FDA prescribing information, side effects and uses. Oral Contraceptive. Yaz. The effectiveness of Yaz for PMDD when used for more than three menstrual cycles has not been evaluated. A vasectomy is a form of permanent male contraception that involves surgically cutting or blocking the vas deferens, the tubes that carry sperm from the testicles to. How long has it been since you felt truly great? Let me tell you how you can feel better in just two weeks by simply paying more attention to what you eat. If the condition were described to them, however, they would. The essential features of PMDD according to the Diagnostic and Statistical Manual- 4th edition (DSM- IV) include markedly depressed mood, anxiety or tension, affective lability, and persistent anger or irritability. Other features include decreased interest in usual activities, difficulty concentrating, lack of energy, change in appetite or sleep, and feeling out of control. Physical symptoms associated with PMDD include breast tenderness, headache, joint and muscle pain, bloating and weight gain. In this disorder, these symptoms occur regularly during the luteal phase and remit within a few days following onset of menses; the disturbance markedly interferes with work or school, or with usual social activities and relationships with others. Diagnosis is made by healthcare providers according to DSM- IV criteria, with symptomatology assessed prospectively over at least two menstrual cycles. In making the diagnosis, care should be taken to rule out other cyclical mood disorders. Yaz has not been evaluated for the treatment of premenstrual syndrome (PMS). Acne. Yaz is indicated for the treatment of moderate acne vulgaris in women at least 1. Yaz should be used for the treatment of acne only if the patient desires an oral contraceptive for birth control. Yaz Dosage and Administration. How to Take Yaz. Take one tablet by mouth at the same time every day. The failure rate may increase when pills are missed or taken incorrectly. To achieve maximum contraceptive and PMDD effectiveness, Yaz must be taken exactly as directed, in the order directed on the blister pack. Single missed pills should be taken as soon as remembered. How to Start Yaz. Instruct the patient to begin taking Yaz either on the first day of her menstrual period (Day 1 Start) or on the first Sunday after the onset of her menstrual period (Sunday Start). Day 1 Start. During the first cycle of Yaz use, instruct the patient to take one light pink Yaz daily, beginning on Day 1 of her menstrual cycle. Yaz should be taken in the order directed on the package at the same time each day, preferably after the evening meal or at bedtime with some liquid, as needed. Yaz can be taken without regard to meals. If Yaz is first taken later than the first day of the menstrual cycle, Yaz should not be considered effective as a contraceptive until after the first 7 consecutive days of product administration. Instruct the patient to use a non- hormonal contraceptive as back- up during the first 7 days. The possibility of ovulation and conception prior to initiation of medication should be considered. Sunday Start. During the first cycle of Yaz use, instruct the patient to take one light pink Yaz daily, beginning on the first Sunday after the onset of her menstrual period. She should take one light pink Yaz daily for 2.
Days 2. 5 through 2. Yaz should be taken in the order directed on the package at the same time each day, preferably after the evening meal or at bedtime with some liquid, as needed. Yaz can be taken without regard to meals. Yaz should not be considered effective as a contraceptive until after the first 7 consecutive days of product administration. Instruct the patient to use a non- hormonal contraceptive as back- up during the first 7 days. The possibility of ovulation and conception prior to initiation of medication should be considered. The patient should begin her next and all subsequent 2. Yaz on the same day of the week that she began her first regimen, following the same schedule. She should begin taking her light pink tablets on the next day after ingestion of the last white tablet, regardless of whether or not a menstrual period has occurred or is still in progress. Anytime a subsequent cycle of Yaz is started later than the day following administration of the last white tablet, the patient should use another method of contraception until she has taken a light pink Yaz daily for seven consecutive days. When switching from a different birth control pill. When switching from another birth control pill, Yaz should be started on the same day that a new pack of the previous oral contraceptive would have been started. When switching from a method other than a birth control pill When switching from a transdermal patch or vaginal ring, Yaz should be started when the next application would have been due. When switching from an injection, Yaz should be started when the next dose would have been due. When switching from an intrauterine contraceptive or an implant, Yaz should be started on the day of removal. Withdrawal bleeding usually occurs within 3 days following the last light pink tablet. If spotting or breakthrough bleeding occurs while taking Yaz, instruct the patient to continue taking Yaz by the regimen described above. Counsel her that this type of bleeding is usually transient and without significance; however, advise her that if the bleeding is persistent or prolonged, she should consult her healthcare provider. Although the occurrence of pregnancy is low if Yaz is taken according to directions, if withdrawal bleeding does not occur, consider the possibility of pregnancy. If the patient has not adhered to the prescribed dosing schedule (missed one or more active tablets or started taking them on a day later than she should have), consider the possibility of pregnancy at the time of the first missed period and take appropriate diagnostic measures. If the patient has adhered to the prescribed regimen and misses two consecutive periods, rule out pregnancy. Discontinue Yaz if pregnancy is confirmed. The risk of pregnancy increases with each active light pink tablet missed. For additional patient instructions regarding missed pills, see the . If breakthrough bleeding occurs following missed tablets, it will usually be transient and of no consequence. If the patient misses one or more white tablets, she should still be protected against pregnancy provided she begins taking a new cycle of light pink tablets on the proper day. For postpartum women who do not breastfeed or after a second trimester abortion, start Yaz no earlier than 4 weeks postpartum due to the increased risk of thromboembolism. If the patient starts on Yaz postpartum and has not yet had a period, evaluate for possible pregnancy, and instruct her to use an additional method of contraception until she has taken Yaz for 7 consecutive days. Advice in Case of Gastrointestinal Disturbances. In case of severe vomiting or diarrhea, absorption may not be complete and additional contraceptive measures should be taken. If vomiting occurs within 3–4 hours after tablet- taking, this can be regarded as a missed tablet. Dosage Forms and Strengths. Yaz (drospirenone/ethinyl estradiol tablets) is available in blister packs. Each blister pack (2. Examples include women who are known to. Epidemiologic studies that compared the risk of VTE reported that the risk ranged from no increase to a three- fold increase. Before initiating use of Yaz in a new COC user or a woman who is switching from a contraceptive that does not contain DRSP, consider the risks and benefits of a DRSP- containing COC in light of her risk of a VTE. Known risk factors for VTE include smoking, obesity, and family history of VTE, in addition to other factors that contraindicate use of COCs . Those that were required or sponsored by regulatory agencies are summarized in Table 1. Table 1: Estimates (Hazard Ratios) of Venous Thromboembolism Risk in Current Users of Yasmin Compared to Users of Oral Contraceptives that Contain Other Progestins. Epidemiologic Study(Author, Year of Publication)Population Studied. Comparator Product(all are low- dose COCs; with . Overall, there are two prospective cohort studies (see Table 1): the US post- approval safety study Ingenix . An extension of the EURAS study, the Long- Term Active Surveillance Study (LASS), did not enroll additional subjects, but continued to assess VTE risk. There are three retrospective cohort studies: one study in the US funded by the FDA (see Table 1), and two from Denmark . There are two case- control studies: the Dutch MEGA study analysis . There are two nested case- control studies that evaluated the risk of non- fatal idiopathic VTE: the Phar. Metrics study . The results of all of these studies are presented in Figure 1. Figure 1: VTE Risk with Yasmin Relative to LNG- Containing COCs (adjusted risk#)Risk ratios displayed on logarithmic scale; risk ratio < 1 indicates a lower risk of VTE for DRSP, > 1 indicates an increased risk of VTE for DRSP.*Comparator “Other COCs”, including LNG- containing COCs. The risk of VTE in women using COCs has been estimated to be 3 to 9 per 1. The risk of VTE is highest during the first year of use. Data from a large, prospective cohort safety study of various COCs suggest that this increased risk, as compared to that in non- COC users, is greatest during the first 6 months of COC use. Data from this safety study indicate that the greatest risk of VTE is present after initially starting a COC or restarting (following a 4 week or greater pill- free interval) the same or a different COC. The risk of thromboembolic disease due to oral contraceptives gradually disappears after COC use is discontinued. Figure 2 shows the risk of developing a VTE for women who are not pregnant and do not use oral contraceptives, for women who use oral contraceptives, for pregnant women, and for women in the postpartum period. To put the risk of developing a VTE into perspective: If 1. VTE. Figure 2: Likelihood of Developing a VTEIf feasible, stop Yaz at least 4 weeks before and through 2 weeks after major surgery or other surgeries known to have an elevated risk of thromboembolism. Start Yaz no earlier than 4 weeks after delivery, in women who are not breastfeeding. New Research Confirms ADHD Caused By Food. A study published last month in the British medical journal The Lancet indicated that in at least 2/3 of all ADHD cases, food sensitivities were the cause. Pause for a moment and think of what this means. ADHD simply don’t need them! This number is monumental. No longer were they easily distracted or forgetful, and the temper tantrums subsided. Some teachers said they never thought it would work, Pelsser says. It was a miracle, a teacher said.”To me, the only thing surprising about this study is that it was done. I’m not surprised that a link between ADHD and food can be so clearly demonstrated. It is, after all, the premise behind the book Gut and Psychology Syndrome by Dr. Natasha Campbell Mc. Bride. Dr. Mc. Bride contends that the link between our digestion and neurological and psychological disorders is absolute. The theory is straightforward. When the balance of “good” bacteria and yeast to “bad” bacteria and yeast in our digestive tract goes out of whack, a condition called “gut dysbiosis” occurs. The “bad” microorganisms produce toxins which weaken your immune system, tax your organs, and throw multiple body systems out of balance. The toxins can also increase the permeability of the gut lining, leading to IBS and a host of other digestive disorders. But perhaps the most noticeable effect of these toxins is the taxing of the neurological system. Indeed, the human digestive tract contains over one million nerve cells, about the same number found in the spinal cord. There are actually more nerve cells in the overall digestive system than in the peripheral nervous system. Furthermore, major neurotransmitters found in the brain — including serotonin, dopamine, glutamate, norepinephrine and nitric oxide — occur plentifully in the gut as well. Enkephalins — described as the body’s natural opiates — also occur in the intestinal tract, as do benzodiazepines, psychoactive chemicals similar to mood- controlling drugs like Valium and Xanax.(source)In other words, poor digestive health can lead to mood disorders and other neurological disorders like ADHD and autism. Perhaps you’re aware of your own food sensitivities. Artificial colorings or preservatives. You eat these foods and feel like death walking. So, you avoid them. But is avoiding them enough to actually heal the gut? In short? NO. Avoiding foods you’re sensitive to can keep you from feeling bad, but it doesn’t actually repair the dysbiosis or heal the gut lining. That’s where a new class from Ann Marie at Cheeseslave comes in. By following the diet protocol set up by Dr. Mc. Bride (the GAPS Diet), you can actually heal your food allergy! Watch this brief promotional video in which Ann Marie shares how she did it. She went from being a 2. If you suffer from a food sensitivity, check out Ann Marie’s newest e- course: Reversing Food Allergies. In this class, you’ll learn everything you need to know to get started on the GAPS Diet. With 5. 0 video tutorials, an exclusive online forum, and more than 2. GAPS- friendly recipes, you’re sure to jump start your healing. Hurry, enrollment ends March 3. Click here to learn more. USE THIS COUPON TO SAVE ON ENROLLMENTFrom now until March 2. HEAL to save $2. 0 on enrollment, bringing the price down to $1. And, if you’ve ever taken my Real Food Nutrition & Health E- Course, you can email me for an exclusive coupon code for $5. Click here to learn more about how to reverse food allergies!(photo by whatshername).
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