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Drospirenone

Pregnancy

DRUG STATUS

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Government Approvals

US(FDA)

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WHO Essential Medicine

NO

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Known Teratogen

Unlisted

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Pharmaceutical Class

Progestin

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Controlled Drug Substance

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Drug Ingredient

Drospirenone

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Summary

  • Drospirenone is primarily used as an oral contraceptive to prevent pregnancy in women of reproductive age. It is not used for treating any diseases or conditions beyond contraception.

  • Drospirenone works by suppressing ovulation, which means it stops the ovaries from releasing eggs. It also thickens the cervical mucus, making it difficult for sperm to enter the uterus, and alters the uterine lining to prevent a fertilized egg from implanting. These actions together effectively prevent pregnancy when the medication is taken consistently and correctly.

  • The usual daily dose for Drospirenone in adults is one tablet taken orally at the same time each day. The tablets are typically part of a 28-day pack with 24 active tablets containing Drospirenone and 4 inactive tablets.

  • Common side effects of Drospirenone include nausea, vomiting, headache, breast tenderness, and weight gain. Serious adverse effects can include severe headaches, chest pain, leg pain, and signs of blood clots. If you experience any severe symptoms, seek medical attention immediately.

  • Drospirenone is contraindicated in individuals with renal impairment, adrenal insufficiency, liver disease, or a history of hormone-sensitive cancers. It should not be used by those with unexplained vaginal bleeding or a history of blood clots. Users should be aware of the risk of hyperkalemia, especially if taking medications that increase potassium levels. Always consult a doctor before starting Drospirenone to ensure it is safe based on individual health conditions.

Indications and Purpose

What is Drospirenone used for?

Drospirenone is primarily indicated for use as an oral contraceptive to prevent pregnancy in females of reproductive age. It is not indicated for the treatment of any diseases or conditions beyond contraception. Always consult a healthcare provider to determine if drospirenone is appropriate for your contraceptive needs.

How does Drospirenone work?

Drospirenone works by preventing ovulation, which means it stops the ovaries from releasing eggs. It also thickens the cervical mucus, making it difficult for sperm to enter the uterus, and alters the uterine lining to prevent a fertilized egg from implanting. These actions together effectively prevent pregnancy when the medication is taken consistently and correctly.

Is Drospirenone effective?

Drospirenone is a progestin-only oral contraceptive that effectively prevents pregnancy by suppressing ovulation and altering the cervical mucus and uterine lining. Clinical studies have shown that drospirenone is effective in preventing pregnancy when taken as directed, with a Pearl Index of 4.0, indicating a low failure rate. It is important to take the medication consistently at the same time each day to maintain its effectiveness.

How does one know if Drospirenone is working?

The benefit of drospirenone is evaluated through its effectiveness in preventing pregnancy, which is measured by the Pearl Index in clinical studies. Additionally, users should monitor for any side effects or changes in their menstrual cycle. Regular check-ups with a healthcare provider can help assess the medication's effectiveness and address any concerns or side effects experienced during use.

Directions for Use

What is the usual dose of Drospirenone?

The usual daily dose for drospirenone in adults is one tablet taken orally at the same time each day. The tablets are typically part of a 28-day pack, with 24 active tablets containing drospirenone and 4 inactive tablets. Drospirenone is not typically prescribed for children, as it is intended for use by females of reproductive age to prevent pregnancy. Always follow your doctor's specific instructions regarding dosage.

How do I take Drospirenone?

Drospirenone should be taken once daily at the same time each day, with or without food. There are no specific food restrictions while taking drospirenone, but it is important to maintain a consistent routine to ensure its effectiveness. If you experience nausea, taking it with food may help alleviate this side effect. Always follow your doctor's instructions regarding its use.

For how long do I take Drospirenone?

Drospirenone is typically used continuously as a contraceptive method. It is taken daily, with no breaks between packs, to maintain its effectiveness in preventing pregnancy. The duration of use can vary depending on individual needs and medical advice, but it is generally used as long as contraception is desired.

How long does it take for Drospirenone to start working?

Drospirenone typically starts working within 7 days when taken as directed. It is important to use an additional form of contraception, such as condoms, during the first 7 days of starting drospirenone to ensure full contraceptive protection. Always follow your doctor's advice on when to start taking the medication and any additional precautions needed.

How should I store Drospirenone?

Store drospirenone in its original packaging, tightly closed, at room temperature away from excess heat and moisture. Keep it out of reach of children. Do not store it in the bathroom, as the humidity can affect the medication. If you have any unused medication, dispose of it properly through a take-back program to prevent accidental ingestion by children or pets.

Warnings and Precautions

Who should avoid taking Drospirenone?

Drospirenone is contraindicated in individuals with renal impairment, adrenal insufficiency, liver disease, or a history of hormone-sensitive cancers. It should not be used by those with unexplained vaginal bleeding or a history of blood clots. Users should be aware of the risk of hyperkalemia, especially if taking medications that increase potassium levels. It is important to consult a doctor before starting drospirenone to ensure it is safe based on individual health conditions.

Can I take Drospirenone with other prescription drugs?

Drospirenone can interact with medications that increase potassium levels, such as ACE inhibitors, angiotensin-II receptor antagonists, and potassium-sparing diuretics. It may also interact with drugs that induce liver enzymes, such as St. John's wort, which can decrease its effectiveness. Always inform your doctor of all medications and supplements you are taking to avoid potential interactions.

Can I take Drospirenone with vitamins or supplements?

Drospirenone may interact with potassium supplements, as it can increase potassium levels in the blood. It is important to inform your doctor if you are taking any supplements, including herbal products like St. John's wort, which can decrease the effectiveness of drospirenone. Always consult your healthcare provider before starting any new supplements while using drospirenone.

Can Drospirenone be taken safely while pregnant?

Drospirenone should not be used during pregnancy, as there is no reason to use hormonal contraceptives when pregnant. If pregnancy occurs while taking drospirenone, discontinue use immediately. There is no strong evidence from human studies indicating fetal harm from inadvertent use of drospirenone during early pregnancy, but it is always best to avoid its use once pregnancy is confirmed.

Can Drospirenone be taken safely while breastfeeding?

Drospirenone is generally considered safe to use while breastfeeding, as negligible amounts are excreted in breast milk and no adverse effects on the infant are expected. However, it is always best to consult with a healthcare provider to ensure it is appropriate for your specific situation and to discuss any potential risks or concerns.

Is Drospirenone safe for the elderly?

Drospirenone is not typically used in elderly populations, as it is intended for females of reproductive age to prevent pregnancy. Therefore, specific recommendations or warnings for the elderly are not provided. If an elderly person is prescribed drospirenone, it is important to follow the doctor's advice and report any unusual symptoms.

Is it safe to exercise while taking Drospirenone?

Drospirenone does not typically limit the ability to exercise. However, if you experience any side effects such as leg pain or shortness of breath, which could affect your ability to exercise, it is important to consult your doctor. They can help determine if these symptoms are related to drospirenone and advise on how to proceed with your exercise routine.

Is it safe to drink alcohol while taking Drospirenone?

From all available and reliable information, there is no confirmed data on this. Please consult a doctor for personalized advice.