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Camrese
Camrese (levonorgestrel and ethinyl estradiol) is an extended-cycle oral contraceptive used to prevent pregnancy. It is designed to reduce the number of menstrual periods to one every three months, making it convenient for women who prefer fewer periods per year. Camrese contains progestin (levonorgestrel) and estrogen (ethinyl estradiol), which prevent pregnancy by inhibiting ovulation and altering cervical mucus and the uterine lining to prevent sperm from reaching the egg.
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Frequently Asked Questions
How often will I have periods with Camrese?
Camrese is designed to reduce periods to once every three months.
What should I do if I miss a pill?
If you miss one active pill, take it as soon as you remember. If you miss two or more pills, consult your healthcare provider for specific instructions and use backup contraception.
Can I use Camrese for acne?
Camrese may help improve acne in some women due to its hormone-regulating effects.
Can I take Camrese while breastfeeding?
Camrese is not recommended for use while breastfeeding, as it may reduce milk supply.
Does Camrese protect against sexually transmitted infections (STIs)?
No, Camrese does not protect against STIs. Use condoms or other barrier methods to prevent infections.
Comprehensive Drug Guide
How Does Camrese Work?
Camrese prevents pregnancy by inhibiting ovulation (release of an egg), thickening the cervical mucus to make it harder for sperm to enter the uterus, and altering the uterine lining to prevent implantation of a fertilized egg.
Common Dosages
- Oral tablets: 84 active tablets (levonorgestrel 0.15 mg and ethinyl estradiol 0.03 mg), and 7 inactive (placebo) tablets.
Typical Dosing
- For contraception: Take one active tablet daily for 84 consecutive days, followed by one inactive tablet daily for 7 days, for a total of 91 days. Start a new pack immediately after completing the previous pack.
Typical Dosing
FDA Approved Indications
- Contraception to prevent pregnancy
Who Shouldn't Take Camrese?
- Known hypersensitivity to levonorgestrel, ethinyl estradiol, or any component of the formulation.
- History of blood clots, stroke, or heart attack.
- Uncontrolled high blood pressure.
- Liver disease.
- Breast cancer or other hormone-sensitive cancers.
Advice From The Pharmacist
- Take Camrese at the same time each day to maintain consistent hormone levels and maximize its effectiveness.
- If you miss a dose, follow the instructions in the patient leaflet or contact your healthcare provider. Use backup contraception if multiple doses are missed.
- Camrese does not protect against sexually transmitted infections (STIs). Use condoms or other barrier methods to protect against STIs.
Side Effects of Camrese
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Breakthrough bleeding (spotting between periods)
Uncommon/Severe Side Effects
- Blood clots
- Stroke
- High blood pressure
Risks and Warnings of Camrese
- Blood Clot Risk: Camrese increases the risk of blood clots, especially in women who smoke and are over 35. Smoking cessation is recommended.
- Cancer Risk: Prolonged use of hormonal contraceptives may slightly increase the risk of breast and cervical cancers.
- Liver Disease: Camrese should not be used by women with severe liver disease.
Interactions with Camrese
Common Drug Interactions
- Antibiotics: Some antibiotics may reduce the effectiveness of Camrese. Use backup contraception during antibiotic treatment.
- Antiepileptic Drugs: Certain seizure medications can reduce the effectiveness of Camrese.
- St. John's Wort: This herbal supplement can reduce the effectiveness of Camrese.
Alternatives to Camrese
- Seasonique (levonorgestrel and ethinyl estradiol): Another extended-cycle oral contraceptive that allows for fewer periods per year.
- Ortho Tri-Cyclen (norgestimate and ethinyl estradiol): A combination oral contraceptive also used to treat acne.
- Depo-Provera (medroxyprogesterone acetate): An injectable contraceptive.
- Nexplanon: A long-acting contraceptive implant.
