Ashlyna is an oral contraceptive pill that follows a regimen of 84 days of active pills and 7 days of non-active pills. The following are Ashlyna’s usage guidelines:
- Step 1: Take 84 Active Pills: For the first 84 days of the treatment cycle, one active pill is taken each day. These active pills consist of ethinyl estradiol (an estrogen) and levonorgestrel (a progestin).
- Step 2: Follow the Placebo Week: Once the 84 active pills are finished, you will undergo a week of taking inactive, 7-day placebo pills that do not have any active hormones in them. It is likely that you will have withdrawal bleeding during this period (similar to having a menstrual cycle).
- Step 3: Start a New Pack: After finishing the placebo week, a new pack of Ashlyna should be taken and the cycle of 84 active pills and 7 placebo pills should be repeated.
If you forget a dose or take a pill too late, caution should be exercised and certain directions that come with the prescription must be followed.
Like other hormonal contraceptives, Ashlyna imitates the natural menstrual cycle of women with the exception of allowing menstrual flow and facilitating ovulation. It incorporates two synthetic constituents that creates an anti-conception effect in the following ways;
- Prevents Ovulation: Ashelyna hormones do not allow the ovaries to release eggs. Therefore, if there is no ovulation, there will be no egg and the sperm cannot meet an egg hence no pregnancy.
- Thickens Cervical Mucus: The progestin component of Ashlyna, which is Levonorgestrel, serves to thickens the cervical mucus therefore sperms have a hard time moving through the cervix to meet the eggs if any.
- Restricts Uterine Lining: The two hormones are responsible for making the uterine walls thinner; therefore, if a fertilized egg was to come to the uterus, it is unlikely it would stick to the wall.
The case is different when Ashlyna is used in extended cycles, in that the number of withdrawal menses is reduced
. Some of the more common side effects as well as a few of the more severe ones include:
o Nause
o Tenderness of the breast
o Headaches
o Light menstrual bleeding\
or bleeding in between the periods especially for the first few months of usage o Increase in body weight
- Severe side effects (FKA when these side effects appear):
o Heart attack and strokes: cardiovascular risk factors may be present in many young women who smoke, are over 35 years old or who have previous vascular disease.
o Encephalopathy: any liver dysfunction including the development of jaundice should be reported to a medical practitioner.
There are a number of precautions and warnings that must be considered before an individual begins Ashlyna therapy:.
- Histrory of Clots or any Heart Condition Female dopers do not use Ashlyna, since they have already had an episode of deep vein thrombosis – DVT, pulmonary embolism – PE, stroke, doi because this could aggravate clotting
- Liver disease: Women with any cases of liver should seek the advice of their doctors on their eligibility for starting the use of Ashlyna, as the drug may worsen any liver complications.
•Pregnancy: The use of Ashlyna is not recommended during pregnancy. If pregnancy is expected, who are taking Ashlyna should discontinue its use and report to a doctor.
Antibiotics: e.g., Rifampin, Tetracyclines – Some antibiotics such as rifampin used to treat tuberculosis, may decrease Ashlyna efficacy by enhancing the metabolism of the hormones and causing a greater incidence of breakthrough bleeding or pregnancy. A secondary contraceptive method should be used with an antibiotic.
Anticonvulsants (for example, Phenytoin, Carbamazepine): Medications like phenytoin and carbamazepine induce the activity of the enzymes in the liver that metabolize Ashlyna’s hormones thereby reducing the hormones and subsequently diminishing the efficacy of contraception. This medication must have alternative or supplementing other form of contraceptives used.
Antifungal Agents (e.g., Ketoconazole, Itraconazole): The azole antifungals for example, ketoconazole interfere with the liver enzymes which degrade Ashlyna thereby elevating hormone concentrations and predisposing the women to adverse effects as nausea and tenderness of breasts.
HIV Drugs such as Ritonavir and Efavirenz: The protease inhibitor Ritonavir increases Ashlyna’s hormones and increases the risk of side effects, which include blood clots. In contrast, the drug efavirenz could lower its effectiveness since it enhances the metabolism of the contraceptive.
Consult a healthcare provider before taking any other medication in combination with Ashlyna.
The recommended Ashlyna dosage is one pill per day, preferably around the same time. The pack is composed of 84 active pills and 7 inactive or placebo pills.
•Missed Pills: If you forget to take one active pill, take it the moment you remember even if this means you will take two active pills in one day. In case two or more active pills are forgotten, follow the directions that accompany your prescription
Ashlyna is available only with a prescription.
Healthcare professionals will review the patient’s medical history, particularly any predispositions to cardiovascular troubles, thromboembolic complications, hepatic conditions, or breast cancer, before recommending Ashlyna.
The physician will also review your other medicines to check if they may conflict with Ashlyna’s use.