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Drospirenone / ethinyl estradiol / levomefolate calcium Side Effects

In Summary

Commonly reported side effects of drospirenone/ethinyl estradiol/levomefolate calcium include: headache and spotting. Other side effects include: irregular menses and migraine. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to drospirenone / ethinyl estradiol / levomefolate calcium: oral tablet

Along with its needed effects, drospirenone / ethinyl estradiol / levomefolate calcium 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 while taking drospirenone / ethinyl estradiol / levomefolate calcium:

More Common

  • Breast pain or tenderness
  • headache, severe and throbbing
  • heavy non-menstrual vaginal bleeding
  • irregular menstrual periods
  • nausea
  • normal menstrual bleeding occurring earlier, possibly lasting longer than expected

Less Common

  • Longer or heavier menstrual periods
  • unusual tiredness or weakness
  • vomiting

Incidence Not Known

  • Chills
  • clay-colored stools
  • dark urine
  • difficulty with breathing
  • dizziness
  • fever
  • headache
  • itching
  • loss of appetite
  • pain in the chest, groin, or legs, especially the calves
  • rash
  • slurred speech
  • stomach pain
  • sudden loss of coordination
  • sudden, severe weakness or numbness in the arm or leg
  • unpleasant breath odor
  • unusual tiredness or weakness
  • vision changes
  • vomiting of blood
  • yellow eyes or skin

Some side effects of drospirenone / ethinyl estradiol / levomefolate calcium 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:

Less Common

  • Crying
  • decreased interest in sexual intercourse
  • delusions of persecution, mistrust, suspiciousness, or combativeness
  • false or unusual sense of well-being
  • inability to have or keep an erection
  • irritability
  • loss in sexual ability, desire, drive, or performance
  • mental depression
  • quick to react or overreact emotionally
  • rapidly changing moods
  • weight gain

For Healthcare Professionals

Applies to drospirenone / ethinyl estradiol / levomefolate calcium: oral tablet


Cardiovascular side effects have included hypertension, arterial or deep venous thrombotic events, strokes, and myocardial infarctions.[Ref]


Genitourinary side effects have included breast tenderness, decreased libido, unscheduled (breakthrough or intracyclic) bleeding and spotting.


Gastrointestinal side effects have included nausea, vomiting, and inflammatory bowel disease.[Ref]


Hepatic side effects have included jaundice, cholestasis and hepatic adenomas.[Ref]


Metabolic side effects have included gallbladder disease, liver function disturbances, liver tumors, hyperkalemia, hypertriglyceridemia, changes in glucose tolerance, and effect on peripheral insulin resistance (including diabetes mellitus).[Ref]

Nervous system

Nervous system side effects have included an increase in frequency or severity of migraine headaches.[Ref]


Ocular side effects have included loss of vision, proptosis, diplopia, papilledema, or retinal vascular lesions.[Ref]


Psychiatric side effects have included irritability, depression and affect lability.[Ref]


Oncologic side effects have included carcinoma of the breasts and reproductive organs.[Ref]


Musculoskeletal side effects have included systemic lupus erythematosus.[Ref]


Dermatologic side effects have included chloasma, angioedema, erythema nodosum, and erythema multiforme.[Ref]


Hypersensitivity side effects have included anaphylactic reaction.[Ref]


1. "Product Information. Beyaz (drospirenone/ethinyl estradiol/levomefolate)." Bayer Pharmaceutical Inc, West Haven, CT.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.