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White pills: anhydrous lactose, hypromellose, magnesium stearate, and microcrystalline cellulose. Generic name: levonorgestrel and ethinyl estradiol Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). For more information, ask your healthcare provider or pharmacist. Can cause unpleasant side effects like nausea, vomiting, and, Before starting Portia, discuss your full medical history with your provider. Inactive ingredients: The risk is greater among older women (> 35 years of age), smokers, and females with hypertension, dyslipidemia, diabetes, or obesity. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Chloasma may occur with Portia use, especially in females with a history of chloasma gravidarum. Read the Instructions for Use at the end of this Patient Information. Take the next pill at your regular time. 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. On the days you take 2 pills to make up for missed pills (see. When we say low dose at Pandia Health we mean anything less than 30 mcg of estrogen which is NOT good for your bones if you are under the age of 30 years old. The risks are very low, but some women have experienced unwanted side effects when taking Portia. Compare a few possible alternatives below. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. 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. Instructions for using your Portia Pill Dispenser: You will use a Sunday Start if your healthcare provider told you to take your first pill on a Sunday. 40 aluminum lake hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, and titanium dioxide. 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. Store at 20 to 25C (68 to 77 F) (See USP Controlled Room Temperature). To reduce the risk of serious side effects, do not smoke cigarettes while you are taking oral contraceptives. Do not start until 4 weeks after delivery, due to the increased risk of thromboembolic disease. If your nausea does not go away, call your healthcare provider. Birth . If you miss 1 pill in Weeks 1, 2, or 3, follow these steps: If you miss 2 pills in Week 1 or Week 2 of your pack, follow these steps: If you miss 2 pills in a row in Week 3, or you miss 3 or more pills in a row during Weeks 1, 2, or 3 of the pack, follow these steps: If you have any questions or are unsure about the information in this leaflet, call your healthcare provider. Positive side effects are also a possibility, too reduced acne, fewer mood swings, and other perks are fairly common. You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medicine. Portia may be started using either a Day 1 start or a Sunday start (see Table 3). Call your doctor for medical advice about side effects. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. Headaches are a common side effect of COCs like Portia. For this reason, COCs, including Portia, are contraindicated in women who are over 35 years of age and smoke [see. Facebook. Women who are being treated for hyperlipidemias should be followed closely if they elect to use oral contraceptives. Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. Start using Portia on the day you would have started a new cycle (first patch application). committee of the whole roberts rules. swelling of your skin especially around your mouth, eyes, and in your throat (angioedema). Its been great no issues at all for me. You can ask your pharmacist or healthcare provider for information about Portia that is written for health professionals. If you notice any other effects, check with your healthcare professional. Use of COCs may also worsen existing gallbladder disease. Those who wear contacts or are nearsighted may notice vision problems as well. Start Portia following the instructions in Table 3 for Day 1 or Sunday start. possible cancer in your breast and cervix. Carefully observe females with a history of depression and discontinue Portia if depression recurs to a serious degree. Ethinyl estradiol and levonorgestrel is a combination birth control pill containing female hormones that prevent ovulation (the release of an egg from an ovary). If you feel sick to your stomach, do not stop taking the pill. Rupture of hepatic adenomas may cause death from abdominal hemorrhage. If bleeding persists or occurs after previously regular cycles, evaluate for causes such as pregnancy or malignancy. But for some women who have special health problems, oral contraceptives can cause some unwanted effects. Figure 1 shows the risk of developing a VTE for females who are not pregnant and do not use oral contraceptives, for females who use oral contraceptives, for pregnant females, and for females in the postpartum period. Dosage form: tablets The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant. Is Portia safe to take while breastfeeding? Data on the association of COCs with onset of depression or exacerbation of existing depression are limited. 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. Start your new Portia pack on the same day that you would start the next pack of your previous birth control method. Buy Portia birth control pills to avoid pregnancy. Forgetting to take your pill raises the chance of getting pregnant. Ethinyl Estradiol, USP C20H24O2 M.W. If you notice your blood pressure is higher while you're taking this medication, contact your provider. 1 aluminum lake, FD&C red no. Higher amounts of hormones could cause more side effects in some females. These may sound scary, but remember theyre very rare. Tell your healthcare provider about all the medicines you take, changes in the sugar and fat (cholesterol and triglycerides) levels in your blood, new or worsening headaches, including migraine headaches. In cases of serious depression, your provider might have you stop taking it. Yes, Portia can help with acne by reducing circulating androgen (testosterone) levels. Oral contraceptives (birth-control pills) are used to prevent pregnancy. The rate of VTE in females using COCs has been estimated to be 3 to 9 cases per 10,000 woman-years. In patients with familial defects of lipoprotein metabolism receiving estrogen-containing preparations, there have been case reports of significant elevations of plasma triglycerides leading to pancreatitis. Combination oral contraceptives prevent pregnancy primarily by suppressing ovulation. Studies do not show an association between ever (current or past) use of COCs and risk of breast cancer. If the patient has adhered to the prescribed dosing schedule and misses two consecutive periods, rule out pregnancy. What should I do if I miss any Portia pills? A past history of COC-related cholestasis predicts an increased risk with subsequent COC use. Portia has an average rating of 4.0 out of 10 from a total of 186 ratings for the treatment of Birth Control. 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 . 312.45. A prolactinoma is the most common cause of hyperprolactinemia. Birth control can make your boobs grow because it can cause water retention in your breasts. 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. It prevents pregnancy by preventing ovulation, thinning the uterine lining, thickening the cervical mucus (blocking the sperm from getting to the egg). It does require a prescription from a doctor, though. Contraceptive hormones and/or metabolites are present in human milk. Bleeding irregularities may resolve over time or by changing to a different contraceptive product. In some people, the pills cause an increase in breast size. 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. Day 1 start: Throw out the rest of the pack and start a new pack that same day. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Receive price alerts, news, and other messages from GoodRx about Portia and other healthcare topics and relevant savings offers. If you have questions about which pill in your pack contains hormones, refer to the label that comes with your pack or ask your pharmacist or provider. It is not uncommon to miss a period. 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. Some of these unwanted effects include benign (not cancerous) liver tumors, liver cancer, or blood clots or related problems, such as a stroke. This may increase levels of the liver enzyme alanine aminotransferase (ALT) in the blood. Take the 2 missed pills as soon as possible and the next 2 pills the next day. Some side effects may occur that usually do not need medical attention. If you're breastfeeding, discuss alternative birth control options with your healthcare provider. Periods get lighter. 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. 1) Portia is a monophasic birth control pill, meaning that all active tablets contain the same level of estrogen and levonorgestrel. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4 percent and 15 to 20 percent, respectively. White, round, biconvex, unscored inert tablets, debossed with stylized b on one side and 208 on the other side. Study results are mixed, but there's a possibility that Portia and other COCs can raise your risk for breast and cervical cancer. They also change the lining of the uterus (womb) to prevent pregnancy from developing and change the mucus at the . Abortion is a reproductive right and a form of reproductive healthcare. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. In one trial, 33 subjects out of 1084 (3.0%) discontinued due to bleeding irregularities (i.e., breakthrough bleeding and spotting); in the other trial, 6 subjects out of 238 (2.5%) discontinued due to bleeding irregularities. Unless there is a specific reason you need the brand, the generic medication will be a better value. Portia is dispensed in a blister card containing 28 tablets (see HOW SUPPLIED). If you are usually a 7 day person, it goes down to like 5 days. Aprepitant, barbiturates, bosentan, carbamazepine, efavirenz, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, rifabutin, rufinamide, topiramate, products containing St. Johns worta, and certain protease inhibitors (see separate section on protease inhibitors below). However, this change is usually temporary, and it may reverse . Concomitant use of COCs with colesevelam significantly decreases systemic exposure of ethinyl estradiol. Throw out the rest of the pill pack and start a new pack that same day. We offer manypayment optionsto fit your needs. Ethinyl Estradiol, USP is 19-nor-17-pregna-1,3,5(10)-trien-20-yne-3, 17-diol. 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. If you have a positive pregnancy test, you should stop taking Portia. It's important to take your pills in the order that's in the blister pack. Your periods may be lighter and shorter than usual. While the increased risk of VTE associated with use of COCs is well-established, the rates of VTE are even greater during pregnancy, and especially during the postpartum period (see Figure 1). If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects. We're here to make women's lives easier by providing a one-stop shop for recurring medications. These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. 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. There have been no reports of serious adverse outcomes from overdose of COCs, including ingestion by children. Portia (levonorgestrel and ethinyl estradiol tablets USP) is indicated for use by females of reproductive potential to prevent pregnancy. Portia is contraindicated in women over 35 years of age who smoke (see CONTRAINDICATIONS). Instead, Pandia Health Medical groups doctors recommendprogestin-only pill (POPs),IUDwith hormone (Mirena, Liletta, Kyleena, Skyla),implant(nexplanon), thebirth control shot(depo-provera), orcondomsand spermicide. ADVERSE REACTIONS, Postmarketing Experience. You can either start on a Sunday (Sunday Start) or on the first day (Day 1) of your natural menstrual period (Day 1 Start). Some women may miss a period. Taking birth control pills, which usually contain the sex hormones estrogen and progestin (progesterone), can indeed lead to the development of "feminine" body traits, including breast growth . Like pregnancy, Portia may cause serious side effects, including blood clots in your lungs, heart attack, or a stroke that may lead to death. Do not co-administer Portia with HCV drug combinations containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, [see Warnings (5)], and glecaprevir/pibrentasvir due to potential for ALT elevations. No insurance? Use non-hormonal contraception when you stop taking Portia. Portia is contraindicated in females with benign or malignant liver tumors (see CONTRAINDICATIONS). You may feel sick to your stomach (nauseous), especially during the first few months of taking Portia. Additional nonhormonal contraception (such as condoms or spermicide) should be used as back-up if the patient has sex within 7 days after missing tablets. It is important to take it at the same time every day and in the order as directed on your pill pack. Portia is a combined oral contraceptive pill with 0.15mg of levonorgestrel and 30 mcg of ethinyl estradiol. Even if the medication is working, you may experience some unwanted side effects. 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. However, if you miss your period 2 months in a row, call your healthcare provider because you might be pregnant. Take the two missed tablets as soon as possible and the next two active tablets the next day. You will use a Day 1 Start if your doctor told you to take your first pill (Day 1) on the first day of your period. 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. The typical dose is to take 1 active tablet by mouth daily for 21 days, followed by 1 placebo tablet daily for the remaining 7 days. ", We accept almost all insurances*, including but not limited to. Studies suggest an increased risk of developing gallbladder disease among COC users. Concomitant use of COCs with metabolic enzyme inducers may decrease the plasma concentrations of the estrogen and/or progestin component of COCs. 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. Each pink, round, film-coated, biconvex, unscored tablet, debossed with "b" on one side and "992" on the other side, contains 0.15 mg of levonorgestrel and 0.03 mg of ethinyl estradiol. Portia (levonorgestrel and ethinyl estradiol tablets USP) is a combination oral contraceptive (COC) consisting of 21 pink active tablets, each containing 0.15 mg of levonorgestrel, USP, a synthetic progestin and 30 mcg of ethinyl estradiol, USP, an estrogen, and 7 white inert tablets (without hormones). Cigarette smoking increases the risk of serious cardiovascular events from COC use. If you're having trouble remembering to take your pill, talk to your provider. 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. To help with early breast cancer detection, you can do monthly breast self-checks at home and yearly breast exams with your healthcare provider. Portia does not protect against HIV-infection (AIDS) and other sexually transmitted infections. There is controversy about the extent to which these findings are due to differences in sexual behavior and other factors. Additional comment actions. Portia uses a combination of two hormones, estrogen, and progestin, to make your body think its pregnant so a real pregnancy wont happen. This medication can worsen certain conditions. They might have you stop taking it 4 weeks before until 2 weeks after your surgery to lower your risk of blood clots. Start taking Portia on the day of removal of your implant, or on the day when you would have had your next injection. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Follow your doctor's instructions. 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. However, the components of these medications aren't found in over-the-counter breast enhancement supplements. 296.40. Keep this and all medications out of the reach of children. This reduction can occur at any time but is less likely to occur once breast-feeding is well-established. Portia may decrease the amount of breast milk you make. Portia is a birth control pill that uses a combination of estrogen and progestin to prevent pregnancy and regulate menstrual cycle. The estrogen component of Portia may raise the serum concentrations of thyroxine-binding globulin, sex hormone-binding globulin, and cortisol-binding globulin. The problem will usually go away. For most women, more problems occur because of pregnancy than will occur from taking oral contraceptives. Call your healthcare provider if you notice any abnormal changes or feel lumps, pain, or swelling in your breasts. Are you looking for information on levonorgestrel / ethinyl estradiol (Amethyst), levonorgestrel / ethinyl estradiol (Jolessa), levonorgestrel / ethinyl estradiol (Vienva), or levonorgestrel / ethinyl estradiol (Camrese) instead? If you miss pills (including starting the pack late). Portia has not been studied in postmenopausal women and is not indicated in this population. Portia is contraindicated in females with acute viral hepatitis or severe (decompensated) cirrhosis of liver (see CONTRAINDICATIONS). 4.1 Effects of Other Drugs on Combined Oral Contraceptives. The information contained in the Truven Health Micromedex products as delivered by GoodRx is intended as an educational aid only. The risk of thromboembolic disease due to COCs gradually disappears after COC use is discontinued. Keep a calendar to track your period: If this is the first time, levonorgestrel and ethinyl estradiol tablet, film coated. If you choose to pay out-of-pocket, Portia is pretty affordable because its a generic brand. Both hormones work together to prevent pregnancy by: Suppressing ovulation (release of an egg from the ovary) Changing cervical mucus to block sperm movement When possible, advise the nursing female to use other methods of contraception until she discontinues breast-feeding.