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Beyaz is a combination birth control pill containing Drospirenone, Ethinyl Estradiol, and Levomefolate. It prevents pregnancy by stopping ovulation, thickening cervical mucus, and altering the uterine lining. Levomefolate, a B vitamin, helps reduce the risk of certain birth defects if pregnancy occurs shortly after stopping the pill.

Aside from contraception, Beyaz is also prescribed for:

• Treating moderate acne in females aged 14+ who have begun menstruating.
• Managing symptoms of premenstrual dysphoric disorder (PMDD), such as mood changes, appetite shifts, fatigue, and physical discomfort.
What does it do?
Beyaz is a birth control pill containing Drospirenone (a progestin) and Ethinyl Estradiol (an estrogen). These hormones work together to:
• Prevent ovulation and reduce hormone fluctuations.
• Thicken cervical mucus to block sperm.
• Thin the uterine lining to reduce the chances of implantation.

Beyaz also helps treat acne by lowering testosterone levels, which decreases oil production and clogged pores. Additionally, it includes Levomefolate, a folic acid supplement that helps reduce the risk of birth defects.

How should I take it?
Take this medication orally once daily, with or without food, as prescribed by your doctor. Choose a time that is convenient for you and stick to it each day. If you experience nausea or stomach discomfort, taking it after dinner or at bedtime may help. Regardless of the time you choose, ensure you take it consistently every 24 hours for optimal effectiveness.
What if I missed a dose?
Guidance for missed doses varies by brand and the number of pills missed. Check the product package for specific instructions. You may need to use backup contraception, such as condoms or spermicide, to prevent pregnancy. If you have any questions, consult your doctor or pharmacist.
What are the special precautions before taking Beyaz?

Taking Beyaz may increase the risk of stroke, blood clots, or heart attack, especially if you have high cholesterol, high blood pressure, diabetes, or are overweight. The risk is highest during the first year of use and when restarting the medication after a break of four weeks or longer.

Do not use Beyaz if you are pregnant. Stop taking it and inform your doctor immediately if you become pregnant or miss two consecutive periods. If you recently gave birth, wait at least four weeks before starting this medication.

You should not use Beyaz if you have:
• Kidney disease
• An adrenal gland disorder
• Liver disease or liver cancer
• A smoking habit and are over 35
• Untreated or uncontrolled high blood pressure
• Circulation problems, especially those caused by diabetes
• A history of jaundice linked to pregnancy or birth control use
• Unexplained vaginal bleeding that has not been evaluated by a doctor
• A heart condition or hereditary blood disorder that increases blood clot risk
• Heart disease (such as history of heart attack, stroke, coronary artery disease, or blood clots)
• A history of hormone-related cancer or cancer of the breast, cervix, uterus, or vagina
• Severe migraines with aura, weakness, numbness, or vision changes, particularly if over 35
• Taken hepatitis C medications containing paritaprevir/ ombitasvir/ ritonavir
Does it have any side effects?
It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.
Common side effects may include:
• Breast tenderness
• Breakthrough bleeding
• Nausea
• Headache
Stop using Beyaz and contact your doctor immediately if you experience:
• Changes in migraine patterns or severity
• Depression symptoms: Sleep disturbances, weakness, fatigue, or mood changes
• Blood clot symptoms: Sudden vision loss, shortness of breath, sharp chest pain, coughing up blood, or pain/warmth in the legs
• Heart attack symptoms: pain spreading to the jaw or shoulder, chest pain or pressure, nausea, or sweating
• Liver issues: Loss of appetite, fatigue, upper stomach pain, pale stools, dark urine, or yellowing of the skin/eyes
• High blood pressure symptoms: Severe headache, blurred vision, or a pounding sensation in the neck or ears
• Swelling in the hands, ankles, or feet
• Stroke symptoms
This is not a full list of possible side effects. Contact your doctor for medical advice regarding any concerns.
Is it safe to take it with another drug?
Drug interactions may alter how medications work or increase the risk of serious side effects. This list does not cover all possible interactions. Drugs that may interact with Beyaz includes:
• Aromatase inhibitors (e.g., Exemestane, Anastrozole, Letrozole)
• HIV and antiviral medications (e.g., Atazanavir/Cobicistat)
• Fezolinetant
• Ospemifene
• Tamoxifen
• Tranexamic acid
• Certain hepatitis C treatments (e.g., Ombitasvir/Paritaprevir/Ritonavir, with or without Dasabuvir)
Medications that may increase potassium levels: Drospirenone can raise potassium levels. Inform your doctor if you regularly take:
• Blood thinners (e.g., Heparin)
• Potassium-sparing diuretics (e.g., Eplerenone, Triamterene, Spironolactone)
• Blood pressure medications (e.g., Aliskiren, ACE inhibitors like Enalapril/Lisinopril, Angiotensin receptor blockers like Losartan/Valsartan)
Medications that may reduce the effectiveness of Beyaz: Some drugs may lower birth control hormone levels, reducing effectiveness and increasing the risk of pregnancy. These includes:
• Antibiotics and antifungals (e.g., Rifabutin, Griseofulvin, Rifampin)
• HIV medications (e.g., Nevirapine, Ritonavir, Nelfinavir)
• Modafinil
• Seizure medications (e.g., Primidone, Topiramate, Barbiturates, Carbamazepine, Felbamate, Phenytoin)
• St. John’s wort
How should I store it?
Store this medication in a sealed container at room temperature, away from heat, moisture, and direct light. Do not freeze. Keep it out of reach of children.
What action should I take in case of overdose?
An overdose may lead to nausea or vaginal bleeding. If this occurs, seek emergency medical care or go to the nearest hospital immediately.
Is it safe for pregnant or breastfeeding women?

Do not use Beyaz during pregnancy. If you become pregnant or suspect you are pregnant, inform your doctor immediately. If you have recently given birth or experienced a pregnancy loss/abortion after the first three months, consult your doctor about safe and effective birth control options and when you can start using estrogen-containing contraceptives. A small amount of this medication may pass into breast milk and could affect a nursing infant. Speak with your doctor before breastfeeding.

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