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Vienva
Vienva is a combined oral contraceptive pill containing ethinyl estradiol and levonorgestrel. It is used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and altering the uterine lining, making it difficult for sperm to reach an egg or for a fertilized egg to implant. Vienva is also sometimes prescribed to regulate menstrual cycles, reduce the risk of ovarian cysts, and manage acne in women seeking contraception.
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Frequently Asked Questions
How soon after starting Vienva am I protected against pregnancy?
If you start Vienva on the first day of your period, you are protected immediately. If you start on any other day, use backup contraception (e.g., condoms) for the first 7 days.
What should I do if I miss a pill?
If you miss one 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 instructions in your package insert and use backup contraception for 7 days.
Can Vienva help with acne?
Yes, Vienva can help reduce acne by regulating hormone levels. However, it is not specifically approved for acne treatment.
Can Vienva be used by women who are breastfeeding?
No, Vienva is not recommended for women who are breastfeeding, as it may decrease milk production. Progestin-only pills are often preferred during breastfeeding.
Can Vienva cause weight gain?
Weight changes can occur with Vienva, but significant weight gain is uncommon. Many women maintain their normal weight while using oral contraceptives.
Comprehensive Drug Guide
How Does Vienva Work?
- Inhibits ovulation: The hormones in Vienva prevent the ovaries from releasing an egg.
- Thickens cervical mucus: This makes it harder for sperm to enter the uterus and reach an egg.
- Alters the uterine lining: This makes it less likely for a fertilized egg to implant.
Common Dosages
- 21 active tablets: Ethinyl estradiol 0.02 mg / Levonorgestrel 0.1 mg.
- 7 inactive (placebo) tablets: Taken during the last 7 days of the cycle.
Typical Dosing
- Take one active tablet daily for 21 days, followed by one placebo tablet daily for 7 days.
- Start a new pack after finishing the 28 tablets, regardless of whether bleeding has started or stopped.
- Try to take the pill at the same time every day to maintain effectiveness.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy in women who elect to use oral contraceptives.
- It may also be used off-label for managing acne, polycystic ovary syndrome (PCOS) symptoms, and irregular menstrual cycles.
Who Shouldn't Take Vienva?
- History of thromboembolic events (e.g., deep vein thrombosis, pulmonary embolism)
- Breast cancer or other hormone-sensitive cancers
- Uncontrolled hypertension
- Liver disease
- Smokers over the age of 35, due to an increased risk of serious cardiovascular events
Advice From The Pharmacist
- Take Vienva at the same time every day to ensure consistent hormone levels and maintain contraceptive effectiveness.
- If you miss a dose, take it as soon as you remember. If you miss two or more pills, follow the instructions in the leaflet, and consider using backup contraception (e.g., condoms) for the next 7 days.
- If vomiting or diarrhea occurs within a few hours of taking a pill, treat it as a missed dose and take another pill.
- Avoid smoking while on Vienva, as it increases the risk of serious cardiovascular side effects, particularly in women over 35.
Side Effects of Vienva
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Weight changes
- Breakthrough bleeding (spotting)
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke or heart attack
- Liver problems (yellowing of the skin or eyes)
- Severe allergic reactions (rash, swelling, difficulty breathing)
Risks and Warnings of Vienva
- Blood Clots: Combined oral contraceptives like Vienva can increase the risk of blood clots, especially in women who smoke, are over 35, or have other risk factors.
- Cardiovascular Risk: Women who smoke and are over 35 should not use Vienva due to the increased risk of heart attack, stroke, and hypertension.
- Liver Problems: Long-term use of combined oral contraceptives has been associated with an increased risk of liver tumors and liver damage.
Interactions with Vienva
Common Drug Interactions
- Antibiotics: Certain antibiotics (e.g., rifampin) may decrease the effectiveness of Vienva. Backup contraception should be used while taking these medications.
- Anticonvulsants: Medications like phenytoin or carbamazepine can lower the effectiveness of Vienva.
- St. John's Wort: This herbal supplement can reduce the effectiveness of birth control pills like Vienva.
Alternatives to Vienva
- Loestrin 24 Fe: Another combined oral contraceptive with a slightly higher estrogen dose.
- Yaz: A combined oral contraceptive that contains drospirenone and ethinyl estradiol, used for birth control and acne treatment.
- Depo-Provera: A progestin-only injectable birth control method.
- IUD (Mirena): A long-term, reversible intrauterine device (IUD) that provides contraception for up to 5 years.
