We recommend that you use at least 30mcg if you are under 30 years old. Instruct patients to take one tablet by mouth at the same time every day. You can ask your pharmacist or healthcare provider for information about Portia that is written for health professionals. Current diagnosis of, or history of, breast cancer, which may be hormone-sensitive. Your chance of getting pregnant depends on how well you follow the directions for taking your birth control pills. Decide what time of day you want to take your pill. 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. Use of COCs increases the risk of venous thromboembolic events (VTEs), such as deep vein thrombosis and pulmonary embolism. In two clinical trials of Portia (1084 subjects reporting for a total of 8186 treatment cycles and 238 subjects reporting for a total of 1102 treatment cycles), breakthrough bleeding occurred in 6.9% and 8.1% of reported cycles, and spotting occurred in 8.6% and 7.9% of reported cycles over the total study duration, respectively. 296.40. Figure 2: Relevant Studies of Risk of Breast Cancer with Combined Oral Contraceptives. On Sunday, throw out the rest of the pack and start a new pack of pills that same day. Vienva, Aviane, Lessina, Seasonique, +45 more. 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). An estimate of the attributable risk is 3.3 cases/100,000 COC users. You may want to discuss these effects with your doctor. Periods get lighter. What makes Portia different from some other birth control pills that also contain levonorgestrel and ethinyl estradiol? Portia is a birth control pill that uses a combination of estrogen and progestin to prevent pregnancy and regulate menstrual cycle. What else should I know about taking Portia? If you miss pills (including starting the pack late). 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. Some women may miss a period. Portia. Read More. We specialize in women's health to provide affordable, convenient, and confidential access to telehealth and pharmacy services. The following serious adverse reactions with the use of COCs are discussed elsewhere in the labeling: Adverse reactions reported by COC users and described elsewhere in the labeling are: Five studies that compared breast cancer risk between ever-users (current or past use) of COCs and never-users of COCs reported no association between ever use of COCs and breast cancer risk, with effect estimates ranging from 0.90 to 1.12 (Figure 2). Contains 6 blister cards, each containing 28 tablets. While it might give you the munchies, its mostly water retention(and not actual fat) thats to blame. PORTIA 21. Start taking Portia on the day of removal of your IUD or IUS. The following adverse reactions have been reported in patients receiving oral contraceptives and are believed to be drug-related: Breast tenderness, pain, enlargement, secretion; Nausea, vomiting and gastrointestinal symptoms (such as abdominal pain, cramps and bloating); Change in menstrual flow; Temporary infertility after discontinuation of treatment; Change in weight or appetite (increase or decrease); Change in cervical erosion and secretion; Cholestatic jaundice; Rash (allergic); Vaginitis, including candidiasis; Change in corneal curvature (steepening); Intolerance to contact lenses; Mesenteric thrombosis; Decrease in serum folate levels; Exacerbation of systemic lupus erythematosus; Exacerbation of porphyria; Exacerbation of chorea; Aggravation of varicose veins; Anaphylactic/anaphylactoid reactions, including urticaria, angioedema, and severe reactions with respiratory and circulatory symptoms. One of these studies reported no association between breast cancer risk and COC use. At What Age Should You Stop Taking Birth Control Pills? When you first start taking Portia, spotting or light bleeding in between your periods may occur. You do not need back-up contraception if your IUD or IUS is removed on the first day (Day 1) of your period. Diarrhea and/or vomiting may reduce hormone absorption (see DOSAGE AND ADMINISTRATION). Missing pills can also cause spotting or light bleeding, even when you take the missed pills later. If you have hepatitis C and need to be treated with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir), let your provider know right away that you're taking a COC. Your pack begins with 21 active pills (meaning they contain hormones in them) followed by 7 inactive pills (they don't contain hormones). 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. The rate of VTE in females using COCs has been estimated to be 3 to 9 cases per 10,000 woman-years. are pregnant or think you may be pregnant, are depressed now or have been depressed in the past, had yellowing of your skin or eyes (jaundice) caused by pregnancy (cholestasis of pregnancy). 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. Discontinue Portia if pregnancy occurs because there is no reason to use COCs in pregnancy. The dosage of drugs that can be affected by this interaction may need to be increased. The effect of COCs on blood pressure may vary according to the progestin in the COC. Home; About. These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. Research has shown that about 1 to 5 out of 100 women will get pregnant during the first year of taking 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. 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. blog posthere. Do not give Portia to other people, even if they have the same symptoms that you have. 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. You may get pregnant if you do not take one pill daily. 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. Take the next pill at your regular time. Keep this and all medications out of the reach of children. 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). This risk increases with age and the number of cigarettes you smoke. 312.45. 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. 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. There are 21 active tablets and they each contains 0.15 mg levonorgestrel and 30 mcg ethinyl estradiol. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. You MUST 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. The hormones in birth control pills can affect the body in various ways. 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. Discontinue Portia prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir (see CONTRAINDICATIONS). In cases of serious depression, your provider might have you stop taking it. Your periods may be lighter and shorter than usual. Take the 2 missed pills as soon as possible and the next 2 pills the next day. 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. The following chart shows the chance of getting pregnant for women who use different methods of birth control. In females with hereditary angioedema, exogenous estrogens may induce or exacerbate symptoms of angioedema. 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. Your healthcare provider should tell you when to start taking your birth control pill. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Forgetting to take your pill raises the chance of getting pregnant. Portia is dispensed in a blister card containing 28 tablets (see HOW SUPPLIED). This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Get medical help right away if you experience abnormal vaginal bleeding, discharge, or pain during sex, since these could be signs of cervical cancer. 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. Ethinyl Estradiol, USP C20H24O2 M.W. 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.Along with its needed effects, a medicine may cause some unwanted effects. Teva Pharmaceuticals USA, Inc. North Wales, PA 19454, Portia 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:More commonAbdominal cramping or bloatingacne (usually less common after first 3 months and may improve if acne already exists)breast pain, tenderness, or swellingdizzinessnauseaswelling of ankles and feetunusual tiredness or weaknessvomitingLess commonBrown, blotchy spots on exposed skingain or loss of body or facial hairincreased or decreased interest in sexual intercourseincreased sensitivity of skin to sunlightweight gain or lossOther side effects not listed may also occur in some patients. A prolactinoma is a benign (noncancerous) tumor that forms in your pituitary gland and causes excess production of prolactin. Do not use Portia for a condition for which it was not prescribed. In two clinical trials of Portia, one including 8186 reported treatment cycles, and the other including 1102 reported treatment cycles, amenorrhea occurred in 1.5% of treatment cycles in each trial. In some people, the pills cause an increase in breast size. Home; Blog; Uncategorized; portia birth control breast growth; portia birth control breast growth. This is comforting to hear. Females with a history of pregnancy-related cholestasis may be at an increased risk for COC-related cholestasis. The chances of serious side effects are extremely unlikely, but some cases have been documented such as blood clotting, shortness of breath, migraines, vision problems, slurred speech, confusion, and fainting. To report SUSPECTED ADVERSE EVENTS, contact Teva at 1-888-838-2872 or FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch for voluntary reporting of adverse reactions. Look at your pill pack. . These problems are linked more with earlier formulations of COCs that contained higher levels of estrogen (50 mcg of higher), and less so with Portia since it only contains 30 mcg of estrogen. 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. There are 7 placebo tablets and they don't contain any active medications. However, the components of these medications aren't found in over-the-counter breast enhancement supplements. Portia is contraindicated in females with acute viral hepatitis or severe (decompensated) cirrhosis of liver (see CONTRAINDICATIONS). You may stop taking the pill whenever you wish. Is Portia safe to take while breastfeeding? 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. Keep a calendar to track your period: If this is the first time, levonorgestrel and ethinyl estradiol tablet, film coated. In these cases, your doctor may want to change the dose, or other precautions may be necessary. It is important to take it at the same time every day and in the order as directed on your pill pack. For even more savings, use a GoodRx coupon and pay just a fraction of the retail price. For this reason, COCs, including Portia, are contraindicated in women who are over 35 years of age and smoke [see CONTRAINDICATIONS and WARNINGS (1)]. Repeat dosage cycles begin on the eighth day after taking the last hormonally active tablet. 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)]. In addition to the symptoms of hyperprolactinemia, you may experience the following symptoms if you have a prolactinoma: Headaches. Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult [see WARNINGS (7)]. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). This should get better over time, but if it doesn't contact your provider. Positive side effects are also a possibility, too reduced acne, fewer mood swings, and other perks are fairly common. Portia is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). Consider the presence of underlying risk factors that may increase the risk of cardiovascular disease or VTE, particularly before initiating a COC for women over 35 years, such as: During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal (ULN), including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications such as COCs. by in chad spencer ashley furniture java convert month name to number in chad spencer ashley furniture java convert month name to number Advice in Case of Gastrointestinal Disturbances. Breakthrough bleeding and spotting are common side effects of hormonal birth control pills. levonorgestrel / ethinyl estradiol (Amethyst), levonorgestrel / ethinyl estradiol (Jolessa), levonorgestrel / ethinyl estradiol (Vienva), levonorgestrel / ethinyl estradiol (Camrese), continuous and extended-cycle birth control pills, compared to some other birth control methods, raise your risk for breast and cervical cancer, linked more with earlier formulations of COCs, Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir), Suppressing ovulation (release of an egg from the ovary), Changing cervical mucus to block sperm movement, Creating an unfriendly environment for the fertilized egg by changing the lining in the uterus (womb). 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). However, this change is usually temporary, and it may reverse . Minor ones include breast tenderness, headaches, nausea, swollen feet or ankles, and slightly elevated blood pressure or blood sugar levels. Mirena is a hormonal intrauterine device (IUD) that can provide long-term birth control (contraception). To help with early breast cancer detection, you can do monthly breast self-checks at home and yearly breast exams with your healthcare provider. Other medications can raise the amount of Portia in your body, which can lead to more side effects. If you have vomiting or diarrhea for more than 1 day, your birth control pills may not work as well. Compare a few possible alternatives below. ever COC are females with current or past COC use; never COC use are females that never used COCs. The most effective methods are at the top of the chart. You may feel sick to your stomach (nauseous), especially during the first few months of taking Portia. This usually is not a serious problem. The following side effects may be caused by blood clots. Risk factors for VTEs include smoking, obesity, and family history of VTE, in addition to other factors that contraindicate use of COCs (see CONTRAINDICATIONS). 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). Portia (levonorgestrel and ethinyl estradiol tablets USP) is contraindicated in females who are known to have the following conditions: COCs increase the risk of cardiovascular events and cerebrovascular events, such as myocardial infarction and stroke. But for some women who have special health problems, oral contraceptives can cause some unwanted effects. Additional comment actions. Concomitant use of COCs with lamotrigine may significantly decrease systemic exposure of lamotrigine due to induction of lamotrigine glucuronidation. Dosage. Get emergency help immediately if any of the following side effects occur:RareAbdominal or stomach pain (sudden, severe, or continuing)coughing up bloodheadache (severe or sudden)loss of coordination (sudden)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)slurring of speech (sudden)weakness, numbness, or pain in arm or leg (unexplained)Check with your doctor as soon as possible if any of the following side effects occur:More commonusually less common after the first 3 months of oral contraceptive useChanges 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 sometimesLess commonHeadaches or migraines (although headaches may lessen in many users, in others, they may increase in number or become worse)increased blood pressurevaginal infection with vaginal itching or irritation, or thick, white, or curd-like dischargeFor women with diabetes mellitusMild increase of blood sugarFaintness, nausea, pale skin, or sweatingRareMental depressionswelling, pain, or tenderness in upper abdominal areaFor women who smoke tobaccoPains in stomach, side, or abdomenyellow eyes or skinFor women with a history of breast diseaseLumps in breastSome side effects may occur that usually do not need medical attention. 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. 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. 40 aluminum lake, hypromellose, polyethylene glycol, polysorbate 80, and titanium dioxide. RR = relative risk; OR = odds ratio; HR = hazard ratio. In case of prolonged vomiting or diarrhea, absorption may not be complete and additional contraceptive measures should be taken. They might have you stop taking it 4 weeks before until 2 weeks after your surgery to lower your risk of blood clots. If you choose to pay out-of-pocket, Portia is pretty affordable because its a generic brand. 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. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. These clots can occur anywhere in your body, including your lungs (pulmonary embolism or PE), legs (deep vein thrombosis or DVT), brain (stroke), and heart (heart attack). 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.