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. 4.3 Concomitant Use with Hepatitis C Virus (HCV) Combination Therapy Liver Enzyme Elevation. Too much sebum can lead to clogged pores, which create breeding grounds for acne. Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive (COC) use. 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. 40 aluminum lake, hypromellose, polyethylene glycol, polysorbate 80, and titanium dioxide. portia birth control breast growth; Posted on June 29, 2022; By . The 28 pills consist of 21 pink pills (3 rows of 7 pills) and 7 white pills (1 row of 7 pills). Study results are mixed, but there's a possibility that Portia and other COCs can raise your risk for breast and cervical cancer. 296.40. Acute liver test abnormalities may necessitate the discontinuation of COC use until the liver tests return to normal and COC causation has been excluded. are breastfeeding or plan to breastfeed. These clots can occur anywhere in your body, including your lungs (pulmonary embolism or PE), legs (deep vein thrombosis or DVT), brain (stroke), and heart (heart attack). You can also save money by choosing one of several other Portia generics, such as Chateal, Marlissa, Altavera, Levora, Lillow, Kurvelo or Ayuna. Do not start until 4 weeks after delivery, due to the increased risk of thromboembolic disease. These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. Portia is contraindicated in females who have headaches with focal neurological symptoms or have migraine headaches with aura, and in women over age 35 years who have migraine headaches with or without aura (see CONTRAINDICATIONS). What should I tell my healthcare provider before taking Portia? 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. Taking birth control pills, which usually contain the sex hormones estrogen and progestin (progesterone), can indeed lead to the development of "feminine" body traits, including breast growth . Portia may interact with certain medications or supplements. Your pill pack consists of 1 card that holds 28 individually sealed pills. Breasts start developing in the female body during puberty, usually between the ages of eight and 13.This happens due to hormonal changes, especially estrogen and growth hormone. If vomiting occurs within 3 to 4 hours after taking Portia, the patient should proceed as if she missed a tablet. Take one pill every day, no more than 24 hours apart. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Keep this and all medications out of the reach of children. This happens due to hormonal changes, especially estrogen and growth hormone. Talk to your healthcare provider about the best birth control method for you while breastfeeding. 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. . Other medications can raise the amount of Portia in your body, which can lead to more side effects. Portia may decrease the amount of breast milk you make. This usually is not a serious problem. Serious blood clots can happen especially if you smoke, are obese, or are older than 35 years of age. What are the possible serious side effects of Portia? This means you may take 2 pills in 1 day. Oral contraceptives may cause some degree of fluid retention. "I have been on Portia now for 7 weeks after previously being on depo provera for 3-4 years. The active pills are a different color than the inactive pills at the end of your pack, and each brand might have different colored pills. The risk of thromboembolic disease due to COCs gradually disappears after COC use is discontinued. An estimate of the attributable risk is 3.3 cases/100,000 COC users. You may feel sick to your stomach (nauseous), especially during the first few months of taking Portia. Aprepitant, barbiturates, bosentan, carbamazepine, efavirenz, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, rifabutin, rufinamide, topiramate, products containing St. Johns worta, and certain protease inhibitors (see separate section on protease inhibitors below). IUDs are unlikely to increase breast size because they either contain no hormones or just progestin. The better you follow the directions, the less chance you have of getting pregnant. Females with a history of pregnancy-related cholestasis may be at an increased risk for COC-related cholestasis. What do the different colored tablets mean in my Portia pack? Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult [see WARNINGS (7)]. The other two studies found an increased relative risk of 1.19 to 1.33 with current or recent use. take any Hepatitis C drug combination containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. If you have questions about which pill in your pack contains hormones, refer to the label that comes with your pack or ask your pharmacist or provider. Portia is a birth control pill (oral contraceptive) used by women to prevent pregnancy. 312.45. For more information, call 1-888-838-2872. Portia is dispensed in a blister card containing 28 tablets (see HOW SUPPLIED). To reduce the risk of serious side effects, do not smoke cigarettes while you are taking oral contraceptives. possible cancer in your breast and cervix. Do not start until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. Three studies compared breast cancer risk between current or recent COC users (<6 months since last use) and never users of COCs (Figure 2). You could become pregnant if you have sex during the first 7 days after you restart your pills. In contrast, significant increases in systemic exposure of the estrogen and/or progestin have been noted when COCs are co-administered with certain other HIV protease inhibitors (e.g., indinavir and atazanavir/ritonavir) and with other non-nucleoside reverse transcriptase inhibitors (e.g., etravirine). Portia (levonorgestrel and ethinyl estradiol tablets USP) is a combination oral contraceptive (COC) consisting of 21 pink active tablets, each containing 0.15 mg of levonorgestrel, USP, a synthetic progestin and 30 mcg of ethinyl estradiol, USP, an estrogen, and 7 white inert tablets (without hormones). While it might give you the munchies, its mostly water retention(and not actual fat) thats to blame. Studies do not show an association between ever (current or past) use of COCs and risk of breast cancer. In females with hereditary angioedema, exogenous estrogens may induce or exacerbate symptoms of angioedema. You can ask your pharmacist or healthcare provider for information about Portia that is written for health professionals. 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. But I definitely didn't go up 2/3 sizes from birth control alone. Breast enlargement might be a side effect of certain prescription drugs such as hormone therapy (estrogen), birth control pills and certain antidepressants known as selective serotonin reuptake inhibitors. While you can stop this medication at anytime, you might want to consider seeing your provider for a pre-pregnancy checkup before stopping your birth control. There are a number of medications that your doctor can prescribe in place of Portia. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. After discontinuation of a COC, amenorrhea or oligomenorrhea may occur, especially if these conditions were pre-existent. Consider discontinuation of Portia if there is an increased frequency or severity of migraines during COC use (which may be prodromal of a cerebrovascular event). 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.Along with its needed effects, a medicine may cause some unwanted effects. Counsel patients to take one tablet daily by mouth at the same time every day. Birth . August 13, 2019. 4.1 Effects of Other Drugs on Combined Oral Contraceptives. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. In addition to these changes, some women experience more . WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS. In two clinical trials of Portia (1084 subjects reporting for a total of 8186 treatment cycles and 238 subjects reporting for a total of 1102 treatment cycles), breakthrough bleeding occurred in 6.9% and 8.1% of reported cycles, and spotting occurred in 8.6% and 7.9% of reported cycles over the total study duration, respectively. Call your doctor for medical advice about side effects. 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. Decide what time of day you want to take your pill. Fully authorized pharmacy. PORTIA 21. 1 aluminum lake, FD&C red no. Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More commonAbdominal cramping or bloatingacne (usually less common after first 3 months and may improve if acne already exists)breast pain, tenderness, or swellingdizzinessnauseaswelling of ankles and feetunusual tiredness or weaknessvomitingLess commonBrown, blotchy spots on exposed skingain or loss of body or facial hairincreased or decreased interest in sexual intercourseincreased sensitivity of skin to sunlightweight gain or lossOther side effects not listed may also occur in some patients. If the patient has adhered to the prescribed dosing schedule and misses two consecutive periods, rule out pregnancy. Epidemiology studies have not found a consistent association between use of combined oral contraceptives (COCs) and breast cancer risk. Last updated on Nov 1, 2022. There is controversy about the extent to which these findings are due to differences in sexual behavior and other factors. The dose of replacement thyroid hormone or cortisol therapy may need to be increased. restart the same or different birth control pills after not using them for a month or more, a sudden, severe headache unlike your usual headaches. Then continue taking 1 pill every day until you finish the pack. Inactive ingredients: There are 21 active tablets and they each contains 0.15 mg levonorgestrel and 30 mcg ethinyl estradiol. The following adverse reactions have been reported in users of oral contraceptives, and the association has been neither confirmed nor refuted: Congenital anomalies; Premenstrual syndrome; Cataracts; Optic neuritis, which may lead to partial or complete loss of vision; Cystitis-like syndrome; Nervousness; Dizziness; Hirsutism; Loss of scalp hair; Erythema multiforme; Erythema nodosum; Hemorrhagic eruption; Impaired renal function; Hemolytic uremic syndrome; Budd-Chiari syndrome; Acne; Changes in libido; Colitis; Sickle-cell disease; Cerebral-vascular disease with mitral valve prolapse; Lupus-like syndromes; Pancreatitis; Dysmenorrhea. For this reason, COCs, including Portia, are contraindicated in women who are over 35 years of age and smoke [see. Portia is available as a generic medication and may be significantly cheaper compared to the brand version. 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. These side effects may go away during treatment as your body adjusts to the medicine. If the patient has not adhered to the prescribed dosing schedule (missed one or two 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 perform appropriate diagnostic measures. 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. On the days you take 2 pills to make up for missed pills (see. There have been no reports of serious adverse outcomes from overdose of COCs, including ingestion by children. Portia has an average rating of 4.0 out of 10 from a total of 186 ratings for the treatment of Birth Control. If you have vomiting or diarrhea for more than 1 day, your birth control pills may not work as well. Start taking Portia on the day of removal of your IUD or IUS. Pink pills: anhydrous lactose, FD&C blue no. Set an alarm to help you remember to take Portia at the same time every day. a Induction potency of St. Johns wort may vary widely based on preparation. Consider the presence of underlying risk factors that may increase the risk of cardiovascular disease or VTE, particularly before initiating a COC for women over 35 years, such as: During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal (ULN), including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications such as COCs. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Studies suggest an increased risk of developing gallbladder disease among COC users. Take the tablet as soon as possible. You'll likely need to use a back-up method or other form of birth control for several weeks after stopping any of these medications. Get emergency help immediately if any of the following side effects occur:RareAbdominal or stomach pain (sudden, severe, or continuing)coughing up bloodheadache (severe or sudden)loss of coordination (sudden)loss of vision or change in vision (sudden)pains in chest, groin, or leg (especially in calf of leg)shortness of breath (sudden or unexplained)slurring of speech (sudden)weakness, numbness, or pain in arm or leg (unexplained)Check with your doctor as soon as possible if any of the following side effects occur:More commonusually less common after the first 3 months of oral contraceptive useChanges 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 sometimesLess commonHeadaches or migraines (although headaches may lessen in many users, in others, they may increase in number or become worse)increased blood pressurevaginal infection with vaginal itching or irritation, or thick, white, or curd-like dischargeFor women with diabetes mellitusMild increase of blood sugarFaintness, nausea, pale skin, or sweatingRareMental depressionswelling, pain, or tenderness in upper abdominal areaFor women who smoke tobaccoPains in stomach, side, or abdomenyellow eyes or skinFor women with a history of breast diseaseLumps in breastSome side effects may occur that usually do not need medical attention. Dosage form: tablets Keep a calendar to track your period: If this is the first time, levonorgestrel and ethinyl estradiol tablet, film coated. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Irregular vaginal bleeding or spotting may happen while you are taking Portia, especially during the first few months of use. These may sound scary, but remember theyre very rare. Portia may be started using either a Day 1 start or a Sunday start (see Table 3). Though rare, Portia can cause liver problems, such as liver damage and liver tumors. You may report side effects to the FDA at 1-800-FDA-1088. throw---acct . 40 aluminum lake hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, and titanium dioxide. The dosage of drugs that can be affected by this interaction may need to be increased. In . You'll need to stop Portia before starting Viekira Pak because taking them together can cause liver problems. 5 Random Sexual Health Facts We Bet You Didnt Know. Be sure you have ready at all times another kind of birth control (such as condoms or spermicide), to use as a back-up in case you miss pills. If bleeding persists or occurs after previously regular cycles, evaluate for causes such as pregnancy or malignancy. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. If you want to stop taking Portia and become pregnant, speak to your provider.