Information for the user: package insert
Yasmin 3 mg/0.03 mg film-coated tablets
drospirenone/ethinylestradiol
Read this package insert carefully before starting to take this medicine, as it contains important information for you.
-Keep this package insert, as you may need to read it again.
-If you have any questions, consult your doctor or pharmacist.
-This medicine has been prescribed for you only, and you should not give it to others even if they have the same symptoms as you, as it may harm them.
-If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this package insert. See section 4.
Important information about combined hormonal contraceptives (CHCs):
1.What is Yasmin and how it is used2
2.What you need to know before starting to take Yasmin2
When not to use Yasmin2
Warnings and precautions3
Blood clots5
Yasmin and cancer9
Mental health disorders……………………………………………………………………...9
Spotting between periods9
What to do if you do not have your period during the week of rest9
Other medicines and Yasmin9
Taking Yasmin with food and drinks10
Lab tests10
Pregnancy10
Breastfeeding11
Driving and operating machinery11
Yasmin contains lactose11
3.How to take Yasmin11
When to start with the first pack11
What to do if you take more Yasmin than you should12
What to do if you forget to take Yasmin13
What to do in case of severe vomiting or diarrhea14
Delayed period: what you should know14
Change in the first day of your period: what you should know15
What to do if you stop taking Yasmin15
4.Possible side effects15
5.Storage of Yasmin16
6. Contents of the package and additional information…………………………………………….16
Yasmin is a contraceptive and is used to prevent pregnancy.
Each film-coated tablet contains a small amount of two different female hormones, known as drospirenone and ethinyl estradiol.
Contraceptives that contain two hormones are known as combined contraceptives.
Before starting to use Yasmin, 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 Yasmin, 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 perform some other tests.
This leaflet describes several situations in which you should interrupt the use of Yasmin, or in which the effect of Yasmin may be reduced. In these situations, you should not have sexual intercourse or should take additional non-hormonal contraceptive precautions, for example, use of a condom or other barrier method. Do not use the rhythm or basal body temperature method. These methods may not be reliable because Yasmin alters the monthly changes in body temperature and cervical mucus.
Yasmin, like other hormonal contraceptives, does not protect against HIV (AIDS) or any other sexually transmitted disease.
When not to use Yasmin
You should not use Yasmin 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
You should not use Yasmin if you have hepatitis C and are taking medicines that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir or sofosbuvir/velpatasvir/voxilaprevir (see also the section “Other medicines and Yasmin”).
Additional information for special populations
Children and adolescents
Yasmin is not indicated for use in women who have not yet had their first menstrual period.
Women of advanced age
Yasmin is not indicated for useafter menopause.
Women with liver insufficiency
You should not take Yasmin if you suffer from liver disease. See sections “Do not use Yasmin” and “Warnings and precautions”.
Women with renal insufficiency
You should not take Yasmin if you are suffering from a poor functioning of your kidneys or acute renal insufficiency. See sections “Do not use Yasmin” and “Warnings and precautions”.
Warnings and precautions
Consult your doctor or pharmacist before starting to takeYasmin. When should you consult your doctor? Seek immediate medical attention
For a description of the symptoms of these serious adverse effects, see “How to recognize a blood clot”. |
Inform your doctor if you suffer from any of the following conditions
In some situations, you should take special care while using Yasmin or any other combined hormonal contraceptive, and you may need to have regular check-ups with your doctor. If the condition develops or worsens while you are using Yasmin, you should also inform your doctor.
BLOOD CLOTS
The use of a combined hormonal contraceptive like Yasmin increases your risk of suffering a blood clot compared with not using it. In rare cases, a blood clot can block blood vessels and cause serious problems.
Blood clots can form:
The recovery from blood clots is not always complete. In rare cases, there may be long-lasting or even fatal effects.
It is essential to remember that the overall risk of a harmful blood clot due to Yasmin is small.
HOW TO RECOGNIZE A BLOOD CLOT
Seek immediate medical attentionif you notice any of the following signs or symptoms.
Do you experience any of these signs? | What could you be suffering from? |
| Deep vein thrombosis |
If you are 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 |
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 medical attention 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 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 start taking a combined hormonal contraceptive for the first time. The risk may be higher if you restart taking a combined hormonal contraceptive (the same medicine or a different one) after a break 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, your risk of developing a blood clot returns to normal in 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 is small.
Risk of developinga blood clot in a year | |
Women whodo not usea combined hormonal contraceptive and who are not pregnant | 2of every 10,000women |
Women who use a combined hormonal contraceptive that containslevonorgestrel, noretisterone or norgestimato | 5‑7of every 10,000women |
Women who useYasmin | 9‑12of every 10,000women |
Factors that increase your risk of a blood clot in a vein
Your risk of developing a blood clot is small, but some conditions increase your risk. Your risk is higher:
Your risk of developing a blood clot increases the more conditions you have.
Long flights (over 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 should stop taking Yasmin.
If any of the conditions listed above change while you are using Yasmin, for example, a close relative experiences a blood 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. 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 is very small, but it may increase:
If you have more than one of these conditions or if any of them are particularly severe, your risk of developing a blood clot may be increased even further.
If any of the conditions listed above change while you are using Yasmin, for example, you start smoking, a close relative experiences a blood clot without a known cause, or you gain a lot of weight, inform your doctor.
Yasmin and cancer
Cancer of the breast has been observed slightly more frequently in women using combined hormonal contraceptives, but it is not known whether this is due to the treatment. For example, it may be that more tumours are detected in women taking combined hormonal contraceptives because they are examined by their doctor more frequently. The incidence of breast tumours decreases gradually after stopping combined hormonal contraceptives. It is essential to have regular breast examinations and you should consult your doctor if you notice any lump.
In rare cases, benign tumours in the liver and, more rarely, malignant tumours have been reported in users of combined hormonal contraceptives. You should consult your doctor if you experience any unusual severe abdominal pain.
Mental health disorders
Some women who use combined hormonal contraceptives like Yasmin have reported depression or a depressive mood. Depression can be severe and sometimes may induce suicidal thoughts. If you experience mood changes and depressive symptoms, consult your doctor for additional medical advice as soon as possible.
Spotting between periods
During the first few months of taking Yasmin, you may experience unexpected bleeding (bleeding outside the menstrual period). If these bleeding persist beyond a few months, or start after a few months, your doctor will investigate what is wrong.
What to do if you do not have a period during the menstrual period
If you have taken all the tablets correctly, have not had severe vomiting or diarrhoea, and have not taken other medicines, it is very unlikely that you are pregnant.
If your expected period does not come in two consecutive occasions, you may be pregnant. Consult your doctor immediately. Do not start the next pack until you are sure you are not pregnant.
Other medicines and Yasmin
Inform your doctor or pharmacist if you are using, have used recently, or may need to use any other medicine or herbal preparations. You should also inform any other doctor or dentist who prescribes another medicine (or your pharmacist) that you are taking Yasmin. They may advise you to take additional contraceptive precautions (e.g. condoms) and, if so, for how long, or to modify the use of another medicine that you need.
Some medicines
This may occur with:
Yasminmay affect the effectof other medicines, for example:
You should not take Yasmin if you have hepatitis C and are taking medicines that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir or sofosbuvir/velpatasvir/voxilaprevir, as these medicines may cause increases in liver function parameters in the blood (increase in the liver enzyme ALT). Your doctor will prescribe another type of contraceptive before starting treatment with these medicines. Yasmin can be taken again approximately 2 weeks after the end of this treatment. See the section “Do not use Yasmin”.
Consult your doctor or pharmacist before taking any medicine.
Yasmin can be taken with or without food, and with some water if necessary.
Lab 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 and breastfeeding
Pregnancy
If you are pregnant, you should not take Yasmin. If you become pregnant during treatment with Yasmin, you should stop treatment immediately and consult your doctor. If you want to become pregnant, you can stop taking Yasmin at any time (see “If you stop treatment with Yasmin”, page 15).
Consult your doctor or pharmacist before taking any medicine.
Breastfeeding
In general, it is not recommended to take Yasmin during the breastfeeding period (while you are breastfeeding). If you want to take the contraceptive while breastfeeding, you should consult your doctor.
Consult your doctor or pharmacist before taking any medicine.
Driving and operating machinery
There is no information to suggest that the use of Yasmin has any effect on your ability to drive or operate machinery.
Yasmin contains lactose
If your doctor has told you that you have a certain sugar intolerance, consult with them before taking this medicine.
Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.
Take one Yasmin tablet every day, with some water if necessary. You can take the tablets with or without food, but approximately at the same time every day.
The blister contains 21 tablets coated with a film. Next to each tablet, the day of the week is printed on which it should be taken. If, for example, you start on a Wednesday, take a tablet with "MIE" next to it. Follow the direction of the arrow on the blister until you have taken the 21 tablets.
Do not take any tablets for 7 days afterwards. During these 7 days when no tablets are taken (called the rest week), menstruation should take place. Menstruation, also known as withdrawal bleeding, usually starts on the 2nd or 3rd day of the rest week.
By the 8th day of taking the last Yasmin tablet (i.e., after the 7-day rest period), you should start with the next blister, even if the bleeding has not stopped yet. This means that you should start each blister on the same day of the week and menstruation should take place on the same days every month.
If you use Yasmin in this way, you are also protected against pregnancy during the 7 days when no tablets are taken.
When to start with the first blister
Start taking Yasmin on the first day of your cycle (i.e., the first day of your period). If you start Yasmin on the first day of your period, you will be immediately protected against pregnancy. You can also start on days 2-5 of your cycle, but you should use additional contraceptive methods (e.g., a condom) for the first 7 days.
You can start taking Yasmin 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 week 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 progestin-only pills on any day (if it's an implant or IUS, on the day of its removal; if it's an injection, on the day of the next injection), but in all cases, use additional contraceptive methods (e.g., a condom) for the first 7 days of taking tablets.
Follow your doctor's recommendations.
You can start taking Yasmin between 21 and 28 days after giving birth. If you start later than day 28, use one of the barrier methods (e.g., a condom) for the first 7 days of taking Yasmin.
If, after giving birth, you have already had sex before starting Yasmin (again), you should be sure you are not pregnant or wait for your next menstrual period.
See the section "Breastfeeding", page 11.
Ask your doctor if you are unsure when to start.
What to do if you take more Yasmin than you should
No serious cases of overdose have been reported.
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 menstrual period, if they accidentally take this medication.
If you have taken too many Yasmin 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 used.
What to do if you forget to take Yasmin
The risk of incomplete protection against pregnancy is maximum if you forget to take a tablet at the beginning or end of the blister. Therefore, follow the following recommendations (see the diagram on page 14):
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 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 may be pregnant. 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 protection against pregnancy is not reduced and you do not need to take additional precautions.
You can choose between two options:
You may experience bleeding during the use of the second blister, which may be light or similar to menstruation. After the usual 7-day rest period,startthe next blister.
If you follow one of these two recommendations, you will remain protected against pregnancy.
What to 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, take a tablet from a reserve blister as soon as possible. If possible, take itwithin 12 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 section "If you forgot to take Yasmin", page 13.
Delayed period: what you should know
Although not recommended, you can delay your period if you start taking a new Yasmin blister instead of continuing with the rest week and finish it. You may experience bleeding during the use of the second blister, which may be light or similar to menstruation. After the usual 7-day rest period,startthe next blister.
You should ask your doctor for advice before deciding to delay your menstrual period.
Change in the first day of your period: what you should know
If you take the tablets according to the instructions, your period will start during the rest week. If you need to change that day, reduce the number of rest days (but never increase – 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 blister 3 days earlier than usual. If you make the rest period very short (e.g., 3 days or less), you may not experience bleeding during these days. Then you may experience bleeding that is light or similar to menstruation.
If you are unsure how to proceed, consult your doctor.
What to do if you interrupt treatment with Yasmin
You can stop taking Yasmin 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 Yasmin and wait until your period before trying to become pregnant. This way, you can calculate your estimated due date more easily.
If you have any other questions about using this medication, ask your doctor or pharmacist.
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 Yasmin”.
Severe side effects
The following list of side effects has been associated with the use of Yasmin:
Frequent side effects(may affect up to 1 in 10 patients):
Infrequent side effects(may affect up to 1 in 100 patients):
Rare side effects(may affect up to 1 in 1000 patients):
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 leaflet. You can also report them directly to the Spanish System for the Vigilance of Medicinal Products for Human Use:https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not store at a temperature above 30°C. Store in the original blister pack to protect it from moisture.
Do not use this medication after the expiration date that appears on the packaging after “CAD:”. The expiration date is the last day of the month indicated.
Medications should not be disposed of through drains or in the trash. Dispose of packaging and medications you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of unused packaging and medications. By doing so, you will help protect the environment.
Composition of Yasmin
Each coated tablet contains 3 milligrams of drospirenone and0.030 milligrams of ethinylestradiol.
Tablet core: lactose monohydrate, cornstarch, pregelatinized cornstarch, povidone K25, magnesium stearate (E-470b).
Coating of the tablet: hypromellose (E-464), macrogol 6.000, talc (E-553b), titanium dioxide (E-171) and yellow iron oxide (E-172), see section 2 “Yasmin contains lactose”.
Appearance of the product and contents of the package
Only some package sizes may be marketed.
Holder of the marketing authorization and responsible for manufacturing
Holder of the marketing authorization
Bayer Hispania, S.L.
Av. Baix Llobregat, 3 - 5
08970 Sant Joan Despí – Barcelona
Spain
Responsible for manufacturing
Bayer AG
13342 Berlin, Germany
This medicine is authorized in the member states of the European Economic Area with the following names:
Last review date of this leaflet:November2023
The detailed information of this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS) (http://www.aemps.gob.es)
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