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Aubra
Aubra is a combination oral contraceptive pill containing levonorgestrel (a progestin) and ethinyl estradiol (an estrogen). It is used to prevent pregnancy by inhibiting ovulation, altering cervical mucus to prevent sperm from reaching the egg, and changing the uterine lining to prevent implantation. In addition to contraception, Aubra may also be used to regulate menstrual cycles, reduce menstrual pain, and treat acne in some women.
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Frequently Asked Questions
How effective is Aubra in preventing pregnancy?
When taken correctly, Aubra is over 99% effective in preventing pregnancy. However, its effectiveness may decrease if pills are missed or taken inconsistently.
Can I use Aubra for acne treatment?
Yes, combination oral contraceptives like Aubra are sometimes prescribed off-label for the treatment of acne, though this indication may vary depending on individual skin conditions.
What should I do if I miss a dose of Aubra?
If you miss one active pill, take it as soon as you remember and take the next pill at your regular time. If you miss two or more pills, follow the specific instructions provided with your prescription and use a backup form of contraception.
Can Aubra cause weight gain?
Some women may experience weight gain or fluid retention as a side effect of Aubra, though this varies from person to person.
Can I take Aubra if I smoke?
Smoking increases the risk of serious cardiovascular side effects from oral contraceptives, especially in women over the age of 35. If you smoke, discuss alternative forms of contraception with your healthcare provider.
Comprehensive Drug Guide
How Does Aubra Work?
- Levonorgestrel (progestin) and ethinyl estradiol (estrogen) prevent ovulation by suppressing the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary gland.
- It also thickens cervical mucus, making it difficult for sperm to enter the uterus, and thins the uterine lining, making it less likely for a fertilized egg to implant.
What is Aubra Used For?
Common Dosages
- Tablets: 21 active tablets (0.1 mg levonorgestrel and 0.02 mg ethinyl estradiol) and 7 inactive placebo tablets in a 28-day cycle
Typical Dosing
- Take one active tablet daily for 21 consecutive days, followed by one inactive tablet daily for 7 days. Begin a new pack after finishing the placebo tablets.
- It is important to take the pill at the same time each day for maximum effectiveness.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy
- Regulation of menstrual cycles
- Reduction of menstrual pain (dysmenorrhea)
Who Shouldn't Take Aubra?
- History of blood clots, stroke, or heart attack
- Liver disease or liver tumors
- Uncontrolled high blood pressure
- Known or suspected breast cancer or estrogen-dependent tumors
- Smokers over the age of 35, as it increases the risk of serious cardiovascular events
Advice From The Pharmacist
- Take Aubra at the same time every day to maintain its effectiveness. If you miss a dose, follow the instructions on what to do based on how many pills were missed.
- If you miss one active pill, take it as soon as you remember and continue with the next pill at your regular time (this may mean taking two pills in one day).
- Use a backup method of contraception, such as condoms, for the first 7 days of starting Aubra or if you miss multiple pills.
- Aubra does not protect against sexually transmitted infections (STIs), so you may need to use additional protection if required.
Side Effects of Aubra
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Weight gain
- Mood changes
Uncommon/Severe Side Effects
- Blood clots (in the legs or lungs)
- Stroke or heart attack
- Liver problems (jaundice, liver tumors)
- Severe allergic reactions (swelling, rash, difficulty breathing)
Risks and Warnings of Aubra
- Increased cardiovascular risk: Smoking increases the risk of serious cardiovascular side effects from oral contraceptive use, especially in women over 35 years of age.
- Blood clot risk: Aubra can increase the risk of developing deep vein thrombosis (DVT), pulmonary embolism, stroke, or myocardial infarction, particularly in smokers or women with a history of these conditions.
- Cancer risk: Aubra may increase the risk of breast cancer or cervical cancer in some women, especially those with a family history of breast cancer.
Interactions with Aubra
Common Drug Interactions
- Antibiotics: Some antibiotics (e.g., rifampin) may reduce the effectiveness of Aubra.
- Anticonvulsants: Drugs like phenytoin or carbamazepine may decrease the effectiveness of Aubra by increasing the metabolism of its hormones.
- St. John's wort: This herbal supplement can reduce the effectiveness of oral contraceptives like Aubra.
Alternatives to Aubra
- Sprintec: A combination oral contraceptive with norgestimate and ethinyl estradiol.
- Yaz (drospirenone/ethinyl estradiol): A combination pill used for contraception and also indicated for the treatment of acne.
- NuvaRing: A vaginal ring that delivers a combination of hormones for contraception.
- Depo-Provera: A progestin-only injectable contraceptive administered every three months.
