Altavera

— THERAPEUTIC CATEGORIES —
  • Contraception

Altavera Generic Name & Formulations

General Description

Levonorgestrel 0.15mg, ethinyl estradiol 30micrograms (21 tabs); inert (7 tabs).

Pharmacological Class

Progestin + estrogen.

How Supplied

Packs—1, 3

Manufacturer

Altavera Indications

Indications

Oral contraception.

Altavera Dosage and Administration

Adult

1 tab daily for 28 days; repeat.

Children

Pre-menarchal: not applicable.

Altavera Contraindications

Contraindications

Thrombophlebitis or thromboembolic disorders. Cerebrovascular or coronary artery disease. Valvular heart disease with thrombogenic complications. Uncontrolled hypertension. Diabetes with vascular involvement. Headaches with focal neurological symptoms. Major surgery with prolonged immobilization. Cholestatic jaundice of pregnancy or jaundice with prior pill use. Breast or other estrogen or progestin-sensitive neoplasms. Hepatic disease or tumors. Undiagnosed abnormal uterine bleeding. Pregnancy (Cat.X).

Altavera Boxed Warnings

Boxed Warning

Cigarette smoking increases risk of serious cardiovascular events.

Altavera Warnings/Precautions

Warnings/Precautions

Increased risk of cardiovascular events (eg, MI, stroke, VTE). Smokers >35yrs of age. Discontinue if thrombotic event, unexplained visual changes, or jaundice occurs, and at least 4 weeks before through 2 weeks after surgery associated with increased risk of thromboembolism. Gallbladder disease. Diabetes. Prediabetes. Uncontrolled dyslipidemias. Hypertriglyceridemia. Pregnancy-related cholestasis. Depression. Evaluate significant changes in headaches, irregular uterine bleeding, amenorrhea. Hypertension: monitor BP. Do regular complete physical exams. Nursing mothers: not recommended.

Altavera Pharmacokinetics

See Literature

Altavera Interactions

Interactions

May be antagonized by CYP3A4 or other enzyme inducers (eg, barbiturates, bosentan, carbamazepine, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, St. John’s wort, topiramate); use backup contraception. May be affected by protease inhibitors, NNRTIs, atorvastatin, acetaminophen, ascorbic acid, itraconazole, ketoconazole. May antagonize lamotrigine. May affect laboratory tests (eg, coagulation factors, lipids, glucose tolerance, binding proteins). May need dose adjustment of thyroid hormones.

Altavera Adverse Reactions

Adverse Reactions

Headache, nausea, vomiting, bleeding irregularities, dysmenorrhea, weight change, mastodynia, acne, abdominal pain, anxiety, depression; angioedema, chloasma, others (see full labeling).

Altavera Clinical Trials

See Literature

Altavera Note

Not Applicable

Altavera Patient Counseling

See Literature