WARNING

Ocella is a prescription medication that combines two hormones, ethinyl estradiol and drospirenone, to prevent pregnancy. While it is an effective contraceptive, it also comes with certain risks and potential side effects. Here are some of the risks associated with taking Ocella:

• Blood clots: Like other combination hormonal contraceptives, Ocella increases the risk of developing blood clots. These clots can potentially lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism (PE). The risk of blood clots is higher for women who smoke, have a history of blood clots, or are overweight.
• Stroke: Ocella may increase the risk of having a stroke, particularly in women who have other risk factors such as smoking, high blood pressure, or a history of migraines.
• Heart attack: There is a small increased risk of heart attack associated with the use of Ocella. This risk is higher in women who smoke or have underlying heart conditions.
• High blood pressure: Some women may experience an increase in blood pressure while taking Ocella. Regular monitoring is necessary, as uncontrolled high blood pressure can lead to serious complications.
• Gallbladder problems: The use of hormonal contraceptives like Ocella may increase the risk of developing gallbladder disease or requiring gallbladder surgery.
• Mood changes: Some women may experience mood swings, depression, or other changes in mood while taking Ocella. If you notice any significant changes in your mental well-being, it is important to consult your healthcare provider.
• Other side effects: Ocella can cause various other side effects such as nausea, breast tenderness, headache, weight changes, and irregular bleeding or spotting between periods.

It’s important to note that while these risks exist, many women tolerate Ocella well and experience no serious adverse effects. However, it’s crucial to discuss your medical history and any potential risk factors with your healthcare provider before starting or continuing Ocella or any other hormonal contraceptive. They can evaluate your individual situation and help you make an informed decision about the most suitable contraceptive option for you.

Why is this medication prescribed?

Ocella is a prescription medication that contains a combination of two hormones, ethinyl estradiol and drospirenone. It is primarily prescribed as a form of oral contraception, commonly known as a birth control pill.

Ocella is an effective contraceptive method that helps prevent pregnancy by suppressing ovulation, the release of an egg from the ovaries. It also thickens the cervical mucus, making it difficult for sperm to enter the uterus and reach an egg. Additionally, Ocella alters the lining of the uterus, reducing the likelihood of implantation if fertilization does occur.

Apart from its contraceptive benefits, Ocella may also be prescribed to treat certain symptoms related to hormonal imbalances, such as premenstrual dysphoric disorder (PMDD). PMDD is a severe form of premenstrual syndrome (PMS) that causes significant emotional and physical symptoms in some women.

How should this medicine be used?

Ocella should be used exactly as prescribed by your healthcare provider. It typically comes in a pack of 28 tablets, with 21 active tablets containing hormones and 7 inactive tablets. Here are some general guidelines for using Ocella:

• Start Ocella on the first day of your menstrual period or on the first Sunday after your period begins. Follow your healthcare provider’s instructions regarding the specific starting day.
• Take one tablet daily, at the same time each day, with or without food. It is important to be consistent with the timing to maintain the effectiveness of the medication.
• Swallow the tablet whole with water. Do not chew or crush it.
• Take the active tablets for 21 consecutive days, followed by the inactive tablets for 7 days. During the week of taking the inactive tablets, you will likely experience a withdrawal bleed, similar to a period.
• After finishing the pack, start a new pack the next day. There is no need to wait for your period to start a new pack.
• If you miss a dose, follow the instructions provided by your healthcare provider. Generally, if you miss one active tablet, take it as soon as you remember and take the next tablet at the regular time. If you miss two or more active tablets, consult your healthcare provider for further guidance.
• It’s essential to inform your healthcare provider about any other medications you are taking, including over-the-counter drugs and herbal supplements, as they can interact with Ocella and affect its effectiveness.

Remember, the instructions provided here are general guidelines. Always follow the specific instructions given by your healthcare provider when using Ocella or any other medication.

Other uses for this medicine

Ocella is primarily prescribed as a birth control pill. However, it may also be used for other medical conditions as determined by your healthcare provider. Some of the off-label uses of Ocella include:

• Treatment of moderate acne in women who desire contraception: Ocella can help improve acne symptoms by regulating hormone levels.
• Treatment of premenstrual dysphoric disorder (PMDD): Ocella can be used to alleviate the symptoms of PMDD, a severe form of premenstrual syndrome characterized by mood swings, irritability, and depression.

What special precautions should I follow?

Regarding precautions, here are some important points to consider when taking Ocella:

• Ocella is not suitable for everyone. Inform your healthcare provider about any existing medical conditions or allergies you have before starting Ocella.
• Ocella should not be used by women who are pregnant or breastfeeding, as it may harm the developing fetus or pass into breast milk.
• Ocella may increase the risk of blood clots, especially in women who smoke, are over the age of 35, or have a history of blood clotting disorders. Inform your healthcare provider if you have any risk factors for blood clots.
• Inform your healthcare provider about any medications, including over-the-counter drugs and herbal supplements, as they may interact with Ocella and affect its effectiveness.
• Ocella does not protect against sexually transmitted infections (STIs). If you are at risk of STIs, consider using additional barrier methods of contraception, such as condoms.
• Report any unusual or severe side effects to your healthcare provider, such as chest pain, severe headaches, vision changes, or signs of allergic reactions.

It’s important to have regular check-ups and follow-up appointments with your healthcare provider while using Ocella to monitor your health and discuss any concerns or questions you may have.

What special dietary instructions should I follow?

There are no specific dietary instructions for Ocella. You can take Ocella with or without food, according to your preference. However, it’s always a good idea to maintain a balanced and healthy diet while taking any medication.

What should I do if I forget a dose?

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

• If you miss one active tablet (24 hours or less late): Take the missed tablet as soon as you remember, even if it means taking two tablets in one day. Then continue taking the remaining tablets at the usual time. You should still be protected against pregnancy, but it’s recommended to use additional contraception (such as condoms) for the next seven days.
• If you miss two or more active tablets (more than 24 hours late): Take the most recently missed tablet as soon as you remember, and skip the other missed tablets. Continue taking the remaining tablets at the usual time. Use additional contraception for the next seven days. If you had unprotected intercourse in the preceding seven days, you may need to consider emergency contraception and consult your healthcare provider.

What side effects can this medication cause?

Ocella, like any medication, can cause side effects in some individuals. Not everyone will experience side effects, and the severity and frequency of side effects can vary from person to person. Here are some potential side effects associated with Ocella:

1. Common side effects:
   • Nausea
   • Headache
   • Breast tenderness
   • Irregular menstrual bleeding or spotting
   • Mood changes
   • Weight changes
   • Changes in sexual desire
2. Less common but more serious side effects:
   • Blood clots: Ocella may increase the risk of blood clots, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism (PE).
   • High blood pressure: Ocella can elevate blood pressure in some individuals.
   • Liver problems: In rare cases, Ocella may cause liver problems, including jaundice, liver tumors, or liver cancer.
   • Allergic reactions: Although rare, some people may experience allergic reactions to Ocella, which may manifest as hives, rash, itching, swelling, or difficulty breathing.

It’s important to promptly report any unusual or severe side effects to your healthcare provider. They can evaluate your symptoms and determine the best course of action, which may include adjusting the dosage or switching to an alternative form of contraception.

It’s worth noting that this list does not include all possible side effects. For a comprehensive understanding of potential side effects, it’s essential to review the patient information leaflet provided with the medication or consult your healthcare provider.

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

Storage and disposal of Ocella:

• Store Ocella at room temperature (typically between 68°F and 77°F or 20°C and 25°C) in a dry place away from direct sunlight and moisture.
• Keep Ocella out of the reach of children and pets.
• Do not use Ocella after the expiration date printed on the packaging. If you have expired or unused Ocella tablets, consult your pharmacist or healthcare provider for proper disposal instructions.

In case of emergency/overdose

• If you suspect an overdose or experience severe symptoms after taking Ocella, such as severe nausea or vomiting, vaginal bleeding, or abdominal pain, seek immediate medical attention or contact your local poison control center.
• It’s helpful to provide healthcare professionals with information about the medication and dosage you have taken.

What other information should I know?

• Ocella does not protect against sexually transmitted infections (STIs). If you are at risk of STIs, consider using additional barrier methods of contraception, such as condoms.
• Ocella may interact with certain medications, including antibiotics, antifungals, anticonvulsants, HIV medications, and herbal supplements. Inform your healthcare provider about all medications you are taking to avoid potential interactions.
• Smoking while taking Ocella increases the risk of serious cardiovascular side effects, such as blood clots, stroke, or heart attack. It is generally recommended to quit smoking if you are taking Ocella.
• Attend regular check-ups and follow-up appointments with your healthcare provider to monitor your health and discuss any concerns or questions you may have.

Remember, it’s important to follow the specific instructions provided by your healthcare provider and the information provided in the patient information leaflet that comes with the medication. If you have any questions or concerns about Ocella, consult your healthcare provider or pharmacist for personalized advice.