
The
following information is a summary about Yasmin.
It is not intended to replace a doctor's instructions.
Yasmin USES
Oral contraceptives (birth-control pills) are used
to prevent pregnancy. Estrogen and progestin are
two female sex hormones. Combinations of estrogen
and progestin work by preventing the release of eggs
from the ovaries (ovulation) and changing the cervical
mucus and the lining of the uterus. Oral contraceptives
are a very effective method of birth control, but
they do not prevent the spread of AIDS and other
sexually transmitted diseases.
Yasmin DIRECTIONS
Oral contraceptives come in packets of 21 or 28 tablets
to take by mouth once a day. To avoid upset stomach,
take oral contraceptives with food or milk. Take
the tablet routinely at the same time every day (e.g.,
after dinner or at bedtime) to help you remember
to take the tablet regularly. Missing doses increases
your risk of becoming pregnant. When first starting
on Yasmin, use an additional method of birth control
until you have correctly taken 7 days' worth of medicine.
If you have a 21-tablet packet, take one tablet daily
for 21 days and then none for seven days. Then start
a new packet. If you have a 28-tablet packet, take
one tablet daily for 28 days. The last seven tablets
are a different color. These tablets are not birth-control
pills; they contain iron (ferrous fumarate) or an
inactive ingredient. You should take one tablet daily
continuously for 28 days in the order specified in
your packet, starting a new packet the day after
taking your 28th tablet. Follow the directions on
your prescription label carefully concerning when
to take your first tablet (on the first or fifth
day of your menstrual period or on the first Sunday
after or on which bleeding begins). Take the oral
contraceptive exactly as directed. Do not take more
or less of it or take it more often than prescribed
by your doctor. Do not stop taking Yasmin without
talking to your doctor. If you have recently given
birth, wait until 4 weeks after giving birth to begin
taking oral contraceptives. Before taking oral contraceptives,
ask your pharmacist or doctor for a copy of the manufacturer's
information for the patient and read it carefully.
Yasmin SIDE EFFECTS
Oral contraceptives may cause side effects. Tell
your doctor if any of these symptoms are severe or
do not go away: * upset stomach * vomiting * stomach
cramps or bloating * diarrhea * constipation * gingivitis
(swelling of the gum tissue) * weight gain or weight
loss * brown or black skin patches * acne * swelling
of the hands, feet, or lower legs (fluid retention)
* hair growth in unusual places * bleeding or spotting
between menstrual periods * changes in menstrual
flow * painful or missed periods * breast tenderness,
enlargement, or discharge * difficulty wearing contact
lenses Some side effects can be seious. The following
symptoms are uncommon, but if you experience any
of them, call your doctor immediately: * severe headache
* shortness of breath * severe vomiting * partial
or complete loss of vision * double vision * speech
problems * dizziness or faintness * weakness or numbness
of an arm or leg * crushing chest pain or chest heaviness
* coughing up blood * calf pain * severe stomach
pain * yellowing of the skin or eyes * severe depression
* unusual bleeding * loss of appetite * extreme tiredness,
weakness, or lack of energy * fever * dark-colored
urine * light-colored stool * rash Oral contraceptives
may increase the risk of developing endometrial and
breast cancer, gallbladder disease, liver tumors,
heart attack, stroke, and blood clots. Talk to your
doctor about the risks of taking Yasmin. Oral contraceptives
may cause other side effects. Call your doctor if
you have any unusual problems while taking Yasmin.
Yasmin PRECAUTIONS
Tell your doctor your medical history, especially
of: kidney disease, liver disease, seizure disorder,
lung disease, history of drug or alcohol dependency,
any allergies you may have. Limit alcohol as it may
add to the dizziness or drowsiness effects caused
by Yasmin. Because this drug may make you dizzy/drowsy,
use caution performing tasks requiring alertness
such as driving. Caution is advised when using this
drug in the elderly because they may be more sensitive
to the effects of the drug. Yasmin should be used
only when clearly needed during pregnancy. Discuss
the risks and benefits with your doctor. Yasmin is
excreted into breast milk. Because the effects on
a nursing infant are not known, consult your doctor
before breast- feeding.
Yasmin DRUG INTERACTIONS
Before taking oral contraceptives, * tell your doctor
and pharmacist if you are allergic to estrogen, progestin,
or any other medications. * tell your doctor and
pharmacist what prescription and nonprescription
medications, vitamins, and nutritional supplements
you are taking. Be sure to mention any of the following:
acetaminophen (APAP, Tylenol); antibiotics; anticoagulants
('blood thinners') such as warfarin (Coumadin); atorvastatin
(Lipitor); clofibrate (Atromid-S); cyclosporine (Neoral,
Sandimmune); griseofulvin (Fulvicin, Grifulvin, Grisactin);
HIV protease inhibitors such as indinavir (Crixivan)
and ritonavir (Norvir); medications for seizures
such as carbamazepine (Tegretol), phenobarbital (Luminal,
Solfoton), phenytoin (Dilantin), and topiramate (Topamax);
morphine (Kadian, MS Contin, MSIR, others); oral
steroids such as dexamethasone (Decadron, Dexone),
methylprednisolone (Medrol), prednisone (Deltasone),
and prednisolone (Prelone); phenylbutazone; rifabutin
(Mycobutin); rifampin (Rifadin, Rimactane); temazepam
(Restoril); theophylline (Theobid, Theo-Dur); and
thyroid medication such as levothyroxine (Levothroid,
Levoxyl, Synthroid). Before taking Yasmin, tell your
doctor and pharmacist if you are taking angiotensin-converting
enzyme (ACE) inhibitors such as benazepril (Lotensin),
enalapril (Vasotec), and lisinopril (Prinivil, Zestril);
angiotensin II antagonists such as irbesartan (Avapro),
losartan (Cozaar), and valsartan (Diovan); aspirin
and other nonsteroidal anti-inflammatory medications
(NSAIDS) such as ibuprofen (Advil, Motrin) and naproxen
(Aleve, Naprosyn); diuretics ('water pills') such
as amiloride (Midamor), spironolactone (Aldactone),
and triamterene (Dyrenium); or heparin. Your doctor
may need to change the doses of your medications
or monitor you carefully for side effects. * tell
your doctor what herbal products you are taking,
especially St. John's wort. * tell your doctor if
you have or have ever had breast lumps or cancer;
endometrial cancer; high blood pressure; high blood
cholesterol and fats; diabetes (high blood sugar);
asthma; stroke; blood clots; toxemia (high blood
pressure during pregnancy); heart attack; epilepsy
(seizures); migraine headaches; depression; liver,
heart, gallbladder, or kidney disease; adrenal insufficiency
(for Yasmin); jaundice (yellowing of the skin or
eyes); vaginal bleeding between menstrual periods;
and excessive weight gain and fluid retention (bloating)
during the menstrual cycle. * do not take oral contraceptives
if you are pregnant, plan to become pregnant, or
are breast-feeding. If you become pregnant while
taking oral contraceptives, call your doctor immediately.
* if you are having surgery, including dental surgery,
tell the doctor or dentist that you are taking oral
contraceptives. * tell your doctor and pharmacist
if you wear contact lenses. If you notice changes
in vision or ability to wear your lenses while taking
hormone replacement therapy, see an eye doctor.
Yasmin OVERDOSE
In case of overdose, call your local poison control
center at 1-800-222-1222. If the victim has collapsed
or is not breathing, call local emergency services
at 911.
Yasmin NOTES
Cigarette smoking increases the risk of serious side
effects from oral contraceptives, including heart
attacks, blood clots, and strokes. This risk is higher
for women over 35 years old and heavy smokers (15
or more cigarettes per day). If you take oral contraceptives,
you should not smoke. Keep all appointments with
your doctor and the laboratory. You should have a
complete physical examination every year, including
blood pressure measurements, breast and pelvic exams,
and a Pap test. Follow your doctor's directions for
examining your breasts; report any lumps immediately.
Before you have any laboratory tests, tell the laboratory
personnel that you take oral contraceptives, as Yasmin
may interfere with some laboratory tests. If you
miss one menstrual period and have taken your tablets
as directed, continue taking them. However, if you
miss one period and have not taken your tablets as
directed or if you miss two menstrual periods and
have taken the tablets as directed, call your doctor
and use another method of birth control until you
have a pregnancy test. If you wish to stop taking
oral contraceptives and become pregnant, use another
method of birth control for at least 3 months after
you stop taking the tablets to be sure that the medication
will not harm the fetus. It may take a long time
for you to become pregnant after you stop taking
oral contraceptives, especially if you have never
had a baby or if you had irregular, infrequent, or
complete absence of menstrual periods before taking
oral contraceptives. Questions should be discussed
with your doctor. Do not let anyone else take your
medication. Ask your pharmacist any questions you
have about refilling your prescription.
MISSED DOSE
If you miss doses of your oral contraceptive, you
may be at risk for becoming pregnant. Instructions
about missed doses are different for different products.
Carefully read the instructions in the manufacturer's
information for the patient. If you have any questions,
call your doctor or pharmacist. If you miss pills,
you may need to use a backup method of birth control
for 7 days or until the end of the cycle.
Yasmin STORAGE
Store Yasmin in the packet it came in, tightly closed,
and out of reach of children. Store it at room temperature
and away from excess heat and moisture (not in the
bathroom). Throw away any medication that is outdated
or no longer needed. Talk to your pharmacist about
the proper disposal of your medication.