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ethinyl estradiol/drosperinone (Ocella, Yasmin, Gianvi, Vestura)
Indications:
- Combination monophasic oral contraceptive.
Contraindications: Cautions:
1) patients at risk of hyperkalemia
a) renal insufficiency
b) hepatic insufficiency
c) adrenal insufficiency
2) NOT a weight-loss agent [2]
Dosage:
ethinyl estradiol: 30 ug
drospirenone: (progestin with antimineralocorticoid activity)
Adverse effects:
- drospirenone may increase serum K+ levels [4]
- drospirenone may increase of venous thromboembolism [5]
Drug interactions:
- concurrent administration agents increasing serum K+
1] ACE inhibitors
2] angiotensin II receptor antagonists
3] K+ sparing diuretics
4] K+ supplements
5] NSAIDs
6] salt substitutes
Notes:
Manufacturer: Berlex (Yasmin)
Interactions
drug adverse effects of estrogens
General
monophasic oral contraceptive
estrogen/progestin
Database Correlations
PUBCHEM cid=147740
References
- Prescriber's Letter 8(6):34 2001
- Prescriber's Letter 9(2):S1 2002
- Prescriber's Letter 9(11):63 2002
- Prescriber's Letter 16(10): 2009
Safety of Drospirenone-Containing Oral Contraceptives
Detail-Document#: 251007
(subscription needed) http://www.prescribersletter.com
- FDA Safety Alert: Posted 05/31/2011
Birth Control Pills Containing Drospirenone: Possible
Increased Risk of Blood Clots
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm257337.htm
- Wikipedia: Ethinylestradiol/drospirenone
https://en.wikipedia.org/wiki/Ethinylestradiol/drospirenone
Components
drosperinone
ethinyl estradiol