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If you use the Sunday Start, use non-hormonal back-up contraception such as condoms or spermicide for the first 7 days that you take Portia. Altavera, Kurvelo, Levora, Marlissa, Online prescription (skip the Dr. office visit and pharmacy lines), Portia is a combined oral contraceptive pill with 0.15mg of levonorgestrel and 30 mcg of ethinyl estradiol. Additional comment actions. Take one pill every day, no more than 24 hours apart. Consider a visit with your healthcare provider for a pre-pregnancy checkup before you stop taking the pill. There is little information available about the clinical effect of most drug interactions that may affect COCs. Equivalent generic brands: Decreased exposure of the estrogen and/or progestin component of COCs may potentially diminish the effectiveness of COCs and may lead to contraceptive failure or an increase in breakthrough bleeding. Advise females with a history of chloasma to avoid exposure to the sun or ultraviolet radiation while using Portia. Portia is contraindicated in females with uncontrolled hypertension or hypertension with vascular disease (see CONTRAINDICATIONS). Make sure to go to all of your check-ups so your provider can monitor any changes. 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. Please note that only the generic name of each medication is listed below. 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. Nausea and/or vomiting. Serious blood clots can happen especially if you smoke, are obese, or are older than 35 years of age. RR = relative risk; OR = odds ratio; HR = hazard ratio. Examples include women who are known to: Have current or history of deep vein thrombosis or pulmonary embolism [see, Have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for example, subacute bacterial endocarditis with valvular disease, or atrial fibrillation) [see, Have inherited or acquired hypercoagulopathies [see, Have uncontrolled hypertension or hypertension with vascular disease [see, Have diabetes mellitus and are over age 35, diabetes mellitus with hypertension or vascular disease or other end-organ damage, or diabetes mellitus of >20 years duration [see, Have headaches with focal neurological symptoms, migraine headaches with aura, or over age 35 with any migraine headaches [see. The following chart shows the chance of getting pregnant for women who use different methods of birth control. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Portia is a birth control pill (oral contraceptive) used by women to prevent pregnancy. You do not need to use a back-up birth control method if you have sex. Females using Portia may experience unscheduled (breakthrough or intracyclic) bleeding and spotting, especially during the first three months of use. Watch our video explaininggenerics vs. brand birth control pills. Portia is a combined oral contraceptive pill with 0.15mg of levonorgestrel and 30 mcg of ethinyl estradiol. We specialize in women's health to provide affordable, convenient, and confidential access to telehealth and pharmacy services. Diarrhea and/or vomiting may reduce hormone absorption (see DOSAGE AND ADMINISTRATION). For most women, more problems occur because of pregnancy than will occur from taking oral contraceptives. Portia (levonorgestrel and ethinyl estradiol tablets USP) is contraindicated in females who are known to have the following conditions: A high risk of arterial or venous thrombotic diseases. jaundice (cholestasis), especially if you previously had cholestasis of pregnancy. Portia just isn't for me. This is different from multiphasic birth controls, such as Camrese, that contain different amounts of hormones depending on which day you're on in your pack. Their provider should evaluate them to make sure they get a safe option. After a first-trimester abortion or miscarriage, Portia may be started immediately. Do not skip your pills, even if you do not have sex often. It's important to take your pills in the order that's in the blister pack. If you are taking birth . Available for Android and iOS devices. Some women worry about weight gain when taking Portia and other birth control pills. However, if you miss a period and have not taken Portia according to directions, or feel like you may be pregnant, call your healthcare provider. If Portia is not started within 5 days after termination of the pregnancy, the patient should use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of her first cycle of Portia. You may want to discuss these effects with your doctor.Smoking cigarettes during the use of oral contraceptives has been found to greatly increase the chances of these serious side effects occurring. Decreased exposure of the estrogen component of COCs may potentially reduce contraceptive efficacy or result in an increase in breakthrough bleeding, depending on the strength of ethinyl estradiol in the COC. If you're not currently taking another hormonal birth control, the two most common ways to start taking Portia are the Day 1 Start and the Sunday Start methods. 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. If you miss pills (including starting the pack late). Store at 20 to 25C (68 to 77 F) (See USP Controlled Room Temperature). It contains 2 hormones: a progestin and an estrogen .Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, decrease your. White, round, biconvex, unscored inert tablets, debossed with stylized b on one side and 208 on the other side. The better you follow the directions, the less chance you have of getting pregnant. Simply take one pill every day, at the same time each day. Keep this and all medications out of the reach of children. 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. Read the Instructions for Use at the end of this Patient Information. Discontinue Portia if jaundice develops. Pregnancy should be considered in the event of amenorrhea, and should be ruled out if amenorrhea is associated with symptoms of pregnancy, such as morning sickness or unusual breast tenderness [see, Depression may occur. Contact your eye provider if you wear contact lenses and notice vision changes when wearing them or when wearing your glasses while taking Portia. Though rare, Portia can cause liver problems, such as liver damage and liver tumors. What are the possible serious side effects of Portia? Animal studies to evaluate embryo/fetal toxicity were not conducted. Your provider might ask you to check your blood pressure regularly. The following side effects may be caused by blood clots. Three studies compared breast cancer risk between current or recent COC users (<6 months since last use) and never users of COCs (Figure 2). Do not use Portia if you smoke cigarettes and are over 35 years old. In . Portia is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). 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. (see DOSAGE AND ADMINISTRATION). Even if the medication is working, you may experience some unwanted side effects. Overdose may cause uterine bleeding in females and nausea. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. Research has shown that about 1 to 5 out of 100 women will get pregnant during the first year of taking Portia. However, the components of these medications aren't found in over-the-counter breast enhancement supplements. To put the risk of developing a VTE into perspective: If 10,000 females who are not pregnant and do not use oral contraceptives are followed for one year, between 1 and 5 of these females will develop a VTE. To prevent pregnancy, Mirena: Thickens mucus in the cervix to stop sperm from reaching or fertilizing an egg The risk is greater among older women (> 35 years of age), smokers, and females with hypertension, dyslipidemia, diabetes, or obesity. Get emergency help right away if you have any signs of a blood clot: If you need to have surgery, tell your provider you're taking Portia. Concomitant use with ethinyl estradiol-containing COCs may increase systemic exposure of other drugs (e.g., cyclosporine, prednisolone, theophylline, tizanidine, and voriconazole). Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. If scheduled bleeding does not occur, consider the possibility of pregnancy. 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. Acute liver test abnormalities may necessitate the discontinuation of COC use until the liver tests return to normal and COC causation has been excluded. You do not need back-up contraception if you use the Day 1 Start. You'll likely need to use a back-up method or other form of birth control for several weeks after stopping any of these medications. This usually is not a serious problem. If bleeding persists or occurs after previously regular cycles, evaluate for causes such as pregnancy or malignancy. Contains 6 blister cards, each containing 28 tablets. If you notice your blood pressure is higher while you're taking this medication, contact your provider. There are 21 active tablets and they each contains 0.15 mg levonorgestrel and 30 mcg ethinyl estradiol. In the old days, pills had 110mcg of estrogen and then 50 mcg. Inactive ingredients: An additional method of contraception is not needed if Portia is started immediately. 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. Portia ( levonorgestrel and ethinyl estradiol kit) is a combined oral contraceptive (COC) indicated to prevent pregnancy in women who elect to use this product as a method of contraception. 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 . Studies do not show an association between ever (current or past) use of COCs and risk of breast cancer. Consult the approved product labeling of all concurrently used drugs to obtain further information about interactions with COCs or the potential for metabolic enzyme or transporter system alterations. Carefully observe females with a history of depression and discontinue Portia if depression recurs to a serious degree. These side effects may go away during treatment as your body adjusts to the medicine. 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)]. Are you looking for information on levonorgestrel / ethinyl estradiol (Amethyst), levonorgestrel / ethinyl estradiol (Jolessa), levonorgestrel / ethinyl estradiol (Vienva), or levonorgestrel / ethinyl estradiol (Camrese) instead? A small amount of the hormones in Portia may pass into your breast milk. When you first start taking Portia, spotting or light bleeding in between your periods may occur. The risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in women over 35 years of age. It's not recommended to use combined hormonal birth control pills, like Portia. Sterilization ( tubal ligation for women or vasectomy for men) is a permanent surgical method to prevent pregnancy. Contact your doctor immediately if you experience any of the following: The following side effects may get better over time as your body gets used to the medication. In cases of serious depression, your provider might have you stop taking it. No drug-drug interaction studies were conducted with Portia. The risk of postpartum thromboembolism decreases after the third postpartum week, whereas the likelihood of ovulation increases after the third postpartum week. urinary tract infection enlarged breasts abnormally long or heavy periods increased sensitivity of the skin to the sun yellow-brown patches on skin weight gain weight loss vomiting stomach cramps. Portia has an average rating of 4.0 out of 10 from a total of 186 ratings for the treatment of Birth Control. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. Advice in Case of Gastrointestinal Disturbances. Concomitant use of COCs with thyroid hormone replacement therapy or corticosteroid replacement therapy may increase systemic exposure of thyroid-binding and cortisol-binding globulin (see Warnings, EFFECT ON BINDING GLOBULINS). What are side effects of Portia? PORTIA 21. 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. Based on results from a few studies, there is some evidence that this is true for non-oral products as well. 4.3 Concomitant Use with Hepatitis C Virus (HCV) Combination Therapy Liver Enzyme Elevation. 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. How well does Portia work to prevent pregnancy? Positive side effects are also a possibility, too reduced acne, fewer mood swings, and other perks are fairly common. To help with early breast cancer detection, you can do monthly breast self-checks at home and yearly breast exams with your healthcare provider. Some women may miss a period. Vienva, Aviane, Lessina, Seasonique, +45 more. Portia is a birth control pill that uses a combination of estrogen and progestin to prevent pregnancy and regulate menstrual cycle.
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