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Wymzya Fe
Wymzya Fe is an oral contraceptive that contains norethindrone acetate (a progestin), ethinyl estradiol (an estrogen), and ferrous fumarate (an iron supplement). It is primarily used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus to block sperm, and altering the uterine lining to prevent implantation. Wymzya Fe also helps regulate menstrual cycles, reduce menstrual pain, and may improve acne in women seeking contraception.
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Frequently Asked Questions
How effective is Wymzya Fe in preventing pregnancy?
Wymzya Fe is over 99% effective when taken as directed. Missing pills or taking them inconsistently can reduce its effectiveness.
What should I do if I miss a dose of Wymzya Fe?
If you miss one active pill, take it as soon as you remember. If you miss two or more active pills, follow the instructions in the package and use backup contraception for 7 days.
Can Wymzya Fe cause weight gain?
Some women may experience mild weight fluctuations, typically related to fluid retention or hormonal changes, but significant weight gain is uncommon.
Can I take Wymzya Fe if I smoke?
Smoking while taking Wymzya Fe, especially in women over 35, is strongly discouraged due to the increased risk of cardiovascular events like heart attack and stroke.
Does Wymzya Fe help with acne?
Yes, Wymzya Fe may help reduce acne in women who are also seeking contraceptive benefits by regulating hormone levels that contribute to acne.
Comprehensive Drug Guide
How Does Wymzya Fe Work?
Wymzya Fe works by preventing ovulation through the action of norethindrone acetate, which suppresses the release of luteinizing hormone (LH), and ethinyl estradiol, which suppresses follicle-stimulating hormone (FSH). These actions prevent the release of an egg from the ovaries. Additionally, it thickens the cervical mucus, making it difficult for sperm to enter the uterus, and alters the uterine lining, making it less suitable for implantation.
Common Dosages
- 21 active tablets with 1 mg norethindrone acetate and 20 mcg ethinyl estradiol
- 7 placebo tablets containing 75 mg ferrous fumarate
Typical Dosing
- Take one active pill daily for 21 days, followed by one placebo pill daily for 7 days. Withdrawal bleeding typically occurs during the placebo week, mimicking a menstrual period.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy
- Regulation of menstrual cycles
- Reduction of acne in women seeking contraceptive benefits
- Treatment of hormonal imbalances, including heavy or painful periods
Who Shouldn't Take Wymzya Fe?
- A history of blood clots, stroke, or heart attack
- Known or suspected breast cancer or other estrogen-sensitive cancers
- Liver disease or liver tumors
- Uncontrolled hypertension
- Known hypersensitivity to norethindrone acetate, ethinyl estradiol, or any other components of the formulation
Advice From The Pharmacist
- Take Wymzya Fe at the same time every day to ensure its effectiveness. Missing doses increases the risk of pregnancy.
- If you miss a pill, take it as soon as you remember. If more than one pill is missed, follow the instructions in the package and use backup contraception for 7 days.
- Wymzya Fe does not protect against sexually transmitted infections (STIs). Use condoms for STI protection.
- Certain medications, such as antibiotics and anticonvulsants, may reduce the effectiveness of Wymzya Fe. Inform your healthcare provider about any other medications or supplements you are taking.
Side Effects of Wymzya Fe
Common Side Effects
- Nausea
- Headache
- Breast tenderness
- Mood changes
- Weight fluctuations
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke or heart attack
- Liver problems (jaundice, elevated liver enzymes)
Risks and Warnings of Wymzya Fe
- Smoking Risk: Smoking while using Wymzya Fe, especially in women over 35, increases the risk of serious cardiovascular events such as heart attack, stroke, or blood clots.
- Blood Clot Risk: Combination oral contraceptives like Wymzya Fe can increase the risk of blood clots, particularly in women with risk factors such as obesity, prolonged immobility, or a family history of clotting disorders.
- Breast Cancer: Women with a history of hormone-sensitive cancers or a strong family history of breast cancer should consult a healthcare provider about the risks of using hormonal contraceptives like Wymzya Fe.
Interactions with Wymzya Fe
Common Drug Interactions
- Antibiotics: Certain antibiotics, such as rifampin, may reduce the effectiveness of Wymzya Fe, increasing the risk of pregnancy.
- Anticonvulsants: Medications for seizure disorders may interfere with Wymzya Fe’s effectiveness.
- St. John’s Wort: This herbal supplement may decrease the effectiveness of hormonal contraceptives.
Alternatives to Wymzya Fe
- Junel Fe (norethindrone acetate/ethinyl estradiol): A similar combination oral contraceptive with iron supplementation.
- Ortho-Novum (norethindrone/ethinyl estradiol): Another combination oral contraceptive with a similar hormone profile.
- Depo-Provera (medroxyprogesterone): A long-acting injectable contraceptive.
- Mirena (levonorgestrel): An intrauterine device (IUD) that provides long-term contraception.
