Informational only — Not medical advice. Always consult a licensed healthcare provider.

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Community data Updated 23 hours ago

Drospirenone + Ethinyl Estradiol + Levomefolate

Oral Contraceptive preparations Prescription
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Indications

Headache Pain Acne Vulgaris Anxiety Contraception

Oral Contraceptive: Drospirenone + Ethinyl Estradiol + Levomefolate tablet is used by women to prevent pregnancy. Premenstrual Dysphoric Disorder (PMDD): The tablet is also used to treat the symptoms of premenstrual dysphoric disorder (PMDD) in women who choose an oral contraceptive as their method of contraception. Nobody has evaluated how well it works for PMDD when used for more than three menstrual cycles. According to the Diagnostic and Statistical Manual-4th edition (DSM-IV), the essential features of PMDD are markedly depressed mood, anxiety or tension, affective lability, and persistent anger or irritability. Other features include decreased interest in usual activities, difficulty concentrating, lack of energy, change in appetite or sleep, and feeling out of control. The physical symptoms are breast tenderness, headache, joint and muscle pain, bloating and weight gain. These symptoms come regularly during the luteal phase and settle within a few days after the period starts. The disturbance markedly interferes with work or school, or with usual social activities and relationships with others. Doctors make the diagnosis using DSM-IV criteria, and the symptoms are assessed prospectively over at least two menstrual cycles. Care should be taken to rule out other cyclical mood disorders before making the diagnosis. This contraceptive has not been evaluated for the treatment of premenstrual syndrome (PMS). Acne: The tablet is used to treat moderate acne vulgaris in women who are at least 14 years of age, have achieved menarche, and have no known contraindications to oral contraceptive therapy. It should be used for acne only if the patient also wants an oral contraceptive for birth control. Folate Supplementation: In women who choose an oral contraceptive as their method of contraception, the tablet is used to raise folate levels. The purpose is to reduce the risk of a neural tube defect in a pregnancy conceived while taking the product or shortly after stopping it.

⚠️ Always consult a registered physician before taking any medicine.

Pregnancy & Breastfeeding

Nursing mothers shouldn't use this medicine, as it can reduce milk production.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Take one tablet of Drospirenone + Ethinyl Estradiol + Levomefolate by mouth at the same time every day. The failure rate may go up when pills are missed or taken the wrong way. To get the full contraceptive and PMDD effect, take the pills as directed, in the order shown on the blister pack. A single missed pill should be taken as soon as it is remembered. There are two ways to start. The patient can begin on the first day of her menstrual period (Day 1 Start) or on the first Sunday after her period begins (Sunday Start). Day 1 Start: In the first cycle, tell the patient to take one pink pill daily, beginning on Day 1 of her menstrual cycle (the first day of menstruation is Day 1). She takes one pink pill daily for 24 consecutive days, then one light orange tablet daily on Days 25 through 28. The pills should be taken in the order shown on the pack, at the same time each day, preferably after the evening meal or at bedtime with some liquid, as needed. They can be taken without regard to meals. If the first pill is taken later than the first day of the menstrual cycle, it should not be counted as effective contraception until after the first 7 consecutive days of use. Tell the patient to use a non-hormonal contraceptive as backup during those first 7 days. The possibility of ovulation and conception before starting the medicine should be considered. Sunday Start: In the first cycle, tell the patient to take one pink pill daily, beginning on the first Sunday after her period starts. She takes one pink pill daily for 24 consecutive days, then one light orange tablet daily on Days 25 through 28. The pills should be taken in the order shown on the pack, at the same time each day, preferably after the evening meal or at bedtime with some liquid, as needed. They can be taken without regard to meals. The pill should not be counted as effective contraception until after the first 7 consecutive days of use. Tell the patient to use a non-hormonal contraceptive as backup during those first 7 days. The possibility of ovulation and conception before starting the medicine should be considered. The patient should start her next 28-day pack, and every pack after that, on the same day of the week she started the first one, following the same schedule. She begins the pink tablets on the day after the last light orange folate tablet, whether or not a menstrual period has occurred or is still going on. If any later cycle is started more than one day after the last light orange tablet, she should use another method of contraception until she has taken a pink pill daily for seven consecutive days. When switching from a different birth control pill, start this pill on the same day a new pack of the previous oral contraceptive would have been started.