If you smoke cigarettes, using combined oral contraceptives (COCs), like Portia, raises your risk for serious health problems, such as strokes, heart attacks, and blood clots. The attributable risk of liver cancers in COC users is less than one case per million users. A prolactinoma is a benign (noncancerous) tumor that forms in your pituitary gland and causes excess production of prolactin. Portia (levonorgestrel and ethinyl estradiol tablets USP) is indicated for use by females of reproductive potential to prevent pregnancy. Portia has an average rating of 4.0 out of 10 from a total of 186 ratings for the treatment of Birth Control. Use of COCs increases the risk of venous thromboembolic events (VTEs), such as deep vein thrombosis and pulmonary embolism. 4.1 Effects of Other Drugs on Combined Oral Contraceptives. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Start using Portia on the day you would have started the next ring. The other two studies found an increased relative risk of 1.19 to 1.33 with current or recent use. Portia is a combined hormonal birth control pill that's taken by mouth every day. Is Portia safe to take while breastfeeding? If you miss 1 pill in Weeks 1, 2, or 3, follow these steps: If you miss 2 pills in Week 1 or Week 2 of your pack, follow these steps: If you miss 2 pills in a row in Week 3, or you miss 3 or more pills in a row during Weeks 1, 2, or 3 of the pack, follow these steps: If you have any questions or are unsure about the information in this leaflet, call your healthcare provider. The risk of thromboembolic disease due to COCs gradually disappears after COC use is discontinued. Some women worry about weight gain when taking Portia and other birth control pills. For this reason, COCs, including Portia, are contraindicated in women who are over 35 years of age and smoke [see. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). Counsel patients to take one tablet daily by mouth at the same time every day. What should I do if I miss any Portia pills? There are a number of medications that your doctor can prescribe in place of Portia. Each pink active tablet contains the following inactive ingredients: anhydrous lactose, hypromellose, magnesium stearate, and microcrystalline cellulose. Simply take one pill every day, at the same time each day. 40 aluminum lake, hypromellose, polyethylene glycol, polysorbate 80, and titanium dioxide. If you choose to pay out-of-pocket, Portia is pretty affordable because its a generic brand. Start your consultation to buy Portia Buy Portia from a trusted U.S. Pharmacy. With any medication, there are risks and benefits. No problem. Rupture of hepatic adenomas may cause death from abdominal hemorrhage. However, the components of these medications aren't found in over-the-counter breast enhancement supplements. Females age 35 years and older who smoke are at even higher risk for these problems. You may get pregnant if you do not take one pill daily. You'll need to stop Portia before starting Viekira Pak because taking them together can cause liver problems. Cigarette smoking increases the risk of serious cardiovascular events from COC use. What are the possible serious side effects of Portia? There is controversy about the extent to which these findings are due to differences in sexual behavior and other factors. Substances Decreasing the Plasma Concentrations of COCs and Potentially Diminishing the Efficacy of COCs: Table 1 includes substances that demonstrated an important drug interaction with Portia. If any of these conditions happen while you are taking Portia, stop taking Portia right away and talk to your healthcare provider. Last updated on Nov 1, 2022. tsu student accounting login types of functions class 11 portia birth control breast growth. If you're having trouble remembering to take your pill, talk to your provider. Any time you vomit within 3 to 4 hours after taking Portia, it's considered a missed dose and you should refer to the instructions for missed doses that came with your prescription or ask your pharmacist or provider. Forgetting to take your pill raises the chance of getting pregnant. If you use the Sunday Start, use non-hormonal back-up contraception such as condoms or spermicide for the first 7 days that you take Portia. Instruct patients about the handling of missed doses (e.g., to take single missed pills as soon as possible) and to follow the dosing instructions provided in the FDA-approved patient labeling. 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. Periods get lighter. 5 Random Sexual Health Facts We Bet You Didnt Know. It's normal to have spotting (light bleeding outside of your period) or feel sick to your stomach for the first few packs of Portia. Contains 6 blister cards, each containing 28 tablets. The rate of VTE in females using COCs has been estimated to be 3 to 9 cases per 10,000 woman-years. Prices for Portia start at just $13.42 with a GoodRx coupon. We're here to make women's lives easier by providing a one-stop shop for recurring medications. In general: Portia (and its branded generics) comes in a 28-day pack. Breasts start developing in the female body during puberty, usually between the ages of eight and 13. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. 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. For most women, more problems occur because of pregnancy than will occur from taking oral contraceptives. No drug-drug interaction studies were conducted with Portia. The following chart shows the chance of getting pregnant for women who use different methods of birth control. Continue taking one tablet a day until the pack is finished. Medically reviewed by Drugs.com. Take the 2 missed pills as soon as possible and the next 2 pills the next day. Unless there is a specific reason you need the brand, the generic medication will be a better value. Consider a visit with your healthcare provider for a pre-pregnancy checkup before you stop taking the pill. Please note that only the generic name of each medication is listed below. The problem will usually go away. The information contained in the Truven Health Micromedex products as delivered by GoodRx is intended as an educational aid only. If you have vomiting or diarrhea or take certain medications, Portia might not work as well for you. Concomitant use of COCs with metabolic enzyme inducers may decrease the plasma concentrations of the estrogen and/or progestin component of COCs. While it might give you the munchies, its mostly water retention(and not actual fat) thats to blame. A prolactinoma is the most common cause of hyperprolactinemia. Current diagnosis of, or history of, breast cancer, which may be hormone-sensitive. However, based on the known pharmacokinetic effects of these drugs, clinical strategies to minimize any potential adverse effect on contraceptive effectiveness or safety are suggested. while breastfeeding because they can lower the amount of breast milk you produce as well as the quality of your breast milk. 4.2 Effects of Combined Oral Contraceptives on Other Drugs. Their provider should evaluate them to make sure they get a safe option. What do the different colored tablets mean in my Portia pack? Know the medicines you take. You could become pregnant if you have sex during the first 7 days after you restart your pills. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. Home; Blog; Uncategorized; portia birth control breast growth; portia birth control breast growth. Contact your healthcare provider if this does not go away after a few months. Roses are sold out, shelves are lined with boxes of chocolates and now all the plush teddy.. Some studies suggest that COCs are associated with an increase in the risk of cervical cancer or intraepithelial neoplasia. Read More. If you have diabetes, let your provider know if you experience any changes in your blood sugar. Use of COCs may also worsen existing gallbladder disease. irregular or unusual vaginal bleeding and spotting between your menstrual periods, especially during the first 3 months of taking Portia. However, some studies report a small increase in the risk of breast cancer among current or recent users (<6 months since last use) and current users with longer duration of COC use (see ADVERSE REACTIONS, Postmarketing Experience). Levonorgestrel 0.15mg, ethinyl estradiol 30mcg (21 tabs); inert (7 tabs). 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. If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects. The use of the Truven Health products is at your sole risk. Store Portia at room temperature between 68F to 77F (20C to 25C). The effect of COCs on blood pressure may vary according to the progestin in the COC. 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. A small amount of the hormones in Portia may pass into your breast milk. Sunday start: Continue taking one tablet a day until Sunday, then throw out the rest of the pack and start a new pack that same day. Portia raises your risk of blood clots. If this worries you, talk to your doctor or pharmacist about other options. If you've been taking Portia as instructed and miss your period or feel like you might be pregnant, check in with your provider so they can confirm whether or not you're pregnant and provide prenatal care if needed. The better you follow the directions, the less chance you have of getting pregnant. To achieve maximum contraceptive effectiveness, patients must take Portia as directed, in the order directed on the blister pack. 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. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). Portia can be restarted approximately 2 weeks following completion of treatment with the combination drug regimen. Pandia Health brings convenient expert telemedicine care and medication delivery to you from the comfort of your home or wherever you may be. 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. If you're not currently taking another hormonal birth control, the two most common ways to start taking Portia are the Day 1 Start and the Sunday Start methods. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. 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. Store at 20 to 25C (68 to 77 F) (See USP Controlled Room Temperature). There is little information available about the clinical effect of most drug interactions that may affect COCs. 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. ", We accept almost all insurances*, including but not limited to. But I definitely didn't go up 2/3 sizes from birth control alone. The risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in women over 35 years of age. Although these effects are very rare, they can be serious enough to cause death. Take it as soon as you remember. Examples include women who are known to: Have current or history of deep vein thrombosis or pulmonary embolism [see, Have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for example, subacute bacterial endocarditis with valvular disease, or atrial fibrillation) [see, Have inherited or acquired hypercoagulopathies [see, Have uncontrolled hypertension or hypertension with vascular disease [see, Have diabetes mellitus and are over age 35, diabetes mellitus with hypertension or vascular disease or other end-organ damage, or diabetes mellitus of >20 years duration [see, Have headaches with focal neurological symptoms, migraine headaches with aura, or over age 35 with any migraine headaches [see. You can either start on a Sunday (Sunday Start) or on the first day (Day 1) of your natural menstrual period (Day 1 Start). Consult the approved product labeling of all concurrently used drugs to obtain further information about interactions with COCs or the potential for metabolic enzyme or transporter system alterations. Healthy women who do not smoke cigarettes have almost no chance of having a severe side effect from taking oral contraceptives. My boobs feel like someone used them as a punching bag everyday for 7 weeks. It is important to take it at the same time every day and in the order as directed on your pill pack. If you use 5 pads/tampons a day, it goes down to 3. Thyroid Hormone Replacement Therapy or Corticosteroid Replacement Therapy. But the birth control definitely made them bigger. Missing pills can also cause spotting or light bleeding, even when you take the missed pills later. An increase in blood pressure has been reported in females using COCs, and this increase is more likely in older women with extended duration of use. To prevent pregnancy, Mirena: Thickens mucus in the cervix to stop sperm from reaching or fertilizing an egg This is different from multiphasic birth controls, such as Camrese, that contain different amounts of hormones depending on which day you're on in your pack. Inactive ingredients: PORTIA 21. These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. Concomitant use with ethinyl estradiol-containing COCs may increase systemic exposure of other drugs (e.g., cyclosporine, prednisolone, theophylline, tizanidine, and voriconazole). For most women, more problems occur because of pregnancy than will occur from taking oral contraceptives. Your chance of getting pregnant is higher if you don't take the medication as directed (e.g., missed or late doses). Start taking Portia on the day of removal of your IUD or IUS. This product is used to prevent pregnancy.Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, and decrease your risk. 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. Both hormones work together to prevent pregnancy by: Suppressing ovulation (release of an egg from the ovary) Changing cervical mucus to block sperm movement Portia, Levora, Kurvelo, Altavera, Marlissa, Estrogen / Progestin combined contraceptive. If you miss pills (including starting the pack late). Women should contact their healthcare provider if depression occurs, including shortly after initiating the treatment [see, Serious cardiovascular adverse events [see, Bleeding irregularities and amenorrhea [see, Diminution in lactation when given immediately postpartum [see, Take first tablet without regard to meals on the first day of menses, Take subsequent tablets once daily at the same time each day, Begin each subsequent pack on the same day of the week as the first cycle pack (i.e., on the day after taking the last tablet), Take first tablet without regard to meals on the first Sunday after the onset of menstrual period, Use additional nonhormonal contraception for the first seven days of product use, On the day when the new pack of the previous COC would have been started, On the day when next application would have been scheduled, On the day when next insertion would have been scheduled, On the day when next injection would have been scheduled. What is the most important information I should know about Portia? Keep this and all medications out of the reach of children. One of these studies reported no association between breast cancer risk and COC use. Concomitant use of COCs with lamotrigine may significantly decrease systemic exposure of lamotrigine due to induction of lamotrigine glucuronidation. Use non-hormonal contraception when you stop taking Portia. Minor ones include breast tenderness, headaches, nausea, swollen feet or ankles, and slightly elevated blood pressure or blood sugar levels. Use an additional birth control method, like condoms or spermicide, until you check with your healthcare provider. You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medicine. are pregnant or think you may be pregnant, are depressed now or have been depressed in the past, had yellowing of your skin or eyes (jaundice) caused by pregnancy (cholestasis of pregnancy). If you have a positive pregnancy test, you should stop taking Portia. We also accept almost all forms of major private insurance at Pandia Health. Buy Portia birth control pills to avoid pregnancy. In addition, some progesterones could raise LDL levels ("bad" cholesterol). Equivalent generic brands: are breastfeeding or plan to breastfeed. But, if you experience a new migraine, a migraine that's worse than normal, or a new headache that keeps coming back or is severe, call your provider so you can be checked out. Drug class: Contraceptives. Carefully observe females with a history of depression and discontinue Portia if depression recurs to a serious degree. Instruct patients what to do in the event pills are missed (see, Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with COCs [see, Counsel patients who are breastfeeding or who desire to breastfeed that COCs may reduce breast milk production. Figure 1 shows the risk of developing a VTE for females who are not pregnant and do not use oral contraceptives, for females who use oral contraceptives, for pregnant females, and for females in the postpartum period. For this reason, COCs, including Portia, are contraindicated in women who are over 35 years of age and smoke [see CONTRAINDICATIONS and WARNINGS (1)]. 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). But for some women who have special health problems, oral contraceptives can cause some unwanted effects. Headaches are a common side effect of COCs like Portia. Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult [see WARNINGS (7)]. You may report side effects to the FDA at 1-800-FDA-1088. In one trial, 33 subjects out of 1084 (3.0%) discontinued due to bleeding irregularities (i.e., breakthrough bleeding and spotting); in the other trial, 6 subjects out of 238 (2.5%) discontinued due to bleeding irregularities. Facebook. 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. Irregular vaginal bleeding or spotting may happen while you are taking Portia, especially during the first few months of use. Instead, Pandia Health Medical groups doctors recommendprogestin-only pill (POPs),IUDwith hormone (Mirena, Liletta, Kyleena, Skyla),implant(nexplanon), thebirth control shot(depo-provera), orcondomsand spermicide. Many women find that taking Portia before bedtime or just after their largest meal of the day helps reduce nausea and other side effects. They should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention. Fully authorized pharmacy. Some other examples of serious blood clots include blood clots in the legs or eyes. Portia may interact with certain medications or supplements. We comply with the HONcode standard for trustworthy health information. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. Each box on the chart contains a list of birth control methods that are similar in effectiveness. Advise females with a history of chloasma to avoid exposure to the sun or ultraviolet radiation while using Portia. throw---acct . Theyre fast, easy-to-use and free! Three studies compared breast cancer risk between current or recent COC users (<6 months since last use) and never users of COCs (Figure 2). Portia may decrease glucose tolerance. You can also save money by choosing one of several other Portia generics, such as Chateal, Marlissa, Altavera, Levora, Lillow, Kurvelo or Ayuna. If you are usually a 7 day person, it goes down to like 5 days. Contact your eye provider if you wear contact lenses and notice vision changes when wearing them or when wearing your glasses while taking Portia. There may be slight increases in the risk of breast cancer among current users of hormonal birth control pills with longer duration of use of 8 years or more. Diarrhea and/or vomiting may reduce hormone absorption (see DOSAGE AND ADMINISTRATION). What are side effects of Portia? Concomitant use of COCs with thyroid hormone replacement therapy or corticosteroid replacement therapy may increase systemic exposure of thyroid-binding and cortisol-binding globulin (see Warnings, EFFECT ON BINDING GLOBULINS).