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Volnea
Volnea is a combination oral contraceptive containing desogestrel and ethinyl estradiol, used to prevent pregnancy. This birth control pill works by inhibiting ovulation, thickening cervical mucus to prevent sperm from reaching the egg, and altering the uterine lining to prevent implantation. Volnea may also be prescribed to regulate menstrual cycles, reduce acne, and manage symptoms of hormonal imbalances such as heavy or painful periods.
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Frequently Asked Questions
How effective is Volnea at preventing pregnancy?
When taken as directed, Volnea is over 99% effective at preventing pregnancy. However, missed pills or inconsistent use can lower its effectiveness.
What should I do if I miss a dose of Volnea?
If you miss one pill, take it as soon as you remember. If you miss two or more pills, follow the package insert instructions and use additional contraception for the next 7 days.
Does Volnea cause weight gain?
Some women may experience slight weight changes due to fluid retention or hormonal fluctuations. However, significant weight gain is not common with Volnea.
Can I use Volnea if I have a history of migraines?
Women with a history of migraines with aura should avoid combination oral contraceptives, as they may increase the risk of stroke. Speak with your doctor to assess the risks.
How soon after stopping Volnea can I become pregnant?
Fertility typically returns quickly after discontinuing Volnea, and you can become pregnant as soon as you stop taking the pills.
Comprehensive Drug Guide
How Does Volnea Work?
Volnea works primarily by preventing ovulation (the release of an egg) during the menstrual cycle. It also thickens cervical mucus to block sperm from reaching the egg and changes the uterine lining to make it less receptive to a fertilized egg. Together, these actions make pregnancy highly unlikely when the medication is taken as directed.
Common Dosages
- 28-day blister packs, containing 21 active pills (each with desogestrel 0.15 mg and ethinyl estradiol 0.03 mg) and 7 placebo pills.
Typical Dosing
- Take one pill daily at the same time each day. The 21 active pills are taken first, followed by 7 placebo pills to allow for a withdrawal bleed, mimicking a natural menstrual cycle.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy
- Menstrual cycle regulation
- Reduction of acne in women who desire contraception
- Management of menstrual-related symptoms, such as cramps and heavy periods
Who Shouldn't Take Volnea?
- A history of blood clots, stroke, or heart attack
- Known or suspected breast cancer or uterine cancer
- Uncontrolled hypertension
- Liver disease or liver tumors
- Known hypersensitivity to desogestrel, ethinyl estradiol, or any inactive ingredients in the product
Advice From The Pharmacist
- Take Volnea at the same time every day to ensure its effectiveness. Missing doses or taking them at irregular times increases the risk of pregnancy.
- If you miss one pill, take it as soon as you remember. If you miss two or more pills, follow the instructions in the package insert and use backup contraception for the next 7 days.
- Volnea does not protect against sexually transmitted infections (STIs), so consider using condoms for protection against STIs.
- Some medications, including antibiotics and anticonvulsants, may reduce the effectiveness of Volnea. Speak with your healthcare provider about any medications you are taking.
Side Effects of Volnea
Common Side Effects
- Nausea or vomiting
- Breast tenderness
- Weight changes
- Headache
- Mood changes
Uncommon/Severe Side Effects
- Blood clots (e.g., deep vein thrombosis)
- Stroke or heart attack
- High blood pressure
- Liver problems (e.g., jaundice, elevated liver enzymes)
Risks and Warnings of Volnea
- Cardiovascular Risk: Smoking while using Volnea, especially in women over 35, increases the risk of serious cardiovascular events such as heart attack or stroke.
- Blood Clots: Combination oral contraceptives may increase the risk of blood clots, particularly in women with risk factors such as smoking, obesity, or a family history of clotting disorders.
- Cancer Risk: Prolonged use of hormonal contraceptives may increase the risk of breast cancer and cervical cancer. Routine screenings and checkups are recommended.
Interactions with Volnea
Common Drug Interactions
- Antibiotics: Some antibiotics, particularly rifampin, can reduce the effectiveness of Volnea.
- Anticonvulsants: Medications used to treat seizures may reduce the contraceptive efficacy of Volnea.
- St. John’s Wort: This herbal supplement may decrease the effectiveness of hormonal contraceptives.
Alternatives to Volnea
- Apri (desogestrel/ethinyl estradiol): A similar combination oral contraceptive with the same active ingredients.
- Yaz (drospirenone/ethinyl estradiol): Another combination contraceptive that is commonly used to treat acne and premenstrual dysphoric disorder (PMDD).
- Nexplanon: A long-acting contraceptive implant for women who prefer non-oral options.
- NuvaRing: A vaginal ring that releases hormones similar to oral contraceptives, used for monthly contraception.
