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LIOFORA 3 mg / 0.02 mg FILM-COATED TABLETS

LIOFORA 3 mg / 0.02 mg FILM-COATED TABLETS

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use LIOFORA 3 mg / 0.02 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the User

Liofora 3 mg/0.02 mg Film-Coated Tablets

drospirenone/ethinylestradiol

Read this entire leaflet carefully before you start taking this medicine, because it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Important things to know about combined hormonal contraceptives (CHCs):

  • They are one of the most reliable reversible contraceptive methods if used correctly.
  • They slightly increase the risk of having a blood clot in the veins and arteries, especially in the first year or when restarting a combined hormonal contraceptive after a break of 4 weeks or more.
  • Be aware of the symptoms of a blood clot (see section 2 “Blood Clots”) and consult your doctor if you think you might have any of these symptoms.

Contents of the Package Leaflet:

  1. What is Liofora and what is it used for .2
  2. What you need to know before you start taking Liofora 2

When not to use Liofora 2

Warnings and Precautions……………………………………………………………..….3

Blood Clots 5

Liofora and Cancer 9

Psychiatric Disorders…………………………………………………..…………………..9

Irregular Bleeding 9

What to do if you do not have your period during the week off 10

Other Medicines and Liofora 10

Taking Liofora with Food and Drink 11

Laboratory Tests 11

Pregnancy 11

Breastfeeding 11

Driving and Using Machines 11

Liofora contains Lactose 11

  1. How to take Liofora 11

When can you start with the first pack? 12

If you take more Liofora than you should 13

If you forget to take Liofora 13

What to do in case of vomiting or severe diarrhea 15

Delayed Period: what you should know 15

Change of the first day of your period: what you should know 15

If you stop taking Liofora 16

  1. Possible Side Effects 16
  2. Storage of Liofora 18
  3. Contents of the Pack and Further Information………………………….…………... …….18

1. What is Liofora and what is it used for

  • Liofora is a contraceptive and is used to prevent pregnancy.
  • Each film-coated tablet contains a small amount of two different female hormones, called drospirenone and ethinylestradiol.
  • Contraceptives that contain two hormones are called combined contraceptives.

2. What you need to know before starting to take Liofora

General considerations

Before starting to use Liofora, 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 Liofora, 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 Liofora, or in which the effect of Liofora 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 or temperature method. These methods may not be reliable since Liofora alters the monthly changes in body temperature and cervical mucus.

Liofora, like other hormonal contraceptives, does not protect against HIV infection (AIDS) or any other sexually transmitted disease.

When not to use Liofora

Do not use Liofora 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 Liofora

  • If you have (or have ever had) a blood clot in a blood vessel of the legs (deep vein thrombosis, DVT), in the lungs (pulmonary embolism, PE) or in other organs.
  • If you know you have a disorder that affects blood clotting: for example, protein C deficiency, protein S deficiency, antithrombin III deficiency, factor V Leiden or antiphospholipid antibodies.
  • If you need an operation or if you spend a long time without getting up (see section "Blood clots").
  • If you have ever had a heart attack or a stroke.
  • If you have (or have ever had) angina pectoris (a condition that causes severe chest pain and may be the first sign of a heart attack) or a transient ischemic attack (TIA, temporary symptoms of a stroke).
  • If you have any of the following diseases that may increase your risk of forming a clot in the arteries:
  • Severe diabetes with blood vessel damage.
  • Very high blood pressure.
  • Very high levels of fat in the blood (cholesterol or triglycerides).
  • A condition called hyperhomocysteinemia.
  • If you have (or have ever had) a type of migraine called "migraine with aura".
  • If you have (or have ever had) a liver disease and your liver function has not yet normalized.
  • If your kidneys do not work well (renal insufficiency).
  • If you have (or have ever had) a tumor in the liver.
  • If you have (or have ever had), or are suspected to have breast cancer or cancer of the sex organs.
  • If you have vaginal bleeding, whose cause is unknown.
  • If you are allergic to ethinylestradiol, drospirenone or any of the other components of this medication (including those listed in section 6). This can cause itching, rash or inflammation.

Do not take Liofora if you have hepatitis C and are taking medications that contain ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir or sofosbuvir/velpatasvir/voxilaprevir (see also the section "Other medications and Liofora").

Additional information on special populations

Children and adolescents

Liofora is not indicated for use in women who have not yet had their first menstrual period.

Women of advanced age

Liofora is not indicated for use after menopause.

Women with liver insufficiency

Do not take Liofora if you suffer from liver disease. See sections "Do not use Liofora" and "Warnings and precautions".

Women with renal insufficiency

Do not take Liofora if you are suffering from kidney malfunction or acute renal insufficiency. See sections "Do not use Liofora" and "Warnings and precautions".

Warnings and precautions

Consult your doctor or pharmacist before starting to take Liofora.

When should you consult your doctor?

Seek urgent medical attention

  • If you notice possible signs of a blood clot that may mean you are suffering from a blood clot in the leg (i.e., deep vein thrombosis), a blood clot in the lung (i.e., pulmonary embolism), a heart attack or a stroke (see section "Blood clots" below).

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 Liofora 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 Liofora, you should also inform your doctor.

  • If a close relative has or has had breast cancer in the past.
  • If you have any liver or gallbladder disease.
  • If you have diabetes.
  • If you have depression.
  • If you have Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease).
  • If you have hemolytic uremic syndrome (HUS, a blood clotting disorder that causes kidney failure).
  • If you have sickle cell anemia (a hereditary disease of red blood cells).
  • If you have high levels of fat in the blood (hypertriglyceridemia) or known family history of this condition. Hypertriglyceridemia has been associated with an increased risk of pancreatitis (inflammation of the pancreas).
  • If you need an operation or spend a long time without getting up (see section 2 "Blood clots").
  • If you have just given birth, you are at a higher risk of suffering from blood clots. You should ask your doctor when you can start taking Liofora after childbirth.
  • If you have inflammation of the veins that are under the skin (superficial thrombophlebitis).
  • If you have varicose veins.
  • If you have epilepsy (see "Other medications and Liofora", page 10).
  • If you have systemic lupus erythematosus (SLE, a disease that affects your natural defense system).
  • If you have a disease that may have appeared for the first time during pregnancy or during previous use of sex hormones (e.g., hearing loss, a blood disease called porphyria, blistering skin rash during pregnancy (herpes gestationalis), a nervous disease in which involuntary movements appear (Sydenham's chorea).
  • If you have or have ever had chloasma (a skin discoloration, especially on the face and neck, known as "pregnancy patches"). In this case, you should avoid direct exposure to the sun or ultraviolet rays.
  • If you experience symptoms of angioedema such as facial swelling, tongue and/or throat, and/or difficulty swallowing or urticaria, with possible difficulty breathing, consult your doctor immediately. Medications that contain estrogens can induce or worsen the symptoms of hereditary and acquired angioedema.

BLOOD CLOTS

The use of a combined hormonal contraceptive like Liofora increases your risk of developing 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:

  • In the veins (this is called "venous thrombosis", "venous thromboembolism" or VTE).
  • In the arteries (this is called "arterial thrombosis", "arterial thromboembolism" or ATE).

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 Liofora 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?

  • Swelling of a leg or along a vein in the leg or foot, especially when accompanied by:
  • Pain or tenderness in the leg, which may only be noticeable when standing or walking.
  • Increased temperature in the affected leg.
  • Change in skin color of the leg, e.g., if it becomes pale, red or blue.

Deep vein thrombosis.

  • Sudden shortness of breath without known cause or rapid breathing.
  • Sudden cough without a clear cause, which may bring up blood.
  • Sharp chest pain that may increase with deep breathing.
  • Severe dizziness or fainting.
  • Rapid or irregular heartbeat.
  • Severe stomach pain.

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:

  • Sudden loss of vision. Or
  • Blurred vision without pain, which can progress to loss of vision.

Retinal vein thrombosis (blood clot in the eye).

  • Pain, discomfort, pressure, heaviness in the chest.
  • Feeling of tightness or fullness in the chest, arm or under the breastbone.
  • Feeling of fullness, indigestion or choking.
  • Discomfort in the upper body that radiates to the back, jaw, throat, arm and stomach.
  • Sweating, nausea, vomiting or fainting.
  • Extreme weakness, anxiety or shortness of breath.
  • Rapid or irregular heartbeat.

Heart attack.

  • Sudden weakness or numbness of the face, arm or leg, especially on one side of the body.
  • Sudden confusion, difficulty speaking or understanding.
  • Sudden difficulty seeing in one eye or both.
  • Sudden difficulty walking, dizziness, loss of balance or coordination.
  • Sudden severe headache without known cause.
  • Loss of consciousness or fainting, with or without convulsions.

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.

  • Swelling and slight bluish discoloration of a limb.
  • Severe stomach pain (acute abdomen).

Blood clots that block other blood vessels.

BLOOD CLOTS IN A VEIN

What can happen if a blood clot forms in a vein?

  • The use of combined hormonal contraceptives has been associated with an increased risk of blood clots in the veins (venous thrombosis). However, these side effects are rare. They occur more frequently in the first year of use of a combined hormonal contraceptive.
  • If a blood clot forms in a vein in the leg or foot, it can cause deep vein thrombosis (DVT).
  • If a blood clot moves from the leg and lodges in the lung, it can cause a pulmonary embolism.
  • In very rare cases, a clot can form in a vein of another organ such as the eye (retinal vein thrombosis)

When is the risk of developing a blood clot in a vein higher?

The risk of developing 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 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 Liofora, your risk of developing a blood clot returns to normal within a few weeks.

What is the risk of developing 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 developing a blood clot in the leg or lung (DVT or PE) with Liofora is small.

  • Out of 10,000 women who do not use a combined hormonal contraceptive and are not pregnant, about 2 will develop a blood clot in a year.
  • Out of 10,000 women who use a combined hormonal contraceptive that contains levonorgestrel, norethisterone or norgestimate, about 5-7 will develop a blood clot in a year.
  • Out of 10,000 women who use a combined hormonal contraceptive that contains drospirenone like Liofora, between 9 and 12 women will develop a blood clot in a year.
  • The risk of developing a blood clot will depend on your personal history (see "Factors that increase your risk of a blood clot" below).

Risk of developing a blood clot in a year

Women who do not usea combined hormonal contraceptive and are not pregnant

About 2 out of 10,000 women

Women who use a combined hormonal contraceptive that contains levonorgestrel, norethisterone or norgestimate

About 5-7 out of 10,000 women

Women who use Liofora

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 Liofora is small, but some conditions increase the risk. Your risk is higher:

  • If you are overweight (body mass index or BMI over 30 kg/m2).
  • If any of your close relatives have had a blood clot in the leg, lung or other organ at a young age (i.e., before the age of about 50).
  • If you need an operation or spend a long time without getting up due to an injury or illness or if you have a leg in a cast. You may need to interrupt the use of Liofora several weeks before surgery or while you have less mobility. If you need to interrupt the use of Liofora, ask your doctor when you can start using it again.
  • As you get older (especially above about 35 years).
  • If you have recently given birth.

The risk of developing a blood clot increases with the number of conditions you have.

Long-haul 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 interrupt the use of Liofora.

If any of the above conditions change while you are using Liofora, 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 Liofora is very small, but it can increase:

  • With age (above about 35 years).
  • If you smoke.When using a combined hormonal contraceptive like Liofora, you are advised to quit smoking. If you are unable to quit smoking and are over 35 years old, your doctor may advise you to use a different type of contraceptive.
  • If you are overweight.
  • If you have high blood pressure.
  • If any of your close relatives have had a heart attack or stroke at a young age (less than about 50 years). In this case, you may also be at higher risk of having a heart attack or stroke.
  • If you or any of your close relatives have high levels of fat in the blood (cholesterol or triglycerides).
  • If you have migraines, especially migraines with aura.
  • If you have a heart problem (valve disorder, heart rhythm disorder called atrial fibrillation).
  • If you have diabetes.

If you have more than one of these conditions or if any of them are particularly severe, the risk of developing a blood clot may be even higher.

If any of the above conditions change while you are using Liofora, 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.

Liofora and cancer

It has been observed that breast cancer occurs slightly more frequently 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 undergo regular breast examinations, and you should see your doctor if you notice any lump.

In rare cases, benign liver tumors, and even more rarely, malignant liver tumors, have been reported in users of hormonal contraceptives. See your doctor if you have severe unusual abdominal pain.

Psychiatric disorders

Some women who use hormonal contraceptives like Liofora have reported depression or a depressive mood. Depression can be severe and sometimes can induce suicidal thoughts. If you experience mood changes

Taking Liofora with food and drinks

Liofora can be taken with or without food, and with some water if necessary.

Laboratory tests

If you need a blood test, tell your doctor or laboratory staff that you are taking a contraceptive, as hormonal contraceptives can influence the results of some tests.

Pregnancy, breastfeeding, and fertility

Pregnancy

If you are pregnant, you should not take Liofora. If you become pregnant during treatment with Liofora, you must stop treatment immediately and contact your doctor. If you want to become pregnant, you can stop taking Liofora at any time (see "If you interrupt treatment with Liofora", page 15).

Consult your doctor or pharmacist before using any medication.

Breastfeeding

In general, it is not recommended to take Liofora during the breastfeeding period. If you want to take the contraceptive while breastfeeding, you should consult your doctor.

Consult your doctor or pharmacist before using any medication.

Driving and using machines

There is no information to suggest that the use of Liofora has any effect on the ability to drive or use machinery.

Liofora contains lactose

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

3. How to take Liofora

Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

Take one Liofora 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.

The package (blister) contains 21 film-coated tablets. Next to each tablet is printed the day of the week on which it should be taken. If, for example, you start on a Wednesday, take a tablet with "WED" next to it. Follow the direction of the arrow on the package until you have taken all 21 tablets.

After that, you should not take any tablets for 7 days. During these 7 days in which you do not take tablets (called the rest week), you should have your period. The period, which can also be called withdrawal bleeding, usually starts on the 2nd or 3rd day of the rest week.

On the 8th day after taking the last Liofora tablet (i.e., after the 7-day rest period), you should start with the next package, even if you have not yet finished your period. This means that you should start each package on the same day of the week, and your period should take place during the same days every month.

If you use Liofora in this way, you are also protected against pregnancy during the 7 days in which you do not take any tablets.

When can you start with the first package?

  • If you have not used any hormonal contraceptive in the previous month

Start taking Liofora on the first day of your cycle (i.e., the first day of your period). If you start Liofora 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 you must use additional contraceptive methods (e.g., a condom) during the first 7 days.

  • Switching from a combined hormonal contraceptive, combined vaginal ring, or patch

You can start taking Liofora preferably the day after taking the last active tablet (the last tablet that contains active ingredients) of your previous contraceptive, but no later than the day after the rest week 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.

  • Switching from a progestin-only method (progestin-only pill, injection, implant, or intrauterine system IUS)

You can switch from the progestin-only pill at any time (if it's an implant or IUS, on the day of its removal; if it's an injection, when the next injection is due), but in all cases, use additional contraceptive measures (e.g., a condom) during the first 7 days of tablet-taking.

  • After an abortion

Follow your doctor's recommendations.

  • After having a child

You can start taking Liofora between 21 and 28 days after having a child. If you start later than day 28, use a barrier method (e.g., a condom) during the first 7 days of Liofora use.

If, after having a child, you have already had sexual intercourse before starting to take Liofora again, you must be sure you are not pregnant or wait for your next menstrual period.

  • If you are breastfeeding and want to start taking Liofora again after having a child

Read the section "Breastfeeding", page 11.

Ask your doctor if you are not sure when to start.

If you take more Liofora than you should

No cases have been reported in which an overdose of Liofora has caused serious harm.

The symptoms that may appear if you take many tablets at once may include feeling unwell or vomiting or vaginal bleeding. This bleeding can occur even in girls who have not yet had their first period, if they accidentally take this medication.

If you have taken too many Liofora 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 or call the Toxicology Information Service, phone 915 620 420, indicating the medication and the amount taken.

If you forget to take Liofora

  • If you are less than 12 hourslate in taking a tablet, the protection against pregnancy does not decrease. Take the tablet as soon as you remember and the following tablets at the usual time.
  • If you are more than 12 hourslate in taking a tablet, the protection against pregnancy may be reduced. The more tablets you have forgotten, the higher the risk of becoming pregnant.

The risk of incomplete protection against pregnancy is highest if you forget to take a tablet at the beginning or end of the package. Therefore, you should follow the following recommendations (see the diagram on page 14):

  • Forgetting more than one tablet from the package

Consult your doctor.

  • Forgetting a tablet in week 1

Take the forgotten tablet as soon as you remember, even if it means taking two tablets at once. Continue taking the tablets at the usual time and use additional precautions, such as condoms, for the next 7 days. If you have had sexual intercourse in the week before forgetting the tablet, you may be pregnant. In that case, consult your doctor.

  • Forgetting a tablet in week 2

Take the forgotten tablet as soon as you remember, even if it means taking two tablets at once. Continue taking the tablets at the usual time. The protection against pregnancy does not decrease, and you do not need to take additional precautions.

  • Forgetting a tablet in week 3

You can choose between two options:

  1. Take the forgotten tablet as soon as you remember, even if it means taking two tablets at once. Continue taking the tablets at the usual time. Instead of starting the rest week, start the next package.

You will likely have your period at the end of the second package, although you may experience light bleeding or spotting during the second package.

  1. You can also stop taking tablets and go directly to the rest week (noting the day you forgot to take the tablet). If you want to start a new package on the day you always start, your rest week should last less than 7 days.

If you follow one of these two recommendations, you will remain protected against pregnancy.

  • If you have forgotten to take a tablet and do not have a period during the first rest week, you may be pregnant. Contact your doctor before starting the next package.

Flowchart with questions about sexual intercourse and missed tablets, with arrows indicating actions to follow

What to do in case of vomiting or severe diarrhea

If you vomit within 3-4 hours after taking a tablet or have 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 a tablet from a reserve package as soon as possible. If possible, take it within 12 hoursafter the usual time you take your contraceptive. If this is not possible or more than 12 hours have passed, follow the advice in the section "If you forget to take Liofora", page 13.

Delayed menstrual period: what you should know

Although it is not recommended, you can delay your menstrual period if you start taking a new package of Liofora instead of continuing with the rest week and finish it. You may experience light bleeding or spotting during the use of the second package. After the usual rest week, startthe next package.

You should 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 according to the instructions, your menstrual period will start during the week corresponding to the rest week. If you need to change the day, reduce the number of rest days (but never increase them - 7 at most!). For example, if your rest days usually start on Fridays and you want to change to Tuesdays (3 days earlier), start a new package 3 days earlier than usual. If you make the rest week 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 interrupt treatment with Liofora

You can stop taking Liofora 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 Liofora and wait until your menstrual period before trying to become pregnant. This way, you can more easily calculate the estimated due date.

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

4. Possible Adverse Effects

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 Liofora, 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 Liofora".

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 "Warnings and Precautions" section).

The following list of adverse effects has been associated with the use of Liofora.

Frequent Adverse Effects(may affect up to 1 in 10 patients):

  • mood changes
  • headache
  • abdominal pain (stomach pain)
  • acne
  • breast pain, breast enlargement, breast tension, painful or irregular periods
  • weight gain

Uncommon Adverse Effects(may affect up to 1 in 100 patients):

  • Candida (a fungal infection)
  • cold sore (herpes simplex)
  • allergic reactions
  • increased appetite
  • depression, nervousness, sleep disorders
  • tingling sensation, dizziness
  • vision problems
  • irregular or unusually rapid heart rate
  • blood clots (thrombosis) in the lungs (pulmonary embolism), increased blood pressure, decreased blood pressure, migraine, varicose veins
  • throat pain
  • nausea, vomiting, stomach and/or intestinal inflammation, diarrhea, constipation
  • hair loss (alopecia), eczema, itching, skin rash, dry skin, seborrheic dermatitis
  • neck pain, limb pain, muscle cramps
  • bladder infection
  • breast lumps (benign or cancerous), milk production without being pregnant (galactorrhea), ovarian cysts, hot flashes, absence of menstruation, heavy menstruation, vaginal discharge, vaginal dryness, pain in the lower abdominal region (pelvic), abnormal cervical smears (Pap smear or Pap staining), decreased libido
  • fluid retention, lack of energy, excessive thirst, increased sweating
  • weight loss

Rare Adverse Effects(may affect up to 1 in 1000 patients):

  • asthma
  • hearing problems
  • erythema nodosum (characterized by painful red nodules on the skin)
  • erythema multiforme (skin rash with target-like redness or ulcers)
  • harmful blood clots in a vein or artery, for example:
    • In a leg or foot (i.e., DVT).
    • In a lung (i.e., PE).
    • Heart attack.
    • Stroke.
    • Mild or transient stroke-like symptoms, known as a transient ischemic attack (TIA).
    • Blood clots in the liver, stomach/intestine, kidneys, or eye.

The likelihood 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).

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.

5. Storage of Liofora

Keep this medicine out of sight and reach of children.

This medicine does not require any special storage conditions.

Do not use this medicine after the expiration date stated on the packaging after "CAD:". 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 any unused medicines at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Liofora

  • The active ingredients are drospirenone and ethinylestradiol (as betadex clathrate).

Each coated tablet contains 3 milligrams of drospirenone and 0.020 milligrams of ethinylestradiol (as betadex clathrate).

  • The other ingredients (excipients) are lactose monohydrate, cornstarch, magnesium stearate (E-470b), hypromellose (E-464), talc (E-553b), titanium dioxide (E-171), and red iron oxide (E-172), see section 2 "Liofora contains lactose".

Appearance of the Product and Package Contents

  • Each Liofora blister pack contains 21 film-coated tablets.
  • Liofora contains film-coated tablets; the core of the tablet is coated.

The film-coated tablets are pale pink, round, with convex surfaces, and one side has the letters "DS" marked in a regular hexagon.

  • Liofora is available in boxes of 1, 3, 6, and 13 packages (blister packs), each containing 21 tablets.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Bayer Hispania, S.L.

Av. Baix Llobregat, 3 - 5

08970 Sant Joan Despí - Barcelona

Spain

Manufacturer

Bayer AG, 13342 Berlin, Germany

or

Bayer Weimar GmbH und Co. KG, Döbereinerstr. 20 99427 Weimar, Germany

This medicine is authorized in the Member States of the European Economic Area under the following names:

  • Austria: Aliane
  • Spain: Liofora
  • Czech Republic, France, Netherlands: Belanette
  • Hungary: Yasminelle

Date of the Last Revision of this Prospectus:May 2023

Detailed 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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