
Package Leaflet: Information for the User
Drosure Daily 0.03 mg/3 mg film-coated tablets EFG
ethinylestradiol/drospirenone
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):
Contents of the package leaflet
General considerations
Before starting to use Drosure Daily, 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 Drosure Daily, 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.
In this prospectus, several situations are described in which you should interrupt the use of Drosure Daily, or in which the effect of Drosure Daily may decrease. In such situations, you should not have sexual intercourse or should take additional non-hormonal contraceptive precautions, for example, use of a condom or another barrier method. Do not use the rhythm method or the temperature method. These methods may not be reliable since Drosure Daily alters the monthly changes in body temperature and cervical mucus.
Drosure Daily, like other hormonal contraceptives, does not protect against HIV infection (AIDS) or any other sexually transmitted disease.
Do not take Drosure Daily
You should not use Drosure Daily 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.
Additional information for special populations
Children and adolescents
Drosure Daily is not indicated for use in women who have not yet had their first menstrual period.
Older women
Drosure Daily is not indicated for use after menopause.
Women with liver insufficiency
Do not take Drosure Daily if you suffer from liver disease. See sections "Do not take Drosure Daily" and "Warnings and precautions".
Women with renal insufficiency
Do not take Drosure Daily if you are suffering from kidney malfunction or acute kidney failure. See sections "Do not take Drosure Daily" and "Warnings and precautions".
Warnings and precautions
Consult your doctor or pharmacist before starting to take this medicine.
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 particularly careful while using Drosure Daily or any other combined contraceptive, and it may be necessary for your doctor to examine you periodically. If the condition develops or worsens while you are using Drosure Daily, you should also inform your doctor.
BLOOD CLOTS
The use of a combined hormonal contraceptive like Drosure Daily increases your risk of suffering from 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 Drosure Daily 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 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 Drosure Daily, your risk of a blood clot returns to normal within 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 Drosure Daily is small.
Risk of a blood clot in a year | |
Women who do not usea combined hormonal pill/patch/ring and who are not pregnant | About 2 out of 10,000 women |
Women who use a combined hormonal pill that contains levonorgestrel, norethisterone, or norgestimate | About 5-7 out of 10,000 women |
Women who use Drosure Daily | About 9-12 out of 10,000 women |
Factors that increase your risk of a blood clot in a vein
The risk of a blood clot with Drosure Daily is small, but some conditions increase the risk. Your risk is higher:
The risk of a blood clot increases with the number of conditions you have.
Long-distance flights (more than 4 hours) can 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 interrupt the use of Drosure Daily.
If any of the above conditions change while you are using Drosure Daily, for example, a close relative experiences a thrombosis 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 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 Drosure Daily 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 a blood clot may be further increased.
If any of the above conditions change while you are using Drosure Daily, for example, you start smoking, a close relative experiences a thrombosis without a known cause, or you gain a lot of weight, inform your doctor.
Drosure Daily and cancer
Breast cancer has been slightly more frequently observed 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 take 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... (rest of the text remains the same)
Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.
Each blister pack contains 21 active yellow tablets and 7 white placebo tablets.
The two different types of colored tablets of Drosure Daily are arranged in order. A pack contains 28 tablets.
Take one Drosure Daily tablet every day, with some water if necessary. You can take the tablets with or without food, but every day at approximately the same time.
Do not get confused with the tablet: take a yellow tablet for the first 21 days, and then a white tablet for the last 7 days. Then, you should start taking a new pack (21 yellow tablets and 7 white tablets). This way, there is no week of rest between packs.
Due to the different composition of the tablets, it is necessary that you start with the first tablet located in the upper left corner and then take one tablet every day. To maintain the order, follow the direction of the arrows on the pack.
Preparing the pack
To help you follow the order, the Drosure Daily pack contains 7 adhesive strips with the days of the week.
Choose the adhesive strip that starts with the day you take the first tablet. For example, if you start on Wednesday, stick the one that says “WED”.
Stick the weekly adhesive strip on the upper left side of the Drosure Daily blister pack, with the first day in the “Start” position. This way, there is a day of the week indicated above each tablet, and you can see if you have taken a certain tablet. The arrows show the order in which the tablets should be taken.
During the 7 days when you take the placebo tablets (the placebo days), you usually start your period (also called withdrawal bleeding). Usually, the period starts on the second or third day after taking the last active yellow tablet of Drosure Daily. Once you have taken the last white tablet, you should start the next pack, even if you have not finished bleeding. This means that you should start each pack on the same day of the week that you started the previous one, and that menstruation should take place during the same days every month.
If you take Drosure Daily as indicated, you will also be protected against pregnancy during the 7 days when you are taking the placebo tablets.
When can you start with the first pack?
Start taking Drosure Daily on the first day of your cycle (i.e., the first day of your period). If you start Drosure Daily on the first day of your period, you will be immediately protected against pregnancy. You can also start on days 2-5 of your cycle, but you should use additional contraceptive methods (e.g., condom) during the first 7 days.
You can start taking Drosure Daily 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 rest days of your previous contraceptive (or after taking 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 is an implant or intrauterine system, on the day of its removal; if it is an injectable, when the next injection is due), but in all cases, use additional contraceptive measures (e.g., condom) during the first 7 days of tablet-taking.
Follow your doctor's recommendations.
You can start taking Drosure Daily between 21 and 28 days after having a child. If you start later, use a barrier method (e.g., condom) during the first 7 days of taking Drosure Daily.
If, after having a child, you have had sexual intercourse before starting to take Drosure Daily again, you should be sure that you are not pregnant or wait for your next menstrual period.
Read the section “Breast-feeding”.
Ask your doctor if you are not sure when to start.
If you take more Drosure Daily than you should
No cases have been reported where an overdose of Drosure Daily has caused serious harm.
The symptoms that may appear if you take many tablets may be feeling unwell or having vomiting or vaginal bleeding. This bleeding can occur even in girls who have not yet had their first menstrual period, if they accidentally take this medication.
If you have taken too many Drosure Daily tablets, or discover that 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 used.
If you forget to take Drosure Daily
The tablets in the fourthrow of the pack are placebo tablets. If you forget to take one of these tablets, it will have no effect on the reliability of Drosure Daily. Discard the forgotten placebo tablet.
If you forget to take an active yellow tablet from rows 1, 2, or 3, do the following:
The risk of incomplete protection against pregnancy is highest if you forget to take a yellow tablet at the beginning or end of the pack. Therefore, you should follow these recommendations (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 the same time. Continue taking the tablets at the usual time and use additional precautions, for example, a condom, for the next 7 days. If you have had sexual intercourse in the week before forgetting the tablet, you may be pregnant. In this case, consult your doctor.
Take the forgotten 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 will not decrease, and you do not need to take additional precautions.
You can choose between two options:
You will probably have your period at the end of the second pack, while taking the white placebo tablets, although you may experience light bleeding or spotting during the second pack.
If you follow one of these two recommendations, you will remain protected against pregnancy.

What to do in case of vomiting or severe diarrhea
If you vomit within 3-4 hours after taking an active yellow tablet, or suffer from severe diarrhea, there is a risk that the active ingredients of the contraceptive will not be fully absorbed by the body. The situation is almost equivalent to forgetting a tablet. After vomiting or diarrhea, take another yellow tablet from a reserve pack as soon as possible. If possible, take it within 12 hoursafter the usual time you take your contraceptive. If it is not possible or more than 12 hours have passed, follow the advice in the section “If you forget to take Drosure Daily”.
Delay of your menstrual period: what you should know
Although it is not recommended, you can delay your period if you do not take the white placebo tablets from the fourth row and start taking a new pack of Drosure Daily and finish it. You may experience light bleeding or spotting during the use of the second pack.
You should ask your doctor for advice before deciding to delay your menstrual period.
Change of your menstrual period: what you should know
If you take the tablets as instructed, your period will start during the placebo week. If you need to change this day, reduce the number of placebo days - when you take the white placebo tablets - (but never increase them - 7 at most!). For example, if you usually start taking the placebo tablets on Fridays, and you want to change it to Tuesdays (3 days earlier), start a pack 3 days earlier than usual. If you make the placebo interval very short (e.g., 3 days or less), you may not have bleeding during these days. Then you may experience light bleeding or spotting.
If you are not sure how to proceed, consult your doctor.
If you stop treatment with Drosure Daily
You can stop taking Drosure Daily whenever you want. 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 Drosure Daily and wait until your period before trying to become pregnant. This way, you will be able to calculate the estimated date of delivery more easily.
If you have any additional 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 Drosure Daily, consult your doctor.
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 Drosure Daily".
The following list of adverse effects has been related to the use of Drosure Daily.
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 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).
Contact your 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 potentially with difficulty breathing (see also the section "Warnings and Precautions").
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 does not appear 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.
Store below 30°C.
Do not take this medicine after the expiration date that appears on the packaging after "CAD:". The expiration date is the last day of the month indicated.
Medicines should not be thrown away through wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE Point in 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 Drosure Daily
Each Drosure Daily blister pack contains 21 active yellow tablets in the 1st, 2nd, and 3rd rows of the blister pack, and 7 white placebo tablets in the 4th row.
Active Tablets
The active ingredients are 0.03 mg of ethinylestradiol and 3 mg of drospirenone.
The other components are:
Tablet core: lactose monohydrate, cornstarch, pregelatinized cornstarch, crospovidone, povidone, polysorbate 80, magnesium stearate.
Coating: partially hydrolyzed polyvinyl alcohol, titanium dioxide (E171), macrogol, talc, and yellow iron oxide (E172).
Placebo Tablets
Tablet core: anhydrous lactose, povidone, magnesium stearate.
Coating: partially hydrolyzed polyvinyl alcohol, titanium dioxide (E171), macrogol 3350, talc.
Appearance of the Product and Package Contents
The active tablets are film-coated, round, yellow tablets with a diameter of approximately 5.7 mm.
The placebo tablets are film-coated, round, white tablets with a diameter of approximately 5.7 mm.
Drosure Daily is available in boxes of 1, 2, 3, 6, and 13 blister packs, each containing 28 tablets (21 active tablets and 7 placebo tablets).
Only some package sizes may be marketed.
Marketing Authorization Holder
Laboratorios Effik, S.A.
C/ San Rafael, 3
28108 Alcobendas, Madrid
Spain
Manufacturer
Laboratorios León Farma, S.A.
Pol. Ind. Navatejera. C/ La Vallina s/n
24008 - Villaquilambre, León.
Spain
O
ZAKLADY FARMACEUTYCZNE POLPHARMA S.A.
Oddzial Produkcyjny W Nowej Debie, Ul. Metalowca 2
39-460 Nowa Deba
Poland
This medicine is authorized in the member states of the European Economic Area under the following names:
Czech Republic | Jangee |
Greece | Eronileight 0.03 mg/3 mg δισκίο επικαλυμμένο με μεμβράνη |
Spain | Drosure 0.03 mg/3 mg film-coated tablets EFG |
Ireland | Ethinylestradiol/Drospirenone Leon Farma & placebo 0.03 mg/3 mg film-coated tablets |
Poland | Vibin |
Romania | Jangee 0.03 mg/3 mg 28 film-coated tablets |
Slovakia | KarHleight |
Date of the Last Revision of this Prospectus: November 2022
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es.
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