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Generic Yasmin (Drospirenone and Ethinyl Estradiol) is a birth control pill used to prevent pregnancy.

Yasmin differs from other birth control pills because it contains a progestin hormone called drospirenone.

The dosage of Yasmin, for the initial cycle of therapy is one active tablet administered daily from the 1st day through the 21st day of the menstrual cycle. Tablets are taken with-out interruption for 21 days.

Then make an interruption for 7 days.

After 28 days a new course is started the next day

Yasmin is a combined oral contraceptive (often called "the Pill").

Each small hormonal tablet contains a small amount of two different female hormones.

These are drospirenone (a progestogen hormone) and ethinylestradiol (an estrogen). Because of the small amount of hormones, Yasmin is considered a low-dose combined oral contraceptive preparation.

Yasmin also contains 7 small white non-hormonal tablets that do not contain any active ingredients.

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Yasmin

Drospirenone 3mg and Ethinylestradiol 30mcg tablets

Please read this carefully before you start using Yasmin. It will advise you about how to take Yasmin properly and when to tell your doctor about health-related conditions. If you have any questions or need more advice, ask your doctor, professional health care provider or pharmacist.
This preparation has been prescribed for you personally and you should not pass it on to others. It may harm them.

How does Yasmin work?

When and how to take the Yasmin tablets

The Yasmin pack contains 21 small round light yellow tablets and 7 small white non-hormonal tablets. On the pack each tablet is marked with the day of the week on which it is to be taken. Take your tablet at about the same time each day, with some water if necessary. Follow the direction of the arrows until all the tablets have been taken. A period (the withdrawal bleed) should begin during the 7 days of taking the small white non-hormonal tablets. Start taking your next pack on the very next day after you have completed your last pack. This means that you will always start new packs on the same day of the week, and also that you will have your withdrawal bleed on about the same day each month.

Starting your first pack of Yasmin

When no hormonal contraceptive has been used in the past month
Start taking Yasmin on the first day of your cycle, i.e. the first day of menstrual bleeding. Take a tablet marked with that day of the week. Take your first tablet from the green section of the pack. For example, if your period starts on a Monday, take the tablet marked Monday from the green section of the pack. Then follow the days in order of the directional arrows. When you start taking Yasmin your very first cycle may be shorter than usual. If you start on the first day of your cycle you will be immediately protected from pregnancy and there is no need to use additional barrier contraceptive methods. You may also start on days 2-5 of your cycle, but in that case make sure you also use an additional contraceptive method for the first 7 days of tablet taking in the first cycle.

When changing from a combined Pill

You can start taking Yasmin the day after you take the last tablet from your present Pill pack (this means no tablet-free break). Take your first tablet from the green section marked with that day of the week. If your present Pill pack also contains non-hormonal tablets you can start Yasmin on the day after taking the last hormonal tablet (if you are not sure which this is, ask your doctor or pharmacist). A withdrawal bleed may not occur until the end of the first pack of Yasmin.

When changing from a progestogen-only Pill (minipill)

You can stop taking the minipill any day and start taking Yasmin the next day, at the same time. Take your first tablet from the green section marked with that day of the week. But make sure you also use an additional contraceptive method (a barrier method) for the first 7 days of tablet taking when having intercourse.

When changing from an injectable or implant

Start using Yasmin when your next injection is due or on the day that your implant is removed. Take your first tablet from the green section marked with that day of the week. But make sure you also use an additional contraceptive method (a barrier method) for the first 7 days of tablet taking when having intercourse.

After having a baby

If you have just had a baby, your doctor may tell you to wait until after your first normal period before you start taking Yasmin. Sometimes it is possible to start sooner. Your doctor will advise you. If you are breast-feeding and want to take Yasmin, you should discuss this first with your doctor.

After a miscarriage or an abortion

Your doctor will advise you.

Special circumstances

The following describes special circumstances that could alter the way you take Yasmin. In all situations where the reliability of Yasmin is reduced (such as missing tablets) additional contraceptive precautions are required following the advice given below. This advice should also be followed in situations where other medicines may stop Yasmin from working properly and in the case of vomiting after taking Yasmin.

If you forget to take your Yasmin tablets

If you have forgotten more than one tablet in a pack, ask your doctor, pharmacist or healthcare provider for advice.

If you forget to take a tablet, follow the instructions below

If you have forgotten to take one or more of the small white non-hormonal tablets - there is no need to be concerned, simply take your next tablet, the next day as usual and discard the forgotten non-hormonal tablet to avoid confusion.

If you are less than 12 hours late in taking one of the light yellow hormonal Yasmin tablets, you are still protected against pregnancy. Take the tablet as soon as you remember and take the next one at your usual time. This may mean that you are taking 2 tablets in one day.

If you are more than 12 hours late in taking one of your light yellow hormonal Yasmin tablets you may not be protected. Take the last tablet as soon as you remember and take the next one at your normal time. This may mean taking 2 tablets in one day. You must take extra contraceptive precautions for the next 7 days. The more tablets you have missed, the higher the risk that the contraceptive effect is decreased. There is a particularly high risk of becoming pregnant if you miss tablets immediately before or after taking the non-hormonal tablets.

1 tablet missed in week 1
Take the missed tablet as soon as you remember (even if this means taking two tablets at the same time) and take the next tablets at the usual time. Use extra contraceptive precautions (barrier method) for the next 7 days.
If you had sexual intercourse in the week before missing the tablet, there is a possibility of becoming pregnant. So tell your doctor immediately.

1 tablet missed in week 2
Take the missed tablet as soon as you remember (even if this means taking two tablets at the same time) and take the next tablets at the usual time. The reliability of the Pill is maintained. You need not use extra contraceptive precautions.

1 tablet missed in week 3

You may choose either of the following options, without the need for extra contraceptive precautions.

Take the missed tablet as soon as you remember (even if this means taking two tablets at the same time) and take the next tablets at the usual time. Discard your current pack as soon as you reach the non-hormonal tablets and start the next pack the next day. You may not have a withdrawal bleed until the end of the second pack but you may have spotting or breakthrough bleeding on tablet-taking days.
or

Stop taking tablets from your current pack, have a tablet-free break of 7 days or less (also count the day you missed your tablet) and continue with the next pack.
If you have forgotten tablets in a pack and you do not have the expected period while taking the non-hormonal tablets of your next pack, you may be pregnant. Consult your doctor before you start your next pack.

If you vomit or have severe diahorrea after taking Yasmin

If you vomit within 3 to 4 hours after taking your Yasmin, the active ingredients may not have been completely absorbed. This is like missing a tablet. Therefore, follow the advice for missed tablets. If you have severe diarrhea, please contact your doctor. Vomiting or diahorrea while taking the non-hormonal tablets does not have an influence on the contraceptive reliability.

If you are taking medicines that affect Yasmin

Some oral medicines may stop Yasmin from working properly. These medicines are listed in an earlier section. For the time that you are taking the medicine and for the next 7 days follow the advice for missed tablets. If you are taking rifampicin, or you are taking these medicines continuously, your doctor will advise you on the length of time you need to take extra contraceptive precautions

If you want to delay a period
You can delay your period if you miss out the white non-hormonal tablets and go straight to the light yellow hormonal tablets in the green section of your next pack. Continue with this pack until this pack is empty. Your period will start while you are taking the white non-hormonal tablets in the next pack. You may have some breakthrough bleeding or spotting while you are taking the light yellow hormonal tablets.

If you want to change the starting day of your period
If you take your tablets as directed, you will have your period on about the same day every 4 weeks. If you want to change this, just shorten, (never lengthen) the duration of taking the white non-hormonal tablets. If you make the duration of taking the white non-hormonal tablets very short (e.g. 3 days or less), you may not have a bleeding during the break. You may have some breakthrough bleeding or spotting during the use of the next pack.

If you have unexpected bleeding
As with other Pills, for the first few months, you can have irregular vaginal bleeding (spotting or breakthrough bleeding) with Yasmin 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 Yasmin (usually after about 3 tablet-taking cycles). If it continues, becomes heavy or starts again, tell your doctor.

If you have missed a period
If you have taken all of your tablets at the right time, and you have not vomited or used other medicines, then you are very unlikely to be pregnant. Continue to take Yasmin as usual.
If you miss your period twice in a row, you may be pregnant. Tell your doctor immediately. Do not start the next pack of Yasmin until your doctor has checked you are not pregnant.

Overdosage with Yasmin

There have been no reports of serious harmful effects from taking too many Yasmin tablets at one time. If you have taken several tablets at a time, you may have nausea, vomiting or vaginal bleeding. If you discover that a child has taken Yasmin, ask your doctor for advice.

When using Yasmin

Tell your doctor immediately if:

You should stop treatment and see your doctor immediately if you get a blood clot while you are taking Yasmin.

Warning signs to look out for are:

an unusual cough
severe pain in the chest which may reach the left arm
breathlessness
any unusual, severe, or prolonged headache or migraine attack
partial or complete loss of vision, or double vision
slurring or speech disability
sudden changes to your hearing, sense of smell, or taste
dizziness or fainting
weakness or numbness in any part of your body
severe pain in your abdomen
severe pain or swelling in either of your legs
Tell your doctor if:
Contact your doctor as soon as possible if:
you notice any changes in your own health, especially involving any of the items mentioned in this leaflet; do not forget about the items related to your immediate family
you feel a lump in your breast
you are going to use other medications
you are to be immobilised or are to have surgery (consult your doctor at least four weeks in advance)
you have unusual, heavy vaginal bleeding
you forgot tablets in the first week of the pack and had intercourse in the seven days before
you miss your period twice in a row or suspect you are pregnant (do not start the next pack until told to by your doctor)
Regular check-ups
When you are using Yasmin, your doctor will tell you to return for regular check-ups. In general, you should have a check-up every year.

Side effects of Yasmin

Tell your doctor if you notice any unwanted effect, especially if severe or persistent, or if there is a change in your health that you think might be caused by Yasmin.

Serious side effects of Yasmin

Serious reactions associated with the use of combined oral contraceptives such as Yasmin, as well as the related symptoms, are described in the section "Before you use Yasmin". Please read this section carefully and consult your doctor where appropriate.

Other possible side effects of Yasmin

The following have been reported in users of combined oral contraceptives such as Yasmin, although they may not be caused by the contraceptive Pill. Such undesirable effects that occur in the first few months that you are using Yasmin will probably lessen with time.

breast tenderness, enlargement, pain and secretion
dizziness, headache; migraine
nervousness
changes in sexual drive; depressive moods/mood changes
changes in the cornea of the eye, contact lens intolerance, disease of the nerves of the eye (optic neuritis)
nausea, abdominal pain, vomiting and feeling sick
changes in vaginal secretion, bleeding between periods, vaginal thrush
rash, urticaria, certain skin disorders (erythema nodosum or erythema multiforme), acne
fluid retention
changes in body weight
reduced carbohydrate tolerance
hypertension
hypersensitivity reactions

Yasmin and breast-feeding

Yasmin is generally not recommended for use during breast-feeding. If you wish to take the Pill while breast-feeding, please seek the advice of your doctor.

Yasmin and pregnancy

Yasmin must not be used by women who are pregnant, or who think they may be pregnant. If you suspect that you are pregnant while you are already using Yasmin ED, you should consult your doctor as soon as possible.

Storage of Yasmin

Do not use after the expiry date stated on the package.

Store all drugs properly and keep them out of reach of children.

Yasmin tablets contain:
active substances (per tablet)

drospirenone (3mg) and ethinylestradiol (0.03mg)

other substances

lactose monohydrate, maize starch (corn starch), modified starch (pregelatinised starch), povidone 25 000, magnesium stearate, hydroxylpropylmethyl cellulose, macrogol 6000, talc, titanium dioxide, ferric oxide pigment (yellow)

If you have any further questions please consult your doctor or pharmacist.

Yasmin