FE | Risk Minimisation Patient

Essential information

YAZ® (Drospirenone/ethinylestradiol)

YAZ® product description: YAZ® 0.02 mg / 3 mg film coated tablets.1

 

Indication: Oral contraception.1

 

Composition: 24 light pink film-coated tablets containing 0.020 mg ethinylestradiol (as betadex clathrate) and 3 mg drospirenone. 4 white placebo (inactive) film-coated tablets containing no active substances. For oral use.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 prescribing information: 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, ALT elevations, irregular bleeding.1

 

Undesirable effects: The most commonly reported adverse reactions with YAZ® 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.

 

Adverse drug reactions which have been associated with the use of YAZ® , according to the MedDRA system organ classes and MedDRA terms2

 

SYSTEM ORGAN CLASS
(MedDRA version 9.1)

COMMON
(≥ 1/100 to < 1/10)

UNCOMMON
(≥ 1/1,000 to < 1/100)

RARE
(≥ 1/10,000 to < 1/1,000)

NOT KNOWN
(cannot be estimated from the available data)

Infections and infestations

 

 

Candidiasis

 

Blood and lymphatic
system disorders

 

 

Anemia
Thrombocythemia

 

Immune system disorders

 

 

Allergic reaction

Hypersensitivity

Endocrine disorders

 

 

Endocrine disorder

 

Metabolism and
nutrition disorders

 

 

Increased appetite
Anorexia
Hyperkalemia
Hyponatremia

 

Psychiatric disorders

Emotional lability

Depression
Nervousness
Somnolence

Anorgasmia
Insomnia

 

Nervous system disorders

Headache

Dizziness
Paresthesia

Vertigo
Tremor

 

Eye disorders

 

 

Conjunctivitis
Dry eye
Eye disorder

 

Cardiac disorders

 

 

Tachycardia

 

Vascular disorders

 

Migraine
Varicose vein
Hypertension

Phlebitis
Vascular disorder
Epistaxis
Syncope
Venous thrombo-embolism (VTE)
Arterial thrombo-embolism (ATE)

 

Gastrointestinal disorders

Nausea

Abdominal pain
Vomiting
Dyspepsia
Flatulence
Gastritis
Diarrhea

Abdomen enlarged
Gastrointestinal disorder
Gastrointestinal fullness
Hiatus hernia
Oral candidiasis
Constipation
Dry mouth

 

Hepatobiliary disorders

 

 

Biliary pain
Cholecystitis

 

Skin and subcutaneous
tissue disorders

 

Acne
Pruritus
Rash

Chloasma
Eczema
Alopecia
Dermatitis acneiform
Dry skin
Erythema nodosum
Hypertrichosis
Skin disorder
Skin striae
Contact dermatitis
Photosensitive dermatitis
Skin nodule

Erythema multiforme

Musculoskeletal and connective tissue disorder

 

Back pain
Pain in extremity
Muscle cramps

 

 

Reproductive system and breast disorders

Breast pain
Metrorrhagia*
Amenorrhea

Vaginal candidiasis
Pelvic pain
Breast enlargement
Fibrocystic breast
Uterine/vaginal bleeding*
Genital discharge
Hot flushes
Vaginitis
Menstrual disorder
Dysmenorrhea
Hypomenorrhea
Menorrhagia
Vaginal dryness
Papanicolaou smear suspicious
Libido decreased

Dyspareunia
Vulvovaginitis
Postcoital bleeding
Withdrawal bleeding
Breast cyst
Breast hyperplasia
Breast neoplasm
Cervical polyp
Endometrial atrophy
Ovarian cyst
Uterine enlargement

 

General disorders and
administration site conditions

 

Asthenia
Sweating increased
Edema (generalized edema, peripheral edema, face edema)

Malaise

 

Investigations

 

Weight increase

Weight decrease

 

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

 

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