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Drospirenone-Estradiol or Ethinyl estradiol is a combination drug that forms a very important part of birth control pills and hormone replacement therapy. It also modifies the cervical and uterine lining, making it difficult for sperm to come in contact with the uterus.

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About the drug:

Drospirenone-Estradiol or Ethinyl estradiol is a combination drug that forms a very important part of birth control pills and hormone replacement therapy. It also modifies the cervical and uterine lining, making it difficult for sperm to come in contact with the uterus. This in turn makes it difficult for eggs to fertilize in the uterus. It is also approved by U.S. F.D.A for the treatment of moderate acne and premenstrual dysphoric disorders.
Uses of the drug:

The combination of Drospirenone - Ethinyl Estradiol is used as contraceptive drug to thwart pregnancy. Women who are past 14 years old and have just begun experiencing their menstrual cycle can also use it effectively to cure moderate acne.

It also treats indications of premenstrual dysphoric disorder (PMDD), such as anxiety, depression, irritability, lack of concentration, lethargy, erratic sleep or appetite, breast tenderness, joint or muscle pain, headache, and weight gain.
Working of the drug:

Drospirenone-Ethinyl Estradiol is a combination drug that checks ovulation, which is the discharge of an egg from the ovary. It also modifies the cervical and uterine lining, making it difficult for sperm to come in contact with the uterus. This in turn makes it difficult for eggs to fertilize in the uterus.
Manufacturer:
Dosage form and strengths

The drug is available in the form of tablets in the following strength depending upon the active ingredient that is Estradiol or Ethinyl estradiol- Drospirenone:

    Dronis 3mg/0.02mg
    Yasmin 3mg/0.03mg
    Yazz 0.02mg/3mg

You can buy Dronis 3mg/0.02mg online from alldaychemist.com.
Before you take the drug:
Do not take the drug if you:

    Are pregnant or planning to be a mother
    You are a breast feeding
    Are suffering from untreated or uncontrolled high blood pressure
    Have kidney or diabetes ailments

Tell your doctor if you:

    Have unusual vaginal bleeding
    Have liver disease or liver cancer
    Have gall bladder disease
    Have fibrocystic breast disease
    Are overweight or above 35 years of age then you must  stay away from this drug

How much to take?

The general dose recommended by doctors is one pill once in a day.
How to take?

Strictly follow the consumption of Drospirenone - Ethinyl Estradiol as your doctor advises you to. At no instance should you increase or decrease the quantity or take it for longer than advised. If in doubt, you could also follow the instructions on the prescription label. You can buy Dronis 3mg/0.02mg online from alldaychemist.com.
When to take?

Take the first pill on the first day of your period or on the first Sunday after your period commences. Auxiliary birth control methods, such as condoms or a spermicide might be required, when you first start using this medication. At all times, always abide by your doctor's instructions.

Ingest one pill daily with a gap of not more than 24 hours. If this is not followed strictly, the chances of you getting pregnant increase manifold. For this reason alone, you must get your prescription refilled before completely exhausting the pills. This 28-day birth control pack comprises of seven reminder pills to keep you on your regular cycle. Your period will usually start while you are consuming these reminder pills.
For how long to take it?

Take this medicine as long as the doctor recommends you. Within the first 3 months of taking these pills, you may experience breakthrough bleeding. Keep your doctor posted if your bleeding does not stop or becomes heavier. In case you fall sick with severe vomiting or diarrhea, use a standby birth control method.

You might need to stay away from this medication for some time if you have to go through surgery or medical tests, or if you will be confined to bed rest for a considerable duration. The surgeon tasked with your operation and convalescence should be made aware that you are using birth control pills. Visit your doctor regularly while taking these pills. Store them at room temperature and safely away from moisture and heat.
Miss dose:

Once you recollect missing one active pill, take two pills on that day. You can continue your normal dosage from the next day. If you miss two active pills continuously for the first two weeks, take two pills for two days in a row. After that, continue with your normal routine for the rest of the pack. It would be prudent to use auxiliary birth control for a minimum of 7 days following the missed pills.

If you again forget to take two active pills continuously in the third week, chuck out the remainder of the pack and start a new schedule with a new pack. If you start your dosage on a Sunday, keep consuming one pill every day until the next Sunday. After that, throw out the rest of the pack and start a new cycle from that very day.

Once you miss three active pills at a stretch for the first, second, and third weeks, you again need to dispose the rest of the pack and begin a new course on the same day. If you begin on a Sunday, keep taking a pill daily until next Sunday, and then start a new pack on that day. After forgetting two or more pills, you may not have a period in that month. However, in case you miss your period for two months running, get in touch with your doctor to confirm if you are pregnant.

Missing a reminder pill poses fewer concerns, as all you need to do is throw it away and keep taking the rest of the reminder pills every day until the pack is empty. Moreover, you do not need any standby birth control if you miss a reminder pill.
Overdose:

It is possible that you might exhibit symptoms like nausea, vomiting, and vaginal bleeding in the event of you overdosing on this drug. In case such symptoms do occur, you need to seek immediate medical attention. You may contact your doctor or visit your nearest health care center immediately.
Side effects of the drug:

Tell your doctor as soon as possible if you notice any of the following:

    Hives
    Difficulty in breathing
    Swelling of your face, lips, tongue, or throat
    Sudden numbness or weakness on one side of the body
    Sudden and severe migraines
    Disorientation
    irregular menstrual periods
    Indistinct vision or speech
    Improper balance; chest, arm, stomach, or shoulder pains
    Nausea, sweating and general illness
    Should stop consuming these pills immediately.

Other symptoms include lack of appetite, dark urination, pallid stools, breast tenderness, nipple discharge, and increased hair growth, loss of scalp hair, and freckles or darkening of facial skin.
Common drug interactions:

Some of the drugs may interfere with the working of Drospirenone-Ethinyl Estradiol. There are also other drugs whose effectiveness themselves could be diminished by Drospirenone - Ethinyl Estradiol. Your doctor needs to be apprised about all the prescriptions and other medications you take before taking these birth control pills. Even vitamins, minerals, herbal products, and drugs prescribed by other doctors need to be made known to the doctor prescribing this particular medicine. Under no circumstances should you use this drug without consulting your physician first.
Warning:
Things to remember:

    It is strongly advised that you use auxiliary birth control methods such as condoms or a spermicide when you are initially introduced to Drospirenone - Ethinyl Estradiol
    You should avoid any kind or primary or secondary smoking as you may experience blood clots, strokes, or heart attacks
    People over 35 years of age must never try these pills this drug has greater possibilities of causing blood clots than other birth control pills

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