In addition, some progesterones could raise LDL levels ("bad" cholesterol). Follow these instructions for either a Sunday Start or a Day 1 Start. For more information, ask your healthcare provider or pharmacist. Use of COCs may also worsen existing gallbladder disease. Call your doctor for medical advice about side effects. Tell your healthcare provider about all the medicines you take, changes in the sugar and fat (cholesterol and triglycerides) levels in your blood, new or worsening headaches, including migraine headaches. In a few women, the use of birth control pills may speed up the growth of an existing but undiagnosed breast cancer. 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. Portia uses a combination of two hormones, estrogen, and progestin, to make your body think its pregnant so a real pregnancy wont happen. The worst symptom I've had is EXTREME breast tenderness/enlargement. IUDs are unlikely to increase breast size because they either contain no hormones or just progestin. PORTIA 21. Instructions for using your Portia Pill Dispenser: You will use a Sunday Start if your healthcare provider told you to take your first pill on a Sunday. Package insert / product label Do not use Portia if you smoke cigarettes and are over 35 years old. The structural formulas for the active components are: Levonorgestrel, USP C21H28O2 M.W. If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects. Consider alternative contraception for females with uncontrolled dyslipidemia. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. There are a number of medications that your doctor can prescribe in place of Portia. The risk is greater among older women (> 35 years of age), smokers, and females with hypertension, dyslipidemia, diabetes, or obesity. If you notice your blood pressure is higher while you're taking this medication, contact your provider. Portia may decrease glucose tolerance. Active ingredients: Each pink pill contains levonorgestrel and ethinyl estradiol. Oral contraceptives may cause some degree of fluid retention. Receive price alerts, news, and other messages from GoodRx about Portia and other healthcare topics and relevant savings offers. To put the risk of developing a VTE into perspective: If 10,000 females who are not pregnant and do not use oral contraceptives are followed for one year, between 1 and 5 of these females will develop a VTE. urinary tract infection enlarged breasts abnormally long or heavy periods increased sensitivity of the skin to the sun yellow-brown patches on skin weight gain weight loss vomiting stomach cramps. It is not uncommon to miss a period. 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. If you use 5 pads/tampons a day, it goes down to 3. For the Day 1 Start, you'd begin taking Portia during the first 24 hours of your period. Portia differs from some other birth control pills that also contain levonorgestrel and ethinyl estradiol in the amount of hormones it contains and how often it causes you to have a period. We comply with the HONcode standard for trustworthy health information. Portia is contraindicated in females who currently have or have had breast cancer because breast cancer may be hormonally sensitive [see CONTRAINDICATIONS (4)]. The use of COCs may influence the results of certain laboratory tests, such as coagulation factors, lipids, glucose tolerance, and binding proteins. Portia may decrease the amount of breast milk you make. Decreased exposure of the estrogen component of COCs may potentially reduce contraceptive efficacy or result in an increase in breakthrough bleeding, depending on the strength of ethinyl estradiol in the COC. Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. Diarrhea and/or vomiting may reduce hormone absorption (see DOSAGE AND ADMINISTRATION). If you are usually a 7 day person, it goes down to like 5 days. Please take the medication as instructed by your provider. Safety and efficacy of Portia have been established in females of reproductive potential. Levonorgestrel, USP is chemically 18,19-Dinorpregn-4-en-20-yn-3-one, 13-ethyl-17-hydroxy-,(17)-(-)-. In females with hereditary angioedema, exogenous estrogens may induce or exacerbate symptoms of angioedema. Stop Portia if there is unexplained loss of vision, proptosis, diplopia, papilledema, or retinal vascular lesions and evaluate for retinal vein thrombosis immediately. Use of Portia before menarche is not indicated. If you choose to pay out-of-pocket, Portia is pretty affordable because its a generic brand. These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. What are side effects of Portia? . What makes Portia different from some other birth control pills that also contain levonorgestrel and ethinyl estradiol? Before starting Portia, discuss your full medical history with your provider. The dosage of drugs that can be affected by this interaction may need to be increased. Can cause unpleasant side effects like nausea, vomiting, and, Before starting Portia, discuss your full medical history with your provider. It is important to continue taking your pills on a regular schedule to prevent a pregnancy. For more information, call 1-888-838-2872. What should I do if I miss any Portia pills? The effect of COCs on blood pressure may vary according to the progestin in the COC. If you have vomiting or diarrhea or take certain medications, Portia might not work as well for you. Your pill pack consists of 1 card that holds 28 individually sealed pills. Some side effects may occur that usually do not need medical attention. Altavera, Kurvelo, Levora, Marlissa, Online prescription (skip the Dr. office visit and pharmacy lines), Portia is a combined oral contraceptive pill with 0.15mg of levonorgestrel and 30 mcg of ethinyl estradiol. 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. 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. The information contained in the Truven Health Micromedex products as delivered by GoodRx is intended as an educational aid only. Studies have shown an increased risk of developing hepatocellular carcinoma in long-term (> 8 years) COC users. Is Portia safe to take while breastfeeding? It is not intended as medical advice for individual conditions or treatment. There is little information available about the clinical effect of most drug interactions that may affect COCs. This is more common during the first 3 months of using Portia. Additional nonhormonal contraception (such as condoms or spermicide) should be used as back-up if the patient has sex within 7 days after missing tablets. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. Both of these studies found an increased risk of breast cancer with current use of longer duration, with relative risks ranging from 1.03 with less than one year of COC use to approximately 1.4 with more than 8 to 10 years of COC use. 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. Portia is contraindicated in women over 35 years of age who smoke (see CONTRAINDICATIONS). If your nausea does not go away, call your healthcare provider. Oral contraceptives (birth-control pills) are used to prevent pregnancy. Store Portia at room temperature between 68F to 77F (20C to 25C). You MUST use a non-hormonal birth control method (such as a condom or spermicide) as a back-up if you have sex during the first 7 days after you restart your pills. Natural family planning relies on you figuring out the days you're most likely to. Portia can be restarted approximately 2 weeks following completion of treatment with the combination drug regimen. Abortion is a reproductive right and a form of reproductive healthcare. 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 have trouble remembering to take Portia, talk to your healthcare provider. Do not start until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. The estrogen component of Portia may raise the serum concentrations of thyroxine-binding globulin, sex hormone-binding globulin, and cortisol-binding globulin. Truven Health and GoodRx make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. The hormones in Portia work by preventing ovulation and thickening cervical mucus, which makes it more difficult for sperm to enter the cervix. Concomitant use of COCs with lamotrigine may significantly decrease systemic exposure of lamotrigine due to induction of lamotrigine glucuronidation. Side effects of Portia include: nausea, vomiting, gastrointestinal symptoms (such as abdominal pain, cramps and bloating), Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. While this medication works well to prevent pregnancy, it isn't the best option for females with certain medical conditions. Please note that only the generic name of each medication is listed below. If you choose the Sunday Start method, you'd begin taking Portia on the Sunday after your period starts (even if you're still bleeding). A small amount of the hormones in Portia may pass into your breast milk. 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. nicholson and snyder microeconomic theory pdf; portia birth control breast growth. Watch our video explaininggenerics vs. brand birth control pills. In these cases, your doctor may want to change the dose, or other precautions may be necessary. However, if you miss a period and have not taken Portia according to directions, or feel like you may be pregnant, call your healthcare provider. The failure rate may increase when pills are missed or taken incorrectly. It is important to take it at the same time every day and in the order as directed on your pill pack. Along with its needed effects, a medicine may cause some unwanted effects. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. What should I tell my healthcare provider before taking Portia? What are the possible serious side effects of Portia? Dosage form: tablets 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). There are other causes besides your birth control pills for irregular bleeding that your provider will evaluate. Start using Portia on the day you would have started the next ring. General information about the safe and effective use of Portia. Portia is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). committee of the whole roberts rules. If scheduled bleeding does not occur, consider the possibility of pregnancy. When possible, advise the nursing female to use other methods of contraception until she discontinues breast-feeding. The risk for cardiovascular disease and prevalence of risk factors for cardiovascular disease increase with age. Carefully observe females with a history of depression and discontinue Portia if depression recurs to a serious degree. Filter by condition Portia rating summary 4.0/10 average rating 186 ratings from 194 user reviews. 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). Continue taking one tablet a day until the pack is finished. Check with your doctor as soon as possible if any of the following side effects occur: usually less common after the first 3 months of oral contraceptive use, Changes in the uterine bleeding pattern at menses or between menses, such as decreased bleeding at menses, breakthrough bleeding or spotting between periods, prolonged bleeding at menses, complete stopping of menstrual bleeding that occurs over several months in a row, or stopping of menstrual bleeding that only occurs sometimes, Headaches or migraines (although headaches may lessen in many users, in others, they may increase in number or become worse), vaginal infection with vaginal itching or irritation, or thick, white, or curd-like discharge, Mild increase of blood sugarFaintness, nausea, pale skin, or sweating, swelling, pain, or tenderness in upper abdominal area, For women with a history of breast disease. Stop Portia if an arterial or venous thrombotic/thromboembolic event occurs. Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4 percent and 15 to 20 percent, respectively. 4.2 Effects of Combined Oral Contraceptives on Other Drugs. To achieve maximum contraceptive effectiveness, patients must take Portia as directed, in the order directed on the blister pack. Mirena is a hormonal intrauterine device (IUD) that can provide long-term birth control (contraception). Forgetting to take your pill raises the chance of getting pregnant. We specialize in women's health to provide affordable, convenient, and confidential access to telehealth and pharmacy services. This should get better over time, but if it doesn't contact your provider.