Package Leaflet: Information for the User
aidrana 3 mg/ 0.02 mg film-coated tablets EFG
drospirenone/ethinylestradiol
Read this package leaflet carefully before you start taking this medicine because it contains important information for you.
Important things to know about combined hormonal contraceptives (CHCs):
Package Leaflet Contents
Contraceptives that contain two hormones are called combined contraceptives.
General considerations Before starting to use aidrana, you should read the information about blood clots in section 2. It is particularly important that you read the symptoms of a blood clot (see section 2 "Blood clots"). Before starting to take aidrana, your doctor will ask you some questions about your personal and family medical history. The doctor will also measure your blood pressure, and depending on your personal situation, may carry out some other tests. This prospectus describes several situations in which you should interrupt the use of aidrana, or in which the reliability of aidrana may decrease. In such situations, you should not have sexual intercourse or should take additional non-hormonal contraceptive precautions, for example, use a condom or another barrier method. Do not use the rhythm method or the temperature method. These methods may not be reliable since drospirenone/ethinylestradiol alters the monthly changes in body temperature and cervical mucus. aidrana,like other hormonal contraceptives, does not protect against HIV infection (AIDS) or any other sexually transmitted disease.  | 
When not to useaidrana
You should not use aidrana if you have any of the conditions listed below. Inform your doctor if you have any of the conditions listed below. Your doctor will discuss with you what other form of contraception would be more suitable.
Do not take aidrana:
Warnings and precautions
When should you consult your doctor? Seek urgent medical attention 
 To obtain a description of the symptoms of these serious side effects, see "How to recognize a blood clot".  | 
Tell your doctor if you suffer from any of the following conditions.
In some situations, you will need to be especially careful while using drospirenone/ethinylestradiol or any other combined hormonal contraceptive, and it may be necessary for your doctor to examine you periodically. If the condition develops or worsens while you are using drospirenone/ethinylestradiol, you should also inform your doctor
Consult your doctor or pharmacist before starting to take aidrana.
Psychiatric disorders:
Some women who use hormonal contraceptives like aidrana have reported depression or a depressed mood. Depression can be severe and sometimes can induce suicidal thoughts. If you experience mood changes and depressive symptoms, contact your doctor for additional medical advice as soon as possible.
BLOOD CLOTS
The use of a combined hormonal contraceptive like aidrana increases your risk of having a blood clotcompared to not using it. In rare cases, a blood clot can block blood vessels and cause serious problems.
Blood clots can form:
Recovery from blood clots is not always complete. In rare cases, there can be serious long-term effects or, very rarely, they can be fatal.
It is essential to remember that the overall risk of a harmful blood clot due to aidrana is small.
HOW TO RECOGNIZE A BLOOD CLOT
Seek urgent medical attention if you notice any of the following signs or symptoms.
Are you experiencing any of these signs?  | What might you be suffering from?  | 
 
 Change in skin color of the leg, e.g., if it becomes pale, red or blue.  | Deep vein thrombosis  | 
 If you are unsure, consult a doctor, as some of these symptoms, such as cough or shortness of breath, can be confused with a milder condition such as a respiratory infection (e.g., a "common cold").  | Pulmonary embolism  | 
Symptoms that occur more frequently in one eye: 
  | Retinal vein thrombosis (blood clot in the eye).  | 
  | Heart attack.  | 
 Sometimes the symptoms of a stroke can be brief, with almost immediate and complete recovery, but still seek urgent medical attention as you may be at risk of having another stroke.  | Stroke  | 
  | Blood clots that block other blood vessels.  | 
BLOOD CLOTS IN A VEIN
What can happen if a blood clot forms in a vein?
When is the risk of a blood clot in a vein higher?
The risk of having a blood clot in a vein is higher during the first year in which you take a combined hormonal contraceptive for the first time. The risk may also be higher if you start taking a combined hormonal contraceptive (the same medicine or a different one) after an interruption of 4 weeks or more.
After the first year, the risk decreases, but it is always slightly higher than if you were not taking a combined hormonal contraceptive.
When you stop taking aidrana, your risk of having a blood clot returns to normal within a few weeks.
What is the risk of having a blood clot?
The risk depends on your natural risk of VTE and the type of combined hormonal contraceptive you are taking.
The overall risk of having a blood clot in the leg or lung (DVT or PE) with aidrana is small.
Risk of having a blood clot in a year  | |
Women who do not usea combined hormonal contraceptive and are not pregnant  | About 2 out of every 10,000 women  | 
Women who use a combined hormonal contraceptive that contains levonorgestrel, norethisterone or norgestimate  | About 5-7 out of every 10,000 women  | 
Women who use aidrana  | About 9-12 out of every 10,000 women  | 
Factors that increase your risk of a blood clot in a vein
The risk of having a blood clot with aidrana is small, but some conditions increase the risk. Your risk is higher:
The risk of having a blood clot increases the more conditions you have.
Long-distance flights (more than 4 hours) may temporarily increase the risk of a blood clot, especially if you have any of the other risk factors listed.
It is essential to inform your doctor if you suffer from any of the above conditions, even if you are not sure. Your doctor may decide that you should stop using aidrana.
If any of the above conditions change while you are using aidrana, for example, a close relative experiences a thrombosis without a known cause or you gain much weight, inform your doctor.
BLOOD CLOTS IN AN ARTERY
What can happen if a blood clot forms in an artery?
Like a blood clot in a vein, a clot in an artery can cause serious problems. For example, it can cause a heart attack or a stroke.
Factors that increase your risk of a blood clot in an artery
It is essential to note that the risk of a heart attack or stroke due to drospirenone/ethinylestradiol is very small, but it can increase:
If you have more than one of these conditions or if any of them are particularly severe, the risk of having a blood clot may be increased further.
If any of the above conditions change while you are using aidrana, for example, you start smoking, a close relative experiences a thrombosis without a known cause or you gain much weight, inform your doctor.
Drospirenone/ethinylestradiol andcancer
There has been a slightly higher incidence of breast cancer in women who use combined contraceptives, but it is not known if this is due to the treatment. For example, it may be that more tumors are detected in women who use combined contraceptives because they are examined by a doctor more frequently. The incidence of breast tumors decreases gradually after stopping combined hormonal contraceptives. It is essential to have your breasts examined regularly, and you should see your doctor if you notice any lump.
In rare cases, benign liver tumors, and more rarely malignant liver tumors, have been reported in users of hormonal contraceptives. See your doctor if you suffer from unusually severe abdominal pain.
Bleeding between periods
During the first few months in which you are taking aidrana, you may have unexpected bleeding (bleeding outside of the days of placebo pill use). If this bleeding persists beyond a few months or starts after a few months, your doctor should investigate the cause.
What should you do
Each blister pack contains 24 active pink tablets and 4 white placebo tablets. The aidrana tablets of different colors are ordered. A blister pack contains 28 tablets.
Take one aidrana tablet every day, with some water if necessary. You can take the tablets with or without food, but always at approximately the same time every day.
Do not confuse the tablets: take a pink tablet for the first 24 days and then a white tablet for the last 4 days. Then, start a new blister pack immediately (24 pink tablets and then 4 white tablets). Therefore, there is no interval between two blister packs.
Since the composition of the tablets is different, you must start the blister pack with the tablet in the upper left corner and take the tablets every day. Follow the direction of the arrows on the blister pack to take the tablets in the correct order.
Preparing the blister pack
To help you follow the order of intake, each aidrana package contains 7 self-adhesive strips with the 7 days of the week. Choose the strip that starts with the day you take the first tablet. For example, if you take your first tablet on a Wednesday, use the strip that starts with "WED".
Stick the self-adhesive strip on the top of the aidrana blister pack, where it says "Place the strip here!", so that the first day is above the tablet marked with "1".
Now you will have a day marked above each tablet and can visually check if you have taken your tablet. The arrows indicate the order of taking the tablets.
During the 4 days when you take the placebo tablets (the placebo days), you should have your period (the so-called withdrawal bleeding). It usually starts on the 2nd or 3rd day after taking the last active pink tablet of aidrana. After taking the last white tablet, start the next blister pack, even if your period has not finished. This means you must start the next blister pack on the same day of the week you started the previous one, and the withdrawal bleeding should occur during the same days every month.
If you use aidrana in this way, you are also protected against pregnancy during the 4 days when you take the placebo tablet.
When can you start with the first blister pack
Start taking aidrana on the first day of your cycle (i.e., the first day of your period). If you start aidrana on the first day of your period, you are immediately protected against pregnancy. You can also start on days 2-5 of your cycle, but in that case, you must use additional contraceptive methods (e.g., condoms) for the first 7 days.
You can start taking aidrana preferably the day after taking the last active tablet (the last tablet containing active ingredients) of your previous contraceptive, but no later than the day after the tablet-free days (or after the last inactive tablet) of your previous contraceptive. When switching from a combined vaginal ring or patch, follow your doctor's recommendations.
You can switch from the progestin-only pill at any time. If it's an implant or intrauterine system, on the day of its removal; if it's an injectable, when the next injection is due. In all cases, it is recommended that you use additional contraceptive measures (e.g., condoms) for the first 7 days of tablet-taking.
Follow your doctor's recommendations.
After having a child, you can start taking aidrana between 21 and 28 days later. If you start later, you must use a barrier method (e.g., condoms) for the first 7 days of aidrana use.
If, after having a child, you have already had sexual intercourse, before starting aidrana, you must be sure you are not pregnant or wait for your next period.
Read the section "Lactation".
Consult your doctor if you have doubts about when to start.
If you take moreaidranathan you should
No cases have been reported where an overdose of aidrana has caused serious harm.
If you take many tablets at once, you may feel unwell or have vomiting or vaginal bleeding.
This bleeding can occur even in girls who have not yet had their first period, if they have accidentally taken this medication.
If you have taken too many aidrana tablets, or if a child has taken them, consult your doctor or pharmacist.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.
If you forget to takeaidrana
The last 4 tablets of the 4th row of the blister pack are placebo tablets. If you forget one of these tablets, the contraceptive effect of aidrana is not lost. You must discard the forgotten placebo tablet.
If you forget an active pink tablet (tablets 1-24 of the blister pack), follow these tips:
The risk of incomplete protection against pregnancy is highest if you forget a pink tablet at the beginning or end of the blister pack. The following recommendations should be followed in this situation (see also the diagram below):
Consult your doctor.
Take the forgotten tablet as soon as you remember, even if it means taking two tablets at once. Continue taking the following tablets at the usual time and use additional precautions, for example, condoms, for the next 7 days. If you have had sexual intercourse in the week before forgetting the tablet, you should know that there is a risk of pregnancy. In that case, consult your doctor.
Take the forgotten tablet as soon as you remember, even if it means taking two tablets at once. Continue taking the following tablets at the usual time. The protection against pregnancy does not decrease, and you do not need to take additional precautions.
You can choose between two options:
You will likely have your period at the end of the second blister pack – during the intake of the white placebo tablets – although you may experience spotting or bleeding similar to menstruation during the intake of the second blister pack.
If you follow one of these two recommendations, you will remain protected against pregnancy.
If you have forgotten to take a tablet from a blister pack and do not have your period during the placebo days, this may mean that you are pregnant. In this case, you must see your doctor before continuing with the next blister pack.

What to do in case of vomiting or severe diarrhea
If you vomit within 3-4 hours after taking an active pink tablet or if you have severe diarrhea, there is a risk that the active ingredients of the tablet will not be fully absorbed by your body. This is similar to what happens when you forget a tablet. After vomiting or diarrhea, you must take a pink tablet from a reserve package as soon as possible. If possible, take it within 24 hours after the usual time you take your contraceptive. If it is not possible or more than 24 hours have passed, follow the tips in the section "If you forget to take aidrana".
Delayed menstrual period: what you should know
Although it is not recommended, it is possible to delay your menstrual period if you do not take the white placebo tablets from the 4th row and start directly taking the tablets from a new aidrana blister pack until you finish this new blister pack. You may experience spotting (drops or spots of blood) or bleeding similar to menstruation during the use of the second blister pack. After finishing this second blister pack, taking the 4 white tablets from the 4th row, you start the next blister pack.
Before deciding to delay your menstrual period, ask your doctor.
Changing the first day of your menstrual period: what you should know
If you take the tablets according to the instructions, your menstrual period will begin during the placebo days. If you need to change this day, you can do so by reducing the placebo days (the days you take the white tablets) but never extending them – 4 days is the maximum! For example, if you start the placebo days on a Friday and want to change it to Tuesday (3 days earlier), you must start a new blister pack 3 days earlier than usual. You may not have bleeding during these placebo days. Then you may experience spotting or bleeding similar to menstruation.
If you are not sure how to proceed, consult your doctor.
If you interrupt treatment withaidrana
You can stop taking aidrana at any time. If you do not want to become pregnant, consult your doctor about other effective birth control methods. If you want to become pregnant, stop taking aidrana and wait until your next period before trying to become pregnant. This way, you can more easily calculate the estimated date of delivery.
If you have any other doubts about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.
If you experience any adverse effect, especially if it is severe and persistent, or if you have any change in health that you think may be due to aidrana, consult your doctor.
Contact a doctor immediately if you experience any of the following symptoms of angioedema: swelling of the face, tongue and/or throat, and/or difficulty swallowing or urticaria with possible difficulty breathing (see also section "Warnings and Precautions").
All women who take combined hormonal contraceptives are at a higher risk of developing blood clots in the veins (venous thromboembolism (VTE)) or blood clots in the arteries (arterial thromboembolism (ATE)). For more detailed information on the different risks of taking combined hormonal contraceptives, see section 2 "What you need to know before taking aidrana".
The following adverse effects are related to the use of aidrana:
Frequent Adverse Effects: may affect up to 1 in 10 people
Uncommon Adverse Effects: may affect up to 1 in 100 people
Rare Adverse Effects: may affect up to 1 in 1,000 people
The chances of having a blood clot may be higher if you have any other condition that increases this risk (see section 2 for more information on conditions that increase the risk of blood clots and symptoms of a blood clot).
The following adverse effects have also been reported, but their frequency cannot be estimated from the available data: hypersensitivity, erythema multiforme (skin rash with target-like redness or ulcers).
Reporting Adverse Effects
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiration date that appears on the packaging after "EXP". The expiration date is the last day of the month indicated.
Do not store above 30 °C.
Medicines should not be thrown away through wastewater or household waste. Deposit the packaging and medicines you no longer need in the SIGRE Point of the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.
Composition of aidrana
Each active film-coated pink tablet contains 3 milligrams of drospirenone and 0.02 milligrams of ethinylestradiol.
The white film-coated tablets do not contain active ingredients.
Active film-coated pink tablets
Tablet core:lactose monohydrate, potassium polacrylate, povidone K-30, magnesium stearate.
Tablet film coating:macrogol 3350, titanium dioxide (E171), polyvinyl alcohol, talc, red iron oxide (E172), and yellow iron oxide (E172).
Inactive white film-coated tablets:
Tablet core:lactose monohydrate, potassium polacrylate, povidone K-30, magnesium stearate, anhydrous colloidal silica
Tablet film coating:macrogol 3350, titanium dioxide (E171), polyvinyl alcohol, talc.
Appearance of the Product and Package Contents
Aidrana is available in packages of 1 and 3 blister packs, each containing 28 tablets.
Only some package sizes may be marketed.
Marketing Authorization Holder and Manufacturer
Marketing Authorization Holder
Laboratorios Cinfa, S.A.
Carretera Olaz-Chipi, 10. Polígono Industrial Areta
31620 Huarte (Navarra) - Spain
Manufacturer
Cyndea Pharma, S.L.
Polígono Industrial Emiliano Revilla
Av. De Ágreda 31
42110 Ólvega (Soria)- Spain
or
Laboratorios Cinfa, S.A.
Carretera Olaz-Chipi, 10. Polígono Industrial Areta
31620 Huarte (Navarra) - Spain
Date of the Last Revision of this Prospectus:July 2024
Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es
You can access detailed and updated information about this medicine by scanning the QR code included in the prospectus and packaging with your mobile phone (smartphone). You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/83761/P_83761.html
QR code to: https://cima.aemps.es/cima/dochtml/p/83761/P_83761.html
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