Yasmin tablets

Do not use Yasmin
• if you have (or have ever had) a blood clot in a blood vessel of your leg (deep vein thrombosis, DVT),
your lungs(pulmonary embolus, PE) or other organs;
• if you know you have a disorder affecting your blood clotting – for instance, protein C deficiency,
protein S deficiency, antithrombin-III deficiency, Factor V Leiden or antiphospholipid antibodies;
• if you need an operation or if you are off your feet for a long time (see section ‘Blood clots’);
• if you have ever had a heart attack or stroke;
• if you have (or have ever had) angina pectoris (a condition that causes severe chest pain and may be a
first sign of a heart attack) or transient ischaemic attack (TIA – temporary stroke symptoms);
• if you have any of the following diseasesthat may increase your risk of a clot in the arteries;
o severe diabetes with blood vessel damage
o very high blood pressure
o a very high level of fat in the blood (cholesterol or triglycerides)
o a condition known as hyperhomocysteinaemia
• if you have (or have ever had) a type of migraine called ‘migraine with aura’;
• if you have (or have ever had) liver disease and your liver function is still not normal
• if your kidneys are not working well (renal failure)
• if you have (or have ever had) had a tumour in the liver
• if you have (or have ever had) or if you are suspected of having breast cancer or cancer of the genital
organs
• if you have any unexplained bleeding from the vagina
• if you are allergic to ethinylestradiol or drospirenone, or any of the other ingredients of this medicine
(listed in section 6). This may cause itching, rash or swelling.
Do not use Yasmin if you have hepatitis C and are taking the medicinal products containing
ombitasvir/paritaprevir/ritonavir and dasabuvir or glecaprevir/pibrentasvir (see also in section “Other
medicines and Yasmin”).

Take Yasmin every day for 21 days
Yasmin comes in strips of 21 pills, each marked with a day of the week.
• Take your pill at the same time every day.
• Start by taking a pill marked with the correct day of the week.
• Follow the direction of the arrows on the strip. Take one pill each day, until you have finished all 21
pills.
• Swallow each pill whole, with water if necessary. Do not chew the pill.
Then have seven pill-free days
After you have taken all 21 pills in the strip, you have seven days when you take no pills. So, if you take
the last pill of one pack on a Friday, you will take the first pill of your next pack on the Saturday of the
following week.
Within a few days of taking the last pill from the strip, you should have a withdrawal bleed like a period.
This bleed may not have finished when it is time to start your next strip of pills. 

You don’t need to use extra contraception during these seven pill-free days – as long as you have taken
your pills correctly and start the next strip of pills on time.
Then start your next strip
Start taking your next strip of Yasmin after the seven pill-free days – even if you are still bleeding.
Always start the new strip on time.
During the seven pill-free days, when you take no tablets, bleeding should begin (so-called withdrawal
bleeding). This usually starts on the 2nd or 3rd day after the last tablet of Yasmin. Start the following strip
after the last day of the seven pill-free days, whether your bleeding has stopped or not. 

The active substances are drospirenone and ethinylestradiol.
Each active tablet contains 0.030 milligrams ethinylestradiol and 3 milligrams drospirenone.
Other ingredients in the active tablets are lactose monohydrate, maize starch, pregelatinised maize
starch, povidone K25, magnesium stearate (E470b), hypromellose (E464), macrogol 6000, talc
(E553b), titanium dioxide (E171) and iron oxide yellow (E172).

Common side effects (between 1 and 10 in every 100 users may be affected):
- depressive mood
- headache, migraine
- nausea
- breast pain, breast tenderness, menstrual disorders, bleeding between periods, thick whitish vaginal
discharge, vaginal yeast infection
Uncommon side effects (between 1 and 10 in every 1,000 users may be affected):
- breast enlargement
- altered interest in sex
- high blood pressure, low blood pressure
- vomiting, diarrhoea
- acne, severe itching, skin rash, hair loss (alopecia)
- vaginal infection
- fluid retention
- body weight changes
Rare side effects (between 1 and 10 in every 10,000 users may be affected):
- hearing impairment
- asthma
- breast secretion
- allergic reactions (hypersensitivity)
- the skin conditions erythema nodosum (characterized by painful reddish skin nodules) or erythema
multiforme (characterized by rash with target-shaped reddening or sores).

Like all medicines, this medicine can cause side effects, although not everybody gets them. If you get any
side effect, particularly if severe and persistent, or have any change to your health that you think may be
due to Yasmin, please talk to your doctor.
An increased risk of blood clots in your veins (venousthromboembolism (VTE)) or blood clots in your
arteries (arterial thromboembolism (ATE)) is present for all women taking combined hormonal
contraceptives. For more detailed information on the different risks from taking combined hormonal
contraceptives please see section 2 “What you need to know before you take Yasmin”.
The following is a list of the side effects that have been linked with the use of Yasmin:
Serious side effects: – see your doctor straight away 

Signs of a severe allergic reaction to Yasmin:
- swelling of the face, lips, mouth, tongue or throat
Signs of breast cancer include:
- dimpling of the skin
- changes in the nipple
- any lumps you can see or feel.
Signs of cancer of the cervix include:
- vaginal discharge that smells and/or contains blood
- unusual vaginal bleeding
- pelvic pain
- painful sex
Signs of severe liver problems include:
- severe pain in your upper abdomen
- yellow skin or eyes (jaundice)
- inflammation of the liver (hepatitis)
- your whole body starts itching
➢ If you think you may have any of these, see a doctor straight away. You may need to stop
taking Yasmin