1. Birth Control Slideshow Pictures

What happens if I miss a dose (Beyaz, Safyral)?

Missing a pill increases your risk of becoming pregnant.

If you miss one active pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.

If you miss two active pills in a row in week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back up birth control for at least 7 days.

If you miss two active pills in a row in week 3, or if you miss three pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new one the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new one that day.

If you miss two or more pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.

If you miss one of the reminder pills in week four, skip that dose and take the next one as directed.

What happens if I overdose (Beyaz, Safyral)?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include nausea, vomiting, or vaginal bleeding.

What should I avoid while taking drospirenone, ethinyl estradiol, and levomefolate (Beyaz, Safyral)?

Do not smoke while using this medication, especially if you are older than 35. Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills.

Drospirenone, ethinyl estradiol, and levomefolate will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.

What other drugs will affect drospirenone, ethinyl estradiol, and levomefolate (Beyaz, Safyral)?

Some drugs can make birth control pills less effective, which may result in pregnancy. Other drugs may be affected by drospirenone, ethinyl estradiol, and levomefolate. Tell your doctor about all other medicines you use, especially:

• bosentan (Tracleer);
• folic acid or potassium supplements;
• heparin;
• St. John's wort;
• antibiotics such as griseofulvin (Fulvicin) or rifampin (Rifadin, Rifater, Rifamate);
• heart or blood pressure medication, including diuretics (water pills);
• HIV or AIDS medications;
• antifungal medicines;
• NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), celecoxib (Celebrex), and others;
• phenobarbital (Solfoton) and other barbiturates; or
• seizure medication such as carbamazepine (Carbatrol, Tegretol), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenytoin (Dilantin), and others.

This list is not complete and there are many other drugs that can interact with drospirenone, ethinyl estradiol, and levomefolate. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

Where can I get more information?

Your pharmacist can provide more information about drospirenone, ethinyl estradiol, and levomefolate.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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