PATIENT INFORMATION LEAFLET
Daylette 3mg/ 0.02 mg Film-Coated Tablets
drospirenone / ethinylestradiol
Important Information You Should Know About Combined Hormonal Contraceptives (CHCs):
Read this leaflet carefully before starting to take this medicine, as it contains important information for you.
Hormonal contraceptives that contain two hormones are called "combined" contraceptives.
General Considerations
Before starting to use Daylette, you must 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 you can start taking Daylette, your doctor will ask you some questions about your personal medical history and that of your close relatives. Your doctor will also take your blood pressure and, depending on your personal situation, may perform some other tests.
In this prospectus, several situations are described in which you should stop taking Daylette, or in which the reliability of Daylette may be reduced. In these situations, you should not have sexual intercourse or you should take additional non-hormonal contraceptive precautions, e.g., use a condom or another barrier method.
Do not use rhythm or temperature methods. These methods may not be reliable because Daylette alters the monthly variations in body temperature and cervical mucus.
Daylette, like other hormonal contraceptives, does not protect against HIV (AIDS) or other sexually transmitted diseases.
Do not use Daylette
Do not use Daylette 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 use Daylette
Do not use Daylette if you have hepatitis C and are taking medications that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir (see also section Other Medications and Daylette).
Warnings and Precautions
Consult your doctor or pharmacist before starting to take Daylette.
When should you consult your doctor? Seek immediate medical attention
For a description of the symptoms of these serious adverse effects, see “How to Recognize a Blood Clot”. |
Inform your doctor if you suffer from any of the following conditions.
In some situations, you should have special care while using Daylette or any other combined hormonal contraceptive, and you may need to have regular check-ups. If you have any of the following conditions, inform your doctor before using Daylette. If the condition develops or worsens while you are using Daylette, also inform your doctor:
Consult your doctor before taking Daylette.
BLOOD CLOTS
The use of a combined hormonal contraceptive like Daylette increases your risk of suffering a blood clot compared to not using it. In rare cases, a blood clot can block blood vessels and cause serious problems.
Blood clots can form:
The recovery of blood clots is not always complete. In rare cases, there may be long-lasting or even fatal effects.
It is essential to remember that the overall risk of a harmful blood clot due to Daylette is small.
HOW TO RECOGNIZE A BLOOD CLOT
Seek immediate medical attentionif you notice any of the following signs or symptoms.
Do you experience any of these signs? | What may you be suffering from? |
| Deep vein thrombosis |
If you are unsure, consult a doctor, as some of these symptoms, such as coughing or shortness of breath, can be confused with a milder condition like 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 may be brief, with almost immediate and complete recovery, but you should still seek immediate medical attention as you may be at risk of 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 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 be higher if you restart taking a combined hormonal contraceptive (the same medication 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 Daylette, your risk of a blood clot returns to normal in a few weeks.
What is the risk of 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 a blood clot in the leg or lung (DVT or PE) with Daylette is small.
Risk of developing a blood clot in a year | |
Women whodo not usea combined hormonal contraceptive and are not pregnant | About 2of every 10,000women |
Women who use a combined hormonal contraceptive that containslevonorgestrel, noretisterone, or norgestimato | About 5‑7of every 10,000women |
Women who use Daylette | About 9‑12of every 10,000women |
Factors that increase your risk of a blood clot in a vein
The risk of having a blood clot with Daylette is small, but some conditions increase the risk. Your risk is higher:
The risk of a blood clot increases the more conditions you have.
Long 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 have any of the conditions listed above, even if you are unsure. Your doctor may decide that you should stop using Daylette.
If any of the conditions listed above change while you are using Daylette, for example, a close relative experiences a blood clot without a known cause or you gain a lot of 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 blood 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 Daylette is very small, but it may increase:
If you have one or more of these conditions or if any of them are particularly severe, your risk of a blood clot may be increased even further.
If any of the conditions listed above change while you are using Daylette, for example, you start smoking, a close relative experiences a blood clot without a known cause, or you gain a lot of weight, inform your doctor.
Daylette and Cancer
It has been observed that breast cancer is slightly more common in women taking combined hormonal contraceptives, but it is not known whether this is caused by the treatment. For example, it may be due to the fact that women taking combined contraceptives are examined more frequently by their doctor.
The appearance of breast tumors decreases gradually after stopping combined hormonal contraceptives. It is essential that you regularly examine your breasts and contact your doctor if you notice any lump.
In rare cases, benign liver tumors and, in a smaller number of cases, malignant liver tumors have been reported in users of oral contraceptives. Contact your doctor if you have unusual abdominal pain.
Mental Health Disorders
Some women who use hormonal contraceptives, including Daylette, have reported depression or a depressed mood. Depression can be severe and, in some cases, may lead to suicidal thoughts. If you experience changes in your mood and depressive symptoms, contact your doctor for additional medical advice as soon as possible.
Spotting between periods
During the first few months of taking Daylette, you may experience unexpected bleeding (bleeding outside of the placebo days). If this bleeding lasts more than a few months or starts after a few months, your doctor should investigate the cause.
What to do if no bleeding occurs during the placebo days
If you have taken all the active white pills correctly, have not had severe vomiting or diarrhea, and have not taken any other medication, it is very unlikely that you are pregnant.
If the expected bleeding does not occur twice consecutively, you may be pregnant. Contact your doctor immediately. Start the next pack only if you are sure you are not pregnant.
Other Medications and Daylette
Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication.
Also inform any other doctor or dentist who prescribes another medication (or pharmacist) that you use Daylette.
They may advise you to take additional contraceptive precautions (e.g., condoms) and, if so, for how long or if you need to modify the use of another medication that you need.
Do not use Daylette if you have hepatitis C and are taking medications that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir (see also section Other Medications and Daylette).
Your doctor will prescribe another type of contraceptive before starting treatment with these medications.
Daylette can be restarted approximately 2 weeks after completing this treatment.See section “Do not use Daylette”.
Some medications may have an effect on the blood levels of Daylette and make it less effective for preventing pregnancy, or may cause unexpected bleeding. These include:
Daylette may affect the effect of other medications, e.g.
Consult your doctor or pharmacist before taking any medication.
Daylette with food and drinks
Daylette can be taken with or without food, if necessary with a small amount of water.
Laboratory tests
If you need to have a blood test, inform your doctor or the laboratory staff that you are taking hormonal contraceptives, as hormonal contraceptives can affect the results of some tests.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, consult your doctor or pharmacist before using this medication.
Pregnancy
If you are pregnant, do not take Daylette. If you become pregnant while taking Daylette, stop taking it immediately and contact your doctor.
If you want to become pregnant, you can stop taking Daylette at any time (see also “If you stop taking Daylette”).
Consult your doctor or pharmacist before taking any medication.
Breastfeeding
Generally, it is not recommended to use Daylette when a woman is breastfeeding. If you want to take the contraceptive during breastfeeding, consult your doctor.
Consult your doctor or pharmacist before taking any medication.
Driving and operating machinery
There is no information to suggest that the use of Daylette affects driving or operating machinery.
Daylette contains lactose, sunset yellow color, and soy lecithin
The white active film-coated tablets of Daylette contain 48.53 mg of lactose monohydrate and the green inactive tablets contain 37.26 mg of lactose per film-coated tablet. If your doctor has told you that you have an intolerance to some sugars, consult your doctor before taking this medication.
The active film-coated tablets of Daylette contain 0.07 mg of soy lecithin. Do not use it in case of allergy to peanuts or soy.
The inactive film-coated tablets (placebo) contain sunset yellow FCF (E110) colorant, which may cause allergic reactions. It may cause asthma, especially in patients allergic to acetylsalicylic acid.
.
Follow exactly the administration instructions of this medication as indicated by your doctor. In case of doubt, consult your doctor or pharmacist.
Each blister contains 24 active white tablets and 4 green placebo tablets.
The two tablets of different colors of Daylette are arranged in order. A blister contains 28 tablets.
Take one Daylette tablet a day, if necessary with a small amount of water. You can take the tablets with or without food, but you must take them every day at the same time.
Do not confuse the tablets:take a white tablet for the first 24 days, and then a green tablet for the last 4 days. Then, you must start immediately a new blister (24 white tablets and then 4 green tablets). Therefore, there is no break between two blisters.
Due to the different composition of the tablets, it is necessary to start with the first tablet in the blister marked with “Start” and then take the tablets every day. To follow the correct order, follow the direction of the arrows and the numbering of the blister.
Label preparation
To help you follow a control, there are 7 adhesive labels in the form of a strip with the 7 days of the week marked. Choose the adhesive label of the days of the week that starts with the day you start taking the tablets. For example, if you start on a Wednesday, use the label that starts with “Wed”.
Align the “?” symbol of the label with the same symbol of the blister and place the strip inside the area surrounded by a black line. Each day will be aligned with a row of tablets.
Now, a day is shown over each tablet, and you will be able to see if the tablet has been taken on a particular day. Follow the direction of the arrow of the card until you have taken the 28 tablets.
During the 4 days when you are taking the green placebo tablets (the placebo days), you should start bleeding (the so-called withdrawal bleeding). It usually starts the second or third day after the last active white tablet of Daylette. Once you have taken the last green tablet, you must start the next blister, whether the bleeding has stopped or not. This means that you must start each blisteron the same day of the week, and the withdrawal bleeding must occur on the same days every month.
If you use Daylette in this way, you will be protected against pregnancy also during the 4 days when you are taking the placebo tablets.
When can you start with the first blister
Start taking Daylette on the first day of the cycle (that is, the first day of your menstruation). If you start taking Daylette on the first day of your menstruation, you will be immediately protected against pregnancy. You can also start on days 2-5 of the cycle, but then you must use additional protection methods (for example, a condom) during the first 7 days.
You can start taking Daylette preferably on the day after the last active tablet (the last tablet that contains active principles) of your previous CHC or, but no later than the day after the period without tablets of your previous contraceptive (or after the last inactive tablet of your previous contraceptive).
When changing from a vaginal ring or patch, follow your doctor's recommendations.
Follow your doctor's recommendations.
You can start taking Daylette between 21 and 28 days after having a baby. If you start after day 28, you must use a barrier contraceptive method (for example, a condom) during the first 7 days of Daylette use.
If, after having a baby, you have had sex before starting to take Daylette (again), first make sure you are not pregnant or wait until your next menstrual period.
Read the “breastfeeding” section.
If you are not sure when to start, consult your doctor.
If you take more Daylette than you should
There are no reports of serious adverse effects from taking too many Daylette tablets.
If you take several tablets at the same time, you may feel unwell, vomit, or experience vaginal bleeding.
Even girls who have not yet started menstruating but have accidentally taken this medication may experience this type of bleeding.
If you have taken too many Daylette tablets, or if you discover that a child has taken some tablets, consult your doctor or pharmacist.
In case of overdose or accidental ingestion, consult immediately your doctor or pharmacist or call the Toxicological Information Service, phone 915620420 indicating the medication and the amount taken.
If you forgot to take Daylette
The last 4 tablets of the 4th row of the blister are placebo tablets. If you forget to take one of these tablets, it will have no effect on the efficacy of Daylette.
Throw away the forgotten placebo tablet.
If you forget an active white tablet (tablets 1-24 of your blister), you must do the following:
Take the tablet as soon as you remember and then take the next tablets at the usual time.
The risk of incomplete protection against pregnancy is greater if you forget to take a white tablet at the beginning or end of the blister. In this case, you must follow the following rules (see also the diagram):
Consult your doctor.
Take the forgotten tablet as soon as you remember, even if this means taking two tablets at the same time. Continue taking the tablets at the usual time and takeadditional precautionsfor the next 7 days, for example, a condom. If you have had sex in the week before forgetting the tablet, you must 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 this means taking two tablets at the same time.Continue taking the tablets at the usual time. The protection against pregnancy will not be reduced, and you do not need to take additional precautions.
You can choose between two options:
It is likely that you will have a light bleeding or a menstrual-like bleeding while taking the second blister.
If you follow one of these two recommendations, you will still be protected against pregnancy.
Yes |
Day 1 - 7 | Have you had sex in the week before forgetting the tablet? |
No |
|
You have only forgotten 1 white tablet (and you have taken it with more than 24 hours of delay) | Day 8 - 14 |
|
| |||
Day 15 - 24 | or |
|
What to do in case of vomiting or severe diarrhea
If you vomit in the 3-4 hours after taking an active white tablet, or if you have had intense diarrhea, there is a risk that your body will not absorb the active principles of the tablet completely.
The situation is almost the same as forgetting a tablet. After vomiting or diarrhea, you must take another active white tablet from a reserve blister as soon as possible. If possible, take it within 24 hours after the usual time of taking the contraceptive. If this is not possible or more than 24 hours have passed, follow the recommendations given in “If you forgot to take Daylette”.
Retarding menstruation: what you should know
Although not recommended, you can delay your period by not taking the green placebo tablets of the fourth row and going directly to take a new Daylette blister and finish it. You may experiencea light bleeding or a menstrual-like bleeding while taking the second blister. Finish the second blister by taking the 4 green placebo tablets of the 4th row. Then, start a new blister.
You can ask your doctor for advice before deciding to delay your menstrual period.
Changing the first day of your menstrual period: what you should know
If you take the tablets as instructed, your period will startduring the placebo days. If you need to change this day, reduce the number ofdays of placebo–when you take the green placebo tablets– (but never increase–4 is the maximum!). For example, if you start taking the placebo tablets on a Friday, and you want to change it to a Tuesday (3 days earlier), you should start the new blister 3 days earlier than usual. You may not have any bleeding during this time. You may experience a light bleeding or a menstrual-like bleedingafterwards.
If you are not sure how to act, consult your doctor.
If you interrupt the treatment with Daylette
You can stop taking Daylette when you want. If you do not want to become pregnant, consult your doctor about other reliable contraceptive methods.
If you want to become pregnant, stop taking Daylette and wait until you have a menstrual period before trying to become pregnant. This way, you will be able to calculate your due date more easily.
If you have any other doubts about the use of this medication, consult your doctor or pharmacist.
Severe side effects
Contact a doctor immediately if you experience any of the following angioedema symptoms: facial swelling, tongue and/or throat swelling and/or difficulty swallowing or urticaria with possible difficulty breathing (also see the "Warnings and precautions" section).
All women taking 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 section2 "What you need to know before starting to use Daylette".
Below is a list of side effects that have been associated with the use of drospirenone/ethinylestradiol:
Frequent side effects (may affect up to 1 in 10 people):
Less frequent side effects (may affect up to 1 in 100 people):
Rare side 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).
Unknown frequency (cannot be estimated from available data):
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through theSistema Español de Farmacovigilancia de Medicamentos de Uso Humanohttps://www.notificaram.es.By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not store at a temperature above 25°C. Store in the original packaging to protect it from light.
Do not use this medication after the expiration date that appears on the blister pack and on the box. The expiration date is the last day of the month indicated.
Medicines should not be disposed of through drains or in the trash. Dispose of packaging and unused medicines at the designated pharmacy drop-off point.In case of doubt, ask your pharmacist how to dispose of packaging and unused medicines. By doing so, you will help protect the environment.
Composition of Daylette
Active film-coated tablets (white):
Tablet core:
monohydrate lactose,
cornstarch,
pregelatinized cornstarch,
polyvinyl alcohol copolymer and macrogol,
magnesium stearate.
Coating:
polyvinyl alcohol,
titanium dioxide (E171),
talco,
macrogol 3350,
soy lecithin.
Placebo film-coated tablets (green):
Tablet core:
microcrystalline cellulose,
lactose,
pregelatinized cornstarch,
magnesium stearate,
anhydrous colloidal silica.
Coating:
polyvinyl alcohol,
titanium dioxide (E171),
macrogol 3350,
talco,
indigo carmine (E132),
quinoline yellow (E104),
iron oxide black (E172),
sunset yellow FCF (E110).
Appearance of the product and contents of the package
The active film-coated tablet is white or almost white, round, biconvex, with a diameter of approximately 6 mm. “G73” engraved on one face, the other face unengraved.
The placebo film-coated tablet is green, round, biconvex, with a diameter of approximately 6 mm, unengraved.
Daylette 3 mg/0.02 mg film-coated tablets, are packaged in PVC/PE/PVDC/Al blisters. The blisters are packaged in cardboard boxes with a leaflet, a blister cover and adhesive labels with the days of the week on each one.
Package sizes:
1×(24+4) film-coated tablets
3×(24+4) film-coated tablets
6×(24+4) film-coated tablets
13×(24+4) film-coated tablets.
Not all package sizes may be marketed.
Holder of the marketing authorization and responsible for manufacturing
Gedeon Richter Plc.
1103 Budapest,
Gyömroi út 19-21.
Hungary
For further information about this medicinal product, please contact the local representative of the marketing authorization holder:
Gedeon Richter Ibérica S.A.
Sabino Arana, 28 4th 2nd
08028 Barcelona
Spain
Thismedicinal product is authorized in themember states of the European Economic Areawith the following names:
Spain:Daylette
Hungary:Rezia
Portugal:Daylette
Revision date of this leaflet:January2023
Further detailed information about this medicinal product is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es.
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.