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Altavera
Altavera is a combined oral contraceptive (birth control pill) that contains two hormones: levonorgestrel (a progestin) and ethinyl estradiol (an estrogen). It is primarily used to prevent pregnancy by inhibiting ovulation (the release of an egg from the ovaries), thickening cervical mucus to prevent sperm from reaching the egg, and altering the uterine lining to make it less suitable for implantation. When taken as directed, Altavera is highly effective at preventing pregnancy and can also help regulate menstrual cycles.
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Frequently Asked Questions
What should I do if I miss a dose of Altavera?
If you miss one active pill, take it as soon as you remember, and take the next pill at the regular time. If you miss two or more active pills, follow the instructions in the patient information leaflet and use a backup method of contraception for at least 7 days.
Can I take Altavera with food?
Yes, Altavera can be taken with or without food. Taking it with food may help reduce nausea, a common side effect when starting birth control.
How soon does Altavera start working?
If you start taking Altavera on the first day of your period, it is effective immediately. If you start at any other time, use a backup method of contraception (such as condoms) for the first 7 days.
Can Altavera help with acne?
Yes, like other combination birth control pills, Altavera may help reduce acne in some women by regulating hormone levels.
Does Altavera protect against sexually transmitted infections (STIs)?
No, Altavera does not protect against STIs. Use condoms to reduce the risk of STIs if you are at risk of exposure.
Comprehensive Drug Guide
How Does Altavera Work?
ALvatera (generic name: albuterol sulfate) is a medication used primarily as a bronchodilator to relieve symptoms of asthma and other conditions characterized by reversible airway obstruction, such as chronic obstructive pulmonary disease (COPD). It works by relaxing the muscles of the airways, allowing for easier breathing.
Common Dosages
- Inhalation aerosol: Usually available as 90 mcg per spray.
- Nebulizer solution: Typically available in strengths of 0.63 mg/3 mL, 1.25 mg/3 mL, and 2.5 mg/3 mL.
Typical Dosing
- For asthma or COPD: The usual adult dosage is 2 inhalations (180 mcg) via inhalation aerosol every 4 to 6 hours as needed, not exceeding 12 inhalations in 24 hours.
- For exercise-induced bronchospasm: It is recommended to use 2 inhalations 15 to 30 minutes before exercise.
Typical Dosing
FDA Approved Indications
- Relief of bronchospasm in patients with asthma or COPD.
- Prevention of exercise-induced bronchospasm.
Who Shouldn't Take Altavera?
- History of blood clots, stroke, or heart attack.
- Uncontrolled high blood pressure.
- Known hypersensitivity to levonorgestrel, ethinyl estradiol, or any inactive ingredients in the tablets.
- Liver disease or tumors.
- Breast cancer or other hormone-sensitive cancers.
- Pregnancy.
Advice From The Pharmacist
- Take Altavera at the same time every day, with or without food. If you miss a dose, take it as soon as you remember, and follow the instructions for missed doses, especially if you miss more than one pill.
- If you vomit or have severe diarrhea after taking a pill, use a backup method of contraception (e.g., condoms) as this can reduce the pill's effectiveness.
- Altavera does not protect against sexually transmitted infections (STIs), so use condoms if you are at risk of exposure to STIs.
- Store the tablets at room temperature, away from moisture and heat.
Side Effects of Altavera
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Mood changes
- Spotting or breakthrough bleeding, especially during the first few months of use
Uncommon/Severe Side Effects
- Blood clots (leg pain, swelling, sudden shortness of breath)
- Stroke or heart attack symptoms (chest pain, sudden numbness, trouble speaking)
- Severe headaches, especially migraines with aura
- Vision changes
Risks and Warnings of Altavera
- Like other combined hormonal contraceptives, Altavera increases the risk of blood clots, stroke, and heart attack, especially in women who smoke and are over the age of 35.
- Smoking significantly increases the risk of cardiovascular side effects.
- Women with a history of migraines with aura are at an increased risk of stroke and should discuss this with their healthcare provider before starting Altavera.
- Monitoring for blood pressure and other cardiovascular risk factors is essential during treatment.
Interactions with Altavera
Common Drug Interactions
- Certain antibiotics (such as rifampin), which can decrease the effectiveness of birth control.
- Anticonvulsants (such as phenytoin), which may lower the effectiveness of hormonal contraceptives.
Common Food Interactions
- Herbal supplements, particularly St. John’s Wort, which can reduce contraceptive effectiveness.
Alternatives to Altavera
- Other combined oral contraceptives (e.g., Yasmin, Ortho Tri-Cyclen).
- Progestin-only pills (for women who cannot take estrogen).
- Non-hormonal methods like the copper IUD (Paragard).
- Long-acting reversible contraception (LARC) options, such as hormonal IUDs (Mirena) or implants (Nexplanon).
