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Fixed-dose combination

Drospirenone/ethinyl estradiol/levomefolate and Levomefolate

Also known as drospirenone/ethinyl estradiol/levomefolate calcium, levomefolate calcium
Available on request
Presentations
3
Brands
2
Manufacturers
1
Available from stock
0

Drospirenone/ethinyl estradiol/levomefolate and Levomefolate is a fixed-dose combination medicine indicated by females of reproductive potential to prevent pregnancy, among other approved uses. It is available as kits. MedsAcross supplies Drospirenone/ethinyl estradiol/levomefolate and Levomefolate for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

US FDA first approval
Not recorded
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Dosage forms
Kit
Fixed-dose combination of
Drospirenone, ethinyl estradiol, levomefolate, Levomefolate

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium is a combination of drospirenone, a progestin and ethinyl estradiol, an estrogen containing a folate, indicated for use by females of reproductive potential to: • Prevent pregnancy. • Raise folate levels in females of reproductive potential who choose to use an oral contraceptive for contraception.

Source: US FDA prescribing information

Dosing overview

• Take one tablet daily by mouth at the same time every day. • Tablets must be taken in the order directed on the blister pack. How to Take Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium Take one tablet by mouth at the same time every day. The failure rate may increase when pills are missed or taken incorrectly. To achieve maximum contraceptive effectiveness, Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium must be taken as directed, in the order directed on the blister pack. Single missed pills should be taken as soon as remembered.

Source: US FDA prescribing information

Contraindications

Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium is contraindicated in females who are known to have or develop the following conditions: • Renal impairment • Adrenal insufficiency • A high risk of arterial or venous thrombotic diseases.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (cigarette smoking and serious cardiovascular events): Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptives (COC) use. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. For this reason, COCs should not be used by women who are over 35 years of age and smoke. • Vascular risks: Stop Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium if a thrombotic event occurs. Stop at least 4 weeks before and through 2 weeks after major surgery. Start no earlier than 4 weeks after delivery, in women who are not breastfeeding. COCs containing DRSP may be associated with a higher risk of venous thromboembolism (VTE) than COCs containing levonorgestrel or some other progestins.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions with the use of COCs are discussed elsewhere in the labeling: • Serious cardiovascular events and stroke • Vascular events • Liver disease The most frequent adverse reactions (≥ 2%) in contraception and folate clinical trials are premenstrual syndrome (12.4%), headache/migraine (10.3%), breast pain/tenderness/discomfort (8.1%), nausea/vomiting (4.4%), mood changes (2.3%) and abdominal pain/tenderness/discomfort (2.2%).

Source: US FDA prescribing information

Interactions

Consult the labeling of all concurrently-used drugs to obtain further information about interactions with hormonal contraceptives or the potential for enzyme alterations. Drugs or herbal products that induce certain enzymes (for example, CYP3A4) may decrease the effectiveness of COCs or increase breakthrough bleeding. Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with COCs.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

3 presentations of Drospirenone/ethinyl estradiol/levomefolate and Levomefolate, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Beyaz kitDrospirenone/ethinyl estradiol/levomefolate and LevomefolateBayer HealthCare PharmaceuticalsUS FDAAvailable on request
Safyral kitDrospirenone/ethinyl estradiol/levomefolate and LevomefolateBayer HealthCare PharmaceuticalsUS FDAAvailable on request
Drospirenone/ethinyl estradiol/levomefolate and Levomefolate kitGeneric nameDrospirenone/ethinyl estradiol/levomefolate and Levomefolate—US FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDANot recorded—
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Drospirenone/ethinyl estradiol/levomefolate and Levomefolate available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Drospirenone/ethinyl estradiol/levomefolate and Levomefolate and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Drospirenone/ethinyl estradiol/levomefolate and Levomefolate have?

The catalogue lists 2 brand names for Drospirenone/ethinyl estradiol/levomefolate and Levomefolate, including Beyaz, Safyral.

Does Drospirenone/ethinyl estradiol/levomefolate and Levomefolate need cold chain shipping?

No listed presentation of Drospirenone/ethinyl estradiol/levomefolate and Levomefolate is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

References

  1. Drospirenone/ethinyl estradiol/levomefolate calcium and levomefolate calcium prescribing information (Sandoz). U.S. National Library of Medicine, DailyMed. Retrieved 4 March 2026

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