View ZARAH savings options available to you including Manufacturer Coupons, Rx Advantage Savings Card, Canadian Prescription Savings or ZARAH Patient Assistance Program.

Programs are suitable for individuals who want to buy ZARAH without insurance, with insurance or for those who are underinsured. You can pay as little as $0 per fill.*

Manufactured by Mayne Pharma

*Applicable to Drug Coupons & Patient Assistance Programs

This content is intended for US audiences only

Drug savings programs

  • Qualified

    Rx Advantage Card

    A hand holding a dark-colored prescription savings card with various ID numbers and the label "Rx Advantage." Text below states the card is not insurance and cannot be used for Medicare or Medicaid.

    Save up to 90%

  • Unavailable

    Canadian Prescription Savings

    Manufactured by
    Powered by
    Prescription Help Logo
  • Unavailable

    Drug Coupons

    A hand holds a Copay Savings Card that states eligible patients with commercial insurance may pay as little as $0 per tube for Opzelura.
  • Unavailable

    Patient Assistance Programs

    A picture of a patient assistance application form
Jamie Winn NowPatientGreen tick
Updated on 26 Apr 2024

Learn more about ZARAH

What is ZARAH?

What is ZARAH?

ZARAH is the brand name for drospirenone/ethinyl estradiol and is available as an oral tablet.

What dosages is ZARAH available in?

What dosages is ZARAH available in?

ZARAH is available as an oral tablet in a pack that contains 21 tablets with 3 mg drospirenone (DRSP) and 0.03 mg
ethinyl estradiol and 7 placebo tablets.

What is ZARAH used for?

What is ZARAH used for?

ZARAH is an estrogen/progestin combination that is used to prevent pregnancy.

How does ZARAH work?

How does ZARAH work?

ZARAH is a combination oral contraceptive (COC) that contains 2 hormones: drospirenone (a progestin) and ethinyl estradiol (an estrogen). Both hormones work together to prevent pregnancy by:

  • Suppressing ovulation (release of an egg from the ovary)
  • Changing cervical mucus to block sperm movement
  • Creating an unfriendly environment for the fertilized egg by changing the lining in the uterus (womb)
How do I take ZARAH?

How do I take ZARAH?

ZARAH comes as a pre-packaged course (28 days) of medication. There are 21 active tablets and they each contain 3 mg drospirenone and 30 mcg ethinyl estradiol. There are 7 placebo tablets and they don’t contain any active medication.
The typical dose is to take 1 active tablet by mouth daily for 21 days, followed by 1 placebo tablet daily for the remaining 7 days. The tablets must be taken in order as shown on the medication packaging.

Is it safe for me to take ZARAH?

Is it safe for me to take ZARAH?

ZARAH is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if you have any of the following:

  • Kidney, liver, or adrenal gland problems
  • Women over 35 years old who smoke
  • High risk of blood clots
  • Blood vessel problems that affect the heart or brain
  • Abnormal uterine bleeding where the cause have yet to be diagnosed by your provider
  • History of certain heart conditions
  • Uncontrolled high blood pressure or diabetes
  • Pregnancy
  • Breast cancer (current or previous) which might be hormone-sensitive
  • Headaches involving the spinal cord or brain
  • Migraine headaches with or without aura if over 35 years old
  • Liver tumor
  • Current treatment with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir)
ZARAH Common Side Effects

ZARAH Common Side Effects

Common side effects of ZARAH:

  • Premenstrual syndrome (PMS)
  • Headache/migraine
  • Breast pain/tenderness/discomfort
  • Nausea/vomiting
  • Stomach pain/tenderness/discomfort
  • Mood changes
ZARAH Serious Side Effects

ZARAH Serious Side Effects

Serious side effects are rare with ZARAH. Contact your healthcare provider immediately if you experience any of the following.

  • Heart attack: chest pain, stomach discomfort, sweating, nausea, dizziness
  • Stroke: sudden numbness or weakness in the arm, leg, or face, confusion, trouble seeing, headache, difficulty walking
  • Deep vein thrombosis (blood clot in the leg): leg cramp, swelling, pain, muscle tightness
  • Pulmonary embolism (blood clot in the lung): cough, chest pain, trouble breathing, racing heart
  • Liver problems: yellowing of the skin or the whites of the eyes, tiredness, stomach pain
Effects of other drugs, drug classes and over-the-counter products on ZARAH

Effects of other drugs, drug classes and over-the-counter products on ZARAH

The following medications may interact with ZARAH:

  • Drugs or herbal products that induce certain enzymes (for example, CYP3A4) may decrease the effectiveness of COCs or increase breakthrough bleeding
  • Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with COCs
Who makes ZARAH?

Who makes ZARAH?

Mayne Pharma

Is ZARAH safe in pregnancy?

Is ZARAH safe in pregnancy?

ZARAH is contraindicated during pregnancy as it may cause fetal harm when administered to pregnant women.


What to do if you missed your ZARAH dose

The FDA's medical product safety reporting program for health professionals, patients and consumers.

Learn more about reporting side effects
dollar sign

Drug Savings Tips

Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

FAQ logo

People Asked

Now Patient Data Security

Data Security

Our Commitment to You.

Find out moreNow Patient Data SecurityNow Patient Data Security

What is NowPatient

Telehealth and Online Pharmacy

NowPatient is a licensed online pharmacy and doctor service that is available around the world. Our service is FREE and packed with valuable features that can benefit your health such as medication reminders, educational blogs, medically approved symptoms checker, UK NHS online pharmacyprivate treatment plansRx Advantage cardhealth conditions information, affordable medications options, genetic testinghome test kitshealth riskspollen meterair quality monitor, weight loss plans, drug savings programs and lots more!

A laptop screen displaying a health dashboard with widgets showing health profile, notifications, personalized health tools, and favorite widgets including body mass index and weight loss tracking.


To improve the lives of everyone by making high-quality care accessible and convenient

We are here to improve lives. Our service gives you access to smart features and resources that can help empower you to take control of your health and improve your health outcomes. All this, in one place, for FREE. We strive to bring a fresh perspective to managing health. NowPatient can be accessed by downloading the App or using your web browser.

Download our app today

A collage showing a map with pharmacies, a questionnaire, medication details, and a person video chatting on a screen.

Can I trust NowPatient

Meet our medical team

We are a passionate group of clinicians and medical writers covering a broad range of specialities with experience operating in health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do. You can read more about our medical team by visiting the medical team page or learn more about how we curate content by visiting our editorial process

Your Questions Answered

For your peace of mind, we can answer your questions quickly

We have a comprehensive list of FAQ’s on each feature page. Alternatively, for broader questions around our service just click the button below.
Find your answers