Helping Patients Remember to Take Their Pills
It’s important for your patients to take LYBREL® at the same time every day to achieve maximum contraceptive effectiveness. Here are some tips for patients to help them make LYBREL part of their everyday routine:
Patients on LYBREL should:
- Keep their ClickCase™ in their purse, in their medicine cabinet, next to their vitamins, or on their nightstand — someplace where they will continually be reminded to take their pill daily.
- Take LYBREL each day along with another daily activity, such as drinking their morning coffee, eating their breakfast, or brushing their teeth. This will help them get in the habit of taking LYBREL at the same time every day and reduce the chance of forgetting to take it.
- Keep the ClickCase™ in their carry-on bags, not their checked luggage, when traveling by air. That way, if they are accidentally separated from their checked luggage for an extended amount of time, they’ll still have their pills.
- Discuss their daily routine with you and seek advice about when to take LYBREL based on their unique schedule.
- Plan ahead for refilling their LYBREL prescription so they don’t miss a pill.
- Keep taking LYBREL even if they are experiencing breakthrough bleeding.1 Even during this breakthrough bleeding, the pill is working to provide them with effective birth control.
Important Safety Information
- Oral contraceptives (OCs) do not protect against HIV infection or other sexually transmitted diseases.
- When prescribing LYBREL, the convenience of having no scheduled menstrual bleeding should be weighed against the inconvenience of unscheduled breakthrough bleeding and spotting.
- OCs are contraindicated in women who have blood clots; breast, uterine, or liver cancers; a history of heart attack, stroke, or breast cancer; as well as those who are or may be pregnant.
The risks of serious cardiovascular side effects are substantially increased in women who smoke and use OCs, especially
in women over age 35. Women who use oral contraceptives should be strongly advised not to smoke.
- Serious risks associated with OCs include blood clots, heart attack, and stroke.
- LYBREL provides women with more hormonal exposure on a yearly basis (13 additional weeks of hormone intake per year) than conventional cyclic oral contraceptives containing the same strength of synthetic estrogens and similar strength of progestins.
- Scheduled withdrawal bleeding does not occur with the use of LYBREL, therefore, the absence of withdrawal bleeding cannot be used as a sign of an unexpected pregnancy and as such, unexpected pregnancy may be difficult to recognize. Although pregnancy is unlikely if LYBREL is taken as directed, if for any reason, pregnancy is suspected in a woman using LYBREL, a pregnancy test should be performed.
- The most commonly reported treatment emergent adverse events reported with LYBREL in a clinical trial were headache, dysmenorrhea, upper respiratory infection, vaginal bleeding (defined as metrorrhagia and vaginal hemorrhage), and nausea.
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