While all oral contraceptives can increase the risk for venous thromboembolic events, including fatal blood clots, several studies
have reported a greater risk for women taking contraceptives containing Drospirenione.
Women who take contraceptive pills containing Drospirenione have a 6- to 7-fold risk of developing thromboembolism (dangerous blood clots) compared to women who do not take any
contraceptive pill, and have twice the risk (some epidemiological studies
suggest thrice, according to the FDA) compared to women who take a
contraceptive pill containing levonorgestrel. However, the absolute risk is small, in the neighborhood of 9 to 27 out of
10,000 women on an oral contraceptive for a year (up to 9 for levonorgestrel
vs. up to 27 for Drospirenione, or about 0.09% vs 0.3% per year).
When the U.S. Food and Drug Administration (FDA) became
concerned about the risks of Drospirenione, they funded studies based on the
medical records of more than 800,000 women taking oral contraceptives. They
found that the risk of VTE, which includes dangerous and potentially fatal
blood clots, was 93% higher
for women who had been taking oral contraceptives containing Drospirenione for
only 3 months or less
And 290% higher for women
taking Drospirenione-containing oral contraceptives for 7 to 12 months,
compared to women taking other types of oral contraceptives.
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