills; they contain the active ingredients (hormones) ethinyl estradiol and drospirenon. The last seven tablets in a 28-tablet packet are the reminder pills; they are different in color and do not contain any hormone. Day 1 start: Take the first active pill of the first pack during the first 24 hours of your period. You will not need to use a back-up method of birth control, since you are starting the pill at the beginning of your period.
Sunday start: Take the first active pill of the first pack on Sunday after your period starts, even if you are still bleeding. If your period starts on Sunday, start the pack that same day. Use another method of birth control (such as condoms or spermicides) if you have sex during 7 days after you start your first packet.
Warnings/Precautions
Do not take Yasmin without first talking to your doctor if you have had a stroke, heart attack, or blood clot; high blood pressure, angina, or heart disease; a bleeding or blood-clotting disorder; breast, uterine, or another hormone-related cancer; or undiagnosed, abnormal vaginal bleeding.
Before taking Yasmin, also tell your doctor if you have diabetes; high cholesterol; gallbladder disease; migraines or other headaches; epilepsy; a history of depression; a history of scanty or irregular menstrual periods; smoke cigarettes; or need an extended period of bed rest due to surgery or illness.
Yasmin is in the FDA pregnancy category X. This means that it has been reported to cause birth defects in an unborn baby. Hormonal changes during pregnancy can have very serious negative effects on a developing baby. Do not take drospirenone and ethinyl estradiol if you are pregnant or if you think you might be pregnant.
Yasmin passes into breast milk and may decrease milk production. Do not take Yasmin without first talking to your doctor if you are breast-feeding a baby.
Avoid smoking. Smoking greatly increases the risk of heart attack, stroke, or blood clot formation.
Missed Dose
If you MISS 1 yellow active pill:
-Take it as soon as you remember. Take the next pill at your regular time.
This means you may take two pills in one day.
-You do not need to use a back-up birth control method if you have sex.
If you MISS 2 yellow active pills in a row in WEEK 1 OR WEEK 2 of your pack:
-Take two pills on the day you remember and two pills the next day.
-Then take one pill a day until you finish the pack.
-You MAY BECOME PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.
If you MISS 2 yellow active pills in a row in the 3RD WEEK:
-If you are a Day 1 Starter:
THROW OUT the rest of the pill pack and start a new pack that same day.
If you are a Sunday Starter:
Keep taking one pill every day until Sunday. On Sunday, THROW OUT the rest of the pack and start a new pack of pills that same day.
-You may not have your period this month but this is expected. However, if you miss your period two months in a row, call your doctor or clinic because you might be pregnant.
-You MAY BECOME PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.
If you MISS 3 OR MORE yellow active pills in a row (during the first
3 weeks).
- If you are a Day 1 Starter:
THROW OUT the rest of the pill pack and start a new pack that same day.
If you are a Sunday Starter:
Keep taking 1 pill every day until Sunday. On Sunday, THROW OUT the rest of the pack and start a new pack of pills that same day.
-You may not have your period this month but this is expected. However, if
you miss your period two months in a row, call your doctor or clinic because you might be pregnant.
-You MAY BECOME PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicides) as a back-up for those 7 days.
Possible Side Effects
VAGINAL BLEEDING
Irregular vaginal bleeding or spotting may occur while you are taking the pills. Irregular bleeding may vary from slight staining between menstrual periods to breakthrough bleeding, which is a flow much like a regular period. Irregular bleeding occurs most often during the first few months of oral contraceptive use, but may also occur after you have been taking the pill for some time. Such bleeding may be temporary and usually does not indicate any serious problems. It is important to continue taking your pills on schedule. If the bleeding occurs in more than one cycle or lasts for more than a few days, talk to your doctor or healthcare provider.
CONTACT LENSES
If you wear contact lenses and notice a change in vision or an inability to wear your lenses, contact your doctor or healthcare provider.
FLUID RETENTION
Oral contraceptives may cause edema (fluid retention) with swelling of the fingers or ankles and may raise your blood pressure. If you experience fluid retention, contact your doctor or healthcare provider.
MELASMA
A spotty darkening of the skin is possible, particularly of the face.
OTHER SIDE EFFECTS
Other side effects may include change in appetite, headache, nervousness, and depression, and dizziness, loss of scalp hair, rash, and vaginal infections. If any of these side effects bother you, call your doctor or healthcare provider.
Storage
Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F).
Overdose
Serious ill effects have not been reported following acute ingestion of large doses of other oral contraceptives by young children. Over dosage may cause nausea, and withdrawal bleeding may occur in females. Drospirenone, however, is a spironolactone analogue, which has antimineralocorticoid properties. Serum concentration of potassium and sodium, and evidence of metabolic acidosis, should be monitored in cases of overdose.
More Information
Your healthcare provider will take a medical and family history before prescribing oral contraceptives and will examine you. The physical examination may be delayed to another time if you request it and the healthcare provider believes that it is appropriate to postpone it. You should be re-examined at least once a year. Be sure to inform your healthcare provider if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your healthcare provider, because this is a time to determine if there are early signs of side effects of oral contraceptive use. Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth-control pills.
Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
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Q: What happens when I submit my Yasmin order?
A: Your order is dispatched through our order system to a licensed physician who will review the information you have submitted and approve or decline your request of Yasmin. When your order is approved, the physician will then write your prescription and our ordering system will ensure that it is sent to the pharmacy where it will be filled and shipped.
What kind of birth control is right for me?
The type of birth control you choose depends on your needs. Some people only need to prevent pregnancy. Other people may also want to protect themselves or their partners from diseases that can be passed by having sex. These diseases are called sexually transmitted diseases (STDs). Some STDs include acquired immunodeficiency syndrome (AIDS), chlamydia, herpes, genital warts, gonorrhea and syphilis.
Talk with your family doctor about the pros and cons of each birth control option.
Is saying "no" really an option?
Yes. The risk of getting pregnant or catching an STD may outweigh the pleasure you get from sex. The only way to make sure you don't get pregnant, get someone pregnant or get an STD is not to have sex at all.
What are barrier methods?
Barrier methods include the diaphragm, the cervical cap and condoms. These methods prevent pregnancy by blocking sperm from getting into the uterus. Barrier methods must be used every time you have sexdiaphragm - cervical cap.
A woman must visit her doctor to be fitted for a diaphragm or a cervical cap.
Using a diaphragm may increase the risk of urinary tract infections in some women.
Are condoms a good choice?
Yes. Condoms aren't expensive, and they are widely available. Condoms are an especially good choice if you or your partner are also having sex with other people or if either of you has had sex with other people in the past.
Condoms offer the most protection against STDs. Using a spermicide with condoms can offer better protection against pregnancy, but it does not increase your protection against STDs . Spermicides containing nonoxynol-9 can cause genital irritation and increase your risk of catching an STD.
Female condoms aren't as effective as male condoms, but they may be a good choice if a man won't use a male condom.
What about the pill?
Birth control pills work mostly by preventing ovulation (the release of an egg by the ovaries). Most pills are made of two hormones called estrogen and progestin. For the pill to work, you have to take it every day.
Some common side effects of birth control pills are nausea, headaches, breast swelling, water retention, weight gain and depression. The pill may reduce cramping and shorten the number of days of bleeding during the menstrual period. The pill may also help premenstrual syndrome (PMS). Women who take the pill should not smoke.
What about the patch?
The hormonal birth control patch (brand name: Ortho Evra) uses estrogen and progestin to prevent pregnancy. It is applied to 1 of 4 places -- the buttocks, abdomen, upper torso or outer arm. The patch is used on a 4-week cycle. You put on a new patch once a week for 3 weeks. During the 4th week, you don't use a patch, and your period will start.
The patch's side effects are similar to those of the pill. Women who use the patch should not smoke.
What is the vaginal contraceptive ring?
The vaginal contraceptive ring (brand name: NuvaRing) is a thin, flexible ring that is inserted into the vagina. It releases hormones that keep you from getting pregnant. These hormones are the same ones used in most birth control pills. The ring is left in the vagina for 3 weeks. It doesn't have to be in a specific position in the vagina. After 3 weeks, you remove the ring, and your period will start. After 7 days, you insert a new ring.
If the ring is out of your vagina for more than 3 hours, it may not work effectively when you put it back in. To protect against pregnancy, you will need to use another form of birth control until the ring has been in all the time for 7 days in a row.
Women who use the vaginal ring should not smoke.
What about hormone shots and implants?
Hormone shots (brand names: Depo-Provera, Lunelle) work much like the pill to prevent pregnancy. They may have some side effects, such as headaches and changes in your period, mood and weight. A Depo-Provera shot prevents pregnancy for 3 months. A Lunelle shot prevents pregnancy for 1 month.
Hormone implants (brand name: Norplant System) are no longer available. If you are currently using hormone implants, you should talk to your doctor to see what your birth control options will be when your hormone implants expire. The implants prevent pregnancy for 5 years, but you can have them removed at any time.
What about an IUD?
"IUD" stands for "intrauterine device." An IUD is put in a woman's uterus by her doctor. It's made of flexible plastic. It isn't known exactly how IUDs prevent pregnancy. They seem to stop sperm from reaching the egg or prevent the egg from attaching to the uterus.
Some IUDs used in the past were related to serious health problems. Today IUDs are safer, but they still have some risks. Most doctors prefer to use IUDs only in women who have already had a baby. Side effects of IUDs include heavier bleeding and stronger cramps during periods.
What about being sterilized?
Sterilization is when a man or woman has an operation to permanently prevent pregnancy. If you're sure that you don't want to have children or you don't want more children, sterilization may be the right choice for you.
Tubal ligation (also called "getting your tubes tied") involves closing off a woman's fallopian tubes so eggs can't travel through them to reach the uterus. A device called Essure can also be used to close off a woman's fallopian tubes. Essure is a metal coil that is inserted into your fallopian tubes by your doctor.
Men are sterilized with a vasectomy. The man's vas deferens (sperm ducts) are closed off so sperm can't get through.
What is natural family planning?
Natural family planning requires a couple to learn when in the woman's cycle she can get pregnant (usually 4 days before and 2 days after ovulation). They must use a barrier method of birth control or not have intercourse during those days. There are a number of ways to keep track of a woman's ovulation. All of them require a lot of planning and commitment.
Is withdrawal effective?
No. When a man tries to pull out before ejaculating ("coming"), he usually leaves behind a small amount of fluid that leaks from the penis during sex. This fluid has enough sperm in it to cause pregnancy.
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