Neovletta. Information about

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1 Information about Neovletta etinylöstradiol/levonorgestrel This brochure contains information about Neovletta. It is important that you read this before starting your first course of the contraceptive pill.

2 CONTENTS The contraceptive pill a wise choice Neovletta Hormones that control your periods Page Neovletta Neovletta contains a low dose of ethinylestradiol and the synthetic progestin levonorgestrel. Neovletta consists of 21 beige hormone pills. Each pill contains 30µg ethinylestradiol and 150µg levonorgestrel. Neovletta 28 has 21 beige hormone pills and 7 white hormone-free pills in each pack. When you begin to use Neovletta 5 For those taking Neovletta with 21 pills 7 For those taking Neovletta with 28 pills 8 Questions and answer about oral contraceptive pills and Neovletta 16 The contraceptive pill a wise choice You have chosen the Pill as your method of contraception. The contraceptive pill, or the pill, is one of the safest ways of protecting yourself against unwanted pregnancy, as long as you use it correctly. To help you, we have compiled this information that deals with the most important information about Yaz, and how it affects your body. If you have any questions, please consult your midwife or doctor. Hormones that control your periods To understand how Neovletta will affect your body, it is useful for you to know a little about your body and the menstrual cycle. Egg cells begin to form in the ovaries of growing female foetuses. These egg cells ripen during puberty, and an egg is normally released each month after that. This egg can be fertilised by a sperm. The female sex hormones oestrogen and progesterone are also formed in the ovaries. These hormones cause the lining of the uterus to grow and prepare to receive a fertilised egg, but if no fertilisation takes place, a part of the lining comes away and menstrual bleeding occurs. Every month, a cycle takes place: the egg ripens, followed by ovulation, followed by menstruation. This is why it is called the menstrual cycle. Each woman is individual in her menstrual cycle and the length of the bleeding period varies from woman to woman.

3 How does Neovletta protect against unwanted pregnancy? Neovletta protects you in the following way: 1. Egg release does not occur. 2. The uterine membrane stays thin, so that a potentially fertilised egg cannot attach to it. 3. The mucous/secretion present at the cervix becomes thick and impenetrable to sperm. When you begin to use Neovletta If you have not taken oral contraceptive pills during the preceding month: Begin to take Neovletta on the first day of menstruation; that is to say on the first day of your menstrual bleeding. If the first day of your menstrual bleeding for example is a Friday, begin by taking the contraceptive pill that is marked Fr in the pack. Then continue to take the pills in the direction marked by the arrow. If you are changing from another oral contraceptive pill to Neovletta: Continue to take your current oral contraceptive pills until the pack is finished. If you previously have used a pack with 21 pills you should allow an interval of 7 days before beginning to take Neovletta. If you have used a pack with 28 pills, begin to take Neovletta directly after the last hormone-free pill. If you are changing from a mini-pill: You can stop taking the mini-pill any day and begin to take Neovletta. You should use an additional contraceptive method, for example a condom, during the first seven days. 5

4 After taking an emergency contraceptive pill: Begin taking Neovletta on the same day that you took the emergency contraceptive pill. You should use an additional contraceptive method, for example a condom, during the first seven days. Following pregnancy, miscarriage or abortion: You should follow the recommendations from your midwife/doctor. For those taking Neovletta with 21 pills Every pack contains 21 beige hormone pills. Take one pill every day until the pack is empty. Thereafter you should wait 7 days before beginning the next pack. During this 7-day-break you should, as a rule, experience bleeding similar to menstruation. Begin the next pack on the same day of the week as for the previous pack, whether your bleeding has stopped or not. If you started the first pack for example on a Friday, you should continue to begin each pack on a Friday. Three weeks of pill intake one week without Neovletta protects against pregnancy from day one if you take the pills in the correct way. You are also protected against pregnancy during the pill-free week. 6 7

5 For those taking Neovletta with 28 pills Every pack contains 21 beige hormone pills and seven white hormone-free pills. There is a companion label for every pack that is marked with the days of the week. Every label has seven lanes that show the days of the week. Select the lane that begins with the day of the week on which you will take the first pill. Attach the lane to the top of the pack. Take the first pill from the red starting field. Take one pill every day until the pack is empty. Start to use the next pack directly. While you are taking the white pills you should, as a rule, experience a bleeding similar to menstruation. Begin the next pack on the same day of the week as for the previous pack, whether your bleeding has stopped or not. If you started the first pack on a Friday, for example, you should continue in the future to begin each pack on a Friday. Neovletta 28 protects against pregnancy from day one if you take the pills in the correct way. You are also protected against pregnancy while taking the white hormone-free pills. Take the first pill from the red square 8

6 Questions and answers about oral contraceptive pills and Neovletta What if I want to delay my menstruation? Delaying bleeding with Neovletta 21 You can delay your bleeding period by continuing with a new Neovletta pack directly after the first pack is finished, without taking any break. You can continue for as many days as you want to, or take the entire pack. Begin the next pack after the normal 7-day break. Sometimes some minor bleeding can occur during the delay days. Delaying bleeding with Neovletta 28 You can delay your bleeding period by only taking the beige pills (not the white). Discard the pack afterwards and begin a new Neovletta pack directly. You can continue for as many days as you want to, or take the entire pack. You finish the pack as usual with the seven hormone-free pills. Sometimes minor bleeding can occur during the delay days

7 What happens if I have an upset stomach? If you vomit or have severe diarrhoea within 3 4 hours after taking one of the beige hormone pills, there is a risk that Neovletta will not protect against pregnancy. In this case you should take a new pill (replacement pill) from another pack as soon as possible. If more than 36 hours have elapsed between the last pill that could be kept (before diarrhea/vomit) and the replacement pill, the contraceptive protection may be reduced and you should follow the advise on page 17. Could I be pregnant if I do not have any bleeding during the hormone-free interval? If a menstrual-type bleeding does not occur during the time without pills (Neovletta 21) or during the time you are taking the hormone-free white pills (Neovletta 28) and, in addition, you know that you have forgotten to take a pill or have had an upset stomach, you should contact your midwife or doctor for a pregnancy test. If you are pregnant you should stop taking Neovletta. Can I take Neovletta together with other pharmaceuticals? Some medicines can reduce the effects of the oral contraceptive pill and increase the risk of becoming pregnant. Examples of such pharmaceuticals are antibiotics, epilepsy medicines and medicines for tuberculosis, as well as St. John s Wort. Inform your midwife or doctor if you are using other medicines. If you seek medical help in any other context you should always mention that you are using oral contraceptive pills. What do I do if I want to become pregnant? When you are planning a pregnancy you should finish the pack you have started. Does Neovletta have any side effects? All oral contraceptive pills can have side effects. In rare cases you may experience variations in the pattern of menstrual bleeding, breast tenseness or tenderness, discharges, slight nausea, mood swings and headache. The problems are usually slight and often disappear after a few months of use. If the problems do not disappear contact your midwife or doctor. All combined contraceptives slightly increase the risk of thrombosis. This risk is, however, very low, and is significantly lower than if you become pregnant. What do I do if my periods are irregular? During your first few months on the pill, you may sometimes experience slight spotting even during days when you are actually taking hormone pills. Usually this should stop after a while, but if the bleeding continues, contact your midwife or doctor. Always continue to take the pills regularly

8 What should I consider before I start to take Neovletta? Always talk to your midwife or doctor before you begin taking Neovletta if: You have had a thrombosis or know that you have a predisposition for thrombosis (i.e. if your parents or siblings have had thrombosis) You have any liver or kidney disease You have seriously elevated blood pressure You have diabetes with complications You have vaginal bleeding that has not been investigated You have migraines with visual disturbance/loss of vision You smoke and are over 35 years of age When should I contact my midwife or doctor? It is very unusual for the contraceptive pill to have any serious or long-term side effects. If you experience any of the symptoms below you should contact your midwife or doctor immediately: Sudden swelling or pain in your calves Recurrent migraine-like headache that you have not previously had Sudden visual disturbances or loss of sight Chest pain or difficulty breathing Extreme itching Dizziness If you have jaundice or suspect that you may be pregnant 14 15

9 What happens if I forget to take one or more pills? In order to be a safe method you have to take your pills regularly, for example every morning or evening. If you still happen to forget to take one or more pills, you should take the pill as soon as you can and then continue to take the pills at the normal time. A simple rule is to always give your extra protection by using a condom for seven days after a forgotten pill. Alternatively you can follow the schedule below. The schedule applies if you have forgotten to take a hormone pill (beige). If you have forgotten to take pills and your menstrual bleeding does not occur as expected, you may have become pregnant. Contact your midwife or doctor before you begin to take the next pack of pills. If less than 12 hours have elapsed since you should have taken your pill If more than 12 hours have elapsed since you should have taken your pill you may not be protected against pregnancy. If more than one pill in a pack has been forgotten If one pill has been forgotten during week 1 If one pill has been forgotten during week 2 Take the pill as soon as you remember it; you are still protected against pregnancy. Take the next pill at the normal time. Contact your midwife or doctor for advice. Take the forgotten pill as soon as you remember it, even if this means that you take two pills at the same time. Take the next pill at the normal time. Use extra protection (condom) for seven days. If you have had intercourse in the days leading up to the forgotten pill you may have become pregnant contact your midwife or a doctor. Take the forgotten pill as soon as you remember it, even if this means that you take two pills at the same time. If you have taken the pills correctly in the days before the forgotten one, you do not need to use other protection. If a pill has been forgotten during week 3, you can choose from the following alternatives: Take the forgotten pill as soon as you remember about it, even if this means that you take two pills at the same time. Following this the pills should be taken at the normal time until the active pills are finished. Do not have any break in taking the pills; after the pack is finished, start the next one directly. (If you have Neovletta 28, do not take the seven white pills.) You may experience a little bleeding while taking the next pack of pills. You can stop taking the pack in use immediately and begin to use a new pack after 7 days break, or after taking the seven white pills if you have Neovletta

10 IMPORTANT! Always mention that you take oral contraceptive pill whenever you go to see a doctor Keep your contraceptive pills out of the reach of children Contraceptive pills are prescribed for your own personal use. Do not give them to anyone else. Like other oral contraceptive pills, Neovletta provides no protection against HIV infection or other sexually transmitted diseases. Always make sure you use a condom when meeting a new partner

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