Portia 28 0.15 mg-0.03 mg tablet 0115 Medication name Warning Uses How to use Side effects Precautions Drug interactions Overdose Notes Missed dose Storage Important note Information last revised January 2023. 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 . Both hormones work together to prevent pregnancy by: Your medication might look different and have slightly different directions depending on which branded generic your provider prescribes. 4.3 Concomitant Use with Hepatitis C Virus (HCV) Combination Therapy Liver Enzyme Elevation. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. 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. 1) Portia is a monophasic birth control pill, meaning that all active tablets contain the same level of estrogen and levonorgestrel. Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive (COC) use. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. 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). 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. 0. Pricing based on most commonly-filled versions: 3 packages (28 tablets) of portia 0.15mg/0.03mg. Studies have shown an increased risk of developing hepatocellular carcinoma in long-term (> 8 years) COC users. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. GoodRx works to make its website accessible to all, including those with disabilities. Ascorbic acid and acetaminophen may increase systemic exposure of ethinyl estradiol, possibly by inhibition of conjugation. The attributable risk of liver cancers in COC users is less than one case per million users. The worst symptom I've had is EXTREME breast tenderness/enlargement. It's not recommended to use combined hormonal birth control pills, like Portia. COCs like Portia might raise your blood sugar and triglyceride (fat) levels. Based on results from a few studies, there is some evidence that this is true for non-oral products as well. If feasible, stop Portia at least four weeks before and through two weeks after major surgery, or other surgeries known to have an elevated risk of thromboembolism. Call your healthcare provider if you notice any abnormal changes or feel lumps, pain, or swelling in your breasts. This may increase levels of the liver enzyme alanine aminotransferase (ALT) in the blood. Oral contraceptives may cause some degree of fluid retention. Your pill pack consists of 1 card that holds 28 individually sealed pills. 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. 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. Your pack begins with 21 active pills (meaning they contain hormones in them) followed by 7 inactive pills (they don't contain hormones). You'll likely need to use a back-up method or other form of birth control for several weeks after stopping any of these medications. Females age 35 years and older who smoke are at even higher risk for these problems. For the Day 1 Start, you'd begin taking Portia during the first 24 hours of your period. After taking 21 days of active pills, youll switch to 7 inactive pills with no hormones. 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. The estrogen component of Portia may raise the serum concentrations of thyroxine-binding globulin, sex hormone-binding globulin, and cortisol-binding globulin. The risk of VTE is highest during the first year of use of a COC and when restarting hormonal contraception after a break of four weeks or longer. committee of the whole roberts rules. What should I tell my healthcare provider before taking Portia? Each box on the chart contains a list of birth control methods that are similar in effectiveness. 40 aluminum lake, hypromellose, polyethylene glycol, polysorbate 80, and titanium dioxide. Birth control pills that contain both estrogen and progesterone are most likely to affect your breasts. If you smoke, talk with your provider about safer birth control alternatives. nicholson and snyder microeconomic theory pdf; portia birth control breast growth. Diarrhea and/or vomiting may reduce hormone absorption (see DOSAGE AND ADMINISTRATION). Rupture of hepatic adenomas may cause death from abdominal hemorrhage. Use of COCs may also worsen existing gallbladder disease. You may stop taking the pill whenever you wish. You do not need to use a back-up birth control method if you have sex. Stop Portia if an arterial or venous thrombotic/thromboembolic event occurs. Some of these unwanted effects include benign (not cancerous) liver tumors, liver cancer, or blood clots or related problems, such as a stroke. "I have been on Portia now for 7 weeks after previously being on depo provera for 3-4 years. 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. If you choose to pay out-of-pocket, Portia is pretty affordable because its a generic brand. Active ingredients: Each pink pill contains levonorgestrel and ethinyl estradiol. Start Portia no earlier than four weeks after delivery in females who are not breast-feeding. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. If you miss a dose, refer to the instructions that came with your blister pack or call your provider for further instructions. Animal studies to evaluate embryo/fetal toxicity were not conducted. Concomitant use of COCs with metabolic enzyme inducers may decrease the plasma concentrations of the estrogen and/or progestin component of COCs. If you're breastfeeding, discuss alternative birth control options with your healthcare provider. Irregular vaginal bleeding or spotting may happen while you are taking Portia, especially during the first few months of use. Starting Portia in females with no current use of hormonal contraception, Switching from another contraceptive method, Starting Portia after Abortion or Miscarriage. It is important to continue taking your pills on a regular schedule to prevent a pregnancy. You could become pregnant if you have sex during the first 7 days after you restart your pills. Start your new Portia pack on the same day that you would start the next pack of your previous birth control method. Drug class: Contraceptives. Levonorgestrel 0.15mg, ethinyl estradiol 30mcg (21 tabs); inert (7 tabs). Risk factors for VTEs include smoking, obesity, and family history of VTE, in addition to other factors that contraindicate use of COCs (see CONTRAINDICATIONS). There are 21 active tablets and they each contains 0.15 mg levonorgestrel and 30 mcg ethinyl estradiol. If you experience nausea, breast tenderness or headaches when taking standard birth control pills, Portia may be a good option to try as it contains only a low dose of estrogen. This should get better over time, but if it doesn't contact your provider. You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medicine. PORTIA 21. In cases of serious depression, your provider might have you stop taking it. Women who are being treated for hyperlipidemias should be followed closely if they elect to use oral contraceptives. There is controversy about the extent to which these findings are due to differences in sexual behavior and other factors. Portia is contraindicated in females who have headaches with focal neurological symptoms or have migraine headaches with aura, and in women over age 35 years who have migraine headaches with or without aura (see CONTRAINDICATIONS). What are the possible serious side effects of Portia? 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 missing your pills. Start taking Portia on the day of removal of your implant, or on the day when you would have had your next injection. by ; June 7, 2022 ; covelli center fireworks 2021; 0 . There is little information available about the clinical effect of most drug interactions that may affect COCs. If your IUD or IUS is removed on any other day, use non-hormonal back-up contraception such as condoms or spermicide for the first, If your period starts on a Sunday, take pill ", Use non-hormonal back-up contraception such as condoms or spermicide for the first. Some women may miss a period. If you have diabetes, let your provider know if you experience any changes in your blood sugar. Even if the medication is working, you may experience some unwanted side effects. 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. Data on the association of COCs with onset of depression or exacerbation of existing depression are limited. Portia may be started using either a Day 1 start or a Sunday start (see Table 3). Use non-hormonal contraception when you stop taking Portia. 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). 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. 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.