Why is this medication prescribed?

Progestin-only oral contraceptives, such as those containing drospirenone, are prescribed primarily for women who are unable to take estrogen-containing contraceptives due to medical reasons or personal preferences. These contraceptives work primarily by thickening cervical mucus, which makes it difficult for sperm to reach the egg, and in some cases, they also suppress ovulation.

How should this medicine be used?

Here’s how progestin-only oral contraceptives containing drospirenone are typically used:

• Consistency is Key: It’s important to take the pill at the same time every day to maintain its effectiveness. Setting an alarm or incorporating it into a daily routine can help with consistency.
• Starting the Pack: If it’s your first time using these contraceptives, start taking the pill on the first day of your menstrual cycle. If you start at any other time, use backup contraception (like condoms) for the first 48 hours.
• Continuous Use: Unlike combined oral contraceptives that typically follow a 21-day active pill cycle followed by a 7-day break, progestin-only contraceptives are often taken continuously without a break. However, the specific regimen may vary depending on the brand and the prescribing doctor’s instructions.
• Missed Doses: If you miss a dose, take it as soon as you remember, and then continue taking the pills at the usual time. If you miss more than one dose, refer to the package insert or consult your healthcare provider for guidance.
• Interaction with Other Medications: Some medications, like certain antibiotics or anticonvulsants, may reduce the effectiveness of progestin-only contraceptives. It’s essential to inform your healthcare provider about all medications you are taking to ensure there are no interactions.
• Side Effects Monitoring: Like all medications, progestin-only contraceptives can cause side effects. Common side effects may include irregular bleeding, breast tenderness, headache, and mood changes. If you experience severe or persistent side effects, consult your healthcare provider.
• Health Monitoring: Regular check-ups with your healthcare provider are recommended while using progestin-only contraceptives to monitor any potential health concerns and to ensure the method remains appropriate for you.

It’s crucial to remember that while progestin-only contraceptives are effective at preventing pregnancy when used correctly, they do not protect against sexually transmitted infections (STIs). Therefore, it’s advisable to use condoms in addition to these contraceptives if STI protection is needed.

Other uses for this medicine

• Management of menstrual disorders: These pills can help regulate menstrual cycles and reduce menstrual bleeding in some women.
• Treatment of acne: Progestin-only pills, including those containing drospirenone, may be prescribed to help manage acne in some individuals.
• Treatment of premenstrual dysphoric disorder (PMDD): Drospirenone-containing pills may be used to alleviate symptoms of severe premenstrual syndrome (PMS) or PMDD in some cases.

What special precautions should I follow?

Special precautions should be taken when using progestin-only contraceptives containing drospirenone. Here are some important considerations:

• Medical History: Inform your healthcare provider about your complete medical history, especially if you have a history of blood clots, heart disease, high blood pressure, liver disease, or migraines, as these conditions may affect the suitability of progestin-only contraceptives.
• Smoking: Smoking increases the risk of cardiovascular side effects associated with hormonal contraceptives. If you smoke, discuss the risks and benefits with your healthcare provider before starting progestin-only contraceptives.
• Monitoring: Regular monitoring by a healthcare provider is recommended, especially during the initial months of use, to assess tolerance and manage any potential side effects.
• Interactions with Other Medications: Some medications, such as certain anticonvulsants and antibiotics, may interact with progestin-only contraceptives, reducing their effectiveness. Inform your healthcare provider about all medications you are taking to avoid potential interactions.
• Pregnancy: Progestin-only contraceptives are not suitable for use during pregnancy. If you become pregnant while using these contraceptives, discontinue use and consult your healthcare provider.
• Breastfeeding: While progestin-only contraceptives are generally considered safe for use during breastfeeding, discuss their use with your healthcare provider to ensure they are appropriate for you and your baby.
• Emergency Contraception: Progestin-only contraceptives are not intended for use as emergency contraception. If you require emergency contraception, speak to your healthcare provider about appropriate options.

Always follow your healthcare provider’s instructions and advice when using progestin-only contraceptives containing drospirenone, and do not hesitate to seek clarification or guidance if needed.

What special dietary instructions should I follow?

Regarding dietary instructions, there aren’t typically specific dietary restrictions for progestin-only oral contraceptives containing drospirenone. However, maintaining a healthy diet is generally advisable for overall health and well-being.

What should I do if I forget a dose?

• Take it as soon as you remember: If it’s within 24 hours of the missed dose, take the missed pill immediately and continue taking the pills at the usual time.
• Use Backup Contraception: If you’re more than 3 hours late in taking a pill, use backup contraception (like condoms) for the next 48 hours to ensure protection against pregnancy.
• Consult Your Healthcare Provider: If you miss more than one dose or have any concerns, consult your healthcare provider for guidance on what to do next.

What side effects can this medication cause?

Progestin-only oral contraceptives containing drospirenone can cause side effects, although not everyone experiences them. Common side effects may include:

• Irregular Menstrual Bleeding: This is one of the most common side effects. You may experience spotting between periods or changes in the duration or intensity of your menstrual bleeding.
• Breast Tenderness: Some individuals may experience breast tenderness or enlargement.
• Headaches: Headaches, including migraines, can occur as a side effect of progestin-only contraceptives.
• Nausea: Some people may feel nauseous, especially when starting the medication, but this usually improves over time.
• Mood Changes: Mood swings or changes in mood are possible side effects.
• Weight Changes: Some individuals may experience weight gain or weight loss while taking progestin-only contraceptives.
• Acne: While drospirenone can help improve acne in some individuals, it may worsen acne in others.
• Decreased Libido: A decrease in sex drive may occur as a side effect.
• Hair Growth or Loss: Changes in hair growth patterns, such as increased facial hair or hair loss, can occur in some individuals.
• Skin Changes: Some individuals may experience changes in skin pigmentation or sensitivity to sunlight.
• Vaginal Discharge: Changes in vaginal discharge, such as increased or decreased discharge, may occur.
• Changes in Menstrual Cycle: Your menstrual cycle may become irregular or stop altogether while using progestin-only contraceptives.
• Blood Clotting: While less common than with combined hormonal contraceptives, progestin-only contraceptives may still increase the risk of blood clots, especially in individuals with certain risk factors.

It’s essential to note that while many people tolerate progestin-only contraceptives well, some individuals may experience side effects that are bothersome or severe. If you experience persistent or severe side effects, it’s important to speak with your healthcare provider. They can provide guidance on managing side effects or may recommend alternative contraceptive methods.

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

Storage and Disposal:

• Store progestin-only oral contraceptives at room temperature away from moisture and heat.
• Keep them out of reach of children and pets.
• Follow any specific storage instructions provided by your pharmacist or healthcare provider.
• Dispose of expired or unused medication properly. You can ask your pharmacist about the best way to dispose of them.

In case of emergency/overdose

• If you suspect an overdose or experience severe symptoms such as severe headache, dizziness, or fainting, seek medical attention immediately.
• Contact your local poison control center or emergency room for guidance on what to do next.
• Be prepared to provide information about the medication you’ve taken, including the dosage and timing.

What other information should I know?

• Progestin-only oral contraceptives containing drospirenone do not protect against sexually transmitted infections (STIs). Consider using condoms in addition to these contraceptives for STI protection.
• Some medications, such as certain antibiotics or anticonvulsants, may interact with progestin-only contraceptives, reducing their effectiveness. Inform your healthcare provider about all medications you are taking.
• If you experience persistent or severe side effects, contact your healthcare provider for advice. They can help determine if the medication is right for you or recommend alternative contraceptive methods.
• Progestin-only oral contraceptives are not intended for use as emergency contraception. If you require emergency contraception, speak to your healthcare provider about appropriate options.
• Always take progestin-only oral contraceptives as directed by your healthcare provider and follow their instructions closely for the best results.