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Yasmin 28
Yasmin 28 is a combination oral contraceptive pill that contains two hormones: drospirenone (a progestin) and ethinyl estradiol (an estrogen). Yasmin 28 is primarily used to prevent pregnancy, but it may also be prescribed to treat moderate acne and regulate menstrual cycles. This combination of hormones works by preventing ovulation, thickening the cervical mucus to block sperm, and altering the uterine lining to prevent implantation of a fertilized egg.
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Frequently Asked Questions
How effective is Yasmin 28 at preventing pregnancy?
When taken correctly, Yasmin 28 is over 99% effective at preventing pregnancy. Typical use (with occasional missed doses) reduces the effectiveness to about 91%.
Can I use Yasmin 28 to treat acne?
Yes, Yasmin 28 is approved for the treatment of moderate acne in women who desire oral contraception. The hormones in Yasmin can help reduce acne by controlling androgen levels.
What should I do if I miss a pill?
If you miss one pill, take it as soon as you remember and take your next pill at the regular time. If you miss two or more pills, refer to the instructions provided with the medication, and use backup contraception for 7 days.
Can I take Yasmin if I smoke?
It is strongly advised not to smoke while taking Yasmin, especially if you are over 35, as this increases the risk of serious cardiovascular events like heart attacks and strokes.
Does Yasmin 28 cause weight gain?
Some women may experience slight weight gain while taking Yasmin, although this is generally due to water retention rather than fat gain. Any significant weight changes should be discussed with your healthcare provider.
Comprehensive Drug Guide
How Does Yasmin 28 Work?
- Inhibiting ovulation (the release of an egg from the ovaries).
- Thickening cervical mucus, making it more difficult for sperm to enter the uterus.
- Altering the uterine lining, which reduces the likelihood of a fertilized egg implanting.
Drospirenone, one of the hormones in Yasmin, also has anti-androgenic effects, making it effective for treating hormonal acne and reducing symptoms associated with premenstrual dysphoric disorder (PMDD).
Common Dosages
- 21 active tablets: Each containing 3 mg of drospirenone and 0.03 mg of ethinyl estradiol.
- 7 placebo tablets: Inactive pills taken during the last week of the cycle to allow for a menstrual period.
Typical Dosing
- Take one tablet of Yasmin 28 once daily, ideally at the same time each day.
- Start a new pack immediately after finishing the previous pack, with no break between packs (the placebo pills are meant to be taken during your period).
- If starting Yasmin for the first time, use a backup contraceptive method (e.g., condoms) for the first 7 days.
Typical Dosing
FDA Approved Indications
- Contraception to prevent pregnancy.
- Treatment of moderate acne in women who desire an oral contraceptive.
- Regulation of menstrual cycles and reduction of painful periods.
- Management of premenstrual dysphoric disorder (PMDD) symptoms.
Who Shouldn't Take Yasmin 28?
- History of blood clots, such as deep vein thrombosis (DVT) or pulmonary embolism.
- Stroke or heart attack.
- Uncontrolled high blood pressure or cardiovascular disease.
- Kidney, liver, or adrenal disease.
- Known or suspected breast cancer or other estrogen- or progestin-dependent cancers.
- Smokers over the age of 35, due to the increased risk of cardiovascular events.
- Pregnancy or suspicion of pregnancy.
Advice From The Pharmacist
- Take Yasmin at the same time every day to maintain consistent hormone levels and maximize its effectiveness. Missing doses or taking them irregularly can reduce the contraceptive effect.
- If you miss a pill, follow the instructions provided in the packaging. Generally, take the missed pill as soon as you remember and then take your next pill at the regular time. Use a backup method of contraception for 7 days if multiple pills are missed.
- Yasmin may raise potassium levels in the blood due to its drospirenone component. Avoid using potassium supplements or potassium-sparing diuretics unless advised by your healthcare provider.
- Avoid smoking while taking Yasmin, especially if you are over 35, as it significantly increases the risk of cardiovascular events, such as heart attacks and strokes.
- If you experience severe headache, vision changes, or leg pain/swelling, contact your healthcare provider immediately, as these may be signs of a blood clot or other serious side effects.
Side Effects of Yasmin 28
Common Side Effects
- Nausea
- Headache
- Breast tenderness
- Weight gain
- Mood changes
- Menstrual changes, such as breakthrough bleeding or spotting
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke or heart attack
- High potassium levels (hyperkalemia), which can lead to heart rhythm problems
- Liver problems, such as jaundice or liver tumors
- Hypertension (high blood pressure)
Risks and Warnings of Yasmin 28
- Blood Clot Risk: Like all combination oral contraceptives, Yasmin increases the risk of blood clots, especially in women who smoke and are over 35. Women with a history of blood clots or cardiovascular issues should avoid Yasmin.
- Potassium Levels: Yasmin contains drospirenone, which can raise potassium levels in the blood. Women with kidney, liver, or adrenal issues should have their potassium levels monitored regularly.
- Breast Cancer: Long-term use of hormonal contraceptives has been associated with a slight increase in the risk of breast cancer. Women with a family history of breast cancer should discuss their risk with their healthcare provider.
- Liver Function: Yasmin may cause liver problems in some users, including the development of benign liver tumors. Any unusual abdominal pain or symptoms of liver dysfunction (e.g., jaundice) should be reported to a healthcare provider.
Interactions with Yasmin 28
Common Drug Interactions
- Potassium-sparing diuretics (e.g., spironolactone): These medications may increase the risk of hyperkalemia when taken with Yasmin due to the drospirenone component.
- ACE inhibitors and ARBs: These blood pressure medications can also increase potassium levels when used with Yasmin.
- Antibiotics and anticonvulsants: Certain antibiotics and anticonvulsants can reduce the effectiveness of Yasmin. Use backup contraception if taking these medications.
- HIV medications: Some medications used to treat HIV may interact with Yasmin and affect its efficacy.
Alternatives to Yasmin 28
- Other combination oral contraceptives: Such as Loestrin, Ortho Tri-Cyclen, or Seasonique, which contain different combinations of estrogen and progestin.
- Progestin-only pills (Mini Pills): These are an option for women who cannot take estrogen-containing contraceptives.
- IUDs (Intrauterine Devices): Long-term, reversible contraception that can be hormonal (e.g., Mirena) or non-hormonal (e.g., Paragard).
- NuvaRing: A vaginal ring that provides continuous hormone release for one month.
- Depo-Provera: A progestin-only injection given every three months.
