Drospirenone + Ethinyl Estradiol
Find more information about this combination medication at the webpages for drospirenone
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Advisory
- This medicine contains a combination of 2 drugs: drospirenone and ethinyl estradiol.
- Based on evidence, drospirenone and ethinyl estradiol are more effective when taken together.
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
NO
Pharmaceutical Class
Estrogen and Progestin
Controlled Drug Substance
No

drospirenone + ethinyl estradiol
Summary
Drospirenone and ethinyl estradiol are used primarily as birth control pills to prevent pregnancy. They also help treat moderate acne in women who want oral contraception and manage symptoms of premenstrual dysphoric disorder, which is a severe form of premenstrual syndrome. Ethinyl estradiol helps regulate menstrual cycles, while drospirenone can reduce water retention and improve acne.
These medications work by preventing ovulation, which is the release of an egg from the ovary. Ethinyl estradiol, a synthetic estrogen, regulates the menstrual cycle and maintains the uterine lining. Drospirenone, a synthetic progestin, also prevents ovulation and has anti-androgenic effects, which means it can help with acne. Together, they thicken cervical mucus, making it harder for sperm to reach the egg, and alter the uterine lining to prevent a fertilized egg from implanting.
The usual adult daily dose is one tablet taken at the same time each day. Each tablet contains specific amounts of drospirenone and ethinyl estradiol. The exact dosage can vary depending on the specific formulation prescribed by a healthcare provider. It's important to follow the prescribed schedule without missing doses to ensure effective contraception. If a dose is missed, following the instructions provided with the medication or consulting a healthcare provider is recommended.
Common side effects include nausea, headache, breast tenderness, and mood changes. Ethinyl estradiol can cause changes in menstrual flow, while drospirenone may lead to increased potassium levels, which is important for heart and muscle function. Significant adverse effects can include an increased risk of blood clots, stroke, and heart attack, especially in smokers or women over 35. It's important to monitor for symptoms like severe headaches, chest pain, or leg swelling, and consult a healthcare provider if they occur.
These medications should not be used by women who smoke and are over 35, due to an increased risk of blood clots, stroke, and heart attack. Ethinyl estradiol can increase these risks, while drospirenone can raise potassium levels, so caution is needed in those with kidney, liver, or adrenal disease. They are contraindicated in pregnancy and should be discontinued if pregnancy occurs. Regular medical check-ups are advised to monitor for any adverse effects.
Indications and Purpose
How does combination of drospirenone and ethinyl estradiol work?
Drospirenone and ethinyl estradiol work together to prevent pregnancy by stopping ovulation, which is the release of an egg from the ovary. Ethinyl estradiol, which is a synthetic estrogen, helps regulate the menstrual cycle and maintain the uterine lining. Drospirenone, which is a synthetic progestin, also prevents ovulation and has anti-androgenic effects, which means it can help with acne. Together, they thicken the cervical mucus, making it harder for sperm to reach the egg, and alter the uterine lining to prevent a fertilized egg from implanting. This combination provides effective contraception when taken as directed.
How does combination of Drospirenone and Ethinyl Estradiol work?
The combination of Drospirenone and Ethinyl Estradiol is used as a form of birth control. It works primarily by preventing ovulation, which means it stops the ovaries from releasing an egg each month. Additionally, this combination thickens the mucus in the cervix, making it harder for sperm to enter the uterus and reach any eggs that might have been released. It also alters the lining of the uterus, making it less suitable for a fertilized egg to implant and grow. Drospirenone is a type of progestin, which is a synthetic form of the hormone progesterone, and Ethinyl Estradiol is a synthetic form of estrogen. Together, they mimic the natural hormones in your body to regulate the menstrual cycle and prevent pregnancy. For more detailed information, you can visit trusted sources like the [NHS](https://www.nhs.uk/), [DailyMeds](https://dailymeds.co.uk/), or [NLM](https://www.nlm.nih.gov/).
How effective is combination of drospirenone and ethinyl estradiol?
Drospirenone and ethinyl estradiol have been proven effective through clinical trials and studies showing a high success rate in preventing pregnancy. Ethinyl estradiol, which is a synthetic estrogen, helps regulate the menstrual cycle and prevent ovulation. Drospirenone, which is a synthetic progestin, also prevents ovulation and has anti-androgenic properties, which means it can help with acne. Together, they alter the uterine lining and cervical mucus, making it difficult for sperm to reach the egg. The combination is widely used and trusted as a reliable contraceptive method when taken as prescribed.
How effective is combination of Drospirenone and Ethinyl Estradiol?
The combination of Drospirenone and Ethinyl Estradiol is a type of oral contraceptive, commonly known as a birth control pill. According to the NHS, when taken correctly, this combination is over 99% effective at preventing pregnancy. This means that fewer than 1 in 100 women will become pregnant each year if they use the pill correctly. Drospirenone is a synthetic form of the hormone progesterone, and Ethinyl Estradiol is a synthetic form of estrogen. Together, they work by preventing ovulation (the release of an egg from the ovary), thickening the mucus in the cervix to make it harder for sperm to enter the uterus, and thinning the lining of the uterus to reduce the likelihood of a fertilized egg implanting. It's important to take the pill at the same time every day to maintain its effectiveness. Missing doses or taking the pill irregularly can reduce its effectiveness. For more detailed information, you can refer to resources like the NHS or DailyMeds.
Directions for Use
What is the usual dose of combination of drospirenone and ethinyl estradiol?
The usual adult daily dose of drospirenone and ethinyl estradiol is one tablet taken at the same time each day. Each tablet typically contains a specific amount of drospirenone, which is a synthetic progestin, and ethinyl estradiol, which is a synthetic estrogen. The exact dosage can vary depending on the specific formulation prescribed by a healthcare provider. It's important to follow the prescribed schedule without missing doses to ensure effective contraception. If a dose is missed, following the instructions provided with the medication or consulting a healthcare provider is recommended.
What is the usual dose of combination of Drospirenone and Ethinyl Estradiol?
The usual dose of the combination of Drospirenone and Ethinyl Estradiol is one tablet taken once daily. Each tablet typically contains 3 mg of Drospirenone and 0.03 mg of Ethinyl Estradiol. It's important to take the tablet at the same time every day to maintain its effectiveness. This combination is used as an oral contraceptive to prevent pregnancy. Always follow the specific instructions provided by your healthcare provider or the information leaflet that comes with the medication.
How does one take combination of drospirenone and ethinyl estradiol?
Drospirenone and ethinyl estradiol can be taken with or without food, but taking them with food may help reduce nausea, which is a common side effect. It's important to take the pill at the same time every day to maintain consistent hormone levels and ensure effectiveness. There are no specific food restrictions, but it's advisable to avoid grapefruit and grapefruit juice, which can interfere with the metabolism of these medications. Consistency in taking the pill is key to maintaining its contraceptive effectiveness.
How does one take combination of Drospirenone and Ethinyl Estradiol?
Drospirenone and Ethinyl Estradiol is a combination medication used as a contraceptive to prevent pregnancy. It is typically taken once daily, at the same time each day, to maintain consistent hormone levels in the body. Start taking the first pill on the first day of your menstrual period or on the first Sunday after your period begins. Continue taking one pill every day in the order specified on the package. After finishing the pack, start a new pack the next day without skipping any days. If you miss a dose, follow the instructions provided in the medication package or consult with a healthcare professional for guidance. Missing doses can increase the risk of pregnancy. It's important to take the medication as directed and not to skip doses to ensure its effectiveness. If you have any questions or concerns about taking this medication, consult with a healthcare provider.
For how long is combination of drospirenone and ethinyl estradiol taken?
Drospirenone and ethinyl estradiol are typically used on a continuous basis as long as contraception is desired. The medication is taken in cycles, usually 21 days of active pills followed by 7 days of inactive pills, during which a menstrual-like withdrawal bleed occurs. This cycle is repeated each month. The duration of use can vary based on individual health needs and preferences, and it's important to have regular check-ups with a healthcare provider to ensure the medication remains appropriate and effective for long-term use.
For how long is combination of Drospirenone and Ethinyl Estradiol taken?
The combination of Drospirenone and Ethinyl Estradiol is typically taken for 21 consecutive days, followed by a 7-day break during which no pills are taken or placebo pills are taken. This cycle is repeated every month. This regimen is designed to mimic a natural menstrual cycle and provide effective contraception.
How long does it take for combination of drospirenone and ethinyl estradiol to work?
Drospirenone and ethinyl estradiol, which are used together in birth control pills, typically start working within 7 days if taken correctly. Ethinyl estradiol, which is a synthetic form of estrogen, helps regulate the menstrual cycle and prevent ovulation, which is the release of an egg from the ovary. Drospirenone, which is a synthetic form of progesterone, also helps prevent ovulation and makes it harder for sperm to reach the uterus. Together, they provide effective contraception by altering the uterine lining and cervical mucus. For immediate protection, it's recommended to use additional contraception during the first week of starting the pills.
How long does it take for combination of Drospirenone and Ethinyl Estradiol to work?
The combination of Drospirenone and Ethinyl Estradiol, which is a type of birth control pill, typically starts to work within 7 days if you start taking it on the first day of your period. If you start taking it at any other time in your cycle, it may take up to 7 days to become effective, so it's recommended to use an additional form of contraception, like condoms, during this time. This information is based on guidance from trusted sources like the NHS and DailyMeds.
Warnings and Precautions
Are there harms and risks from taking combination of drospirenone and ethinyl estradiol?
Common side effects of drospirenone and ethinyl estradiol include nausea, headache, breast tenderness, and mood changes. Ethinyl estradiol can cause changes in menstrual flow, while drospirenone may lead to increased potassium levels, which is important for heart and muscle function. Significant adverse effects can include an increased risk of blood clots, stroke, and heart attack, especially in smokers or women over 35. Both substances can contribute to these risks. It's important to monitor for symptoms like severe headaches, chest pain, or leg swelling, and consult a healthcare provider if they occur.
Are there harms and risks from taking combination of Drospirenone and Ethinyl Estradiol?
Yes, there are potential harms and risks associated with taking a combination of Drospirenone and Ethinyl Estradiol, which is a type of birth control pill. According to the NHS and NLM, some common side effects include nausea, headaches, breast tenderness, and mood changes. More serious risks can include an increased chance of blood clots, which can lead to conditions like deep vein thrombosis (DVT) or pulmonary embolism (PE). These risks are higher in women who smoke, are over 35, or have certain health conditions. It's important to discuss your medical history with a healthcare provider to determine if this medication is safe for you.
Can I take combination of drospirenone and ethinyl estradiol with other prescription drugs?
Drospirenone and ethinyl estradiol can interact with several prescription drugs. Antibiotics like rifampin and anticonvulsants like phenytoin can reduce the effectiveness of these contraceptives, increasing the risk of pregnancy. Drospirenone can increase potassium levels, so caution is needed with drugs that also raise potassium, such as certain blood pressure medications. It's important to inform healthcare providers of all medications being taken to manage these interactions. Regular monitoring and possibly adjusting medication dosages can help ensure the effectiveness and safety of the contraceptive.
Can I take combination of Drospirenone and Ethinyl Estradiol with other prescription drugs?
Drospirenone and Ethinyl Estradiol is a combination medication often used as a contraceptive. It is important to be cautious when taking it with other prescription drugs, as interactions can occur. According to the NHS, some medications can reduce the effectiveness of Drospirenone and Ethinyl Estradiol, such as certain antibiotics and anti-seizure medications. Additionally, the NLM notes that combining it with other drugs that affect liver enzymes can alter its effectiveness or increase side effects. Always consult with a healthcare provider or pharmacist before combining it with other medications to ensure safety and effectiveness.
Can I take combination of drospirenone and ethinyl estradiol if I am pregnant?
Drospirenone and ethinyl estradiol are not safe for use during pregnancy. These medications are designed to prevent pregnancy and should be discontinued if pregnancy is confirmed. Ethinyl estradiol, which is a synthetic estrogen, and drospirenone, which is a synthetic progestin, can potentially harm a developing fetus. If a woman becomes pregnant while taking these medications, she should stop taking them immediately and consult her healthcare provider for further guidance. It's important to use alternative contraception methods if pregnancy is suspected until confirmed by a healthcare professional.
Can I take combination of Drospirenone and Ethinyl Estradiol if I am pregnant?
No, you should not take a combination of Drospirenone and Ethinyl Estradiol if you are pregnant. These medications are types of hormonal contraceptives, which are used to prevent pregnancy. Taking them during pregnancy is not necessary and could potentially harm the developing baby. If you suspect you are pregnant, you should stop taking these medications and consult with your healthcare provider for further advice. Sources: [NHS](https://www.nhs.uk/), [NLM](https://www.nlm.nih.gov/)
Can I take combination of drospirenone and ethinyl estradiol while breastfeeding?
Drospirenone and ethinyl estradiol are generally not recommended during breastfeeding. Ethinyl estradiol, which is a synthetic estrogen, can reduce milk production, making it harder to breastfeed. Drospirenone, which is a synthetic progestin, may pass into breast milk, but its effects on a nursing infant are not well-studied. If contraception is needed during breastfeeding, non-hormonal methods or progestin-only pills, which have less impact on milk supply, are often recommended. It's important to discuss options with a healthcare provider to ensure both effective contraception and successful breastfeeding.
Can I take combination of Drospirenone and Ethinyl Estradiol while breastfeeding?
According to the NHS, it is generally not recommended to use the combination of Drospirenone and Ethinyl Estradiol while breastfeeding. This is because these hormones can pass into breast milk and may affect milk production or have effects on the nursing infant. It's important to consult with a healthcare provider to discuss alternative contraceptive options that are safer during breastfeeding.
Who should avoid taking combination of drospirenone and ethinyl estradiol?
Drospirenone and ethinyl estradiol have several important warnings and contraindications. They should not be used by women who smoke and are over 35, due to an increased risk of blood clots, stroke, and heart attack. Ethinyl estradiol, which is a synthetic estrogen, can increase these risks, while drospirenone, which is a synthetic progestin, can raise potassium levels, so caution is needed in those with kidney, liver, or adrenal disease. These medications are also contraindicated in pregnancy and should be discontinued if pregnancy occurs. Regular medical check-ups are advised to monitor for any adverse effects.
Who should avoid taking combination of Drospirenone and Ethinyl Estradiol?
People who should avoid taking the combination of Drospirenone and Ethinyl Estradiol include: 1. **Pregnant Women**: This medication is not intended for use during pregnancy. 2. **Individuals with Blood Clotting Disorders**: Those with a history of blood clots or conditions that increase the risk of blood clots should avoid this medication. 3. **People with Certain Cancers**: Individuals with a history of breast cancer or other hormone-sensitive cancers should not take this combination. 4. **Liver Disease Patients**: Those with liver disease or liver tumors should avoid this medication as it can affect liver function. 5. **Kidney Disease Patients**: People with kidney disease should not take this combination due to potential complications with fluid and electrolyte balance. 6. **Uncontrolled High Blood Pressure**: Individuals with uncontrolled high blood pressure should avoid this medication as it can increase the risk of cardiovascular issues. 7. **Smokers Over 35**: Women over 35 who smoke should avoid this medication due to an increased risk of serious cardiovascular events. It's important to consult a healthcare provider to determine if this medication is safe for you, especially if you have any underlying health conditions.