Subscribe Facebook Twitter Instagram
Submit an Article to Pharmacy HQ     
Please include the author's name, title, and citations.     

AYUNA- levonorgestrel and ethinyl estradiol kit


  1. Patient Information
  2. What Is The Most Important Information I Should Know About Ayuna?
  3. What Is Ayuna?
  4. Work For Contraception?
  5. Do Not Take Ayuna If You:
  6. Tell Your Healthcare Provider If You:
  7. Know The Medicines You Take. Keep A List Of Them To Show Your Healthcare Provider And Pharmacist When You Get A New Medicine.how Should I Take Ayuna?
  8. What Are The Possible Serious Side Effects Of Ayuna?
  9. Serious Blood Clots Can Happen Especially If You Smoke, Are Obese, Or Are Older Than 35 Years Of Age. Serious Blood Clots Are More Likely To Happen When You:
  10. Call Your Healthcare Provider Or Go To A Hospital Emergency Room Right Away If You Have:
  11. Liver Problems, Including:
  12. What Else Should I Know About Taking Ayuna?
  13. How Should I Store Ayuna?
  14. Do Birth Control Pills Cause Cancer?
  15. What Should I Know About My Period When Taking Ayuna?
  16. What Are The Ingredients In Ayuna?
  17. Before You Start Taking Ayuna:
  18. And You Have Not Used A Hormonal Birth Control Method Before:
  19. And You Are Switching From Another Birth Control Pill:
  20. And Previously Used A Vaginal Ring:
  21. And Previously Used A Transdermal Patch:
  22. And You Are Switching From A Progestin-only Method Such As An Implant Or Injection:
  23. And You Are Switching From An Intrauterine Device Or System (iud Or Ius):
  24. When Should I Start Taking Ayuna?
  25. Sunday Start:
  26. Day 1 Start:
  27. If You Miss 1 Pill In Weeks 1, 2, Or 3, Follow These Steps:
  28. If You Miss 2 Pills In Week 1 Or Week 2 Of Your Pack, Follow These Steps:
  29. If You Are A Day 1 Starter:
  30. If You Are A Sunday Starter:

Patient Information 

AyunaTM

(aye ue' nah)

(levonorgestrel and ethinyl estradiol tablets USP 0.15 mg/0.03 mg)

What Is The Most Important Information I Should Know About Ayuna? 


Do not use Ayuna if you smoke cigarettes and are over 35 years old.
Smoking increases your risk of serious cardiovascular side effects from hormonal birth control pills, including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.

What Is Ayuna? 


Ayuna is a birth control pill (oral contraceptive) used by women to prevent pregnancy.

How does Ayuna

Work For Contraception? 


Your chance of getting pregnant depends on how well you follow the directions for taking your birth control pills. The better you follow the directions, the less chance you have of getting pregnant.

Based on the results of clinical studies, about 1 to 5 out of 100 women may get pregnant during the first year they use Ayuna.

The following chart shows the chance of getting pregnant for women who use different methods of birth control. Each box on the chart contains a list of birth control methods that are similar in effectiveness. The most effective methods are at the top of the chart. The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant.

Do Not Take Ayuna If You: 

  • smoke and are over 35 years of age
  • had blood clots in your arms, legs, lungs, or eyes
  • had a problem with your blood that makes it clot more than normal
  • have certain heart valve problems or irregular heart beat
  • had a stroke
  • had a heart attack
  • have high blood pressure that cannot be controlled by medicine
  • have diabetes with kidney, eye, nerve, or blood vessel damage
  • have certain kinds of severe migraine headaches with aura, numbness, weakness or changes in vision, or any migraine headaches if you are over 35 years of age
  • had breast cancer or any cancer that is sensitive to female hormones
  • have liver problems, including liver tumors
  • have any unexplained vaginal bleeding
  • are pregnant
  • take any Hepatitis C drug combination containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. This may increase levels of the liver enzyme alanine aminotransferase (ALT) in the blood.

If any of these conditions happen while you are taking Ayuna, stop taking Ayuna right away and talk to your healthcare provider. Use non-hormonal contraception when you stop taking Ayuna.

Tell Your Healthcare Provider If You: 

  • 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)
  • are breastfeeding or plan to breastfeed. Ayuna may decrease the amount of breast milk you make. A small amount of the hormones in Ayuna may pass into your breast milk. Talk to your healthcare provider about the best birth control method for you while breastfeeding.

Tell your healthcare provider about all the medicines you take,including prescription and over-the-counter medicines, vitamins and herbal supplements.

Ayuna may affect the way other medicines work, and other medicines may affect how well Ayuna works.

Know The Medicines You Take. Keep A List Of Them To Show Your Healthcare Provider And Pharmacist When You Get A New Medicine.how Should I Take Ayuna? 


Read the Instructions for Use at the end of this Patient Information.

What Are The Possible Serious Side Effects Of Ayuna? 


  • Like pregnancy, Ayuna may cause serious side effects, including blood clots in your lungs, heart attack, or a stroke that may lead to death. Some other examples of serious blood clots include blood clots in the legs or eyes.

Serious Blood Clots Can Happen Especially If You Smoke, Are Obese, Or Are Older Than 35 Years Of Age. Serious Blood Clots Are More Likely To Happen When You: 


  • first start taking birth control pills
  • restart the same or different birth control pills after not using them for a month or more

Call Your Healthcare Provider Or Go To A Hospital Emergency Room Right Away If You Have: 


  • leg pain that will not go away
  • sudden severe shortness of breath
  • a sudden, severe headache unlike your usual headaches
  • sudden change in vision or blindness
  • chest pain
  • weakness or numbness in your arm or leg
  • trouble speaking

Liver Problems, Including: 

  • rare liver tumors
  • jaundice (cholestasis), especially if you previously had cholestasis of pregnancy. Call your healthcare provider if you have yellowing of your skin or eyes.
  • high blood pressure.You should


    • nausea
    • vomiting
    • bleeding between menstrual periods
    • weight gain
    • breast tenderness
    • difficulty wearing contact lenses

    These are not all the possible side effects of Ayuna. For more information, ask your healthcare provider or pharmacist.


    You may report side effects to the FDA at 1-800-FDA-1088.

  • What Else Should I Know About Taking Ayuna? 


    • If you are scheduled for any lab tests, tell your healthcare provider you are taking Ayuna. Certain blood tests may be affected by Ayuna.
    • Ayuna does not protect against HIV-infection (AIDS) and other sexually transmitted infections.

    How Should I Store Ayuna? 


    • Store Ayuna at room temperature between 68 to 77 F (20 to 25 C).
    • Protect from light.

    General information about the safe and effective use of Ayuna.


    Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use Ayuna for a condition for which it was not prescribed. Do not give Ayuna to other people, even if they have the same symptoms that you have.


    This Patient Information Leaflet summarizes the most important information about Ayuna. You can ask your pharmacist or healthcare provider for information about Ayuna that is written for health professionals.


    For more information, call Aurobindo Pharma USA, Inc. at 1-866-850-2876.

    Do Birth Control Pills Cause Cancer? 


    Birth control pills do not


    You may stop taking the pill whenever you wish. Consider a visit with your healthcare provider for a pre-pregnancy checkup before you stop taking the pill.

    What Should I Know About My Period When Taking Ayuna? 


    Your periods may be lighter and shorter than usual. Some women may miss a period. Irregular vaginal bleeding or spotting may happen while you are taking Ayuna, especially during the first few months of use. This usually is not a serious problem. It is important to continue taking your pills on a regular schedule to prevent a pregnancy.

    What Are The Ingredients In Ayuna? 


    Active ingredients: Each orange pill contains levonorgestrel and ethinyl estradiol.


    Inactive ingredients:


    Orange pills: croscarmellose sodium, FD&C Yellow No. 6 Aluminum Lake, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and povidone.


    Green pills: anhydrous lactose, croscarmellose sodium, FD & C Blue No. 2 Aluminum Lake, ferric oxide (sicovit yellow 10), magnesium stearate, microcrystalline cellulose, and povidone.

    Instructions For Use

    AyunaTM

    (aye ue' nah)

    (levonorgestrel and ethinyl estradiol tablets USP 0.15 mg/0.03 mg)

    Important Information about taking Ayuna


    • Take1pill every day at the same time. Take the pills in the order directed on your pill pack.
    • Do not skip your pills, even if you do not have sex often. If you miss pills (including starting the pack late)you could get pregnant. The more pills you miss, the more likely you are to get pregnant.
    • If you have trouble remembering to take Ayuna, talk to your healthcare provider.
    • When you first start taking Ayuna, spotting or light bleeding in between your periods may occur. Contact your healthcare provider if this does not go away after a few months.
    • You may feel sick to your stomach (nauseous), especially during the first few months of taking Ayuna. If you feel sick to your stomach, do not stop taking the pill. The problem will usually go away. If your nausea does not go away, call your healthcare provider.
    • Missing pills can also cause spotting or light bleeding, even when you take the missed pills later. On the days you take 2 pills to make up for missed pills (below), you could also feel a little sick to your stomach.
    • It is not uncommon to miss a period. However, if you miss a period and have not taken Ayuna according to directions, or feel like you may be pregnant, call your healthcare provider. If you have a positive pregnancy test, you should stop taking Ayuna.
    • If you have vomiting or diarrhea within3 to 4hours of taking an orange pill, take another orange pill as soon as possible. Continue taking all your remaining pills in order. Start the first pill of your next pill pack the day after finishing your current pill pack. This will be 1 day earlier than originally scheduled. Continue on your new schedule.
    • If you have vomiting or diarrhea for more than 1 day, your birth control pills may not work as well. Use an additional birth control method, like condoms or spermicide, until you check with your healthcare provider.
    • Stop taking Ayuna at least4weeks before you have major surgery and do not restart after the surgery without asking your healthcare provider. Be sure to use other forms of contraception (like condoms or spermicide) during this time period.

    Before You Start Taking Ayuna: 


    • Decide what time of day you want to take your pill. It is important to take it at the same time every day and in the order as directed on your pill pack.
    • Look at your pill pack. Your pill pack consists of 1 blister pack that holds 28 individually sealed pills. The 28 pills consist of 21 orange pills (3 rows of 7 pills) and 7 green pills (1 row of 7 pills).


      If you start taking Ayuna

    And You Have Not Used A Hormonal Birth Control Method Before: 


    • There are 2 ways to start taking your birth control pills. You can either start on a Sunday (Sunday Start) or on the first day (Day 1) of your natural menstrual period (Day 1 Start). Your healthcare provider should tell you when to start taking your birth control pill.
    • 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 Ayuna. You do not need back-up contraception if you use the Day 1 Start.

    If you start taking Ayuna

    And You Are Switching From Another Birth Control Pill: 


    • Start your new Ayuna pack on the same day that you would start the next pack of your previous birth control method.
    • Do not continue taking the pills from your previous birth control pill pack.

    If you start taking Ayuna

    And Previously Used A Vaginal Ring: 


    • Start using Ayuna on the day you would have started the next ring.

    If you start taking Ayuna

    And Previously Used A Transdermal Patch: 


    • Start using Ayuna on the day you would have started a new cycle (first patch application).

    If you start taking Ayuna

    And You Are Switching From A Progestin-only Method Such As An Implant Or Injection: 


    • Start taking Ayuna on the day of removal of your implant, or on the day when you would have had your next injection.

    If you start taking Ayuna

    And You Are Switching From An Intrauterine Device Or System (iud Or Ius): 


    • Start taking Ayuna on the day of removal of your IUD or IUS.
    • You do not need back-up contraception if your IUD or IUS is removed on the first day (Day 1) of your period. If your IUD or IUS is removed on any other day, use non-hormonal back-up contraception such as condoms or spermicide for the first7days that you take Ayuna.

    Keep a calendar to track your period: If this is the first timeyou are taking birth control pills, read,

    When Should I Start Taking Ayuna? 

    above. Follow these instructions for either aSunday Startor aDay 1 Start.


    Instructions for using your Ayuna

    Sunday Start: 

    You will use aSunday Startif your healthcare provider told you to take your first pill on a Sunday.


    • Take pill1on the Sundayafter your period starts.To remove your tablet from the blister pack, push the tablet through foil.
    • If your period starts on a Sunday, take pill "1" that day and refer to Day 1 Start instructions below.
    • Take1pill every day in the order on the blister pack at the same time each day for28days.
    • After taking the last pill onDay 28from the blister pack, start taking the first pill from a new pack, on the same day of the week as the first pack (Sunday). Take the first pill in the new pack whether or not you are having your period.
    • Use non-hormonal back-up contraception such as condoms or spermicide for the first7days of the first cycle that you take Ayuna.

    Day 1 Start: 


    You will use aDay 1 Startif your doctor told you to take your first pill (Day 1) on thefirst day of your period.


    • Take1pill every day in the order of the blister pack, at the same time each day, for28days. To remove your tablet from the blister pack, push the tablet through foil.
    • After taking the last pill onDay 28from the blister pack, start taking the first pill from a new pack, on the same day of the week as the first pack. Take the first pill in the new pack whether or not you are having your period.

    What should I do if I miss anyAyunapills?

    If You Miss 1 Pill In Weeks 1, 2, Or 3, Follow These Steps: 


    • Take it as soon as you remember. Take the next pill at your regular time. This means you may take 2 pills in 1 day.
    • Then continue taking 1 pill every day until you finish the pack.
    • You do not need to use a back-up birth control method if you have sex.

    If You Miss 2 Pills In Week 1 Or Week 2 Of Your Pack, Follow These Steps: 


    • Take the 2 missed pills as soon as possible and the next 2 pills the next day.
    • Then continue to take 1 pill every day until you finish the pack.
    • 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 missing your pills.

    If You Are A Day 1 Starter: 

    • Throw out the rest of the pill pack and start a new pack that same day.
    • You may not have your period this month, but this is expected. However, if you miss your period 2 months in a row, call your healthcare provider because you might be pregnant.
    • You could become pregnant if you have sex during the first 7 days after you restart your pills. 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.

    If You Are A Sunday Starter: 

    • Keep taking 1 pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack of pills that same day.
    • 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.

    If you have any questions or are unsure about the information in this leaflet, call your healthcare provider.


    This Patient Information and Instructions for Use have been approved by the U.S. Food and Drug Administration.


    Distributed by:
    Aurobindo Pharma USA, Inc.
    279 Princeton-Hightstown Road
    East Windsor, NJ 08520

    Manufactured by:
    Aurobindo Pharma Limited
    Hyderabad-500 038, India


    Revised: 05/2019



    Your use of this website constitutes your agreement to the terms and conditions linked below:
    Terms and Conditions | Resources | Sitemap
    2017 © Copyright PharmacyHQ.com. Questions?
    Please contact: phq.contact@gmail.com