Velivet is a combined hormonal birth control pill that's taken by mouth every day. It's a triphasic birth control, meaning it has three different phases of hormones that tries to mimic (are similar to) the rise and fall of hormones in the menstrual cycle. Some people find triphasic birth controls, like Velivet, more complicated to take, especially if they need to make up for a missed dose.
To prevent pregnancy
Velivet is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and desogestrel (a progestin). Both hormones work together to prevent pregnancy by:
Suppressing ovulation (release of an egg from the ovary)
Changing cervical mucus to block sperm movement
Making it difficult for the fertilized egg to implant by changing the lining in the uterus
Source: DailyMed
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Incidence not known
Absent, missed, or irregular menstrual periods
change in vision
changes in skin color
chest pain or discomfort
chills
clay-colored stools
dark urine
dizziness, lightheadedness, fainting
hives or welts
itching skin or rash
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
pain or discomfort in the arms, jaw, back, or neck
pain, tenderness, or swelling of the foot or leg
pains in the chest, groin, or legs, especially in the calves of the legs
severe headaches of sudden onset
slow or fast heartbeat
stomach pain
sudden loss of coordination or slurred speech
sudden troubled breathing
sweating
unusual tiredness or weakness
vomiting
vomiting of blood
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. 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:
Incidence not known
blotchy spots on the exposed skin
breast enlargement or tenderness
feeling sad or empty
irritability
itching of the vagina or outside the genitals
loss of interest or pleasure
pain during sexual intercourse
thick, white curd-like vaginal discharge without odor or with mild odor
trouble wearing contact lenses
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Once-daily dosing
More closely mimics your natural hormone levels during your menstrual cycle than monophasic birth control ppills
Works better to prevent pregnancy compared to some other birth control methods
Available as a lower-cost generic
Can be more complicated to use compared to other birth control methods
Must be taken in the exact order in your pill pack
Missing doses or taking them too late can lead to pregnancy
Can cause unpleasant side effects, like nausea, vomiting, and headaches
Set an alarm to help you remember to take Velivet at the same time every day. Forgetting to take your pill raises the chance of getting pregnant. If you miss a dose, refer to the label or call your provider for further instructions.
It's normal to have spotting (light bleeding outside of your period) or feel sick to your stomach for the first few packs of Velivet. This should get better over time, but if it doesn't contact your provider.
If you have vomiting or diarrhea, or take certain medications, Velivet might not work as well for you. Always use a back-up birth control method until you're able to check with your healthcare provider.
If you wear contact lenses and notice vision changes when wearing them or when wearing your glasses while taking Velivet, see your eye provider to get an exam.
Hormonal contraceptives like Velivet don't protect against sexually transmitted diseases (STDs), such as human immunodeficiency virus (HIV), chlamydia, gonorrhea, genital warts, or herpes. Using a latex or polyurethane condom during sex can help lower your risk of an STD.
If you've been taking Velivet as instructed and have missed two periods in a row or feel like you might be pregnant, call your provider. Studies haven't shown a risk of birth defects in females who've used birth control pills before pregnancy or during early pregnancy, but it's no longer necessary to take them once you're pregnant.
You might experience a delay in getting pregnant after taking Velivet. It's recommended to wait until you have regular menstrual cycles again after stopping Velivet before you try to get pregnant. If you want to stop taking this medication and become pregnant, speak to your provider.
Velivet has been prescribed specifically for you, so don't share it with anyone who wants to take birth control. Their provider should evaluate them to make sure they get a safe option.
Velivet can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Risk factors: Females over 35 years old who smoke cigarettes
If you smoke cigarettes, using combined oral contraceptives (COCs), like Velivet, raises your risk for serious health problems, such as strokes, heart attacks, and blood clots. Females age 35 years and older who smoke are at even higher risk for these problems. If you smoke, talk with your provider about safer birth control alternatives.
Risk factors: Females over 35 years old who smoke | Females over 40 years old who don't smoke | Recent surgery with a long period of bed rest | Starting Velivet less than a month after childbirth | High blood pressure | People identified as obese | High cholesterol | Diabetes | Higher dose of estrogen
Velivet raises your risk of blood clots. 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). Get emergency help right away if you have any signs of a blood clot:
Brain: weakness or numbness in your arms, legs, or face on one side of the body, trouble speaking, blurred vision, dizziness, loss of balance, trouble walking, or confusion
Eyes: trouble seeing, bulging eye, double vision
Heart: chest pain, sweating, nausea, or dizziness
Lungs: trouble breathing, chest pain, or cough
Legs: cramps, swelling, pain, or muscle tightness
If you need to have surgery, tell your provider you're taking Velivet. They might have you stop taking it 4 weeks before until 2 weeks after your surgery to lower your risk of blood clots.
Risk factors: History of breast cancer | Taking COCs for a long time
Study results are mixed, but there's a possibility that Velivet and other COCs can raise your risk for breast and cervical cancer.
Don't use Velivet if you have breast cancer because some types of breast cancer grow faster in the presence of estrogen, an ingredient in this birth control pill. To help with early breast cancer detection, you can do monthly breast self-checks at home and yearly breast exams with your healthcare provider. Call your healthcare provider if you notice any abnormal changes or feel lumps, pain, or swelling in your breasts.
Get medical help right away if you experience abnormal vaginal bleeding, discharge, or pain during sex, since these could be signs of cervical cancer.
Risk factors: Liver problems or infection in the liver | Taking COCs with 50 mcg of estrogen or higher
Though rare, Velivet can cause liver problems, such as liver damage and liver tumors. These problems are linked more with earlier formulations of COCs that contained higher levels of estrogen (50 mcg of higher), and less so with Velivet since it only contains 25 mcg of estrogen. Don't use this medication if you already have liver problems. Call your provider right away if you experience symptoms of liver problems, such as tiredness, stomach pain, or yellowing of the skin or whites of the eyes.
Risk factors: Prediabetes or diabetes | Personal or family history of high triglycerides | High dose
COCs like Velivet might raise your blood sugar and triglyceride (fat) levels. If you have diabetes, let your provider know if you experience any changes in your blood sugar. Make sure to go to all of your check-ups so your provider can monitor any changes.
Risk factors: High blood pressure | Older age | Using COCs for a long time | Kidney problems
Velivet and other COCs can raise your blood pressure. Your provider might ask you to check your blood pressure regularly. If you notice your blood pressure is higher while you're taking this medication, contact your provider. If you have uncontrolled high blood pressure, Velivet might not be the best option for you.
Headaches are a common side effect of COCs like Velivet. But, if you experience a new migraine, a migraine that's worse than normal, or a new headache that keeps coming back or is severe, call your provider so you can be checked out.
Breakthrough bleeding and spotting are common side effects of hormonal birth control pills. This is more common during the first 3 months of using Velivet. Let your provider know if you experience any vaginal bleeding outside of your period, or if your period has stopped completely. There are other causes besides your birth control pills for irregular bleeding that your provider will evaluate.
Research suggests that females who take that COCs are at a higher risk of pregnancy occuring outside of the womb (ectopic pregnancy) if the birth control pills don't work like they're supposed to. The chance of becoming pregnant is higher when you don't take Velivet as instructed at the same time every day. Symptoms of an ectopic pregnancy include low back pain, abnormal vaginal bleeding, and cramping. If you experience any of these symptoms, contact your provider.
Risk factors: History of depression
Let your provider know if you experience symptoms of depression or worsening depression while taking Velivet. In cases of serious depression, your provider might have you stop taking it.
Certain medications can make Velivet get broken down faster in your body, making it less effective and can lead to pregnancy. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). Use a back-up method or other form of birth control for at least 28 days after stopping any of these medications. Other medications can raise the amount of Velivet in your body, which can lead to more side effects. Make sure to tell your provider or pharmacist all of your medications so they can make sure they don't interact with Velivet.
If you have hepatitis C and need to be treated with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir), let your provider know right away that you're taking a COC. You'll need to stop Velivet before starting Viekira Pak because taking them together can cause liver problems. You can start Velivet again 2 weeks after you stop Viekira Pak.
Dosage | Quantity | Price as low as | Price per unit |
---|---|---|---|
28 tablets | 3 packages | $40.01 | $13.34 |
Velivet (and its branded generics) comes in a 28-day pack. Your medication might look different depending on which branded generic your provider prescribes. Please take the medication as instructed by your provider or following the directions on the package. In general:
Day 1 through 7: 0.1 mg desogestrel and 25 mcg ethinyl estradiol
Day 8 through 14: 0.125 mg desogestrel and 25 mcg ethinyl estradiol
Day 15 through 21: 0.15 mg desogestrel and 25 mcg ethinyl estradiol
Day 22 through 28: Placebo tablets (hormone-free)
The typical dose is 1 tablet by mouth at the same time every day. Tablets must be taken in the exact order of the blister pack. See FAQ section for more details.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Heavy smoking (15 or more cigarettes per day) and over age 35
Currently have or history of DVT or other blood clotting problems
Coronary artery disease
Cerebrovascular disease (problems with blood flow in the brain)
Certain heart valve or heart rhythm problems
Severe (very high) high blood pressure
Diabetes with blood vessel problems
Certain types of headaches
Major surgery where you weren't able to move for a long time
Undiagnosed abnormal genital bleeding
Currently have endometrial cancer or other estrogen-dependent growth
Currently have or have a history of breast cancer
Jaundice
Liver tumors
Liver disease
Pregnancy
Receiving hepatitis C medication containing ombitasvir / paritaprevir / ritonavir, with or without dasabuvir
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