Description
Zamine (drospirenone and ethinyl estradiol) is a combination hormone medication used as a contraceptive or birth control method. It works by preventing ovulation, altering the cervical mucus, and changing the lining of the uterus, which makes it difficult for sperm to reach the egg for fertilization.Contraception/Birth Control
Fact Table |
Formula |
C18H24O4 |
License |
US FDA, EU EMA |
Bioavailability |
high |
Legal status |
Rx-Only |
Chemical Name |
Drospirenone/estetrol |
Elimination half-life |
24–27 h |
Dosage (Strength) |
21 days, 28 days |
Pregnancy |
- |
Brands |
Zamine |
Protein binding |
- |
PubChem CID |
27125 |
MedlinePlus |
- |
ChEBI |
142773 |
ATC code |
G03AA18 |
DrugBank |
DB01395 |
KEGG |
D12047 |
Routes of administration |
By mouth |
Directions
21-day regimen: Take one pill at the same time every day for 21 days and then discontinue the medication for 7 days. Withdrawal bleeding typically starts within 2-3 days of stopping. The next course starts on the 8th day after discontinuation, and continues on the same weekday as the initial course began.
28-day regimen: Take an active tablet daily for 21 days, followed by a hormone-free white tablet for 7 days. Withdrawal bleeding typically happens within 2-3 days after the last yellow tablet. The next course begins immediately after the last one ends and continues on the same weekday as the first course began.
Ingredients
Each active pill of Zamine contains 3 mg of Drospirenone and 0.03 mg of ethinyl estradiol.
Contraindications
Do not use Zamine if you are allergic to Drospirenone, ethinyl estradiol, or any other ingredient in Zamine. You should also avoid Zamine if you have a history of any of the following:
- Blood clots or health conditions that increase the risk of blood clots
- Stroke or other cerebrovascular problems
- Heart attack
- Heart disease
- Severely high blood pressure
- Abnormal cholesterol levels
- Smoking
- Age over 35 years old
- Diabetes that affects the blood vessels
- Liver or kidney disease
- Pancreatitis
- Migraine with focal aura
- Breast or endometrial cancer
- Known or suspected pregnancy
Cautions
- Before you start using Zamine birth control, inform your doctor about any of the following:
- Any allergies you have.
- Any medications you take, including prescription, over-the-counter medications, and herbal supplements.
- Any health conditions you have, such as diabetes, migraines, or depression.
- If you are pregnant or plan to become pregnant.
- If you are nursing or plan to nurse your baby.
- Zamine may affect blood sugar levels. Monitor your blood sugar regularly if you have diabetes.
- Zamine may increase the risk of blood clots. Specific concerns include the potential for clotting disorders like vein inflammation, lung clots, stroke, heart-related clots, intestinal clots, and eye clots.
- Exercise caution if you are at risk for conditions that may lead to blood clotting, such as being immobilized after injuries or during prolonged illness. Use other non-hormonal birth control methods until you are back to your regular routine.
- Zamine may lead to visual impairments, either partial or total. If you experience any eye problems, such as swelling of the optic nerve or vascular issues within the eye, consult your healthcare provider immediately.
- If you suffer from severe headaches with no known cause or experience a worsening of existing migraines, inform your healthcare provider.
- If there's an increase in epileptic seizures, consult your healthcare provider.
- Zamine may increase your blood pressure. Check your blood pressure regularly and inform your healthcare provider of any high readings.
Side Effects
Zamine side effects may include nausea, vomiting, bloating, headache, breast tenderness, swelling of ankles/feet, weight changes, and changes in menstrual periods. Call your doctor right away if you experience any side effects that worsen or won’t go away, such as lumps in the breast, sudden heavy bleeding, severe abdominal pain, persistent nausea/vomiting, dark urine, or yellowing eyes/skin. Seek immediate medical help if you suspect an allergic reaction, experience symptoms of a blood clot, or notice any other severe reactions.
References:
Zamine Product Monograph. Toronto, ON: Apotex, Inc.; 2015.
About Dr. Gerardo Sison (Page Author)
Dr. Sison graduated with honors from the University of Florida. He began his career in pharmacy counseling patients in a community setting and later served in hospitals and clinics. He has also worked in medication therapy management services. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 13912