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YASMIN DAILY 3 mg / 0.03 mg FILM-COATED TABLETS

YASMIN DAILY 3 mg / 0.03 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 YASMIN DAILY 3 mg / 0.03 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the User

Yasmin Daily 3 mg/0.03 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, consult 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 alert and consult your doctor if you think you might have symptoms of a blood clot (see section 2 “Blood clots”).

Contents of the package leaflet:

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

When not to use Yasmin Daily 2

Warnings and precautions 4

Blood clots 5

Yasmin Daily and cancer 9

Psychiatric disorders…………………………………………………………………… 10

Irregular bleeding 10

What to do if you do not have your period during the placebo days 10

Other medicines and Yasmin Daily 10

Taking Yasmin Daily with food and drink 11

Laboratory tests 11

Pregnancy 11

Breast-feeding 11

Driving and using machines 11

Yasmin Daily contains lactose 12

  1. How to take Yasmin Daily 12

Preparing the blister pack 12

When you can start with the first blister pack 13

If you take more Yasmin Daily than you should 13

If you forget to take Yasmin Daily 14

What to do in case of vomiting or severe diarrhea 15

Delayed period: what you should know 16

Change of your first day of period: what you should know 16

If you stop taking Yasmin Daily 16

  1. Possible side effects 16
  1. Storing Yasmin Daily 17
  1. Package contents and further information ………………………………………18

1. What is Yasmin Daily and what is it used for

Yasmin Daily is a contraceptive and is used to prevent pregnancy.

Each of the 21 film-coated tablets of pale yellow color contains a small amount of two different female hormones, called drospirenone and ethinylestradiol.

The 7 film-coated tablets of white color do not contain active ingredients and are called placebo tablets.

Contraceptives that contain two hormones are called combined contraceptives.

2. What you need to know before starting to take Yasmin Daily

General considerations

Before starting to use Yasmin Daily, 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 starting to take Yasmin 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.

This prospectus describes several situations in which you should interrupt the use of Yasmin Daily, or in which the effect of Yasmin 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 Yasmin Daily alters the monthly changes in body temperature and cervical mucus.

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

When not to use Yasmin Daily

Do not use Yasmin 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.

Do not use Yasmin Daily

  • 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 stroke symptoms).
  • 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 if you suspect you 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 use Yasmin Daily if you have hepatitis C and are taking medications that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir or sofosbuvir/velpatasvir/voxilaprevir (see also the section "Other medications and Yasmin Daily").

Additional information on special populations

Children and adolescents

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

Women of advanced age

Yasmin Daily is not indicated for use after menopause.

Women with liver insufficiency

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

Women with renal insufficiency

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

Warnings and precautions

Consult your doctor or pharmacist before starting to take Yasmin Daily.

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 Yasmin 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 Yasmin Daily, you should also inform your doctor.

  • If a close relative has or has ever had breast cancer.
  • 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 a known family history of this condition. Hypertriglyceridemia has been associated with an increased risk of developing 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 developing blood clots. You should ask your doctor when you can start taking Yasmin Daily 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 Yasmin Daily", page 10).
  • If you have systemic lupus erythematosus (SLE, a disease that affects your natural defense system).
  • If you have a disease that first appeared 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 or neck, known as "pregnancy spots"). 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 swelling, 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 Yasmin Daily 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.

Where can blood clots 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 Yasmin 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?

  • 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 unexplained shortness of breath or rapid breathing.
  • Sudden unexplained cough, which may bring up blood.
  • Sudden severe chest pain, which may increase with deep breathing.
  • Severe dizziness or fainting.
  • Fast 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
  • Painless blurred vision, 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.
  • Fast 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, which may be prolonged and without 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 still, you should 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 again (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 Yasmin Daily, 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 Yasmin Daily 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, such as Yasmin Daily, 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 Yasmin Daily

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 Yasmin Daily 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 50).
  • If you need an operation or spend a long time without getting up due to an injury or illness or if you have your leg in a cast. You may need to stop using Yasmin Daily several weeks before surgery or while you have reduced mobility. If you need to stop using Yasmin Daily, ask your doctor when you can start using it again.
  • As you get older (especially above 35 years).
  • If you have recently given birth.

The risk of developing 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 stop using Yasmin Daily.

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

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 Yasmin Daily is very small, but it can increase:

  • With age (above 35 years).
  • If you smoke.When using a combined hormonal contraceptive like Yasmin Daily, 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 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 increased further.

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

Yasmin Daily and cancer

It has been observed that breast cancer is slightly more common 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 have your breasts examined regularly, 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 experience severe unusual abdominal pain.

Psychiatric disorders

Some...

Taking Yasmin Daily with food and drink

Yasmin Daily 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 and breastfeeding

Pregnancy

If you are pregnant, you should not take Yasmin Daily. If you become pregnant during treatment with Yasmin Daily, stop treatment immediately and contact your doctor. If you wish to become pregnant, you can stop taking Yasmin Daily at any time (see "If you stop treatment with Yasmin Daily", page 16).

Consult your doctor or pharmacist before taking any medication.

Breastfeeding

Generally, it is not recommended to take Yasmin Daily during the breastfeeding period (when you are giving breast milk). If you want to take the contraceptive while breastfeeding, you should consult your doctor.

Consult your doctor or pharmacist before taking any medication.

Driving and using machines

There is no information suggesting that the use of Yasmin Daily has any effect on the ability to drive or use machinery.

Yasmin Daily contains lactose

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

3. How to take Yasmin Daily

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, pale yellow film-coated tablets and 7 white film-coated placebo tablets.

The two different types of colored tablets of Yasmin Daily are arranged in order. A blister pack contains 28 tablets.

Take one Yasmin Daily tablet every day, with some water if necessary. You can take the tablets with or without food, but always approximately at the same time every day.

Do not get confused with the tablet: take a pale yellow tablet for the first 21 days, and then a white tablet for the last 7 days. Then you should start taking a new blister pack (21 pale yellow tablets and 7 white tablets). This way, there is no week of rest between two blister packs.

Due to the different composition of the tablets, it is necessary that you start with the first tablet located in the upper left area and then take one tablet every day. To maintain the order, follow the direction of the arrows on the blister pack.

Preparing the blister pack

To help you follow the order of intake, each Yasmin Daily package contains 7 self-adhesive strips with the 7 days of the week. Choose the strip of the week that starts with the day you take the first tablet. For example, if you take your first tablet on a Wednesday, use the strip that starts with "WED".

Stick the self-adhesive strip on the top of the Yasmin Daily blister pack, where it says "Place the strip here!", so that the first day is placed above the tablet marked with "Start".

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 you should take the tablets.

During the 7 days when you take the white 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, pale yellow tablet of Yasmin Daily. Once you have taken the last white tablet, you should start the next blister pack, even if you have not finished bleeding. This means that you should start each blister pack on the same day of the weekthat you started the previous one, and that menstruation should take place during the same days every month.

If you take Yasmin 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 blister pack

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

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

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

You can start taking Yasmin 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 vaginal ring or patch, follow your doctor's recommendations.

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

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., 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 Yasmin Daily 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 Yasmin Daily use.

If, after having a child, you have had sexual intercourse before starting to take Yasmin Daily again, you should be sure that you are not pregnant or wait until your next menstrual period.

  • If you are breastfeeding and want to start taking Yasmin Daily 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 Yasmin Daily than you should

No cases have been reported in which an overdose of Yasmin 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 have accidentally taken this medication.

If you have taken too many Yasmin 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 Yasmin Daily

The tablets in the fourthrow of the blister pack are the placebo tablets. If you forget to take one of these tablets, it will have no effect on the reliability of Yasmin Daily. Discard the forgotten placebo tablet.

If you forget to take an active, pale yellow tablet from the 1st, 2nd, or 3rdrow, do the following:

  • If you are less than 12 hourslate in taking a tablet, the protection against pregnancy will 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 pale yellow tablet at the beginning or end of the blister pack. Therefore, you should follow these recommendations (see the diagram on page 15):

  • Forgetting more than one tablet in the blister pack

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 the same time. Continue taking the tablets at the usual time and use additional precautions, such as 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.

  • Forgetting a tablet in week 2

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.

  • 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 the same time. Continue taking the tablets at the usual time. Instead of taking the white placebo tablets from this blister pack, discard them and start the next blister pack.

You will probably have your period at the end of the second blister pack, while taking the white placebo tablets, although you may experience light bleeding or spotting during the second blister pack.

  1. You can also stop taking the active, pale yellow tablets and go directly to the 7 white placebo tablets (before taking the placebo tablets, you must note the day you forgot to take the tablet). If you want to start a new blister pack on the day you always start, take the placebo tablets for 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 bleeding during the placebo days, you may be pregnant. Contact your doctor before starting the next blister pack.

Flowchart with questions about sexual intercourse and options for taking contraceptive pills according to the week

What to do in case of vomiting or severe diarrhea

If you vomit within 3-4 hours after taking an active, pale yellow 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 another pale yellow tablet from a reserve blister pack 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 Yasmin Daily", page 14.

Delayed 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 Yasmin Daily blister pack and finish it. You may experience light bleeding or spotting during the use of the second blister pack. Finish this second blister pack by taking the 7 white tablets from the 4th row. Then start with the new blister pack.

You should ask your doctor for advice before deciding to delay your menstrual period.

Changing the first day of your 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 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 blister pack 3 days earlier than usual. If you make the interval of placebo tablet intake 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 Yasmin Daily

You can stop taking Yasmin Daily whenever you want. If you do not want to become pregnant, consult your doctor about other effective methods of birth control. If you want to become pregnant, stop taking Yasmin 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 other doubts 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 suffer from any adverse effect, especially if it is severe and persistent, or have any change in health that you believe may be due to Yasmin 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 you start taking Yasmin Daily".

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 related to the use of Yasmin Daily:

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

  • menstrual disorders, intermenstrual bleeding, breast pain, breast tenderness
  • headache, depressive mood
  • migraine
  • nausea
  • thick white vaginal discharge and vaginal fungal infection

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

  • breast enlargement, changes in sexual interest
  • high blood pressure, low blood pressure
  • vomiting, diarrhea
  • acne, skin rash, intense itching, hair loss (alopecia)
  • vaginal infection
  • fluid retention and changes in body weight

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

  • allergic reactions (hypersensitivity), asthma
  • breast secretion
  • hearing problems
  • skin disorders such as erythema nodosum (characterized by painful nodules on the skin of a reddish color) or erythema multiforme (characterized by a 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 stroke or temporary symptoms similar to those of a stroke, called a transient ischemic attack (TIA).
    • blood clots in the liver, stomach/intestine, kidneys, or eye.

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).

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.

5. Storage of Yasmin Daily

Keep this medicine out of the sight and reach of children.

Do not store above 30°C. Store in the original blister pack to protect it from moisture.

Do not use this medicine after the expiration date that appears on the packaging after "EXP:". 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.

6. Package Contents and Additional Information

Composition of Yasmin Daily

  • The active ingredients are drospirenone and ethinylestradiol. Each active yellow pale-colored film-coated tablet contains 3 milligrams of drospirenone and 0.030 milligrams of ethinylestradiol.
  • The white film-coated tablets do not contain active ingredients.
  • The other components are:

Active yellow pale-colored film-coated tablets:

Tablet core: lactose monohydrate, cornstarch, pregelatinized cornstarch, povidone K25, magnesium stearate (E-470b),

Tablet film coating: hypromellose (E-464), macrogol 6000, talc (E-553b), titanium dioxide (E-171), and yellow iron oxide (E-172).

Inactive white film-coated tablets:

Tablet core: lactose monohydrate, microcrystalline cellulose, magnesium stearate (E-470b),

Tablet film coating: hypromellose (E-464), talc (E-553b), and titanium dioxide (E-171).

See section 2 "Yasmin Daily contains lactose".

Appearance of the Product and Package Contents

  • Each Yasmin Daily blister pack contains 21 active yellow pale-colored film-coated tablets in the 1st, 2nd, and 3rd rows of the blister pack and 7 inactive white film-coated tablets in the 4th row.
  • Both the yellow pale-colored and white tablets of Yasmin Daily are film-coated tablets; the tablet core is coated.
  • The yellow pale-colored tablets are round, with convex surfaces, and one side has the letters "DO" marked in a regular hexagon.
  • The white tablets are round, with convex surfaces, and one side has the letters "DP" marked in a regular hexagon.
  • Yasmin Daily is available in boxes of 1, 3, 6, and 13 blister packs, each with 28 tablets.

Not all pack 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

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

  • Denmark, Iceland, Netherlands, Norway, Sweden: Yasmin 28
  • Spain: Yasmin Daily

Date of the Last Revision of this Prospectus:November 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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