Positive side effects are also a possibility, too reduced acne, fewer mood swings, and other perks are fairly common. Some other examples of serious blood clots include blood clots in the legs or eyes. Concomitant use of COCs with metabolic enzyme inducers may decrease the plasma concentrations of the estrogen and/or progestin component of COCs. Serious blood clots can happen especially if you smoke, are obese, or are older than 35 years of age. Contains 6 blister cards, each containing 28 tablets. Get emergency help right away if you have any signs of a blood clot: If you need to have surgery, tell your provider you're taking Portia. Concomitant use of COCs with lamotrigine may significantly decrease systemic exposure of lamotrigine due to induction of lamotrigine glucuronidation. The risk is greater among older women (> 35 years of age), smokers, and females with hypertension, dyslipidemia, diabetes, or obesity. Use of Portia before menarche is not indicated. Headaches are a common side effect of COCs like Portia. Although not all of these side effects may occur, if they do occur they may need medical attention. This Patient Information Leaflet summarizes the most important information about Portia. These side effects may go away during treatment as your body adjusts to the medicine. Women who use birth control pills may have a slightly higher chance of getting cervical cancer. COCs increase the risk of hepatic adenomas. Each pink, round, film-coated, biconvex, unscored tablet, debossed with "b" on one side and "992" on the other side, contains 0.15 mg of levonorgestrel and 0.03 mg of ethinyl estradiol. Read More. No problem. If the patient has adhered to the prescribed dosing schedule and misses two consecutive periods, rule out pregnancy. Substances increasing the systemic exposure of COCs: Co-administration of atorvastatin or rosuvastatin and COCs containing ethinyl estradiol increase systemic exposure of ethinyl estradiol by approximately 20 to 25 percent. Can cause unpleasant side effects like nausea, vomiting, and, Before starting Portia, discuss your full medical history with your provider. The risk of postpartum thromboembolism decreases after the third postpartum week, whereas the likelihood of ovulation increases after the third postpartum week. are pregnant or think you may be pregnant, are depressed now or have been depressed in the past, had yellowing of your skin or eyes (jaundice) caused by pregnancy (cholestasis of pregnancy). What do the different colored tablets mean in my Portia pack? If you're switching from another hormonal birth control, or starting Portia after an abortion or miscarriage, discuss the best way to start taking Portia with your provider. If you have vomiting or diarrhea for more than 1 day, your birth control pills may not work as well. In addition to these changes, some women experience more . This medication can worsen certain conditions. Too much sebum can lead to clogged pores, which create breeding grounds for acne. My boobs feel like someone used them as a punching bag everyday for 7 weeks. If you have questions about which pill in your pack contains hormones, refer to the label that comes with your pack or ask your pharmacist or provider. Levonorgestrel 0.15mg, ethinyl estradiol 30mcg (21 tabs); inert (7 tabs). Along with its needed effects, a medicine may cause some unwanted effects. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Generic name: levonorgestrel and ethinyl estradiol Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Figure 1 shows the risk of developing a VTE for females who are not pregnant and do not use oral contraceptives, for females who use oral contraceptives, for pregnant females, and for females in the postpartum period. Prices for Portia start at just $13.42 with a GoodRx coupon. Get emergency help immediately if any of the following side effects occur:RareAbdominal or stomach pain (sudden, severe, or continuing)coughing up bloodheadache (severe or sudden)loss of coordination (sudden)loss of vision or change in vision (sudden)pains in chest, groin, or leg (especially in calf of leg)shortness of breath (sudden or unexplained)slurring of speech (sudden)weakness, numbness, or pain in arm or leg (unexplained)Check with your doctor as soon as possible if any of the following side effects occur:More commonusually less common after the first 3 months of oral contraceptive useChanges in the uterine bleeding pattern at menses or between menses, such as decreased bleeding at menses, breakthrough bleeding or spotting between periods, prolonged bleeding at menses, complete stopping of menstrual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimesLess commonHeadaches or migraines (although headaches may lessen in many users, in others, they may increase in number or become worse)increased blood pressurevaginal infection with vaginal itching or irritation, or thick, white, or curd-like dischargeFor women with diabetes mellitusMild increase of blood sugarFaintness, nausea, pale skin, or sweatingRareMental depressionswelling, pain, or tenderness in upper abdominal areaFor women who smoke tobaccoPains in stomach, side, or abdomenyellow eyes or skinFor women with a history of breast diseaseLumps in breastSome side effects may occur that usually do not need medical attention. What makes Portia different from some other birth control pills that also contain levonorgestrel and ethinyl estradiol? If you are scheduled for any lab tests, tell your healthcare provider you are taking Portia. Breasts start developing in the female body during puberty, usually between the ages of eight and 13.This happens due to hormonal changes, especially estrogen and growth hormone. Keep this and all medications out of the reach of children. Instead, Pandia Health Medical groups doctors recommendprogestin-only pill (POPs),IUDwith hormone (Mirena, Liletta, Kyleena, Skyla),implant(nexplanon), thebirth control shot(depo-provera), orcondomsand spermicide. Fully authorized pharmacy. This medicine also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus. This is different from multiphasic birth controls, such as Camrese, that contain different amounts of hormones depending on which day you're on in your pack. If vomiting occurs within 3 to 4 hours after taking Portia, the patient should proceed as if she missed a tablet. They should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention. There are 2 ways to start taking your birth control pills. CYP3A inhibitors such as itraconazole, voriconazole, fluconazole, grapefruit juice,7 or ketoconazole may increase systemic exposure of the estrogen and/or progestin component of COCs. everleigh rose smith soutas; when to prune winter blooming camellias Current diagnosis of, or history of, breast cancer, which may be hormone-sensitive. There is little information available about the clinical effect of most drug interactions that may affect COCs. In patients with familial defects of lipoprotein metabolism receiving estrogen-containing preparations, there have been case reports of significant elevations of plasma triglycerides leading to pancreatitis. Some examples are chloasma (a condition that causes dark skin patches) and, levonorgestrel / ethinyl estradiol (generic), 3 packages (28 tablets) of portia 0.15mg/0.03mg. Decreased exposure of the estrogen component of COCs may potentially reduce contraceptive efficacy or result in an increase in breakthrough bleeding, depending on the strength of ethinyl estradiol in the COC. (see DOSAGE AND ADMINISTRATION). However, based on the known pharmacokinetic effects of these drugs, clinical strategies to minimize any potential adverse effect on contraceptive effectiveness or safety are suggested. In . Each pink active tablet contains the following inactive ingredients: anhydrous lactose, hypromellose, magnesium stearate, and microcrystalline cellulose. Portia is dispensed in a blister card containing 28 tablets (see HOW SUPPLIED). Portia and other COCs can raise your blood pressure. Check with your doctor as soon as possible if any of the following side effects occur: usually less common after the first 3 months of oral contraceptive use, Changes in the uterine bleeding pattern at menses or between menses, such as decreased bleeding at menses, breakthrough bleeding or spotting between periods, prolonged bleeding at menses, complete stopping of menstrual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimes, Headaches or migraines (although headaches may lessen in many users, in others, they may increase in number or become worse), vaginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge, Mild increase of blood sugarFaintness, nausea, pale skin, or sweating, swelling, pain, or tenderness in upper abdominal area, For women with a history of breast disease. In one trial, 33 subjects out of 1084 (3.0%) discontinued due to bleeding irregularities (i.e., breakthrough bleeding and spotting); in the other trial, 6 subjects out of 238 (2.5%) discontinued due to bleeding irregularities. If you miss pills (including starting the pack late). Three studies compared breast cancer risk between current or recent COC users (<6 months since last use) and never users of COCs (Figure 2). For all females, including those with well-controlled hypertension, monitor blood pressure at routine visits and stop Portia if blood pressure rises significantly. Use of COCs may also worsen existing gallbladder disease. Use a non-hormonal birth control method (such as a condom or spermicide) as a back-up if you have sex during the first 7 days after you restart your pills. Though rare, Portia can cause liver problems, such as liver damage and liver tumors. Sunday start: Continue taking one tablet a day until Sunday, then throw out the rest of the pack and start a new pack that same day. Start using Portia on the day you would have started a new cycle (first patch application). blog posthere. You MUST use a non-hormonal birth control method (such as a condom or spermicide) as a back-up if you have sex during the first 7 days after you restart your pills. The ingredients in the film-coating include FD&C blue no. Portia (levonorgestrel and ethinyl estradiol tablets USP) is a combination oral contraceptive (COC) consisting of 21 pink active tablets, each containing 0.15 mg of levonorgestrel, USP, a synthetic progestin and 30 mcg of ethinyl estradiol, USP, an estrogen, and 7 white inert tablets (without hormones).
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