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Daily contraceptive pill · Drospirenone
Drospirenone pill in Malaysia
Drospirenone is the progestogen in the daily contraceptive pills Yaz and Yasmin, both made by Bayer. It is paired with an oestrogen, ethinylestradiol, and taken as one tablet a day to prevent pregnancy. Which of the two suits you depends on the oestrogen dose and the routine you prefer, and that is a decision to make with a doctor.
- One tablet daily
- 28-day pack cycle
- Prescription only
- From RM57 a month
Reviewed by
Dr. Humairah
Medical Reviewer
Reviewed
Choose your pill
Both packs cover 28 days, so the price shown is the cost of one month.
Quantity (months)
Quantity (months)1
RM57RM79Save 28%
Delivery: Within 2 to 24 hours, nationwide. Discreet, unbranded packaging.
Buy nowSpeak to a doctor for RM1
Yaz and Yasmin need a doctor's prescription in Malaysia. Speak with our licensed doctor online for RM1 to find out if they suit you.
A doctor reviews your health history before any pill is dispensed. If it is not suitable for you, you are not charged for the medicine.
Reviewed by
Dr. Humairah
Medical Reviewer
Reviewed
- NPRA registered
- Bayer original
- Doctor reviewed before dispensing
- Delivery in 2 to 24 hours
- Female doctors for RM1
Two routines: 21 and 7, or 24 and 4
Both pills are built around a 28-day cycle. The difference is how those 28 days are split between active tablets and a break. Switch between the two to see a full pack laid out day by day.
- Day 1: Active tablet
- Day 2: Active tablet
- Day 3: Active tablet
- Day 4: Active tablet
- Day 5: Active tablet
- Day 6: Active tablet
- Day 7: Active tablet
- Day 8: Active tablet
- Day 9: Active tablet
- Day 10: Active tablet
- Day 11: Active tablet
- Day 12: Active tablet
- Day 13: Active tablet
- Day 14: Active tablet
- Day 15: Active tablet
- Day 16: Active tablet
- Day 17: Active tablet
- Day 18: Active tablet
- Day 19: Active tablet
- Day 20: Active tablet
- Day 21: Active tablet
- Day 22: Tablet-free day
- Day 23: Tablet-free day
- Day 24: Tablet-free day
- Day 25: Tablet-free day
- Day 26: Tablet-free day
- Day 27: Tablet-free day
- Day 28: Tablet-free day
- Active tablet
- Inactive tablet
- Tablet-free day
Yasmin: 21 tablets then 7 days without tablets. Your withdrawal bleed usually comes during the break. You must remember to restart on the right day.
Yaz: 24 active tablets then 4 inactive ones, so you take a tablet every single day and never count a break. The shorter hormone-free interval is the difference in the routine.
Neither routine is better than the other. It is about which one you will find easier to keep to, and what your doctor advises for you.
Drospirenone price in Malaysia
Both Yaz and Yasmin are a 28-day supply, so the pack price is the monthly cost and the two are directly comparable.
| Product | Oestrogen dose | Pack | Days covered | Price per month | Was |
|---|---|---|---|---|---|
| Yasmin | 0.03mg | 21 active tablets | 28 | RM57 | RM79 |
| Yaz | 0.02mg | 24 active + 4 inactive | 28 | RM66 | RM85 |
Cost over time
- 3 months of YasminRM171
- 6 months of YasminRM342
- 3 months of YazRM198
- 6 months of YazRM396
Prices are for the medicine. The doctor consultation is RM1.
What the drospirenone pill does
Drospirenone is a progestogen, and in Yaz and Yasmin it is combined with the oestrogen ethinylestradiol. Together they mainly work by stopping ovulation, with additional effects on cervical mucus and the lining of the womb.
Drospirenone is structurally related to spironolactone, which gives it anti-mineralocorticoid and anti-androgenic properties. In plain terms, it is less likely to cause fluid retention than some older progestogens, and it can affect potassium levels, which is why some medicines and kidney conditions need checking first.
It does not protect against sexually transmitted infections. It is taken continuously, so it needs to be dispensed and reviewed on an ongoing basis.
At a glance
- Progestogen
- Drospirenone 3mg
- Oestrogen
- Ethinylestradiol, 0.02mg or 0.03mg
- Type
- Combined oral contraceptive
- Taken
- One tablet daily
- Brands
- Yaz, Yasmin
- Maker
- Bayer
- Classification
- Prescription only
- Not
- STI protection, emergency contraception
If you need contraception after unprotected sex, that is a different medicine. See the emergency options.
Other reasons people ask about the drospirenone pill
People often ask whether these pills help with acne or with severe premenstrual symptoms. It is a fair question, and you will find a lot written about it online.
In some countries Yaz carries additional licensed indications beyond contraception. What a medicine is licensed for differs from country to country, and in Malaysia the indication registered here is the one that applies.
If you are asking about these pills for a reason other than contraception, that is a conversation to have with a doctor, who can tell you what is appropriate and licensed for you here.
Safety and who should not take it
Blood clot risk with drospirenone pills
Malaysia's National Pharmaceutical Regulatory Agency has issued guidance to healthcare professionals on the risk of venous thromboembolism, or blood clots, with combined oral contraceptives containing drospirenone, naming Yasmin and Yaz.
The regulator noted that published studies found a higher risk of VTE with drospirenone-containing pills than with pills containing levonorgestrel, and that the risk appears similar to pills containing desogestrel or gestodene. The overall risk of a clot on any combined pill remains low, but it is not zero, and it is higher than on a pill that contains no oestrogen.
This is exactly what the doctor consultation is for. A doctor will go through your history and tell you whether this is a suitable choice for you, or whether a different method fits better.
Common side effects
- Headache
- Breast tenderness
- Nausea
- Mood changes
- Spotting between periods in the first few months
- Changes to your bleeding pattern
Most settle within the first three months.
Do not take it, or speak to a doctor urgently, if you
- Have had a blood clot in a leg or lung, a stroke or a heart attack
- Have a known clotting disorder
- Smoke and are over 35
- Have migraine with aura
- Have kidney, liver or adrenal problems
- Take a potassium-sparing medicine such as spironolactone, an ACE inhibitor, an angiotensin receptor blocker, or regular NSAIDs
- Have had breast cancer
- Are pregnant or think you might be
- Are within 6 weeks of giving birth
Get medical help the same day if
- Pain or swelling in one leg
- Sudden breathlessness or chest pain
- Coughing blood
- Sudden severe headache, weakness or numbness on one side, or trouble speaking
- Sudden vision loss
Yaz or Yasmin: how the two differ
| Yasmin | Yaz | |
|---|---|---|
| Progestogen | Drospirenone 3mg | Drospirenone 3mg |
| Oestrogen | Ethinylestradiol 0.03mg | Ethinylestradiol 0.02mg |
| Pack | 21 active tablets | 24 active + 4 inactive |
| Routine | 21 days on, 7 days off | One tablet every day |
| Days covered | 28 | 28 |
| Price per month | RM57 | RM66 |
Yasmin
Yasmin is the original of the two. It has the higher oestrogen dose, 30mcg of ethinylestradiol, alongside 3mg of drospirenone. It comes as a traditional 21-day pack: you take one tablet a day for three weeks, then have a week without tablets, when a withdrawal bleed usually happens. On day eight after the last tablet you start the next pack, whether or not the bleed has finished. It suits people who are comfortable counting a break and restarting on time.
Yaz
Yaz has the lower oestrogen dose, 20mcg of ethinylestradiol, with the same 3mg of drospirenone. It uses a 24/4 routine: 24 active tablets followed by 4 inactive ones, so there is a tablet to take every day and no break to count. When the strip ends, the next one starts the following day. It suits people who find a daily habit with no gaps easier to keep, and a shorter hormone-free interval is part of the design.
A lower oestrogen dose is not automatically the better choice. Bleeding patterns and side effects vary between people, and a doctor will help you weigh it up.
Getting the drospirenone pill in Malaysia
Speak to a doctor for RM1
A short online consultation covering your history, blood pressure, migraines, smoking and any medicines you take.
Prescription issued if suitable
The doctor decides which pill fits, or recommends a different method.
Discreet delivery
Within 2 to 24 hours, nationwide, plain unbranded packaging.
Refills and review
Repeat supply with a check-in, so you are not left without your pill.
Both products are registered with the NPRA and made by Bayer. You can look up a MAL number on the NPRA Quest3+ database and look for the Meditag hologram on the carton.
Drospirenone specifications
Drospirenone questions, answered
About the drospirenone pill
Drospirenone is a synthetic progestogen, a man-made version of the hormone progesterone. In Malaysia it is used in combined oral contraceptive pills, where it is paired with the oestrogen ethinylestradiol. It is taken as one tablet a day and mainly works by stopping ovulation.
Drospirenone is the ingredient. Yaz and Yasmin are two brand name pills made by Bayer that both contain 3mg of drospirenone. They differ in the amount of ethinylestradiol they contain and in how the 28-day pack is set out.
Price and getting it
On Hello Doktor, Yasmin is RM57 and Yaz is RM66 for a 28-day pack, which is one month of pills. The doctor consultation is RM1.
Yes. Both are prescription-only medicines in Malaysia. A doctor must assess your health history and issue a prescription before either can be dispensed. You can do this through an online consultation with a female doctor.
Taking it
Safety and side effects
For most people it is a suitable choice. NPRA has advised that drospirenone pills carry a higher risk of blood clots than pills with levonorgestrel, similar to pills with desogestrel or gestodene. The overall risk stays low, and a doctor checks your history before prescribing.
Still have a question? Ask us on WhatsApp.
More reading on contraception
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Feedback reflects service experience. Not medical advice. Individual results may vary.
Not sure which daily pill fits?
A female doctor can go through your history and tell you whether a drospirenone pill is a good match, for RM1.
Sources and references
- NPRA Malaysia, drug safety advisory on drospirenone-containing oral contraceptives
- NPRA Malaysia, product registration records (Quest3+)
- MIMS Malaysia, ethinylestradiol and drospirenone
- Bayer Malaysia, manufacturer of Yaz and Yasmin
- Faculty of Sexual and Reproductive Healthcare (FSRH), Combined Hormonal Contraception guideline
- World Health Organization, Medical eligibility criteria for contraceptive use
Reviewed by a doctor and updated when the product information or regulatory guidance changes.
This page is for general information and does not replace advice from a doctor or pharmacist. Individual results and suitability vary.