"The question is, should patients who have been on it for years, should they switch? I think they should talk to their doctors," said Dr. Jennifer Wu, an obstetrician/gynecologist at Lenox Hill Hospital in New York City. "[And] I would not start patients on this pill. Blood clots are very serious. They can kill patients. With all the options we have, we should probably start [new patients] with safer contraceptive pills."
Women with other additional risk factors for blood clots definitely should not be on drospirenone-containing pills, Wu added.
Risk factors for VTE include smoking, being overweight or a family history of blood clots.
The FDA statement released Monday noted that studies to date have only looked at pills containing drospirenone and a higher dose of estrogen, not those containing drospirenone and a lower dose of estrogen. So, it's possible that some drospirenone-containing products may be safer than others.
This isn't likely to be the last word on the matter, either: FDA advisory committees are scheduled to delve further into the matter at a December meeting, at which time the full findings of the agency-funded study will be released.
More information
Find out more on this issue at the U.S. Food and Drug Administration.
SOURCES: Jennifer Wu, M.D., obstetrician/gynecologist, Lenox Hill Hospital, New York City; U.S. Food and Drug Administration, news release, Sept. 26, 2011
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