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Re: Which birth control pill is the best for no wieght gain these days? From: Joanne Bulley, MD (islesannie@gmail.com) Wed Feb 7 19:48:46 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: A Vaccine to Save Women's Lives" Previous message: Joanne Bulley, MD: "Re: A Vaccine to Save Women?s Lives" In reply to: Atkinson, Samuel M: "Re: Which birth control pill is the best for no wieght gain these days?" Next in thread: Raymond Stephen: "Re: Which birth control pill is the best for no weight gain these days?" Yes indeed. I do this all the time with my patients. If they have a mail in prescription plan I write for "4 packs for 3 months treatment: 12 weeks of active pills" - and write that she is taking them continuously for medical reasons. (I don't write weather it is for endometriosis or just for only having 2-4 menses per year). For those that do not have mail in plans I write that she has to be refilled every 3 weeks (she then pays way more # of copays than any man would pay for 12 months supply) but she can get it every three weeks for "continuous medical treatment" under most insurance plans. But the mail in is the best. Joanne At Wed, 7 Feb 2007, Atkinson, Samuel M wrote: > >The currently approved pill for continuous (84) days use and 7 days off >is an old form of the pill that is generic in origin. However, Barr >Pharm did do the work on it to get FDA approval. It is one of the >variants of OVCON that contains .15 of levonorgestrel and 30o mics of >ethinyl estradiol. In the several patients I have who took it, they did >complain of significant wt gain. I recommend Yasmin and now Yaz as they >have many advantages including documented wt loss, decreased PMS >symptoms and no hair pattern problems. It is very simple. The packets >come in packages of 21 active pills and 7 placebos. Patients may take >four packages of 21 active pills, then stay off seven days, or if they >need placebo to help keep count, take the last seven placebos. Thus 84 >active pills, seven off equals 91 days. 4 cycles per year is 364 days.. >MAGICALLY one year!! This obviously can be done with any pills. One >can also take them 168 days and then 7 off and only have two scant >periods a year or any other combination of more than 21 pills for x days >and then 7 off. Some of my patients have taken them continuously for a >year at a time! > >The only problem is the insurance company that does not understand that >on this regimen a patient will need 4 packages of pills every three mos. >The Barr preparation Seasonale includes the full 84 pills in a package. >Thus the cost of the routine of 84 /7 with other pills is increased by >30%. I have usually had samples of Yaz available and give the patients a >sample to go with their script, at least reducing the initial up front >cost until the patient is happy with the regimen. > >sAm > >c > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: Joanne Bulley, MD: "Re: A Vaccine to Save Women's Lives" Previous message: Joanne Bulley, MD: "Re: A Vaccine to Save Women?s Lives" In reply to: Atkinson, Samuel M: "Re: Which birth control pill is the best for no wieght gain these days?" Next in thread: Raymond Stephen: "Re: Which birth control pill is the best for no weight gain these days?"

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