WARNING

Balziva is a combination birth control pill that contains estrogen and progestin hormones. Like all medications, it comes with potential risks and side effects. Some of the risks associated with taking Balziva include:

• Blood clots: Birth control pills, including Balziva, may increase the risk of blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism). This risk is higher in women who smoke, are overweight, or have a history of blood clots.
• Cardiovascular issues: Some women may experience high blood pressure or develop cardiovascular problems while taking Balziva.
• Stroke: There’s a small risk of stroke associated with birth control pills, particularly in women who have other risk factors such as high blood pressure, smoking, or a history of migraines with aura.
• Liver problems: Rarely, birth control pills like Balziva can cause liver problems, including liver tumors or liver dysfunction.
• Mood changes: Some women may experience mood swings, depression, or anxiety while taking Balziva.
• Nausea and vomiting: These are common side effects of birth control pills and may improve over time or with a change in dosage.
• Other side effects: Other potential side effects of Balziva include breast tenderness, changes in libido, headaches, and breakthrough bleeding.

It’s essential for women considering taking Balziva or any other birth control pill to discuss the potential risks and benefits with their healthcare provider. Additionally, they should be aware of any personal or family history of medical conditions that might increase their risk of experiencing adverse effects.

Why is this medication prescribed?

Balziva is a prescription medication primarily used as a form of hormonal birth control. It contains a combination of two hormones, ethinyl estradiol and norethindrone, which work together to prevent pregnancy. Ethinyl estradiol is a synthetic form of estrogen, while norethindrone is a progestin. Together, these hormones prevent ovulation, thicken cervical mucus to inhibit sperm movement, and thin the lining of the uterus to discourage implantation. Balziva is also sometimes prescribed to regulate menstrual cycles, reduce menstrual cramps, and treat acne. However, its primary use is as a contraceptive.

How should this medicine be used?

Balziva is typically taken orally, once a day, at the same time each day, with or without food. It’s essential to follow the instructions provided by your healthcare provider or the information leaflet that comes with the medication. Here’s a step-by-step guide on how to use Balziva:

• Start on the first day of your menstrual cycle: If you’re starting Balziva for the first time and you’re not switching from another form of hormonal contraception, begin taking the first active pill on the first day of your menstrual period.
• Use backup contraception for the first 7 days: If you start taking Balziva on any day other than the first day of your period, use backup contraception (such as condoms) for the first 7 days of taking the pill to ensure protection against pregnancy.
• Take one pill every day: Take one active pill of Balziva every day at the same time each day, without skipping any doses. It’s helpful to establish a routine for taking your pill, such as with breakfast or before bedtime, to help you remember.
• Follow the pill pack instructions: Balziva typically comes in a 28-day pack, with 21 active pills containing hormones and 7 inactive placebo pills. Take the active pills for 21 days in a row, then take the placebo pills for the next 7 days. During the week of placebo pills, you will likely experience withdrawal bleeding, similar to a period.
• Start a new pack immediately: After finishing the placebo pills, start a new pack of Balziva immediately, even if you’re still experiencing withdrawal bleeding. This ensures continuous contraceptive coverage.
• Be consistent: Consistency is key to the effectiveness of Balziva. Try to take your pill at the same time every day to maintain steady hormone levels in your body.
• Contact your healthcare provider with any concerns: If you have questions or concerns about how to use Balziva, or if you miss a dose, contact your healthcare provider for guidance.

It’s essential to use Balziva exactly as directed by your healthcare provider to maximize its effectiveness in preventing pregnancy and to minimize the risk of side effects. If you have any doubts or questions about using Balziva, don’t hesitate to consult your healthcare provider for clarification.

Other uses for this medicine

In addition to its primary use as a contraceptive, Balziva may also be prescribed for other medical conditions, such as:

• Menstrual cycle regulation: Balziva can help regulate irregular menstrual cycles, making periods more predictable.
• Menstrual cramp reduction: Some women experience less severe menstrual cramps while taking Balziva.
• Acne treatment: Balziva may be prescribed to help reduce acne breakouts in some individuals by regulating hormone levels.

What special precautions should I follow?

When using Balziva, there are several special precautions to keep in mind:

• Regular check-ups: It’s important to have regular check-ups with your healthcare provider while taking Balziva to monitor your health and ensure the medication is working effectively.
• Medical history review: Before starting Balziva, inform your healthcare provider about your complete medical history, including any allergies, medical conditions, and medications you’re currently taking. Certain medical conditions or risk factors may affect your suitability for using Balziva.
• Smoking cessation: If you smoke, talk to your healthcare provider about quitting, as smoking while taking Balziva increases the risk of serious cardiovascular side effects, such as blood clots, stroke, and heart attack.
• Blood pressure monitoring: Balziva may increase blood pressure in some individuals. Regular monitoring of blood pressure is recommended, especially for those with a history of high blood pressure or cardiovascular issues.
• Interactions with other medications: Some medications, such as certain antibiotics and anticonvulsants, may interfere with the effectiveness of Balziva. Inform your healthcare provider about all medications, supplements, and herbal products you’re taking to avoid potential interactions.
• Emergency contraception: Balziva should not be used as a form of emergency contraception. If you have unprotected intercourse or experience a contraceptive failure, speak to your healthcare provider about emergency contraception options.
• Pregnancy and breastfeeding: Balziva should not be used during pregnancy or breastfeeding, as it may harm the developing fetus or infant. If you become pregnant while taking Balziva, discontinue use and contact your healthcare provider immediately.
• Side effect monitoring: Be vigilant for any potential side effects while taking Balziva and report them to your healthcare provider promptly. These may include mood changes, nausea, breast tenderness, or irregular bleeding.

By following these precautions and staying in communication with your healthcare provider, you can ensure safe and effective use of Balziva for your specific needs.

What special dietary instructions should I follow?

Regarding special dietary instructions, there are generally no specific dietary restrictions associated with taking Balziva. However, it’s essential to maintain a healthy diet and lifestyle to support overall health and well-being.

What should I do if I forget a dose?

If you forget to take a dose of Balziva, follow these guidelines:

• Missed One Pill: If you miss one active pill, take it as soon as you remember, even if it means taking two pills in one day. Continue taking one pill per day at your regular time. Use additional contraception (such as condoms) if you have sex during the next 7 days.
• Missed Two or More Pills in a Row: If you miss two or more active pills in a row during the first or second week of your cycle, take two pills per day for two days to catch up and then continue taking one pill per day. Use additional contraception (such as condoms) if you have sex during the next 7 days. If you miss two or more active pills in a row during the third week of your cycle, discard the remaining pills in the pack and start a new pack immediately. You may experience breakthrough bleeding or spotting.
• Missed Inactive (Reminder) Pills: If you miss one or more inactive pills (reminder pills), discard the missed pills and continue taking one pill per day at your regular time.

What side effects can this medication cause?

Balziva, like all hormonal contraceptives, can cause side effects in some individuals. Common side effects of Balziva may include:

• Nausea: Some people may experience mild to moderate nausea, especially when first starting Balziva. Taking the pill with food or at bedtime may help alleviate this symptom.
• Headaches: Headaches, including migraines, are a common side effect of hormonal contraceptives like Balziva. If headaches become severe or persistent, consult your healthcare provider.
• Breast tenderness: Some individuals may experience breast tenderness or swelling while taking Balziva.
• Changes in menstrual bleeding: Balziva can cause changes in menstrual bleeding patterns, including spotting between periods, lighter or heavier periods, or irregular bleeding. These changes usually resolve within a few months of starting the medication.
• Mood changes: Some individuals may experience mood swings, irritability, or changes in mood while taking Balziva. If mood changes are severe or persistent, consult your healthcare provider.
• Weight changes: While some people may experience weight gain while taking Balziva, others may experience weight loss. These changes are usually mild and may not be directly caused by the medication.
• Decreased libido: Some individuals may experience a decrease in sexual desire while taking Balziva.
• Skin changes: Balziva may cause changes in skin pigmentation, acne, or increased facial hair growth in some individuals.
• Vaginal discharge: Some individuals may experience changes in vaginal discharge while taking Balziva.
• Other less common side effects: Less common side effects of Balziva may include changes in appetite, bloating, dizziness, or changes in hair growth.

It’s important to note that while these side effects can occur, not everyone will experience them, and many individuals tolerate Balziva well. If you experience severe or persistent side effects while taking Balziva, or if you have any concerns about the medication, don’t hesitate to contact your healthcare provider. They can provide guidance and support to help manage any side effects you may be experiencing.

What should I know about storage and disposal of this medication?

When it comes to storage and disposal of Balziva:

• Storage: Keep Balziva at room temperature away from moisture, heat, and light. Avoid storing it in the bathroom or kitchen where it could be exposed to moisture. Make sure to keep it out of reach of children and pets.
• Disposal: Do not flush Balziva down the toilet or pour it down the drain unless instructed to do so. Instead, check with your pharmacist or local waste disposal company for proper disposal instructions. Some communities have drug take-back programs for safe disposal of medications.

In case of emergency/overdose

• Emergency assistance: If you suspect an overdose of Balziva or experience severe symptoms such as severe nausea, vomiting, sudden dizziness, or fainting, seek emergency medical attention immediately.
• Poison control: If you believe someone has overdosed on Balziva, contact your local poison control center or emergency room for guidance.

What other information should I know?

• Effectiveness: Balziva is most effective when taken consistently and according to the prescribed schedule. Missing doses or taking them inconsistently can decrease its effectiveness in preventing pregnancy.
• Regular check-ups: It’s important to have regular check-ups with your healthcare provider while taking Balziva to monitor your health and ensure the medication is working effectively.
• Follow-up appointments: Your healthcare provider may schedule follow-up appointments to assess your response to Balziva and discuss any concerns or side effects you may be experiencing.
• Medical history review: Before starting Balziva, inform your healthcare provider about your complete medical history, including any allergies, medical conditions, and medications you’re currently taking. This information will help determine if Balziva is suitable for you.
• Interactions with other medications: Balziva may interact with certain medications, including some antibiotics and anticonvulsants, which can affect its effectiveness. Inform your healthcare provider about all medications, supplements, and herbal products you’re taking to avoid potential interactions.
• Pregnancy risk: Balziva is not intended for use during pregnancy and should not be used as a form of emergency contraception. If you become pregnant while taking Balziva, discontinue use and contact your healthcare provider immediately.
• Breastfeeding: Balziva may pass into breast milk and could harm a nursing infant. Consult your healthcare provider before using Balziva while breastfeeding.

By being aware of these storage and disposal guidelines, knowing how to respond in case of emergency or overdose, and understanding important information about Balziva, you can use the medication safely and effectively with guidance from your healthcare provider.