Package Leaflet: Information for the User
Seasonique film-coated tablets
levonorgestrel/ethinylestradiol
ethinylestradiol
Read this package leaflet carefully before you start taking this medicine, because it contains important information for you.
Important things to know about combined hormonal contraceptives (CHCs):
Package Leaflet Contents
Seasonique is an extended-cycle birth control pill that is taken continuously for 91 days and is used to prevent pregnancy.
Each of the 84 pink tablets contains a small amount of two different female hormones, namely levonorgestrel and ethinylestradiol.
The 7 white tablets contain a small amount of the female hormone ethinylestradiol.
General considerations
Before starting to use Seasonique, 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 Seasonique, your doctor will ask you some questions about your personal health history and that of your close relatives. The doctor will also measure your blood pressure and, depending on your personal situation, may also perform other tests.
This prospectus describes several situations in which you should stop taking Seasonique or in which the reliability of Seasonique may be reduced. In these situations, you should not have sexual intercourse or, if you do, you should take additional non-hormonal contraceptive precautions, such as using a condom or another barrier method. Do not use rhythm or temperature methods. These methods are unreliable, as Seasonique alters the monthly fluctuations of body temperature and cervical mucus.
Like other hormonal contraceptives, Seasonique does not protect against HIV infection (AIDS) or any other sexually transmitted disease.
When not to use Seasonique
You should not use Seasonique if you have any of the conditions listed below. Inform your doctor immediately if any of these conditions appear for the first time during the use of Seasonique. Your doctor will discuss with you what other form of contraception would be more suitable.
Do not take Seasonique
Warnings and precautions
When you should be particularly careful with Seasonique
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 have special precautions during the use of Seasonique or any other combined hormonal contraceptive, and it may be necessary for your doctor to regularly monitor you.
If you are in any of the following situations, you should inform your doctor before starting to take Seasonique. If the condition develops or worsens while you are using Seasonique, you should also inform your doctor:
Blood clots
The use of a combined hormonal contraceptive like Seasonique 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 essential to remember that the overall risk of a harmful blood clot due to Seasonique 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 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 Seasonique, 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 Seasonique is small.
Risk of having a blood clot in a year | |
Women who do not usea combined hormonal contraceptive and are not pregnant | About 2 out of every 10,000 women |
Women who use a combined hormonal contraceptive that contains levonorgestrel, norethisterone, or norgestimate | About 5-7 out of every 10,000 women |
Women who use Seasonique | About 5-15 out of every 10,000 women |
Factors that increase your risk of a blood clot in a vein
The risk of having a blood clot with Seasonique 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) 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 to interrupt the use of Seasonique.
If any of the above conditions change while you are using Seasonique, 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 Seasonique 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 further.
If any of the above conditions change while you are using Seasonique, 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.
Seasonique and cancer
Breast cancer has been observed with slightly higher frequency in women who use combined pills, 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 pills because the doctor examines them more frequently. The occurrence of breast tumors decreases gradually after stopping the use of combined hormonal contraceptives. It is essential to have regular breast exams and consult your doctor if you notice any lump.
In rare cases, benign liver tumors, and in even fewer cases, malignant liver tumors have been reported in users of oral contraceptives. Consult your doctorif you feel severe and unusual abdominal pain.
Bleeding between menstruations
When taking Seasonique, which has an extended dosing cycle of 91 days, you should expect to have 4 scheduled menstruations per year (bleeding when taking the 7 white pills). Each menstruation will likely last about 3 days.
During the first few months of use, you may experience some irregular bleeding, such as spotting or breakthrough bleeding. This is usually temporary and may decrease with time. If you experience persistent or heavy bleeding, you should consult your doctor.
Each pack contains 84 pink tablets and 7 white tablets presented in 3 blisters in a pack.
How to take the tablets
Take one Seasonique tablet every day, if necessary, with a small amount of water. You should take the tablets every day at about the same time.
Which tablets should I take
Do not confuse the tablets:take a pink tablet during the first 84 days and then a white tablet during the last 7 days.
A new pack is started directly after (84 pink tablets and then 7 white tablets). There is no interval between taking packs.
Since the tablets have a different composition, it is necessary to start with tablet number 1 of the blister marked as Month 1. Take the tablets every day. When you have taken all the tablets of Month 1, move on to the blister of Month 2. Start with tablet 29. When you have taken all the tablets of the Month 2 blister, move on to the Month 3 blister and start with tablet 57. To follow the correct order, follow the direction of the arrows indicated on the blister.
Preparing the pack
To help you navigate, there are 7 weekly adhesive strips with the 7 days of the week indicated. Choose the strip that starts with the day you begin taking the tablets. For example, if you start on a Wednesday, use the strip that begins with "WED".
Stick the strip on the top of the Seasonique blister where it says "Place day label here", so that the first day is over the tablet marked as "1".
Now you will have a day indicated above each tablet, and you can see if you have taken a particular tablet. The arrows indicate the order in which you should take the tablets.
Normally, the so-called withdrawal bleeding begins when you are taking the white tablets.
Once you have taken the last white tablet, you should start with the next pack of Seasonique, whether or not you have already finished bleeding. This means you should start each pack on the same day of the week, and the withdrawal bleeding should take place on the same days each time.
If you use Seasonique in this way, you will be protected from pregnancy during all 91 days.
When can you start with the first strip?
Start taking Seasonique on the first day of your cycle (i.e., the first day of your menstruation).
You can also start on days 2 to 5 of your cycle, but then you must use additional contraceptive precautions (e.g., a condom) during the first 7 days of taking the tablet.
You can start taking Seasonique preferably the day after you have taken the last active tablet (the last tablet that contains active ingredients) of your previous pill. If you change from a vaginal ring or a transdermal patch contraceptive, follow your doctor's instructions.
You can change any day of taking the progestin-only pill (if you used an implant or IUD, on the day of its removal, and in the case of an injectable on the date when the next injection would be due).
In all these cases, you must use additional contraceptive precautions (e.g., a condom) during the first 7 days of taking the tablets.
Follow your doctor's instructions.
After having a baby, you can start with Seasonique between 21 and 28 days later. If you start after day 28, you must also use additional contraceptive precautions (e.g., a condom) during the first 7 days you use Seasonique. If, after giving birth, you have had sexual intercourse before starting to take Seasonique, make sure you are not pregnant or wait until your next menstruation.
Read the section on "Pregnancy and Breastfeeding".
If you are unsure when to start, consult your doctor.
If you take more Seasonique than you should
No serious harmful effects have been reported from taking too many Seasonique tablets.
If you take several tablets at once, you may experience nausea or vomiting. Young women may have vaginal bleeding.
If you have taken too many Seasonique tablets or discover that a child has taken some, ask your doctor or pharmacist for advice.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91.562.04.20, indicating the medication and the amount ingested.
If you forget to take Seasonique
White tablets:If you have forgotten any of the white tablets (the last 7 tablets of the pack), this has no effect on the reliability of Seasonique. Do not take the missed white tablet or tablets and continue with the next tablet at the usual time.
Pink tablets:If you forget a pink tablet, depending on the day of the cycle when you missed the tablet, you may need to take additional contraceptive precautions, for example, a barrier method like a condom.
Take the pink tablet according to the following principles:
Pink tablet(s) missed between days1 to 7
Take the last missed tablet as soon as you remember, even if this means taking two tablets at the same time. Continue taking the next tablets at the usual time. Take additional contraceptive precautions during the next 7 days, e.g., a barrier method like a condom. If you have had sexual intercourse in the week before missing the tablet, you may be pregnant. Therefore, consult your doctor immediately.
Pink tablet(s) missed between days8 to 77
Take the tablet as soon as you remember, even if this means taking two tablets at the same time. Continue taking the next tablets at the usual time. If you have taken your tablets correctly in the 7 days before the first missed tablet, the protection against pregnancy is not reduced, and you do not need to take additional contraceptive precautions. However, if this is not the case or if you have missed more than one tablet, use additional contraceptive precautions during the next 7 days, such as a barrier method like a condom.
Pink tablet(s) missed between days 78-84
There is a particularly high risk of becoming pregnant if you miss pink tablets near the phase of white tablets. By adjusting the tablet-taking schedule, this high risk can be prevented.
Take the last tablet as soon as you remember, even if this means taking two tablets at the same time. Continue taking the next tablets at the usual time. If you have taken your tablets correctly in the 7 days before the first missed tablet, the protection against pregnancy is not reduced, and you do not need to take additional contraceptive precautions. However, if this is not the case, stop taking the pink tablets and take the white tablets minus the number of tablets you have missed. Use additional contraceptive precautions during the next 7 days, such as a barrier method like a condom. Then, you can start a new cycle of Seasonique.
Consult your doctor for more information.
Chart: if more than 12hours have passed since you should have taken the pink tablets
YES
NO
YES
NO
NO
If you have missed any of the pink tablets, and you have not had bleeding during week13, you may be pregnant. Consult your doctor before starting the next pack.
What to do in case of vomiting or severe diarrhea
If you vomit within three or four hours after taking a tablet, or if you have severe diarrhea, there is a risk that the active ingredients of the pill have not been fully absorbed into the body. This situation is similar to if you forget to take a tablet. After vomiting or having diarrhea, you should take another tablet as soon as possible. Follow the instructions described in “If you forget to take Seasonique”.
If you do not want to change your normal tablet-taking schedule, take the extra pink tablet from the last row of the pack.
If you want to stop taking Seasonique
You can stop taking Seasonique whenever you want. If you do not want to become pregnant, ask your doctor for advice on other reliable methods of birth control.
If you have any other questions about the use of this medication, ask your doctor, midwife, 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 Seasonique, 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 Seasonique".
Severe Adverse Effects – Visit a Doctor Immediately if You Observe:
If You Think You May Have Any of These Symptoms, Consult a Doctor Immediately.You may need to stop taking Seasonique.
Very Common: May Affect More Than 1 in 10 People
Common: May Affect Up to 1 in 10 People
Uncommon: May Affect Up to 1 in 100 People
Rare: May Affect Up to 1 in 1,000 People
Harmful blood clots in a vein or artery, for example:
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 the symptoms of a blood clot).
Not Known: Frequency Cannot Be Estimated from Available Data
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 leaflet.
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 in the original package to protect it from light and moisture.
Do not use this medicine after the expiration date that appears on the outer packaging, aluminum bag, on the packaging support, and on the blister pack 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 medicines you no longer need at the pharmacy's SIGRE point. 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 Seasonique
Active Ingredients:
The active ingredients are levonorgestrel and ethinylestradiol.
Each pink film-coated tablet contains 150 micrograms of levonorgestrel and 30 micrograms of ethinylestradiol.
Each white film-coated tablet contains 10 micrograms of ethinylestradiol.
Other Ingredients of the Pink Tablet:
Tablet core: lactose (see section 2, "Seasonique contains lactose"), hypromellose, microcrystalline cellulose, magnesium stearate
Tablet coating: hypromellose, titanium dioxide (E171), macrogol 400, Allura Red (E129) (see section 2, "Seasonique contains Allura Red (E129)"), polysorbate 80, Brilliant Blue (E133).
Other Ingredients of the White Tablet:
Tablet core: lactose, potassium polacrylate, microcrystalline cellulose, magnesium stearate.
Tablet coating: titanium dioxide (E171), polydextrose FCC, hypromellose, triacetin, macrogol 8000.
Appearance and Package Contents
Each Seasonique package contains 3 blisters in total: 2 blisters, each with 28 pink tablets (Month 1 and Month 2), and 1 blister with 35 tablets, of which 28 pink tablets and 7 white tablets (Month 3).
Each blister is placed inside an aluminum bag, which is placed in a box with the leaflet.
The pink tablet is round, biconvex, approximately 5.7 mm in diameter, engraved with "172" on one side and "T" on the other.
The white tablet is round, biconvex, approximately 5.7 mm in diameter, engraved with "173" on one side and "T" on the other.
Marketing Authorization Holder and Manufacturer
Marketing Authorization Holder
Theramex Ireland Limited
3rd Floor, Kilmore House,
Park Lane, Spencer Dock,
Dublin 1
D01 YE64
Ireland
Manufacturer
Haupt Pharma Münster GmbH
Schleebrüggenkamp 15
48159 Münster
Germany
Teva Operations Poland Sp. z.o.o
ul. Mogilska 80., Krakow
31-546
Poland
Local Representative
Theramex Healthcare Spain, S.L.
Calle Martínez Villergas 52, Edificio C, planta 2ª izquierda.
28027 Madrid
Spain
This Medicine is Authorized in the Member States of the European Economic Area with the Following Names:
Austria, Germany: Seasonique 150 Mikrogramm/30 Mikrogramm + 10 Mikrogramm Filmtabletten
Belgium, Netherlands: Seasonique filmomhulde tabletten
Czech Republic, Poland, Portugal: Seasonique
France: Seasonique 150 microgrammes/30 microgrammes + 10 microgrammes, comprimé pelliculé
Hungary: Seasonique 150 mikrogramm/30 mikrogramm + 10 mikrogramm filmtabletta
Italy: Seasonique 150/30 microgrammi + 10 microgrammi, compresse rivestite con film
Luxembourg: Seasonique, comprimés pelliculés
Romania: Seasonique 150 /30 micrograme + 10 micrograme comprimate filmate
Slovak Republic: Seasonique 0,15 mg/0,03mg +0,01 mg filmom obalené tablety
Spain: Seasonique comprimidos recubiertos con película
Date of the Last Revision of this Leaflet: December 2024
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.es/.