FE | Risk Minimisation Patient

Essential information

Yasmin® (Drospirenone/ethinylestradiol)

Yasmin® product description: Active ingredients: Each light yellow tablet contains 0.030 mg ethinylestradiol and 3 mg drospirenone. For oral use.1

 

Indication: Oral contraception.1

 

Contraindications: Presence or risk of venous thromboembolism (VTE), i.e. venous thromboembolism – current VTE (on anticoagulants) or history of (e.g. deep venous thrombosis [DVT] or pulmonary embolism [PE], known hereditary or acquired predisposition for venous thromboembolism, such as APC resistance, (including Factor V Leiden), antithrombin-III-deficiency, protein C deficiency, protein S deficiency, major surgery with prolonged immobilization, a high risk of venous thromboembolism due to the presence of multiple risk factors; presence or risk of arterial thromboembolism (ATE), i.e. arterial thromboembolism – current arterial thromboembolism, history of arterial thromboembolism (e.g. myocardial infarction) or prodromal condition (e.g. angina pectoris), cerebrovascular disease – current stroke, history of stroke or prodromal condition (e.g. transient ischemic attack, TIA), known hereditary or acquired predisposition for arterial thromboembolism, such as hyperhomocysteinemia and antiphospholipid-antibodies (anticardiolipin-antibodies, lupus anticoagulant, history of migraine with focal neurological symptoms, a high risk of arterial thromboembolism due to multiple risk factors or due to the presence of one serious risk factor such as diabetes mellitus with vascular symptoms, severe hypertension, severe dyslipoproteinemia; presence or history of severe hepatic disease as long as liver function values have not returned to normal, severe renal insufficiency or acute renal failure; presence or history of liver tumors (benign or malignant); known or suspected sex-steroid influenced malignancies (e.g. of the genital organs or the breasts); undiagnosed vaginal bleeding; hypersensitivity to the active substances or to any of the excipients; concomitant use with the medicinal products containing ombitasvir/paritaprevir/ritonavir and dasabuvir.1

 

Special warnings and precautions for use: For further information on the following conditions/risks refer to the full package insert: VTE, ATE, depressed mood and depression, cervical cancer, breast cancer, benign or malignant liver tumors, mild or moderate renal impairment, concomitant use of potassium-sparing medicinal products, hypertriglyceridemia, increases in blood pressure, jaundice and/or pruritus related to cholestasis, gallstones, porphyria, systemic lupus erythematosus, hemolytic uremic syndrome, Sydenham’s chorea, herpes gestationis, otosclerosis-related hearing loss, hereditary angioedema, acute or chronic disturbances of liver function, cholestatic jaundice/cholestasis-related pruritus, diabetes mellitus, endogenous depression, epilepsy, Crohn’s disease, ulcerative colitis, chloasma, hereditary galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption, irregular bleeding.1

 

Undesirable effects: The most commonly reported adverse reactions with Yasmin® when used as an oral contraceptive are nausea and breast pain. Serious adverse reactions are arterial and venous thromboembolism.1 For further information regarding the risk factors and symptoms of ATE and VTE, refer to the full package insert.

 

The following adverse drug reactions have been reported during use of Yasmin®2

 

BODY SYSTEM

FREQUENCY OF ADVERSE REACTIONS

COMMON
≥ 1/100 to < 1/10

UNCOMMON
≥ 1/1,000 to < 1/100

RARE
≥ 1/10,000 to < 1/1,000

Immune system

 

 

Hypersensitivity,
Asthma

Psychiatric disorders

Depressive mood

Libido increased
Libido decreased

 

Nervous system

Headache

 

 

Ear and labyrinth

 

 

Hypacusis

Vascular system

Migraine

Hypertension,
Hypotension

Thromboembolism

Gastrointestinal system

Nausea

Vomiting,
Diarrhea

 

Skin and subcutaneous system

 

Acne
Eczema
Pruritus
Alopecia

Erythema nodosum
Erythema multiforme

Reproductive system and breast

Menstrual disorders
Intermenstrual bleeding
Breast pain
Breast tenderness
Leukorrhea
Vaginal moniliasis

Breast enlargement,
Vaginal infection

Breast secretion

General

 

Fluid retention
Weight increased,
Weight decreased

 

 

Bayer AG, 13342 Berlin, Germany. www.Bayer.com

 

APC – activated protein C; ATE – arterial thromboembolism; DVT – deep venous thromboembolism; PE – pulmonary embolism; TIA – transient ischemic attack; VTE – venous thromboembolism