Daylette, 3 mg + 0.02 mg, film-coated tablets
Drospirenone + Ethinylestradiol
Before starting to take Daylette, you should read the information about blood clots (thrombosis) in section 2. It is especially important to read about the symptoms of blood clots (see section 2 "Blood clots").
Before starting to use Daylette, the doctor will ask the patient a few questions about her health and the health of her close relatives. The doctor will also measure blood pressure and, depending on the individual case, may perform some other examinations.
This leaflet describes several situations in which Daylette should not be used or in which the effectiveness of Daylette may be reduced. In such situations, either no sexual intercourse should be maintained, or additional non-hormonal contraceptive methods should be used, such as condoms or other mechanical methods.
The observational method or temperature measurement method should not be used. These methods may be unreliable because Daylette modifies the monthly changes in body temperature and cervical mucus.
Daylette should not be used if the patient has any of the following conditions. If the patient has any of the following conditions, they should inform their doctor. The doctor will discuss with the patient which other contraceptive method will be more suitable.
When not to use Daylette:
Daylette should not be used in patients with hepatitis C and taking medicinal products containing ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir (see also section "Daylette and other medicines").
Before starting to use Daylette, the patient should discuss it with their doctor or pharmacist.
When should the patient contact their doctor?
The patient should see their doctor immediately
In certain situations, the patient should exercise caution when using Daylette or any other combined oral contraceptive. Regular medical check-ups may also be necessary. If any of the following conditions are present, the patient should inform their doctor before starting to use Daylette. If these symptoms occur or worsen during the use of Daylette, the patient should also tell their doctor.
Before starting to use Daylette, the patient should discuss it with their doctor.
The use of combined hormonal contraceptives, such as Daylette, is associated with an increased risk of blood clots, compared to not using them. In rare cases, a blood clot can block a blood vessel and cause serious complications.
Blood clots can occur:
Not everyone who has a blood clot will recover completely. In rare cases, the effects of a blood clot can be long-term or, very rarely, fatal.
The patient should see their doctor immediately if they notice any of the following symptoms.
Is the patient experiencing any of these symptoms?
Why is the patient likely to be suffering from
These symptoms may be mistaken for less serious conditions, such as a respiratory infection (e.g., a cold). | |
Symptoms usually occur in one eye:
| Retinal vein thrombosis (blood clot in the eye) |
| Heart attack |
| Stroke |
| Blood clots blocking other blood vessels |
The risk of blood clots in veins is highest during the first year of using combined hormonal contraceptives for the first time. The risk may also be higher when restarting combined hormonal contraceptives (the same or a different product) after a break of 4 weeks or more.
After the first year, the risk decreases, but it is always higher than when not using combined hormonal contraceptives.
If the patient stops using Daylette, the risk of blood clots returns to normal within a few weeks.
The risk of blood clots associated with Daylette is small, but some factors can increase this risk. The risk is higher:
The risk of blood clots increases with the number of risk factors present in the patient.
Long-haul flights (>4 hours) may temporarily increase the risk of blood clots, especially if the patient has another risk factor.
It is essential to inform the doctor if any of these risk factors are present, even if the patient is not sure. The doctor may decide to stop the use of Daylette.
The patient should inform their doctor if any of these conditions change while using Daylette, e.g., if someone in their close family is diagnosed with a blood clot without a known cause or if the patient gains weight significantly.
Similar to blood clots in veins, blood clots in arteries can cause serious complications, such as a heart attack or stroke.
It is essential to note that the risk of heart attack or stroke associated with Daylette is very small, but it may increase:
If the patient has more than one of these conditions or if any of them are severe, the risk of blood clots may be even higher.
The patient should inform their doctor if any of these conditions change while using Daylette, e.g., if they start smoking, if someone in their close family is diagnosed with a blood clot without a known cause, or if they gain weight significantly.
Women using combined oral contraceptives have a slightly higher risk of breast cancer, but it is not known if this is caused by the pill. For example, it may be that more tumors are detected in women using combined oral contraceptives because they are examined by doctors more often.
The incidence of breast tumors decreases gradually after stopping the use of combined hormonal contraceptives. It is essential to examine the breasts regularly and consult a doctor if any lump is found.
Women using oral contraceptives have been reported to have, in rare cases, benign liver tumors, and even more rarely, malignant liver tumors. If the patient experiences severe abdominal pain, they should consult a doctor.
Some women using hormonal contraceptives, including Daylette, have reported depression or mood changes. Depression can be severe and sometimes lead to suicidal thoughts. If mood changes or symptoms of depression occur, the patient should consult their doctor as soon as possible for further medical advice.
During the first few months of taking Daylette, unexpected bleeding (bleeding outside the placebo period) may occur. If such bleeding persists for longer than a few months or starts after a few months, the doctor should investigate the cause.
If all the active white tablets have been taken correctly, there has been no vomiting, or severe diarrhea, and no other medicines have been taken, it is very unlikely that the patient is pregnant.
If the expected menstrual bleeding does not occur for two consecutive periods, it may indicate pregnancy.
The patient should consult their doctor immediately. They should only start the next pack of Daylette when they are sure they are not pregnant.
The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
The patient should inform their doctor about any herbal products they are using. They should also inform any other doctor or dentist (or pharmacist) who may prescribe another medicine to be taken at the same time as Daylette.
These healthcare professionals may tell the patient whether they should use additional contraceptive methods (e.g., condoms) and for how long or whether they should change the dose of other medicines they are taking.
Daylette should not be used in patients with hepatitis C and taking medicinal products containing ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir, as these products may cause abnormal liver function test results (increased liver enzyme activity).
Before starting these medicines, the doctor will prescribe a different contraceptive method.
Daylette can be started again about 2 weeks after the end of the above-mentioned treatment. See section "When not to use Daylette".
Certain medicines may affect the level of Daylette in the blood and may cause reduced effectiveness in preventing pregnancyor may cause unexpected bleeding. These include:
Daylette may affect the action of other medicines, such as:
Before taking any medicine, the patient should consult their doctor or pharmacist.
Daylette can be taken with or without food, with a small amount of water if necessary.
If a blood test is necessary, the patient should inform their doctor or laboratory staff that they are taking oral contraceptives, as hormonal contraceptives may affect the results of some tests.
If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a baby, they should consult their doctor or pharmacist before using Daylette.
Pregnancy
Daylette should not be used during pregnancy. If the patient becomes pregnant while using Daylette, they should stop taking it immediately and consult their doctor.
If the patient wants to become pregnant, they can stop using Daylette at any time (see section "Stopping Daylette").
Before taking any medicine, the patient should consult their doctor or pharmacist.
Breastfeeding
Daylette is not recommended for use during breastfeeding. If the patient wants to take oral contraceptives while breastfeeding, they should consult their doctor.
Before taking any medicine, the patient should consult their doctor or pharmacist.
There is no information to suggest that the use of Daylette affects the ability to drive or operate machinery.
One active white film-coated tablet of Daylette contains 48.53 mg of lactose monohydrate, and one inactive green film-coated tablet contains 37.26 mg of lactose.
If the patient has been diagnosed with an intolerance to some sugars, they should consult their doctor before taking Daylette.
The active white tablets contain 0.070 mg of soy lecithin. If the patient is allergic to peanuts or soy, they should not use this medicine.
The inactive green tablets contain Orange Yellow S (E110) - a dye that may cause allergic reactions.
This medicine should always be used as directed by the doctor. If the patient is unsure, they should consult their doctor or pharmacist.
Each blister pack contains 24 active white tablets and 4 inactive green tablets.
The tablets are arranged in order, with the days of the week marked on the blister pack.
The patient should take one Daylette tablet every day, with a small amount of water if necessary. The tablets can be taken at any time of day, with or without food, but the patient should try to take them at the same time every day.
The patient should be careful not to mix up the tablets: for the first 24 days, they should take an active white tablet, and then an inactive green tablet for the last 4 days. After that, they should start a new blister pack (24 active white tablets and 4 inactive green tablets) immediately. There is no break between blister packs.
To help the patient keep track of their tablets, the packaging includes 7 stickers with the days of the week. The patient should choose a sticker that starts with the day they want to start taking the tablets. For example, if they want to start on a Wednesday, they should use the sticker that says "WED".
The patient should place the sticker on the blister pack, aligning the symbol " " on the sticker with the same symbol on the blister pack, and attach the sticker to the area outlined by the black line (in the frame). The day of the week on the sticker will correspond to the correct column of tablets.
The day of the week marked on each tablet will help the patient check if they have taken a tablet on a given day.
The patient should move through the tablets in the direction of the arrow on the blister pack until they have taken all 28 tablets.
During the 4 days when the patient takes the inactive green tablets (placebo days), they should experience bleeding (so-called withdrawal bleeding). This usually starts on the 2nd or 3rd day after taking the last active white tablet and may last until the end of the placebo period.
Daylette provides contraceptive protection during these 4 days of placebo use.
There have been no reports of serious harmful effects from taking too many Daylette tablets.
If the patient takes several tablets at once, they may experience nausea or vomiting or may have irregular bleeding. In young girls before their first period, if they accidentally take this medicine, they may experience vaginal bleeding.
If the patient has taken too many Daylette tablets or if a child has swallowed some, they should consult their doctor or pharmacist immediately.
Like all medicines, Daylette can cause side effects, although not everybody gets them.
If side effects occur, especially serious and persistent ones or changes in health that the patient considers to be related to the use of Daylette, the patient should consult a doctor.
Serious side effects
The patient should immediately consult a doctor if she experiences any of the following symptoms of angioedema: swelling of the face, tongue, and/or throat, and/or difficulty swallowing or hives potentially with difficulty breathing (see also the section "Warnings and Precautions").
In all women taking combined hormonal contraceptives, there is an increased risk of blood clots in the veins (venous thromboembolism) or blood clots in the arteries (arterial thrombosis). For detailed information on the different risk factors associated with the use of combined hormonal contraceptives, the patient should refer to section 2 "Important Information Before Taking Daylette".
The following side effects have been reported during the use of drospirenone and/or ethinylestradiol:
Common side effects (may occur in up to 1 in 10 people):
Uncommon side effects (may occur in up to 1 in 100 people):
Frequency not known(frequency cannot be estimated from the available data):
If any side effects occur, including any side effects not listed in the leaflet, the patient should tell the doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of the medicine.
The medicine should be stored out of sight and reach of children.
Do not store above 25°C. Store in the original packaging to protect from light.
Do not use this medicine after the expiry date stated on the carton and blister pack. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. The patient should ask the pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
The active substances are drospirenone (3 mg) and ethinylestradiol (0.02 mg) in each white tablet.
The other ingredients are:
White film-coated tablets containing active substances
Core: lactose monohydrate, corn starch, pregelatinized corn starch, copolymer of polyvinyl alcohol and polyvinyl acetate, magnesium stearate.
Coating: polyvinyl alcohol, titanium dioxide (E 171), talc, macrogol 3350, soybean lecithin.
Green film-coated tablets (placebo)
Core: microcrystalline cellulose (type 12), lactose, pregelatinized corn starch, magnesium stearate, silicon dioxide.
Coating: polyvinyl alcohol, titanium dioxide (E 171), macrogol 3350, talc, indigo carmine, lake (E 132), quinoline yellow, lake (E 104), iron oxide black (E 172), orange yellow, lake (E 110).
Active film-coated tablet: white or almost white, round, biconvex film-coated tablet with a diameter of about 6 mm. One side has the embossing "G73", the other side is smooth.
Placebo film-coated tablet: green, round, biconvex film-coated tablet with a diameter of about 6 mm, without embossing.
Daylette 3 mg + 0.02 mg film-coated tablets are packaged in PVC/PE/PVDC/Aluminum blisters.
The blisters are packaged in a cardboard box, containing a patient information leaflet, a case for storing the blisters, and labels in the form of strips marked with the days of the week.
Pack sizes:
1×(24+4) film-coated tablets
3×(24+4) film-coated tablets
6×(24+4) film-coated tablets
Not all pack sizes may be marketed.
Gedeon Richter Plc.
1103 Budapest
Gyömrői út 19-21
Hungary
To obtain more detailed information about the medicine and its names in other EU member states, the patient should contact:
GEDEON RICHTER POLSKA Sp. z o.o.
Medical Department
ul. Ks. J. Poniatowskiego 5
05-825 Grodzisk Mazowiecki
Phone: +48 (22)755 96 48
lekalert@grodzisk.rgnet.org
(marketing authorization holder's logo)
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