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Briellyn
Briellyn is a combination oral contraceptive that contains ethinyl estradiol and levonorgestrel. It is primarily used for birth control, but may also be prescribed for other purposes such as regulating menstrual cycles and treating conditions like polycystic ovary syndrome (PCOS). Briellyn prevents pregnancy by inhibiting ovulation, altering cervical mucus to hinder sperm movement, and changing the uterine lining to prevent implantation.
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Frequently Asked Questions
Can Briellyn cause weight gain?
Some women may experience slight weight gain while using Briellyn, but significant weight changes are uncommon.
What should I do if I miss a pill?
If you miss one active pill, take it as soon as you remember and continue with your regular dosing schedule. If you miss two or more active pills, refer to the patient leaflet for instructions on backup contraception.
Can Briellyn help with acne?
Yes, Briellyn may help reduce acne in some women due to its hormone-regulating effects.
Can Briellyn be used while breastfeeding?
Combination oral contraceptives like Briellyn are not recommended for use while breastfeeding, as they may reduce milk supply.
Does Briellyn protect against sexually transmitted infections (STIs)?
No, Briellyn does not protect against STIs. You should use condoms or other barrier methods to protect against infections.
Comprehensive Drug Guide
How Does Briellyn Work?
Briellyn prevents pregnancy through three mechanisms: it inhibits ovulation (the release of an egg), thickens cervical mucus to make it harder for sperm to enter the uterus, and alters the uterine lining to prevent the implantation of a fertilized egg.
Common Dosages
- Oral tablets: 21 active tablets with ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg, plus 7 inactive tablets.
Typical Dosing
- For contraception: Take one active tablet daily for 21 days, followed by one inactive tablet daily for 7 days. Start a new pack immediately after finishing the 28-day cycle.
Typical Dosing
FDA Approved Indications
- Contraception to prevent pregnancy
Who Shouldn't Take Briellyn?
- Known hypersensitivity to ethinyl estradiol, levonorgestrel, or any component of the formulation.
- History of blood clots, stroke, or heart attack.
- Uncontrolled high blood pressure.
- Breast cancer or other hormone-sensitive cancers.
Advice From The Pharmacist
- Take Briellyn at the same time every day to maintain consistent hormone levels and maximize its effectiveness.
- If you miss a dose, refer to the patient information leaflet for guidance. Backup contraception may be needed depending on how many pills were missed.
- Briellyn does not protect against sexually transmitted infections (STIs). Use condoms or other barrier methods for protection against STIs.
Side Effects of Briellyn
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Mood changes
- Breakthrough bleeding (spotting between periods)
Uncommon/Severe Side Effects
- Blood clots, especially in the legs (deep vein thrombosis) or lungs (pulmonary embolism)
- Stroke
- High blood pressure
- Liver problems
Risks and Warnings of Briellyn
- Blood Clot Risk: Combination oral contraceptives like Briellyn increase the risk of blood clots, particularly in women who smoke and are over the age of 35.
- Cancer Risk: Briellyn may slightly increase the risk of breast and cervical cancers. Routine screenings are recommended for women taking hormonal contraceptives.
- Liver Disease: Briellyn should not be used by women with severe liver disease.
Interactions with Briellyn
Common Drug Interactions
- Antibiotics: Some antibiotics can reduce the effectiveness of Briellyn. Use additional contraception during antibiotic treatment.
- Antiepileptic Drugs: Certain seizure medications can reduce the effectiveness of Briellyn, necessitating backup contraception.
- St. John's Wort: This herbal supplement can reduce the effectiveness of Briellyn and lead to unintended pregnancy.
Alternatives to Briellyn
- Ortho Tri-Cyclen (norgestimate and ethinyl estradiol): A combination oral contraceptive also used to treat acne.
- Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol): A low-dose oral contraceptive option.
- Depo-Provera (medroxyprogesterone acetate): An injectable contraceptive given every three months.
- Nexplanon: A long-acting contraceptive implant that lasts for up to three years.