Prescription Options

Beyond Birth Control: Beyaz and Yaz

August 26, 2018

If it comes to deciding upon a mix birth control pill, there are many options to choose from. Though many birth control pills come in 28 or 21 day packs, there are just two unique formulations of combination birth tablets since they are available in 24-day packs. These birth control pills are Yaz and Beyaz.

  • Yaz really contains 24 days of hormone pills, followed by 4 days of placebo pills. For women who opt for the pill for contraception, Yaz is also FDA approved to care for the emotional and physical symptoms of PMDD — symptoms that are severe enough to affect the lives of several girls. Yaz can also be FDA-approved to treat moderate acne (if you already have had your menstrual period and are least 14 years old).
  • Beyaz is just one of the newer pills available on the market. Exactly like Yaz, it is FDA-approved to help supply PMDD symptom relief in addition to treat moderate acne. What makes Beyaz distinct is it’s 24 hormone pills which also consist of levomefolate calcium (B vitamin/folic acid). Additionally, there are 4 placebo pills which don’t contain any hormones however do have folate too. Folate lowers the risk of having rare neural tube defects in a maternity. This may be helpful if you get pregnant while use Beyaz use or shortly after quitting its use. Beyaz provides you with all the 0.4 mg of folic acid recommended daily for women of reproductive age.

A possible advantage of a 24-day dosing program is the fact that it might offer you fewer hormone alterations than the 21 days of active pills in a normal 21/28 day pack. The two Beyaz and Yaz function just like any other combination pill. However, in addition to getting 24-day active pill schedule, these pills are also different because of the kind of progestin they contain.

Yaz and Beyaz equally include an estrogen/drospirenone formula. 

There has been some concern that drospirenone-containing tablets may improve your chance of developing blood clots. The truth is that most of birth control pills pose a danger of developing blood clots. With that being said, according to an FDA self-funded research that examined statistics from over 800,000 women, the agency suggests that the utilization of tablets containing drospirenone (like Yaz and Beyaz) are connected to an approximate 1.5-fold overall increase in VTE/blood clots risk compared to oral contraceptive that is senile.

However, when you place this into perspective, overall blood clot risk is still regarded as relatively low, and even the FDA admits that the available research does not yield consistent results or accounts for significant patient characteristics that may also be leading to blood clot risk. But because of this inspection, the FDA called for new tagging demands on drospirenone-containing pills. 

Another issue that surrounds Yaz and Beyaz use must do with the possible higher cholesterol levels. Drospirenone can subdue hormones that regulate the body’s water and electrolyte-levels. As a result of this, it is very important that you are completely honest when speaking to your physician about your medical history. Since pills with drospirenone may interact with other medications that increase potassium — for example certain medications for high blood pressure or heart conditions, anti inflammatory drugs (such as Ibuprofen), and a few water pills (diuretics), your physician needs to know whether you are already using these types of medications before prescribing you Yaz or even Beyaz.

In fact, the product labels for both Yaz and Beyaz comprise a warning that advises doctors who prescribe the pills to monitor serum potassium levels from the first month if you are also being treated with any medication associated with nutrient retention.

Because both of these brands of birth control pills have received much attention about blood clots risk, it seems that doctors may not be paying enough attention to those potassium warnings. Research suggests that that roughly 17.6% of women use both drospirenone-containing pills along with a potassium interacting medication, and 29 percent of the overlap in usage typically takes place in a month of beginning the birth control pill.

Doctors could be overlooking the chance of this interaction because of who’s prescribing what. It appears that that 18 percent of women have their potassium-increasing medication prescribed by family practice or internal medicine doctors and their Yaz/Beyaz being prescribed by their OB/GYNs.

Research also shows:

  • 9.5percent of women are prescribed both drugs (Yaz/Beyaz and also a potassium-raising medication) by their OB/GYNs
  • 8.4percent were prescribed both drugs by their family practice or internal medicine physician.
  • 17% of girls are utilizing a potassium-increasing medication before beginning Yaz/Beyaz.
  • 83% of women are utilizing Yaz/Beyaz before beginning a potassium-raising medication.

Take Home Message: Yaz and Beyaz can be great choice pill brands for lots of women. Due to their 24-day dosing program, you might encounter less hormonal fluctuation (and be relieved of symptoms which might be associated with this). Plus, these birth control pills offer you non-contraceptive benefits that are attractive to many women. If you’re likely to use Yaz or even Beyaz, you ought to weigh these benefits against your blood clot risk. Finally, you need to be conscious of how these pills may potentially raise potassium levels. Because there’s evidence to suggest that not all doctors are conscious of the potential interaction between Yaz/Beyaz and potassium-raising drugs (or the need to test and/or monitor serum potassium levels), it is crucial that you tell your doctor if you are using these medications before starting the other.