The 28 pills consist of 21 pink pills (3 rows of 7 pills) and 7 white pills (1 row of 7 pills). This Patient Information and Instructions for Use have been approved by the U.S. Food and Drug Administration. Let your provider know if you experience any vaginal bleeding outside of your period, or if your period has stopped completely. Pricing based on most commonly-filled versions: 3 packages (28 tablets) of portia 0.15mg/0.03mg. Cigarette smoking increases the risk of serious cardiovascular events from COC use. Teva Pharmaceuticals USA, Inc. North Wales, PA 19454, Portia 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. If you're breastfeeding, discuss alternative birth control options with your healthcare provider. 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. For even more savings, use a GoodRx coupon and pay just a fraction of the retail price. This happens due to hormonal changes, especially estrogen and growth hormone. If you choose to pay out-of-pocket, Portia is pretty affordable because its a generic brand. 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. Mirena is a hormonal intrauterine device (IUD) that can provide long-term birth control (contraception). If you notice your blood pressure is higher while you're taking this medication, contact your provider. Portia is a combined hormonal birth control pill that's taken by mouth every day. Use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of the patients first cycle of Portia (see. 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. Side effects of Portia include: nausea, vomiting, gastrointestinal symptoms (such as abdominal pain, cramps and bloating), Concomitant use of COCs with colesevelam significantly decreases systemic exposure of ethinyl estradiol. Even if the medication is working, you may experience some unwanted side effects. Take the next pill at your regular time. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. COCs increase the risk of hepatic adenomas. 4. If you have uncontrolled high blood pressure, Portia might not be the best option for you. Check with your doctor as soon as possible if any of the following side effects occur: usually less common after the first 3 months of oral contraceptive use, Changes in the uterine bleeding pattern at menses or between menses, such as decreased bleeding at menses, breakthrough bleeding or spotting between periods, prolonged bleeding at menses, complete stopping of menstrual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimes, Headaches or migraines (although headaches may lessen in many users, in others, they may increase in number or become worse), vaginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge, Mild increase of blood sugarFaintness, nausea, pale skin, or sweating, swelling, pain, or tenderness in upper abdominal area, For women with a history of breast disease. 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. 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). throw---acct . Each pink active tablet contains the following inactive ingredients: anhydrous lactose, hypromellose, magnesium stearate, and microcrystalline cellulose. You may report side effects to the FDA at 1-800-FDA-1088. It's not recommended to use combined hormonal birth control pills, like Portia. It is important to take it at the same time every day and in the order as directed on your pill pack. Please note that only the generic name of each medication is listed below. If you want to #SkipPeriods, check out our #PeriodsOptional aka Hate your periods? Start using Portia on the day you would have started a new cycle (first patch application). To reduce the risk of serious side effects, do not smoke cigarettes while you are taking oral contraceptives. Repeat dosage cycles begin on the eighth day after taking the last hormonally active tablet. Oleh - December 4, 2021. Medically reviewed by Drugs.com. You may not have your period this month, but this is expected. The use of the Truven Health products is at your sole risk. General information about the safe and effective use of Portia. Please take the medication as instructed by your provider. We're here to make women's lives easier by providing a one-stop shop for recurring medications. Use non-hormonal contraception when you stop taking Portia. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. In the two trials, intermenstrual bleeding (i.e., breakthrough bleeding and/or spotting) occurred in 13.1% and 12.9% of reported cycles over the total study duration, respectively. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. Always use a back-up birth control method until you're able to check with your healthcare provider. For this reason, COCs, including Portia, are contraindicated in women who are over 35 years of age and smoke [see CONTRAINDICATIONS and WARNINGS (1)]. The dose of replacement thyroid hormone or cortisol therapy may need to be increased. For more information, ask your healthcare provider or pharmacist. 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. 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. Continue taking one tablet a day until the pack is finished. While Portia shouldn't cause any birth defects if you accidentally take it during early pregnancy, you'll no longer need to take it when you're pregnant. Your pill pack consists of 1 card that holds 28 individually sealed pills. Concomitant use of COCs may decrease systemic exposure of acetaminophen, morphine, salicylic acid, and temazepam. You may get pregnant if you do not take one pill daily. 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. Studies have shown an increased risk of developing hepatocellular carcinoma in long-term (> 8 years) COC users. Pink pills: anhydrous lactose, FD&C blue no. Portia birth control pills have two main active ingredients: Levonogestrel 1.5 mg (progesterone) and Ethinyl Estradiol 30 mcg (estrogen). You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medicine. Read the Instructions for Use at the end of this Patient Information. 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. When the pills run out, start a new pack the following day. blog posthere. This risk may be even higher for certain groups. Throw out the rest of the pill pack and start a new pack that same day. Data on the association of COCs with onset of depression or exacerbation of existing depression are limited. Portia is contraindicated in diabetic women over age 35, or females who have diabetes with hypertension, nephropathy, retinopathy, neuropathy, other vascular disease, or females with diabetes of > 20 years duration (see CONTRAINDICATIONS). With any medication, there are risks and benefits. What are side effects of Portia? To prevent pregnancy, Mirena: Thickens mucus in the cervix to stop sperm from reaching or fertilizing an egg In addition to these changes, some women experience more . This medication can worsen certain conditions. Portia has not been studied in postmenopausal women and is not indicated in this population. Watch our video explaininggenerics vs. brand birth control pills. For this method, you need to use another method of birth control (e.g., condom or spermicide) for 7 days. 40 aluminum lake, hypromellose, polyethylene glycol, polysorbate 80, and titanium dioxide. If you are usually a 7 day person, it goes down to like 5 days. To reduce the risk of serious side effects, do not smoke cigarettes while you are taking oral contraceptives. Package insert / product label For all females, including those with well-controlled hypertension, monitor blood pressure at routine visits and stop Portia if blood pressure rises significantly. 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. 4.3 Concomitant Use with Hepatitis C Virus (HCV) Combination Therapy Liver Enzyme Elevation. Based on results from a few studies, there is some evidence that this is true for non-oral products as well. Minor ones include breast tenderness, headaches, nausea, swollen feet or ankles, and slightly elevated blood pressure or blood sugar levels. Available for Android and iOS devices. ", We accept almost all insurances*, including but not limited to. Forgetting to take your pill raises the chance of getting pregnant. committee of the whole roberts rules. Instruct patients to take one tablet by mouth at the same time every day. Breakthrough bleeding and spotting are common side effects of hormonal birth control pills. The structural formulas for the active components are: Levonorgestrel, USP C21H28O2 M.W. The ingredients in the film-coating include FD&C blue no. If any of these conditions happen while you are taking Portia, stop taking Portia right away and talk to your healthcare provider. PORTIA 21. Generic name: levonorgestrel and ethinyl estradiol Consider a visit with your healthcare provider for a pre-pregnancy checkup before you stop taking the pill. This medication can worsen certain conditions. Get medical help right away if you experience abnormal vaginal bleeding, discharge, or pain during sex, since these could be signs of cervical cancer. 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. 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. Start contraceptive therapy with Portia following the instructions in Table 3 for women not currently using hormonal contraception. If you notice any other effects, check with your healthcare professional. The device is a T-shaped plastic frame that's inserted into the uterus, where it releases a type of the hormone progestin. Decide what time of day you want to take your pill. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Additional comment actions. It is important to continue taking your pills on a regular schedule to prevent a pregnancy. Both hormones work together to prevent pregnancy by: Suppressing ovulation (release of an egg from the ovary) Changing cervical mucus to block sperm movement Portia is contraindicated in females with a high risk of arterial or venous thrombotic/thromboembolic diseases (see. We specialize in women's health to provide affordable, convenient, and confidential access to telehealth and pharmacy services. They might have you stop taking it 4 weeks before until 2 weeks after your surgery to lower your risk of blood clots. How well does Portia work to prevent pregnancy? What else should I know about taking Portia? If you smoke, talk with your provider about safer birth control alternatives. If your nausea does not go away, call your healthcare provider. 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. Contact your healthcare provider if this does not go away after a few months. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Examples include women who are known to: Smoke, if over age 35 [see BOXED WARNING and WARNINGS (1) ]. Positive side effects are also a possibility, too reduced acne, fewer mood swings, and other perks are fairly common. Portia is contraindicated in females with acute viral hepatitis or severe (decompensated) cirrhosis of liver (see CONTRAINDICATIONS). 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. In addition to the symptoms of hyperprolactinemia, you may experience the following symptoms if you have a prolactinoma: Headaches. If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects. a Induction potency of St. Johns wort may vary widely based on preparation. Consider alternative contraception for females with uncontrolled dyslipidemia. But I definitely didn't go up 2/3 sizes from birth control alone. Contact your eye provider if you wear contact lenses and notice vision changes when wearing them or when wearing your glasses while taking Portia. One of these studies reported no association between breast cancer risk and COC use. A past history of COC-related cholestasis predicts an increased risk with subsequent COC use. To help with early breast cancer detection, you can do monthly breast self-checks at home and yearly breast exams with your healthcare provider. No insurance? While it might give you the munchies, its mostly water retention(and not actual fat) thats to blame. Get emergency help immediately if any of the following side effects occur: Abdominal or stomach pain (sudden, severe, or continuing), loss of vision or change in vision (sudden), pains in chest, groin, or leg (especially in calf of leg), shortness of breath (sudden or unexplained), weakness, numbness, or pain in arm or leg (unexplained). 5 Random Sexual Health Facts We Bet You Didnt Know. You may stop taking the pill whenever you wish. Smoking increases your risk of serious cardiovascular side effects from hormonal birth control pills, including death from heart attack, blood clots or stroke. Your healthcare provider should tell you when to start taking your birth control pill. What should I do if I miss any Portia pills? 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). If vomiting occurs within 3 to 4 hours after taking Portia, the patient should proceed as if she missed a tablet. COCs can reduce milk production in breast-feeding females. 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 most effective methods are at the top of the chart. Start taking Portia on the day of removal of your IUD or IUS. After taking 21 days of active pills, youll switch to 7 inactive pills with no hormones. Females using Portia may experience unscheduled (breakthrough or intracyclic) bleeding and spotting, especially during the first three months of use. 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. Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult [see WARNINGS (7)]. You may report side effects to the FDA at 1-800-FDA-1088. If the patient has not adhered to the prescribed dosing schedule (missed one or two active tablets or started taking them on a day later than she should have), consider the possibility of pregnancy at the time of the first missed period and perform appropriate diagnostic measures. are breastfeeding or plan to breastfeed. The problem will usually go away. Make sure to tell your provider or pharmacist all of your medications so they can make sure they don't interact with Portia. 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. An additional method of contraception is not needed if Portia is started immediately. See our CEO/Founders talk at the bottom of this. Take the 2 missed pills as soon as possible and the next 2 pills the next day. Start Portia no earlier than four weeks after delivery in females who are not breast-feeding. When you first start taking Portia, spotting or light bleeding in between your periods may occur. Counsel patients that this product does not protect against HIV-infection (AIDS) and other sexually transmitted infections. 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. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. Sterilization ( tubal ligation for women or vasectomy for men) is a permanent surgical method to prevent pregnancy. 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. how much does uber freight pay per mile. 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. 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. This is comforting to hear. After a first-trimester abortion or miscarriage, Portia may be started immediately. Healthy women who do not smoke cigarettes have almost no chance of having a severe side effect from taking oral contraceptives. 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. 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. Drug class: Contraceptives. In cases of serious depression, your provider might have you stop taking it. 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. 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. 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. Consult the approved product labeling for lamotrigine. Other side effects not listed may also occur in some patients. You do not need to use a back-up birth control method if you have sex. Keep this and all medications out of the reach of children. Follow your doctor's instructions. There have been no reports of serious adverse outcomes from overdose of COCs, including ingestion by children. 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). RR = relative risk; OR = odds ratio; HR = hazard ratio. Combination oral contraceptives prevent pregnancy primarily by suppressing ovulation. If you have diabetes, let your provider know if you experience any changes in your blood sugar. Portia is contraindicated in females with benign or malignant liver tumors (see CONTRAINDICATIONS). Fully authorized pharmacy. 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. dark patches of skin around your forehead, nose, cheeks and around your mouth, especially during pregnancy (chloasma). 4.1 Effects of Other Drugs on Combined Oral Contraceptives. This risk increases with age and the number of cigarettes you smoke. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If you want to stop taking Portia and become pregnant, speak to your provider. Use of COCs may also worsen existing gallbladder disease. 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. Portia. But for some women who have special health problems, oral contraceptives can cause some unwanted effects. Then continue to take 1 pill every day until you finish the pack. 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. 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. This medicine also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus. If you've been taking Portia as instructed and miss your period or feel like you might be pregnant, check in with your provider so they can confirm whether or not you're pregnant and provide prenatal care if needed. 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. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. 1 tablet (0.15 mg levonorgestrel; 30 mcg ethinyl estradiol or 0.1 mg levonorgestrel; 20 mcg ethinyl estradiol) PO once daily for 21 days, then a period of 7 days without drug. However, some studies report a small increase in the risk of breast cancer among current or recent users (<6 months since last use) and current users with longer duration of COC use (see ADVERSE REACTIONS, Postmarketing Experience). 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. These may sound scary, but remember theyre very rare. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. Roe v Wade was .. Telemedicine services provided by Pandia Medical Group, a medical corporation. The use of COCs may influence the results of certain laboratory tests, such as coagulation factors, lipids, glucose tolerance, and binding proteins. 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. Don't use this medication if you already have liver problems. Some women may miss a period. Animal studies to evaluate embryo/fetal toxicity were not conducted. I had no weight gain, it has helped me skin, and reduced my cramping by alot. Where on the card to start taking pills (upper left corner) and, In what order to take the pills (follow the weeks). The worst symptom I've had is EXTREME breast tenderness/enlargement. What makes Portia different from some other birth control pills that also contain levonorgestrel and ethinyl estradiol? Let your provider know if you experience symptoms of depression or worsening depression while taking Portia. Portia is available as a generic medication and may be significantly cheaper compared to the brand version. 312.45. The inactive/placebo/bleeding week pills are there to help you in the habit of taking your pill every day. You could become pregnant if you have sex during the first 7 days after you restart your pills. CYP3A inhibitors such as itraconazole, voriconazole, fluconazole, grapefruit juice,7 or ketoconazole may increase systemic exposure of the estrogen and/or progestin component of COCs. The developmental and health benefits of breast-feeding should be considered along with the mothers clinical need for Portia and any potential adverse effects on the breast-fed child from Portia or from the underlying maternal condition. The other two studies found an increased relative risk of 1.19 to 1.33 with current or recent use. 296.40. At these increased levels, these hormones can generate changes in your body, such as a temporary increase in breast size or weight gain. Risk factors for VTEs include smoking, obesity, and family history of VTE, in addition to other factors that contraindicate use of COCs (see CONTRAINDICATIONS). Rupture of hepatic adenomas may cause death from abdominal hemorrhage. What are the possible serious side effects of Portia? The active pills are a different color than the inactive pills at the end of your pack, and each brand might have different colored pills. Epidemiologic studies and meta-analyses have not found an increased risk of genital or nongenital birth defects (including cardiac anomalies and limb-reduction defects) following exposure to COCs before conception or during early pregnancy. What do the different colored tablets mean in my Portia pack? 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. Like pregnancy, Portia may cause serious side effects, including blood clots in your lungs, heart attack, or a stroke that may lead to death. It does require a prescription from a doctor, though. Discontinue Portia prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir (see CONTRAINDICATIONS). Additional comment actions. "I have been on Portia now for 7 weeks after previously being on depo provera for 3-4 years. Certain blood tests may be affected by Portia. Estrogen, when produced by the ovaries during puberty, leads to the natural collection of fat in the connective tissues around the chest. TLDR Portia reduces sebum production and thus acne. 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.
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