Like Yasmin and Yaz, Safyral contains drospirenone, a synthetic progestin. The drugs also contain ethinyl estradiol. Drospirenone and fourth-generation birth control that contains drospirenone have been linked in some studies to an increased risk of deep vein thrombosis, blood clots, pulmonary embolism and gallbladder problems. Not all studies have found such a link, but the US Food and Drug Administration (FDA) was concerned enough that in 2011 it convened a panel of experts to determine whether Yasmin and Yaz birth control pills should be taken off the market.
The panel voted 15 to 11 to keep the drugs on the market, but also voted 21 to 5 that the label on those drugs should be updated to reflect the risk of blood clots. According to The Wall Street Journal (12/9/11), studies conducted by the company that makes the birth control, Bayer, have not consistently shown an increased risk of developing a blood clot. But for those women who do develop a blood clot, the results can be serious.
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Safyral is the same chemical combination as Yasmin, but also contains levomefolate calcium (basically, folic acid which is a B vitamin). The vitamin was added to the contraceptive to prevent against neural tube defects in the case of an accidental pregnancy. Safyral was approved by the FDA for use in 2010.