Truven Health and GoodRx make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Consider the presence of underlying risk factors that may increase the risk of cardiovascular disease or VTE, particularly before initiating a COC for women over 35 years, such as: During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal (ULN), including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications such as COCs. Consider alternative contraception for females with uncontrolled dyslipidemia. Portia has been prescribed specifically for you, so don't share it with anyone who wants to take birth control. The list below does not include all possible drug interactions with Portia. If you start taking Portia and you have not used a hormonal birth control method before: If you start taking Portia and you are switching from another birth control pill: If you start taking Portia and previously used a vaginal ring: If you start taking Portia and previously used a transdermal patch: If you start taking Portia and you are switching from a progestin-only method such as an implant or injection: If you start taking Portia and you are switching from an intrauterine device or system (IUD or IUS): Keep a calendar to track your period: If this is the first time you are taking birth control pills, read, When should I start taking Portia? above. The hormones in birth control pills can affect the body in various ways. Those who wear contacts or are nearsighted may notice vision problems as well. 4. An increase in blood pressure has been reported in females using COCs, and this increase is more likely in older women with extended duration of use. If you smoke cigarettes, using combined oral contraceptives (COCs), like Portia, raises your risk for serious health problems, such as strokes, heart attacks, and blood clots. Consider discontinuation of Portia if there is an increased frequency or severity of migraines during COC use (which may be prodromal of a cerebrovascular event). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. When you first start taking Portia, spotting or light bleeding in between your periods may occur. Contraceptive hormones and/or metabolites are present in human milk. The use of COCs may influence the results of certain laboratory tests, such as coagulation factors, lipids, glucose tolerance, and binding proteins. Serious blood clots are more likely to happen when you: Call your healthcare provider or go to a hospital emergency room right away if you have: What are the most common side effects of oral contraceptives? 40 aluminum lake, hypromellose, polyethylene glycol, polysorbate 80, and titanium dioxide. Generic name: levonorgestrel and ethinyl estradiol Its been great no issues at all for me. Where on the card to start taking pills (upper left corner) and, In what order to take the pills (follow the weeks). Portia (levonorgestrel and ethinyl estradiol tablets USP, 0.15 mg/ 0.03 mg) 28 tablets are packaged in cartons of six blister cards (NDC 0555-9020-58), each card containing 28 tablets: Pink, round, film-coated, biconvex, unscored active tablets, debossed with stylized b on one side and 992 on the other side. Breast enlargement might be a side effect of certain prescription drugs such as hormone therapy (estrogen), birth control pills and certain antidepressants known as selective serotonin reuptake inhibitors. Missing pills can also cause spotting or light bleeding, even when you take the missed pills later. Each white inert tablet contains the following inactive ingredients: anhydrous lactose, hypromellose, magnesium stearate, and microcrystalline cellulose. In these cases, your doctor may want to change the dose, or other precautions may be necessary. This product is used to prevent pregnancy.Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, and decrease your risk. This should get better over time, but if it doesn't contact your provider. It prevents pregnancy by preventing ovulation, thinning the uterine lining, thickening the cervical mucus (blocking the sperm from getting to the egg). While it might give you the munchies, its mostly water retention(and not actual fat) thats to blame. We also accept almost all forms of major private insurance at Pandia Health. You do not need back-up contraception if your IUD or IUS is removed on the first day (Day 1) of your period. Portia is contraindicated in females who currently have or have had breast cancer because breast cancer may be hormonally sensitive [see CONTRAINDICATIONS (4)]. Start Portia no earlier than four weeks after delivery in females who are not breast-feeding. You can use it to make #PeriodsOptional. Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. The following adverse reactions have been reported in users of oral contraceptives, and the association has been neither confirmed nor refuted: Congenital anomalies; Premenstrual syndrome; Cataracts; Optic neuritis, which may lead to partial or complete loss of vision; Cystitis-like syndrome; Nervousness; Dizziness; Hirsutism; Loss of scalp hair; Erythema multiforme; Erythema nodosum; Hemorrhagic eruption; Impaired renal function; Hemolytic uremic syndrome; Budd-Chiari syndrome; Acne; Changes in libido; Colitis; Sickle-cell disease; Cerebral-vascular disease with mitral valve prolapse; Lupus-like syndromes; Pancreatitis; Dysmenorrhea. Although not all of these side effects may occur, if they do occur they may need medical attention.The following side effects may be caused by blood clots. Portia should be available at just about any pharmacy in your area. Higher amounts of hormones could cause more side effects in some females. If you notice any other effects, check with your healthcare professional. For even more savings, use a GoodRx coupon and pay just a fraction of the retail price. To reduce the risk of serious side effects, do not smoke cigarettes while you are taking oral contraceptives. For this method, you need to use another method of birth control (e.g., condom or spermicide) for 7 days. Healthy women who do not smoke cigarettes have almost no chance of having a severe side effect from taking oral contraceptives. Ted's Bio; Fact Sheet; Hoja Informativa Del Ted Fund; Ted Fund Board 2021-22; 2021 Ted Fund Donors; Ted Fund Donors Over the Years. Liver tumors, acute viral hepatitis, or severe (decompensated) cirrhosis [see, Use of Hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, due to the potential for ALT elevations [see, Undiagnosed abnormal uterine bleeding [see. After discontinuation of a COC, amenorrhea or oligomenorrhea may occur, especially if these conditions were pre-existent. Inactive ingredients: Sunday start: Continue taking one tablet a day until Sunday, then throw out the rest of the pack and start a new pack that same day. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Instruct patients about the handling of missed doses (e.g., to take single missed pills as soon as possible) and to follow the dosing instructions provided in the FDA-approved patient labeling. Certain medications can make Portia get broken down faster in your body, making it less effective (not work as well) and can lead to pregnancy. Instruct patients to take one tablet by mouth at the same time every day. Start using Portia on the day you would have started a new cycle (first patch application). Estrogen, when produced by the ovaries during puberty, leads to the natural collection of fat in the connective tissues around the chest. If you feel sick to your stomach, do not stop taking the pill. 2) Another difference is that Portia has a higher amount of estrogen and levonorgestrel compared to some other monophasic birth control pills, like Vienva. Use a non-hormonal birth control method (such as a condom or spermicide) as a back-up if you have sex during the first 7 days after you restart your pills. This reduction can occur at any time but is less likely to occur once breast-feeding is well-established. What should I do if I miss any Portia pills? Portia is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). Like pregnancy, Portia may cause serious side effects, including blood clots in your lungs, heart attack, or a stroke that may lead to death. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. Smoking cigarettes during the use of oral contraceptives has been found to greatly increase the chances of these serious side effects occurring. Portia (levonorgestrel and ethinyl estradiol tablets USP) is contraindicated in females who are known to have the following conditions: COCs increase the risk of cardiovascular events and cerebrovascular events, such as myocardial infarction and stroke. Pink pills: anhydrous lactose, FD&C blue no. Portia is dispensed in a blister card containing 28 tablets (see HOW SUPPLIED). If you miss a dose, refer to the instructions that came with your blister pack or call your provider for further instructions. The risk of VTE is highest during the first year of use of a COC and when restarting hormonal contraception after a break of four weeks or longer. In addition to the symptoms of hyperprolactinemia, you may experience the following symptoms if you have a prolactinoma: Headaches. Use of Portia before menarche is not indicated. Most combination birth control pills contain 10 to 35 micrograms of ethinyl estradiol, a kind of estrogen. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. 1 aluminum lake, FD&C red no. Your pill pack consists of 1 card that holds 28 individually sealed pills. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Portia is contraindicated in women over 35 years of age who smoke (see CONTRAINDICATIONS). You can either start on a Sunday (Sunday Start) or on the first day (Day 1) of your natural menstrual period (Day 1 Start). Though rare, Portia can cause liver problems, such as liver damage and liver tumors. Discontinue Portia prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir (see CONTRAINDICATIONS). Counsel patients to take one tablet daily by mouth at the same time every day. If youre hesitant to approach your doctor about Portia or simply prefer the privacy, convenience, and ease of the internet, give Pandia Health a try. If you choose the Sunday Start method, you'd begin taking Portia on the Sunday after your period starts (even if you're still bleeding). Call your healthcare provider if you have yellowing of your skin or eyes. The absolute risk of breast cancer associated with any hormonal contraceptive use was 13 per 100,000 women-years, which corresponds to 1 extra case of breast cancer . Read the Instructions for Use at the end of this Patient Information. Forgetting to take your pill raises the chance of getting pregnant. There are a number of medications that your doctor can prescribe in place of Portia. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. We have experienced, birth control passionate, licensed doctors in every state we operate in. The other two studies found an increased relative risk of 1.19 to 1.33 with current or recent use. You may get pregnant if you do not take one pill daily. This Patient Information Leaflet summarizes the most important information about Portia. You do not need to use a back-up birth control method if you have sex. Chloasma may occur with Portia use, especially in females with a history of chloasma gravidarum. In females with hereditary angioedema, exogenous estrogens may induce or exacerbate symptoms of angioedema. blog posthere. Some examples are chloasma (a condition that causes dark skin patches) and hereditary angioedema (episodes of severe swelling in your body). Even if the medication is working, you may experience some unwanted side effects. If feasible, stop Portia at least four weeks before and through two weeks after major surgery, or other surgeries known to have an elevated risk of thromboembolism. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). You can ask your pharmacist or healthcare provider for information about Portia that is written for health professionals. If you have hepatitis C and need to be treated with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir), let your provider know right away that you're taking a COC. Use of COCs may also worsen existing gallbladder disease. If you smoke, talk with your provider about safer birth control alternatives. An estimate of the attributable risk is 3.3 cases/100,000 COC users. There may be slight increases in the risk of breast cancer among current users of hormonal birth control pills with longer duration of use of 8 years or more. Look at your pill pack. Portia, Levora, Kurvelo, Altavera, Marlissa, Estrogen / Progestin combined contraceptive. This happens due to hormonal changes, especially estrogen and growth hormone. restart the same or different birth control pills after not using them for a month or more, a sudden, severe headache unlike your usual headaches. Keep taking 1 pill every day until Sunday. Take one pill every day, no more than 24 hours apart. If your IUD or IUS is removed on any other day, use non-hormonal back-up contraception such as condoms or spermicide for the first, If your period starts on a Sunday, take pill ", Use non-hormonal back-up contraception such as condoms or spermicide for the first. Let your provider know if you experience any vaginal bleeding outside of your period, or if your period has stopped completely. These side effects may go away during treatment as your body adjusts to the medicine. In contrast, significant increases in systemic exposure of the estrogen and/or progestin have been noted when COCs are co-administered with certain other HIV protease inhibitors (e.g., indinavir and atazanavir/ritonavir) and with other non-nucleoside reverse transcriptase inhibitors (e.g., etravirine). One of these studies reported no association between breast cancer risk and COC use. This medication can worsen certain conditions. PORTIA 21. If a woman using Portia develops new headaches that are recurrent, persistent, or severe, evaluate the cause and discontinue Portia if indicated. Start Portia following the instructions in Table 3 for Day 1 or Sunday start. Start your consultation to buy Portia Buy Portia from a trusted U.S. Pharmacy. To prevent pregnancy, Mirena: Thickens mucus in the cervix to stop sperm from reaching or fertilizing an egg Portia is contraindicated in females with benign or malignant liver tumors (see CONTRAINDICATIONS). while breastfeeding because they can lower the amount of breast milk you produce as well as the quality of your breast milk. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Portia differs from some other birth control pills that also contain levonorgestrel and ethinyl estradiol in the amount of hormones it contains and how often it causes you to have a period. However, this change is usually temporary, and it may reverse . It's normal to have spotting (light bleeding outside of your period) or feel sick to your stomach for the first few packs of Portia. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More commonAbdominal cramping or bloatingacne (usually less common after first 3 months and may improve if acne already exists)breast pain, tenderness, or swellingdizzinessnauseaswelling of ankles and feetunusual tiredness or weaknessvomitingLess commonBrown, blotchy spots on exposed skingain or loss of body or facial hairincreased or decreased interest in sexual intercourseincreased sensitivity of skin to sunlightweight gain or lossOther side effects not listed may also occur in some patients. Your periods may be lighter and shorter than usual. Store at 20 to 25C (68 to 77 F) (See USP Controlled Room Temperature). by ; June 7, 2022 ; covelli center fireworks 2021; 0 . The rate of VTE in females using COCs has been estimated to be 3 to 9 cases per 10,000 woman-years. Portia is contraindicated in females with a high risk of arterial or venous thrombotic/thromboembolic diseases (see. Facebook. Simply take one pill every day, at the same time each day. Please take the medication as instructed by your provider. Day 1 start: Throw out the rest of the pack and start a new pack that same day. So when research says low dose, they mean anything under 50 mcg of estrogen. Your healthcare provider should tell you when to start taking your birth control pill. Make sure to tell your provider or pharmacist all of your medications so they can make sure they don't interact with Portia. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. Breasts start developing in the female body during puberty, usually between the ages of eight and 13.This happens due to hormonal changes, especially estrogen and growth hormone. The 28 pills consist of 21 pink pills (3 rows of 7 pills) and 7 white pills (1 row of 7 pills). You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medicine. Although not all of these side effects may occur, if they do occur they may need medical attention. If you have diabetes, let your provider know if you experience any changes in your blood sugar. Portia ethinyl estradiol 0.03 mg / levonorgestrel 0.15 mg (b 992), Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive (COC) use. Works better to prevent pregnancy compared to some other birth control methods, Pills are in an easy-to-follow blister pack, Higher amounts of hormones compared to some other birth control pills, Not a good option for females over 35 who smoke, Can cause unpleasant side effects like nausea, vomiting, and headaches, Doesn't protect against sexually transmitted diseases (STDs), Must take it at the same time every day for it to work well. While you can stop this medication at anytime, you might want to consider seeing your provider for a pre-pregnancy checkup before stopping your birth control. Portia is contraindicated in females with uncontrolled hypertension or hypertension with vascular disease (see CONTRAINDICATIONS). Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: acne (usually less common after first 3 months and may improve if acne already exists), increased or decreased interest in sexual intercourse, increased sensitivity of skin to sunlight. The use of the Truven Health products is at your sole risk. If you notice your blood pressure is higher while you're taking this medication, contact your provider. Discontinue Portia if pregnancy occurs because there is no reason to use COCs in pregnancy. Both hormones work together to prevent pregnancy by: Your medication might look different and have slightly different directions depending on which branded generic your provider prescribes. Along with its needed effects, a medicine may cause some unwanted effects. dark patches of skin around your forehead, nose, cheeks and around your mouth, especially during pregnancy (chloasma). After taking 21 days of active pills, youll switch to 7 inactive pills with no hormones. Portia can be restarted approximately 2 weeks following completion of treatment with the combination drug regimen. The following serious adverse reactions with the use of COCs are discussed elsewhere in the labeling: Adverse reactions reported by COC users and described elsewhere in the labeling are: Five studies that compared breast cancer risk between ever-users (current or past use) of COCs and never-users of COCs reported no association between ever use of COCs and breast cancer risk, with effect estimates ranging from 0.90 to 1.12 (Figure 2). There is little information available about the clinical effect of most drug interactions that may affect COCs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. These are not all the possible side effects of Portia. Portia is not recommended for use in lactating women (see, If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of Portia (see, If one active tablet is missed in Weeks 1, 2, or 3, If two active tablets are missed in Week 1 or Week 2, If two active tablets are missed in the third week or three or more active tablets are missed in a row in Weeks 1, 2, or 3, had blood clots in your arms, legs, lungs, or eyes, had a problem with your blood that makes it clot more than normal, have certain heart valve problems or irregular heart beat, have high blood pressure that cannot be controlled by medicine, have diabetes with kidney, eye, nerve, or blood vessel damage, have certain kinds of severe migraine headaches with aura, numbness, weakness or changes in vision, or any migraine headaches if you are over 35 years of age, had breast cancer or any cancer that is sensitive to female hormones, have liver problems, including liver tumors. (levonorgestrel and ethinyl estradiol tablets). Take the 2 missed pills as soon as possible and the next 2 pills the next day. Advise females with a history of chloasma to avoid exposure to the sun or ultraviolet radiation while using Portia. Breakthrough bleeding and spotting are common side effects of hormonal birth control pills. Any time you vomit within 3 to 4 hours after taking Portia, it's considered a missed dose and you should refer to the instructions for missed doses that came with your prescription or ask your pharmacist or provider. (see DOSAGE AND ADMINISTRATION). Instruct patients what to do in the event pills are missed (see, Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with COCs [see, Counsel patients who are breastfeeding or who desire to breastfeed that COCs may reduce breast milk production. This medication can worsen certain conditions. I had no weight gain, it has helped me skin, and reduced my cramping by alot. throw---acct . Females with hypertriglyceridemia, or a family history thereof, may have an increase in serum triglyceride concentrations when using Portia, which may increase the risk of pancreatitis. Examples include women who are known to: Smoke, if over age 35 [see BOXED WARNING and WARNINGS (1) ]. Table 2 provides significant drug interaction information for drugs co-administered with Portia. Use of COCs increases the risk of venous thromboembolic events (VTEs), such as deep vein thrombosis and pulmonary embolism. The chances of serious side effects are extremely unlikely, but some cases have been documented such as blood clotting, shortness of breath, migraines, vision problems, slurred speech, confusion, and fainting. Start contraceptive therapy with Portia following the instructions in Table 3 for women not currently using hormonal contraception. We're here to make women's lives easier by providing a one-stop shop for recurring medications. Portia is a birth control pill (oral contraceptive) used by women to prevent pregnancy. This is less likely to occur if breastfeeding is well established [see, Counsel any patient who starts Portia postpartum, and who has not yet had a period, to use an additional method of contraception until she has taken a pink tablet for 7 consecutive days (see, Counsel patients that amenorrhea may occur. Combination oral contraceptives prevent pregnancy primarily by suppressing ovulation. You'll need to stop Portia before starting Viekira Pak because taking them together can cause liver problems. Be sure you have ready at all times another kind of birth control (such as condoms or spermicide), to use as a back-up in case you miss pills. Portia may decrease glucose tolerance. Irregular vaginal bleeding or spotting may happen while you are taking Portia, especially during the first few months of use. Human immunodeficiency virus (HIV)/hepatitis C virus (HCV) protease inhibitors and non-nucleoside reverse transcriptase inhibitors: Significant decreases in systemic exposure of the estrogen and/or progestin have been noted when COCs are co-administered with some HIV protease inhibitors (e.g., nelfinavir, ritonavir, darunavir/ritonavir, (fos) amprenavir/ritonavir, lopinavir/ritonavir, and tipranavir/ritonavir), some HCV protease inhibitors (e.g., boceprevir and telaprevir), and some non-nucleoside reverse transcriptase inhibitors (e.g., nevirapine). Continue taking one tablet a day until the pack is finished. If scheduled bleeding does not occur, consider the possibility of pregnancy. There are 2 ways to start taking your birth control pills. Discontinue Portia during prolonged immobilization. No, although depends on your definition of low dose. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Certain conditions, such as smoking and migraine headache without aura, that do not contraindicate COC use in younger females, are contraindications to use in women over 35 years of age [see CONTRAINDICATIONS and WARNINGS (1)]. Follow your doctor's instructions. Set an alarm to help you remember to take Portia at the same time every day. IUDs are unlikely to increase breast size because they either contain no hormones or just progestin. If any of these conditions happen while you are taking Portia, stop taking Portia right away and talk to your healthcare provider. It is important to continue taking your pills on a regular schedule to prevent a pregnancy. Portia can cause some serious health issues. For the first cycle of a Sunday start regimen, an additional method of contraception should be used until after the first 7 consecutive days of administration. possible cancer in your breast and cervix. A prolactinoma is the most common cause of hyperprolactinemia. This means you may take 2 pills in 1 day. I was prescribed levora but it was filled as portia from the beginning. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. Women who use birth control pills may have a slightly higher chance of getting cervical cancer. It is not uncommon to miss a period. Counsel patients that cigarette smoking increases the risk of serious cardiovascular events from COC use, and that women who are over 35 years old and smoke should not use COCs (see. You may report side effects to the FDA at 1-800-FDA-1088. The most effective methods are at the top of the chart. Starting Portia in females with no current use of hormonal contraception, Switching from another contraceptive method, Starting Portia after Abortion or Miscarriage. You may report side effects to the FDA at 1-800-FDA-1088.
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