PACKAGE LEAFLET: INFORMATION FOR THE USER
Daylette 3mg/ 0.02 mg film-coated tablets EFG
drospirenone / ethinylestradiol
Important things you should know about combined hormonal contraceptives (CHCs):
Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.
Contents of the package leaflet:
Hormonal contraceptives that contain two hormones are called "combined" contraceptives.
General considerations
Before starting to use Daylette, you should read the information about blood clots in section 2. It is especially 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.
This prospectus describes several situations 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 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 infection (AIDS) or other sexually transmitted diseases.
Do not use Daylette
You should 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 medicines that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir, or sofosbuvir/velpatasvir/voxilaprevir (see also section "Other medicines and Daylette").
Warnings and precautions
Consult your doctor or pharmacist before starting to take Daylette.
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 should be particularly careful while using Daylette or any other combined hormonal contraceptive, and your doctor may need to perform regular checks on you. If any of the following conditions apply to you, you should inform your doctor before using Daylette. If the condition develops or worsens while you are using Daylette, you should 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 having 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:
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 important to remember that the overall risk of a harmful blood clot due to Daylette 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? |
| 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 you should 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 that 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 Daylette, 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 Daylette is small.
Risk of having a blood clot in a year | |
Women who do not usea combined hormonal contraceptive pill/patch/ring and are not pregnant | About 2 out of 10,000 women |
Women who use a combined hormonal contraceptive pill that contains levonorgestrel, norethisterone, or norgestimate | About 5-7 out of 10,000 women |
Women who use Daylette | About 9-12 out of 10,000 women |
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 having a blood clot increases with the number of 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 important to inform your doctor if you suffer from any of the conditions above, even if you are not sure. Your doctor may decide that you should stop using Daylette.
If any of the conditions above change while you are using Daylette, for example, a close relative experiences a thrombosis without 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 stroke.
Factors that increase your risk of a blood clot in an artery
It is important to note that the risk of a heart attack or stroke due to Daylette is very small, but it can increase:
If you have one or more of these conditions or if any of them are particularly severe, the risk of having a blood clot may be increased even further.
If any of the conditions above change while you are using Daylette, for example, you start smoking, a close relative experiences a thrombosis without 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 who take combined hormonal contraceptives, but it is not known if this is caused by the treatment. For example, it may be due to the fact that more tumors are detected in women who take combined contraceptives because they are examined more frequently by their doctor.
The occurrence of breast tumors decreases gradually after stopping combined hormonal contraceptives. It is important that you regularly check your breasts and should contact your doctor if you notice any lump.
In rare cases, benign liver tumors and, in an even smaller number, malignant liver tumors have been reported in users of oral contraceptives. Contact your doctor if you have unusually severe abdominal pain.
Psychiatric disorders
Some women who use hormonal contraceptives, including Daylette, have reported depression or a depressed mood. Depression can be severe and, in some cases, can lead to suicidal thoughts. If you experience changes in your mood and depressive symptoms, contact your doctor for further medical advice as soon as possible.
Bleeding between periods
During the first few months that you take Daylette, you may have unexpected bleeding (bleeding outside of the placebo days). If this bleeding lasts for more than a few months or starts after some months, your doctor should investigate the cause.
Follow exactly the administration instructions of this medication as indicated by your doctor. In case of doubt, consult your doctor or pharmacist.
Each blister pack contains 24 active white tablets and 4 green placebo tablets.
The two differently colored Daylette tablets are arranged in order. A blister pack contains 28 tablets.
Take one Daylette tablet per 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 a new blister pack immediately (24 white tablets and then 4 green tablets). Therefore, there is no break between two blister packs.
Due to the different composition of the tablets, it is necessary to start with the first tablet in position 1 of the blister pack marked with “Start” and then take the tablets every day. For the correct order, follow the direction of the arrows and the numbering of the blister pack.
Label preparation
To help you keep track, there are 7 adhesive labels in the form of a strip with the 7 days of the week marked. Choose the strip 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”.
Match the “?” symbol on the label with the same symbol on the blister pack and place the strip inside the area surrounded by a black line. Each day will align with a row of tablets.
Now, a day is shown above each tablet, and you can see if you have taken the tablet on a particular day. Follow the direction of the arrow on the card until you have taken all 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 on the second or third day after the last active white Daylette tablet. Once you have taken the last green tablet, you must start the next blister pack, whether the bleeding has stopped or not. This means you must start each blister pack on 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 also be protected against pregnancy during the 4 days when you are taking the placebo tablets.
When can you start with the first blister pack
Start taking Daylette on the first day of your cycle (i.e., 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 your cycle, but then you must use additional protective measures (e.g., a condom) for the first 7 days.
You can start taking Daylette preferably the day after the last active tablet (the last tablet that contains active ingredients) of your previous CHC or, but no later than, the day after the tablet-free period 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 (e.g., a condom) during the first 7 days of using Daylette.
If, after having a baby, you have had sex before starting to take Daylette again, you must first ensure you are not pregnant or wait until your next menstrual period.
Read the section “Breastfeeding”.
If you are unsure when to start, consult your doctor.
If you take more Daylette than you should
There are no reports of serious harmful effects from taking too many Daylette tablets.
If you take several tablets at once, you may feel sick, vomit, or have vaginal bleeding.
Even girls who have not yet started their periods but have taken this medication accidentally may experience this type of bleeding.
If you have taken too many Daylette tablets, or discover that a child has taken some tablets, 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 915620420, indicating the medication and the amount taken.
If you forget to take Daylette
The last 4 tablets of the 4th row of the blister pack are placebo tablets. If you forget to take one of these tablets, it will have no effect on the efficacy of Daylette.
Discard the forgotten placebo tablet.
If you forget an active white tablet (tablets 1-24 of your blister pack), you must do the following:
Take the tablet as soon as you remember and then take the following tablets at the usual time.
The risk of incomplete protection against pregnancy is higher if you miss a white tablet at the beginning or end of the blister pack. In this case, you must follow the recommendations given in “If you forget to take Daylette”.
Contact your doctor.
Take the missed tablet as soon as you remember, even if it means taking two tablets at the same time. Continue taking the tablets at the usual time and take additional precautionsfor the next 7 days, e.g., a condom. If you have had sex in the week before missing the tablet, you should know that there is a risk of pregnancy. In this case, contact your doctor.
Take the missed tablet as soon as you remember, even if it means taking two tablets at the same time. Continue taking the tablets at the usual time. The protection against pregnancy is not reduced, and you do not need to take additional precautions.
You can choose between two options:
It is likely that you will have your period at the end of the second blister pack, while taking the green placebo tablets, but you may have light bleeding or spotting during the second blister pack.
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 the missed tablet? |
No |
|
You have only missed 1 white tablet (and taken it with more than 24 hours delay) | Day 8 - 14 |
|
| ||
Day 15 - 24 | or |
|
What to do in case of vomiting or severe diarrhea
If you vomit within 3-4 hours after taking an active white tablet or if you have had severe diarrhea, there is a risk that your body has not fully absorbed the active ingredients of the tablet.
The situation is almost the same as missing a tablet. After vomiting or diarrhea, you must take another active white tablet from a reserve blister pack as soon as possible. If possible, take it within 24 hours after the time you normally take the contraceptive. If this is not possible or more than 24 hours have passed, follow the recommendations given in “If you forget to take Daylette”.
Delaying your period: what you need to know
Although it is not recommended, you can delay your period by not taking the green placebo tablets from the 4th row and going directly to taking a new Daylette blister pack and finishing it. You may have light bleeding or spotting while taking the second blister pack. Finish the second blister pack by taking the 4 green placebo tablets from the 4th row. Then, start a new blister pack.
You can ask your doctor for advice before deciding to delay your menstrual period.
Changing the first day of your period: what you need to know
If you take the tablets according to the instructions, your period will start during the placebo days. If you need to change this day, reduce the number of placebo days – when you take the green placebo tablets – (but never increase them – 4 is the maximum!). For example, if you start taking the placebo tablets on a Friday and want to change it to a Tuesday (3 days earlier), you must start the new blister pack 3 days earlier than usual. You may not have any bleeding during this time. You may then have light bleeding or spotting.
If you are unsure how to act, consult your doctor.
If you stop taking Daylette
You can stop taking Daylette whenever 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 can more easily calculate the expected date of delivery.
If you have any other questions about the use of this medication, consult 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 have any change in health that you think may be due to Daylette, consult your doctor.
Severe Adverse Effects
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 the 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 Daylette".
Below is a list of adverse effects that have been associated with the use of drospirenone/ethinylestradiol:
Common 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 risk 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).
Frequency Not Known (cannot be estimated from the available data):
Reporting of 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 store above 25°C. Store in the original packaging to protect it from light.
Do not use this medicine after the expiration date that appears on the blister pack and carton. The expiration date is the last day of the month indicated.
Medicines should not be disposed of through wastewater or household waste. Deposit the packaging and medicines you no longer need at the pharmacy's collection point. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.
Composition of Daylette
Active film-coated tablets (white):
Tablet core:
Coating:
Placebo film-coated tablets (green):
Tablet core:
Coating:
Appearance of the Product and Package Contents
The active film-coated tablet is white or almost white, round, biconvex, with a diameter of approximately 6 mm. "G73" is engraved on one side, and the other side is without engraving.
The placebo film-coated tablet is green, round, biconvex, with a diameter of approximately 6 mm, without engraving.
Daylette 3 mg/0.02 mg film-coated tablets, EFG, are packaged in PVC/PE/PVDC/Al blisters. The blisters are packaged in cardboard boxes with a leaflet, a blister case, 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.
Marketing Authorization Holder and Manufacturer
Gedeon Richter Plc.
1103 Budapest,
Gyömroi út 19-21.
Hungary
You can request more information about this medicine by contacting the local representative of the marketing authorization holder:
Gedeon Richter Ibérica S.A.
Sabino Arana, 28 4º 2º
08028 Barcelona
Spain
This medicine is authorized in the Member States of the European Economic Area under the following names:
Spain: Daylette
Hungary: Rezia
Portugal: Daylette
Date of the last revision of this prospectus:January 2023
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.