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Yasmin

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Yasmin, Drosperinone, Yaz, Yasminelle, Ocella, Zarah

  • See Also
  1. Oral Contraceptive
  2. Progestin
  • Indications
  1. Contraception
  • Contraindications
  1. Renal Insufficiency
  2. Hepatic insufficiency
  3. Adrenal Insufficiency
  • Mechanism
  • Drosperinone
  1. Newer synthetic Progestin
  2. Antiandrogenic activity similar to Progesterone
  3. Lowest Androgenic Activity
    1. Marginal benefit over other low androgen OCPs
  4. Antimineralcorticoid effect (Related to Spironolactone)
    1. Only OCP Progestin with antimineralcorticoid activity
    2. Drospirenone 3 mg is equivalent to 25 mg Spironolactone
  • Efficacy
  1. Similar to other Oral Contraceptives
  • Formulations
  1. Yaz (3/20 with 24 days and 4 Placebo days)
  2. Yasminelle (3/20 with 21 days and 7 Placebo days)
  3. Yasmin, Ocella or Zarah (3/30)
  • Drug Interactions
  • Potassium retention effects
  1. Potassium sparing Diuretics (e.g. Spironolactone)
  2. ACE Inhibitors
  3. Angiotensin Receptor Blockers
  4. Aldosterone Antagonists
  5. Heparin
  6. Nonsteroidal Anti-inflammatory drugs
  1. Indicated if concurrent use of drugs listed above
  • Adverse Effects
  1. See Oral Contraceptive
  2. Potassium retention (see above)
  3. May be associated with higher Thromboembolism risk
  • Advantages
  1. May be associated with less weight gain than other OCP
  2. As effective as other OCPs in Acne Vulgaris
  3. May be useful in Polycystic Ovary Disease
    1. Spironolactone used for associated Hirsutism
  • References
  1. (2002) Med Lett Drugs Ther 44(1133):55-7 [PubMed]