You should not take aidraelle 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 takeaidraelleif you have hepatitis C and are taking medications that contain ombitasvir / paritaprevir / ritonavir and dasabuvir or glecaprevir / pibrentasvir (see also the section Other Medications andaidraelle).
Additional Information on Special Populations
Children and Adolescents
Aidraelleis not indicated for use in women who have not yet had their first menstrual period.
Older Women
Aidraelleis not indicated for use after menopause.
Women with Liver Disease
Do not takeaidraelleif you have liver disease. See sections “Do not take aidraelle” and “Warnings and Precautions”.
Women with Renal Disease
Do not take aidraelleif you are suffering from kidney dysfunction or acute renal failure. See sections “Do not take aidraelle” and “Warnings and Precautions”.
Warnings and Precautions
Consult your doctor or pharmacist before starting to takeaidraelle.
When to Consult Your Doctor? Seek Urgent Medical Assistance
What you may be suffering from? | What you may be suffering from? |
| Deep Vein Thrombosis (DVT) |
If unsure, consult a doctor, as some of these symptoms, such as coughing or shortness of breath, can be confused with a milder condition like a common cold. | Pulmonary Embolism (PE) |
Symptoms that occur more frequently in one eye:
| Retinal Vein Thrombosis (Blood Clot in the Eye) |
| Heart Attack |
Sometimes, the symptoms of a stroke may be brief, with almost immediate and complete recovery, but you should still seek urgent medical assistance as you may be at risk of another stroke. | Stroke |
| Blood Clots that Block Other Blood Vessels |
Blood Clots in a Vein
What can happen if a blood clot forms in a vein?
When is the risk of a blood clot in a vein higher?
The risk of a blood clot in a vein is higher during the first year in which you take a combined hormonal contraceptive for the first time. The risk may be higher also if you restart taking a combined hormonal contraceptive (the same medication or a different medication) after a break of 4weeks 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 aidraelle, your risk of a blood clot returns to normal in a few weeks.
What is the risk of a blood clot?
The risk depends on your natural risk of VTE and the type of combined hormonal contraceptive you are taking.
The global risk of a blood clot in the leg or lung (DVT or PE) with aidraelle is small.
Risk of a blood clot in a year | |
Women whodo not usea combined hormonal contraceptive and who are not pregnant | About 2of every 10,000women |
Women who use a combined hormonal contraceptive containinglevonorgestrel, noretisterone, or norgestimato | About 5‑7of every 10,000women |
Women who useaidraelle | About 9‑12of every 10,000women |
Factors that increase your risk of a blood clot in a vein
Your risk of a blood clot with aidraelle is small, but some conditions increase the risk. Your risk is higher:
Your risk of a blood clot increases the more conditions you have.
Long flights (more than 4 hours) may temporarily increase your 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 have any of the conditions listed above, even if you are unsure. Your doctor may decide that you need to interrupt the use of aidraelle.
If any of the conditions listed above change while you are using aidraelle, for example, a close relative experiences a clot 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 blood clot in an artery can cause serious problems, such as 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 using aidraelle is very small, but it may increase:
If you have any of the conditions listed above or if any of them are particularly severe, your risk of a blood clot may be increased even further.
If any of the conditions listed above change while you are using aidraelle, for example, you start smoking, a close relative experiences a clot without a cause, or you gain a lot of weight, inform your doctor.
Aidraelle and Cancer
Women who use combined hormonal contraceptives have a slightly higher risk of breast cancer, but it is not known whether this is due to the treatment. For example, tumors may be more likely to be detected in women taking combined hormonal contraceptives because they are examined by their 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 consult your doctor if you notice any lump.
In rare cases, benign tumors in the liver and, even more rarely, malignant tumors have been reported in users of combined hormonal contraceptives. Consult your doctor if you have any unusual abdominal pain.
Spotting between Menstrual Periods
During the first few months of takingaidraelle, you may experience unexpected bleeding (bleeding outside of the menstrual period). If you experience these bleeding for more than a few months or if they start after a few months, your doctor should investigate the cause.
What to do if you do not have your period during the menstrual period?
If you have taken all the pills correctly, have not vomited, and have not had severe diarrhea, and have not taken any other medication, it is very unlikely that you are pregnant.
If your expected period does not arrive for two consecutive times, you may be pregnant. In this case, consult your doctor immediately. Do not start the next pack until you are sure you are not pregnant.
Other Medications andaidraelle
Inform your doctor or pharmacist if you are using, have used recently, or may need to use any other medicationor herbal preparations. Also, inform any other doctor or dentist who prescribes another medication (or your pharmacist) that you are takingaidraelle. They may advise you to take additional contraceptive precautions (e.g., condoms) and, if so, for how long, or if you need to modify the use of another medication that you need.
Some medications
-may affect the levels of aidraelle in your blood
-may make itless effective in preventing pregnancy
- may cause unexpected bleeding.
This may occur with:
Aidraelle may affect the effect of other medications, for example:
Do not take aidraelle if you have Hepatitis C and are taking medications that contain ombitasvir / paritaprevir / ritonavir and dasabuvir or glecaprevir / pibrentasvir, as this may cause increases in liver enzyme test results (elevated ALT levels).
Your doctor will prescribe another type of contraceptive before starting treatment with these medications.
Aidraelle can be restarted approximately 2 weeks after the completion of this treatment. See the section “Do not take aidraelle”.
Consult your doctor or pharmacist before taking any medication.
Taking aidraelle with Food and Drinks
You can take the pills with or without food, with a glass of water if necessary.
Laboratory Tests
If you need a blood test, inform your doctor or the laboratory staff that you are taking a contraceptive, as hormonal contraceptives may affect the results of some tests.
Pregnancy andLactation
Pregnancy
If you are pregnant or breastfeeding, consult your doctor or pharmacist before using this medication.
If you are pregnant, do not takeaidraelle. If you become pregnant while taking aidraelle, stop the treatment immediately and contact your doctor. If you want to become pregnant, you can stop taking aidraelle at any time (see “If you interrupt the treatment withaidraelle”).
Generally, it is not recommended to take aidraelle during lactation. If you want to take the contraceptive while breastfeeding, you should consult your doctor.
Driving and Operating Machines
There is no information to suggest that the use of aidraelle has any effect on your ability to drive or operate machines.
Aidraelle contains Lactose
This medication contains lactose. If your doctor has told you that you have a certain sugar intolerance, consult with them before taking this medication.
Follow exactly the administration instructions of this medication as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.
Take one aidraelle tablet every day with a glass of water if necessary. You can take the tablets with or without food, but at approximately the same time every day.
Each blister contains 21 tablets. The day of the week when you should take the tablet is printed on each tablet. For example, if you start on a Wednesday, you should take a tablet with "MIE". Follow the direction of the arrow on the blister until you have taken the 21 tablets.
Do not take any tablets for 7 days after that. During these 7 days when no tablets are taken (called the tablet-free break period), menstruation should occur. Usually, menstruation, also known as withdrawal bleeding, begins on the second or third day of the break period.
On the eighth day after taking the last aidraelle tablet (i.e., after the 7-day tablet-free break period), start the next blister, even if menstruation has not finished. This means that you should start the next blister on the same day of the week as the previous one, and menstruation should occur on the same days every month.
By using aidraelle in this way, you will also be protected against pregnancy during the 7 days when no tablets are taken.
When can you start with the first blister?
Start taking aidraelle on the first day of your cycle (i.e., the first day of your menstruation). If you start aidraelle on the first day of your menstruation, you will be protected immediately against pregnancy. You can also start on days 2-5 of your cycle, but you should use additional contraceptive methods (e.g., a condom) during the first 7 days.
You can start taking aidraelle preferably the day after taking the last active tablet (i.e., the last tablet containing active ingredients) of your previous contraceptive, or at the latest the day after the break period of your previous contraceptive (or after taking the last inactive tablet of your previous contraceptive). When switching from a vaginal combined contraceptive ring or patch, follow your doctor's recommendations.
You can switch from the progestin-only pill at any time. If it is an implant or an IUD, on the same day of its removal; if it is an injection, when the next injection is due. In all cases, it is recommended that you use additional contraceptive methods (e.g., a condom) during the first 7 days of taking tablets.
Follow your doctor's recommendations.
After giving birth, you can start taking aidraelle between 21 and 28 days. If you start later, you should use one of the so-called barrier methods (e.g., a condom) during the first 7 days of taking aidraelle.
If, after giving birth, you have had sex again before starting aidraelle (again), you should first make sure you are not pregnant or wait for your next menstrual period.
See the "Pregnancy and Breastfeeding" section.
Ask your doctor if you are unsure when to start.
If you take more aidraelle than you should.
No serious cases of overdose have been reported in which the ingestion of an excessive amount of aidraelle has caused harm.
The symptoms that may appear if you take many tablets can be feeling unwell or having vomiting or vaginal bleeding. This bleeding can occur even in girls who have not yet had their first menstrual period, if they accidentally take this medication.
If you have taken too many aidraelle tablets, or if 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 ingested.
If you forget to take aidraelle.
The risk of incomplete protection against pregnancy is maximum if you forget to take the tablet at the beginning of theblister (1st row) or at the end of the blister (3rd row of the blister). Therefore, you should take the following measures (see also the diagram below):
Consult your doctor.
Take the forgotten tablet as soon as you remember, even if this means taking two tablets at once. Continue taking the subsequent tablets at the usual time and useadditional precautions, such as a condom, for the next 7 days. If you have had sex in the week before forgetting the tablet, you should know that there is a risk of pregnancy. In that case, consult your doctor.
Take the forgotten tablet as soon as you remember, even if this means taking two tablets at once. Continue taking the tablets at the usual time. The protectionagainst pregnancydoes not decrease and you do not need to take additional precautions.
You can choose between two options:
1.Take the forgotten tablet as soon as you remember, even if this means taking two tablets at once. Continue taking the tablets at the usual time. Instead of starting the break period, start taking the next blister.
Probably, you will have menstruation at the end of the second blister, although you may experience light bleeding or spotting during the second blister.
2.You can also interrupt taking tablets and go directly to the break period (noting the day you forgot to take the tablet). If you want to start a newblister on your scheduled start day, the break period should lastless than 7 days.
If you follow one of these two recommendations, you will remain protected against pregnancy.
What should you do in case of vomiting or intense diarrhea?
If you have vomiting within 3-4 hours after taking a tablet or have intense 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, you should take a tablet from a reserve blister as soon as possible. If possible, take it within12 hoursafter the usual time when you take your contraceptive. If this is not possible or more than 12 hours have passed, follow the advice in the "If you forgot to take aidraelle" section.
Delayed menstrual period: what should you know?
Although not recommended, it is possible to delay your menstrual period if you start taking a new aidraelle blister instead of starting the break period and finish it. You may experience light bleeding or spotting during the second blister. After the usual break period, continue with the next blister.
You should consult your doctor before deciding to delay your menstrual period.
Change in the first day of your menstrual period: what should you know?
If you take the tablets according to the instructions, your menstrual period will beginduring the break period. If you need to change that day, reduce the number of break days (but never increase – 7 at most!). For example, if your break period starts on Friday and you want to change it to Tuesday (3 days earlier), you should start a new blister 3 days earlier than usual. If you make the break period very short (e.g., 3 days or less), you may not experience bleeding during these days. Then you may experience light bleeding or spotting.
If you are unsure how to proceed, consult your doctor.
If you interrupt treatment with aidraelle.
You can stop taking aidraelle 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 aidraelle and wait until your menstrual period before trying to become pregnant. This way, you will be able to calculate your probable due date more easily.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Contact your doctor immediately if you experience any of the following angioedema symptoms: 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).
All women taking 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 section2 "What you need to know before starting to take aidraelle".
The following list of side effects has been associated with the use ofaidraelle
Frequent side effects(may affect up to 1 in 10people):
Infrequent side effects(may affect up to 1 in 100people):
Rare side effects(may affect up to 1 in 1,000people):
The chances of having a blood clot may be higher if you have any other condition that increases this risk (see section2 for more information on conditions that increase the risk of blood clots and symptoms of a blood clot).
Reporting side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this prospectus. You can also report themdirectlythrough the Spanish System for the Pharmacovigilance of Medicinal Products for Human Usehttps://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.
Keep this medication out of the sight and reach of children.
Do not store at a temperature above 30°C.
Do not usethis medicationafter the expiration date that appears on the packaging after “CAD.:”.
Theexpiration dateisthelastdayof themonththatisindicated.
Medicines should not be disposed of through drains or in the trash. Dispose of the packaging and medications you no longer need at the SIGREpoint of the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. In this way, you will help protect the environment.
Core of the tablet: lactose monohydrate, potassium polacrilex, povidone, magnesium stearate.
Coating: Opadry II pink that contains: macrogol, polyvinyl alcohol, titanium dioxide (E-171), talc, yellow iron oxide (E-172), red iron oxide (E-172).
Appearance of the product and contents of the package
Each blister pack of aidraellecontains 21 film-coated tablets.
Aidraelle is available in carton boxes of 1 and 3 blister packs,whichcontainablister pack of PVC/PVDC/Aluminum with 21 film-coated tablets.
Thetablets of aidraelle are cylindrical, biconvex, pink in color, and approximately 6mm in diameter.
There is a cardboard insert in each carton box to store the blister pack.
Only some package sizes may be marketed.
Marketing authorization holder and responsible manufacturer
Marketing authorization holder:
Laboratorios Cinfa, S.A.
Carretera Olaz-Chipi, 10. Industrial Estate Areta
31620 Huarte (Navarra)- Spain
Responsible manufacturer:
Cyndea Pharma, S.L.
Emiliano Revilla Sanz Industrial Estate
Avenida de Ágreda, 31
42110 Ólvega (Soria)
Spain
Last review date of this leaflet: July 2024
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/.
You can access detailed and updated information on this medicine by scanning the QR code included in the leaflet and packaging with your smartphone. You can also access this information at the following internet address:https://cima.aemps.es/cima/dochtml/p/78877/P_78877.html
QR code to:https://cima.aemps.es/cima/dochtml/p/78877/P_78877.html
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