{
  "id": "yaz",
  "recordTier": "source_traceable_archive",
  "editorial": {
    "reviewedAt": "2026-09-04",
    "status": "published_traceable_archive"
  },
  "names": {
    "brand": "YAZ",
    "generic": "屈螺酮/炔雌醇",
    "aliases": [
      "YAZ",
      "Yaz",
      "drospirenone",
      "ethinyl estradiol",
      "屈螺酮",
      "炔雌醇",
      "屈螺酮炔雌醇片",
      "NDA 021676",
      "50419-405-03",
      "DS",
      "DP",
      "drospirenone and ethinyl estradiol",
      "NDC 50419-405-03"
    ],
    "marketBrandNames": [],
    "mainlandChinaTradeNameCue": null
  },
  "identity": {
    "therapeuticArea": "生殖健康",
    "sourceArchiveMarket": "美国当前公开标签与 FDA 产品记录：YAZ 3 mg/0.02 mg 复方口服片，24 片活性片＋4 片无活性片，每外包装 3 板；不外推其他市场批准、包装、供应或商品名",
    "dosageFormClass": "YAZ 屈螺酮/炔雌醇组合包装：每板 24 片浅粉色活性薄膜衣片＋4 片白色无活性薄膜衣片；每外包装 3 板",
    "dosageFormClassCode": "oral_solid",
    "route": "口服",
    "routeCode": "oral",
    "historicalApprovalEntry": "2006-03-16（FDA Drugs@FDA 所列 NDA 021676 原始批准日期）",
    "archiveSponsorText": "Bayer HealthCare Pharmaceuticals Inc. / FDA 与 DailyMed 当前公开监管记录"
  },
  "matchPolicy": {
    "contract": "reviewed_name_and_exclusion_cues_v1",
    "exactMatchNames": [],
    "excludedProductCues": [
      "YASMIN",
      "BEYAZ",
      "SAFYRAL",
      "SLYND",
      "NEXTSTELLIS",
      "drospirenone-only tablets",
      "屈螺酮单方",
      "其他 21+7 或 24+4 复方避孕片"
    ],
    "exclusionPrecedence": "before_name_candidate"
  },
  "productPresentations": [
    {
      "id": "us-yaz-drospirenone-3mg-ethinyl-estradiol-0-02mg-24-active-4-inert-three-blister-packs-ndc-5041940503",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 当前美国公开标签（2025-05-29 更新；SPL v21）",
        "en": "Current U.S. DailyMed public label (updated 29 May 2025; SPL v21)"
      },
      "dosageForm": {
        "zh": "YAZ 屈螺酮/炔雌醇薄膜衣口服片组合包装",
        "en": "YAZ drospirenone/ethinyl estradiol film-coated oral-tablet kit"
      },
      "route": {
        "zh": "口服（组合包装身份字段）",
        "en": "oral (kit product-identity field)"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 50419-405-03",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_active_tablet",
      "primaryDisplay": {
        "zh": "每板 24 片浅粉色活性片（每片屈螺酮 3 mg / 炔雌醇 0.02 mg）＋4 片白色无活性片；每外包装 3 板",
        "en": "Each blister has 24 light-pink active tablets (drospirenone 3 mg / ethinyl estradiol 0.02 mg per tablet) plus 4 white inert tablets; three blisters per outer pack"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=0ed216ab-0c5e-4e77-8170-114a2c530ae7-06.jpg&setid=065f33e4-b587-4e66-b896-ca9ab7b7c876&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "屈螺酮",
            "en": "drospirenone"
          },
          "value": 3,
          "unit": "mg",
          "basisCode": "per_active_tablet",
          "basisLabel": {
            "zh": "每片浅粉色活性片的第一种成分；不能与 0.02 mg 相加，也不是个人应服片数",
            "en": "first ingredient per light-pink active tablet; not to be added to 0.02 mg and not an individual tablet count"
          }
        },
        {
          "ingredient": {
            "zh": "炔雌醇",
            "en": "ethinyl estradiol"
          },
          "value": 0.02,
          "unit": "mg",
          "basisCode": "per_active_tablet",
          "basisLabel": {
            "zh": "每片浅粉色活性片的第二种成分；白色无活性片不含这两种激素",
            "en": "second ingredient per light-pink active tablet; the white inert tablets do not contain these two hormones"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "three_blister_pack_kit",
        "typeLabel": {
          "zh": "三板组合外包装",
          "en": "three-blister outer pack"
        },
        "fill": null,
        "countPerPackage": 3,
        "countUnit": {
          "zh": "板/外包装；每板 28 片",
          "en": "blisters per outer pack; 28 tablets per blister"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-04",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 3,
        "unit": {
          "zh": "板/外包装",
          "en": "blisters per outer pack"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "浅粉色活性片与白色无活性片",
          "en": "light-pink active and white inert tablets"
        },
        "shape": {
          "zh": "圆形、无刻痕薄膜衣片",
          "en": "round, unscored film-coated tablets"
        },
        "imprint": {
          "zh": "活性片 DS；无活性片 DP（均位于正六边形内）",
          "en": "DS on active tablets; DP on inert tablets (each within a regular hexagon)"
        },
        "scoreStatus": "unscored",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_e050b7fd67ffa799",
        "label": "DailyMed（NLM）：YAZ 屈螺酮/炔雌醇当前美国公开标签与三板组合包装（SPL v21）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-04",
        "reviewedAt": "2026-09-04"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    }
  ],
  "comparisonPresentations": [],
  "appearanceReferences": [],
  "visualReference": {
    "presentationId": "us-yaz-drospirenone-3mg-ethinyl-estradiol-0-02mg-24-active-4-inert-three-blister-packs-ndc-5041940503",
    "status": "historical_public_label_image_not_product_authentication",
    "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=0ed216ab-0c5e-4e77-8170-114a2c530ae7-06.jpg&setid=065f33e4-b587-4e66-b896-ca9ab7b7c876&type=img",
    "alt": "YAZ 屈螺酮/炔雌醇 NDC 50419-405-03 三板组合包装在 DailyMed 当前美国标签中的展示图",
    "archiveMarket": "美国",
    "labelVersion": "DailyMed 当前美国公开标签（2025-05-29 更新；SPL v21）",
    "presentation": "YAZ 每板 24 片浅粉色活性片＋4 片白色无活性片、每外包装 3 板、NDC 50419-405-03 展示面",
    "notice": "此图只帮助核对所引美国标签中的 YAZ、两种成分、24+4 片结构、三板外包装和 NDC；不用于鉴定真伪，也不证明其他市场品牌、批准、供应、可售资格、可替代性或任何个人使用方案。",
    "source": {
      "id": "src_e050b7fd67ffa799",
      "label": "DailyMed（NLM）：YAZ 当前美国公开标签与包装图（SPL v21）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-04",
      "reviewedAt": "2026-09-04"
    }
  },
  "visualCoverageNote": null,
  "labelReading": {
    "coverage": "drug_specific_source_review",
    "title": {
      "zh": "YAZ 说明书放大阅读：先分清两种成分、活性片与无活性片",
      "en": "YAZ label reading: first separate the two ingredients and active versus inert tablets"
    },
    "summary": {
      "zh": "这一标签最容易读错的不是一个数字，而是数字所属层级：每片两种成分、每板 24+4 片、每盒三板。网页帮助逐层核对，但不生成个人开始、漏服、补服、停用、换药或避孕方案。",
      "en": "The main reading risk is not one number but the layer it belongs to: two ingredients per active tablet, 24+4 tablets per blister and three blisters per box. The page helps separate those layers but does not generate an individual start, missed-use, make-up, stopping, switching or contraceptive plan."
    },
    "checks": [
      {
        "zh": "每片浅粉色活性片含屈螺酮 3 mg 和炔雌醇 0.02 mg；白色片是无活性片。3 与 0.02 不能相加成一个可比较强度，24、4、28 与三板也不是个人应服片数。",
        "en": "Each light-pink active tablet contains drospirenone 3 mg and ethinyl estradiol 0.02 mg; the white tablets are inert. The 3 and 0.02 figures are not added into one comparable strength, and 24, 4, 28 and three blisters are not an individual's tablet count."
      },
      {
        "zh": "标签黑框警告指出，35 岁以上吸烟者不应使用 YAZ，吸烟会增加复方口服避孕药相关严重心血管事件风险。胸痛、呼吸困难、单侧腿部肿痛、突发神经症状或其他急性严重表现应立即使用当地急救渠道，而不是等待网页判断。",
        "en": "The boxed warning states that women over 35 who smoke should not use YAZ and that smoking increases serious cardiovascular-event risk with combined oral contraceptives. Chest pain, breathing difficulty, one-sided leg swelling or pain, sudden neurologic symptoms or another acute serious concern requires immediate local emergency help, not a web decision."
      },
      {
        "zh": "屈螺酮具有抗盐皮质激素活性；肾上腺、肾脏或肝脏问题，以及补钾、保钾利尿剂、螺内酯、ACEI、ARB、醛固酮拮抗剂、肝素或长期每日 NSAID 等同在药单时，要优先核对血钾和完整药单。网页不生成停药或错开方案。",
        "en": "Drospirenone has antimineralocorticoid activity. Adrenal, kidney or liver problems, or co-listing potassium, potassium-sparing diuretics, spironolactone, an ACE inhibitor, ARB, aldosterone antagonist, heparin or long-term daily NSAID use requires priority review of potassium and the complete medicine list. The page does not create a stop or separation plan."
      },
      {
        "zh": "YASMIN、BEYAZ、SAFYRAL、SLYND 和其他 21+7 或 24+4 产品可能成分、雌激素、叶酸、活性片数或标签不同；不能按商品名、颜色、片数或共同的屈螺酮自行替换、拼接或轮换。",
        "en": "YASMIN, BEYAZ, SAFYRAL, SLYND and other 21+7 or 24+4 products can differ in ingredients, oestrogen, folate, active-tablet count or label. Brand, colour, tablet count or shared drospirenone does not permit self-substitution, assembly or alternation."
      }
    ],
    "source": {
      "id": "src_e050b7fd67ffa799",
      "label": "DailyMed（NLM）：YAZ 当前美国公开标签——黑框警告、包装、禁忌、血钾与相互作用",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-04",
      "reviewedAt": "2026-09-04"
    },
    "scope": "label_literacy_only_no_individual_dosing_or_substitution"
  },
  "mechanismReading": {
    "title": {
      "zh": "作用机制阅读：抑制排卵是主要机制，不等于可自行选用或替换",
      "en": "Mechanism reading: ovulation suppression is primary, not permission to self-select or switch"
    },
    "summary": {
      "zh": "当前标签把复方口服避孕药的主要作用描述为抑制排卵，并说明宫颈黏液和子宫内膜变化也可能参与。屈螺酮还具有抗盐皮质激素和抗雄激素活性。机制只解释药理路径，不判断个人适用性、血栓风险、是否需要化验或应选哪一款。",
      "en": "The current label describes suppression of ovulation as the primary action of combined oral contraceptives, with cervical-mucus and endometrial changes also possibly contributing. Drospirenone also has antimineralocorticoid and antiandrogenic activity. Mechanism explains pharmacology; it does not decide individual suitability, clot risk, testing needs or product choice."
    },
    "checks": [
      {
        "zh": "“都能抑制排卵”不能把不同复方避孕药变成可一比一替换产品；激素种类、每片含量、活性/无活性片结构、相互作用与目标市场标签都要逐项核对。",
        "en": "‘Both suppress ovulation’ does not make different combined contraceptives one-for-one substitutes. Hormone identities, per-tablet amounts, active/inert structure, interactions and the target-market label all require separate review."
      },
      {
        "zh": "抗盐皮质激素活性解释了为什么血钾与相关联用药需要关注，但不能从机制推算个人是否安全、需要何种化验或如何调整其他药。",
        "en": "Antimineralocorticoid activity explains why potassium and related co-medications need attention, but mechanism cannot calculate individual safety, testing or adjustment of another medicine."
      },
      {
        "zh": "本页不把机制扩展为常规全基因筛查建议。是否适用要结合吸烟、年龄、偏头痛、血栓史、肝肾与肾上腺情况、完整药单和现行标签，由负责团队判断。",
        "en": "This page does not extend mechanism into routine whole-genome screening advice. Suitability requires smoking status, age, migraine, clot history, hepatic, renal and adrenal status, the complete medicine list and current label, assessed by the responsible team."
      }
    ],
    "source": {
      "id": "src_e050b7fd67ffa799",
      "label": "DailyMed（NLM）：YAZ 当前美国公开标签——临床药理与作用机制",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-04",
      "reviewedAt": "2026-09-04"
    },
    "scope": "mechanism_literacy_only_no_individual_dosing_or_substitution"
  },
  "pharmacovigilance": {
    "status": "official_routes_only_no_live_alert_inference",
    "reviewedAt": "2026-08-22",
    "identity": {
      "brand": "YAZ",
      "generic": "屈螺酮/炔雌醇",
      "dosageFormClass": "YAZ 屈螺酮/炔雌醇组合包装：每板 24 片浅粉色活性薄膜衣片＋4 片白色无活性薄膜衣片；每外包装 3 板"
    },
    "labelSource": {
      "id": "src_e050b7fd67ffa799",
      "label": "DailyMed（NLM）：YAZ 屈螺酮/炔雌醇当前美国公开标签（2025-05-29 更新；SPL v21）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-04",
      "reviewedAt": "2026-09-04"
    },
    "productRoutes": [
      {
        "source": {
          "id": "src_e050b7fd67ffa799",
          "label": "DailyMed（NLM）：YAZ 屈螺酮/炔雌醇当前美国公开标签（2025-05-29 更新；SPL v21）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-04",
          "reviewedAt": "2026-09-04"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "美国国家医学图书馆 DailyMed",
          "en": "U.S. National Library of Medicine DailyMed"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "公开药品标签",
          "en": "Public medicine label"
        },
        "reviewedAt": "2026-09-04",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      },
      {
        "source": {
          "id": "src_11400c4c99f4c228",
          "label": "FDA Drugs@FDA：YAZ NDA 021676 产品、RLD/RS 与审批历史",
          "url": "https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=021676",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-04",
          "reviewedAt": "2026-09-04"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "FDA",
          "en": "FDA"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "监管产品记录或标签档案",
          "en": "Regulatory product record or label archive"
        },
        "reviewedAt": "2026-09-04",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      }
    ],
    "recordRoute": {
      "status": "product_level_public_record_verified",
      "authority": {
        "zh": "美国国家医学图书馆 DailyMed",
        "en": "U.S. National Library of Medicine DailyMed"
      },
      "market": {
        "zh": "美国",
        "en": "United States"
      },
      "recordType": {
        "zh": "公开药品标签",
        "en": "Public medicine label"
      },
      "reviewedAt": "2026-09-04",
      "scope": {
        "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
        "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
      }
    },
    "channels": [
      {
        "id": "china-nmpa-drug-evaluation-centre",
        "authority": "NMPA 药品评价中心",
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "title": {
          "zh": "药物警戒快讯与安全警示",
          "en": "Drug-vigilance bulletins and safety notices"
        },
        "purpose": {
          "zh": "国家药监局药品评价中心发布的药物警戒快讯、安全警示及药品不良反应监测相关原始入口；具体产品仍须按批准文号、剂型、规格、持有人和公告日期逐项核对。",
          "en": "Primary NMPA Drug Evaluation Centre gateway for drug-vigilance bulletins, safety notices and adverse-reaction monitoring. Exact products still require checking approval number, dosage form, strength, authorisation holder and notice date item by item."
        },
        "source": {
          "id": "src_05ff2860226564d4",
          "label": "国家药监局药品评价中心：药物警戒与安全警示入口",
          "url": "https://www.cdr-adr.org.cn/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-drug-safety-communications",
        "authority": "FDA",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "药物安全通讯",
          "en": "Drug Safety Communications"
        },
        "purpose": {
          "zh": "监管机构就重要新安全问题、标签变化或风险沟通发布的原始页面。",
          "en": "Primary FDA pages for important new safety issues, labelling changes and risk communications."
        },
        "source": {
          "id": "src_9177df9e1825aa72",
          "label": "FDA：Drug Safety Communications",
          "url": "https://www.fda.gov/drugs/drug-safety-and-availability/drug-safety-communications",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-medwatch",
        "authority": "FDA MedWatch",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "安全信息与严重问题报告",
          "en": "Safety information and serious-problem reporting"
        },
        "purpose": {
          "zh": "美国 MedWatch 的安全信息和报告入口；报告不等同于已证实因果关系。",
          "en": "U.S. MedWatch safety-information and reporting gateway; a report does not itself establish causality."
        },
        "source": {
          "id": "src_e4739cd55d27ab51",
          "label": "FDA：MedWatch 药品安全信息与不良事件报告计划",
          "url": "https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "ema-pharmacovigilance",
        "authority": "EMA",
        "market": {
          "zh": "欧盟/欧洲经济区",
          "en": "European Union / European Economic Area"
        },
        "title": {
          "zh": "药物警戒概览与 EudraVigilance",
          "en": "Pharmacovigilance overview and EudraVigilance"
        },
        "purpose": {
          "zh": "欧盟药物警戒、疑似不良反应报告和 PRAC 安全评估的官方入口。",
          "en": "Official EU gateway for pharmacovigilance, suspected adverse-reaction reports and PRAC safety assessment."
        },
        "source": {
          "id": "src_2ad42a3deae747d1",
          "label": "EMA：Pharmacovigilance overview",
          "url": "https://www.ema.europa.eu/en/human-regulatory-overview/pharmacovigilance-overview",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "EU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "javascript_or_cookie_controls",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mhra-drug-safety-update",
        "authority": "MHRA",
        "market": {
          "zh": "英国",
          "en": "United Kingdom"
        },
        "title": {
          "zh": "Drug Safety Update",
          "en": "Drug Safety Update"
        },
        "purpose": {
          "zh": "英国 MHRA 面向专业人士和公众的药品安全更新原始发布页。",
          "en": "Primary UK MHRA medicine-safety updates for professionals and the public."
        },
        "source": {
          "id": "src_23fdbe67abeafc63",
          "label": "MHRA：Drug Safety Update",
          "url": "https://www.gov.uk/drug-safety-update",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "UK",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "pmda-drug-safety",
        "authority": "PMDA",
        "market": {
          "zh": "日本",
          "en": "Japan"
        },
        "title": {
          "zh": "药品安全信息",
          "en": "Medicine safety information"
        },
        "purpose": {
          "zh": "日本 PMDA 药品安全信息的英文官方入口；具体产品仍应以日文产品页和现行文件复核。",
          "en": "PMDA’s English official safety gateway; exact products still require checking against the Japanese product page and current documents."
        },
        "source": {
          "id": "src_06d6be2880f12024",
          "label": "PMDA：Safety Information Regarding Drugs",
          "url": "https://www.pmda.go.jp/english/safety/info-services/drugs/0001.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "JP",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mfds-drug-safety-letters",
        "authority": "MFDS",
        "market": {
          "zh": "韩国",
          "en": "Republic of Korea"
        },
        "title": {
          "zh": "药品安全性书信",
          "en": "Medicine safety letters"
        },
        "purpose": {
          "zh": "韩国 MFDS 发布的药品安全性书信原始索引。原文为韩文，须按涉及产品、剂型、市场和日期逐项阅读；它不自动适用于其他市场，也不构成对个人情况的结论。",
          "en": "MFDS’s primary index for medicine safety letters in the Republic of Korea. The original notices are in Korean and must be read against the named product, dosage form, market and date; they do not automatically apply in another market or decide an individual case."
        },
        "source": {
          "id": "src_2d7f5018cd05eff4",
          "label": "MFDS：药品安全性书信（韩文原始资料）",
          "url": "https://www.mfds.go.kr/brd/m_545/list.do",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "KR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "hsa-adverse-events",
        "authority": "HSA",
        "market": {
          "zh": "新加坡",
          "en": "Singapore"
        },
        "title": {
          "zh": "不良反应报告与药物安全信息",
          "en": "Adverse-event reporting and medicine-safety information"
        },
        "purpose": {
          "zh": "新加坡 HSA 面向公众的疑似不良反应报告、药物安全信息与本地监管入口；一份报告不等同于个体因果关系，具体产品仍须按新加坡注册状态、剂型、规格、日期和现行产品资料逐项核对。",
          "en": "HSA’s public Singapore gateway for suspected adverse-event reporting and medicine-safety information. A report does not itself establish individual causality; exact products still require checking Singapore registration status, dosage form, strength, date and current product information."
        },
        "source": {
          "id": "src_9240397d5a8574c1",
          "label": "HSA：Report adverse events",
          "url": "https://www.hsa.gov.sg/adverse-events/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "SG",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "health-canada-medeffect-advisories",
        "authority": "Health Canada",
        "market": {
          "zh": "加拿大",
          "en": "Canada"
        },
        "title": {
          "zh": "MedEffect 加拿大：建议、警告与召回",
          "en": "MedEffect Canada: advisories, warnings and recalls"
        },
        "purpose": {
          "zh": "加拿大政府 Health Canada 的 MedEffect 公开入口，汇集药品及健康产品的建议、警告、召回、报告与安全信息；具体产品仍须按市场、剂型、规格、公告日期和批号逐项核对。",
          "en": "Health Canada’s public MedEffect gateway for medicine and health-product advisories, warnings, recalls, reporting and safety information. Exact products still require checking market, dosage form, strength, notice date and lot item by item."
        },
        "source": {
          "id": "src_212ec921fa6634ad",
          "label": "Health Canada：MedEffect Canada 建议、警告与召回",
          "url": "https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/advisories-warnings-recalls.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "tga-safety-alerts",
        "authority": "TGA",
        "market": {
          "zh": "澳大利亚",
          "en": "Australia"
        },
        "title": {
          "zh": "药品安全警示",
          "en": "Medicine safety alerts"
        },
        "purpose": {
          "zh": "澳大利亚 TGA 的药品安全警示、建议和监测信息原始发布页。",
          "en": "Primary Australian TGA safety alerts, advisories and monitoring information for therapeutic products."
        },
        "source": {
          "id": "src_ffe6142814f88fac",
          "label": "TGA：Safety alerts",
          "url": "https://www.tga.gov.au/safety/safety-monitoring-and-information/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "AU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "swissmedic-pharmacovigilance",
        "authority": "Swissmedic",
        "market": {
          "zh": "瑞士",
          "en": "Switzerland"
        },
        "title": {
          "zh": "药物警戒与不良反应报告",
          "en": "Pharmacovigilance and suspected adverse-reaction reporting"
        },
        "purpose": {
          "zh": "瑞士 Swissmedic 的药物警戒、信号评估和疑似不良反应官方入口；报告或信号本身不等同于对个体因果关系的确认。",
          "en": "Official Swissmedic gateway for pharmacovigilance, signal assessment and suspected adverse-reaction reporting; a report or signal does not itself confirm individual causality."
        },
        "source": {
          "id": "src_c854f813ce2671df",
          "label": "Swissmedic：Pharmacovigilance",
          "url": "https://www.swissmedic.ch/swissmedic/en/home/humanarzneimittel/market-surveillance/pharmacovigilance.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "CH",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "medsafe-safety-communications",
        "authority": "Medsafe",
        "market": {
          "zh": "新西兰",
          "en": "New Zealand"
        },
        "title": {
          "zh": "药品安全通讯",
          "en": "Medicine safety communications"
        },
        "purpose": {
          "zh": "新西兰 Medsafe 面向公众和专业人士的药品安全通讯与归档入口；旧公告可能已被现行产品资料更新。",
          "en": "New Zealand Medsafe gateway for public and professional medicine safety communications and archives; older notices may have been superseded by current product information."
        },
        "source": {
          "id": "src_3510c1a523ec9769",
          "label": "Medsafe：Safety Communications",
          "url": "https://www.medsafe.govt.nz/safety/SafetyCommunications.asp",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "NZ",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "sahpra-safety-information",
        "authority": "SAHPRA",
        "market": {
          "zh": "南非",
          "en": "South Africa"
        },
        "title": {
          "zh": "药物安全信息、警示与药物警戒",
          "en": "Medicine safety information, alerts and pharmacovigilance"
        },
        "purpose": {
          "zh": "南非 SAHPRA 面向公众和专业人士的药物安全信息、警示与药物警戒入口；官方警示不等同于产品在所有情形下不安全，具体产品仍须按南非注册状态、剂型、规格、公告日期与现行资料逐项核对。",
          "en": "SAHPRA’s safety-information, alerts and pharmacovigilance gateway for the public and professionals in South Africa. An official alert does not itself mean a product is unsafe in every circumstance; exact products still require checking South African registration status, dosage form, strength, notice date and current product information."
        },
        "source": {
          "id": "src_25b0aaefee742163",
          "label": "SAHPRA：Safety Information Updates / Pharmacovigilance",
          "url": "https://www.sahpra.org.za/safety-information-and-updates/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "ZA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "who-medicine-safety-alerts",
        "authority": "WHO",
        "market": {
          "zh": "全球",
          "en": "Global"
        },
        "title": {
          "zh": "药品与疫苗安全警示档案",
          "en": "Medicine and vaccine safety-alert archive"
        },
        "purpose": {
          "zh": "WHO 的跨市场安全警示档案；每条历史警示必须按公告日期、涉及产品和市场单独阅读。",
          "en": "WHO’s cross-market safety-alert archive; every historical notice must be read against its date, named product and market."
        },
        "source": {
          "id": "src_9a7dc56ec34c7e1a",
          "label": "WHO：Safety alerts for medicines and vaccines",
          "url": "https://www.who.int/teams/regulation-prequalification/regulation-and-safety/pharmacovigilance/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "GLOBAL",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "anvisa-pharmacovigilance",
        "authority": "Anvisa",
        "market": {
          "zh": "巴西",
          "en": "Brazil"
        },
        "title": {
          "zh": "药物警戒、警示与 VigiMed",
          "en": "Pharmacovigilance, alerts and VigiMed"
        },
        "purpose": {
          "zh": "巴西 Anvisa 的药物警戒原始入口，涵盖警示、药物警戒公告、风险沟通和 VigiMed 报告路径；具体产品仍须按巴西批准状态、剂型、规格和公告日期逐项核对。",
          "en": "Anvisa’s primary Brazilian pharmacovigilance gateway for alerts, bulletins, risk communication and VigiMed reporting. Exact products still require checking Brazilian authorisation status, dosage form, strength and notice date item by item."
        },
        "source": {
          "id": "src_5de362c12580111d",
          "label": "Anvisa：Farmacovigilância（药物警戒、警示与 VigiMed）",
          "url": "https://www.gov.br/anvisa/pt-br/assuntos/fiscalizacao-e-monitoramento/farmacovigilancia",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "BR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      }
    ],
    "notices": [],
    "boundary": {
      "zh": "本卡将逐药产品级来源与 15 个市场级官方警戒入口放在同一处核验；它不表示已完成该药在所有国家或地区的实时警示检索，也不表示该药存在新的安全警示、召回或风险结论。请先以品牌名、通用名、剂型、规格、所在市场和公告日期逐项匹配；不要仅因看到标题自行停药、换药、加量或减量。",
      "en": "This card brings together the medicine-specific product route and 15 market-level official vigilance gateways. It does not mean real-time alerts for this medicine have been searched in every country or region, or that the medicine has a new alert, recall or risk conclusion. Match brand, generic name, dosage form, strength, market and notice date item by item; do not self-stop, switch, increase or reduce use from a headline."
    },
    "scope": "official_routes_only_no_live_alert_inference"
  },
  "archive": {
    "summary": "YAZ 是屈螺酮/炔雌醇复方口服片的美国品牌监管档案。每板含 24 片浅粉色活性片，每片分别含屈螺酮 3 mg 和炔雌醇 0.02 mg，另有 4 片白色无活性片；每个 NDC 50419-405-03 外包装含三板。两个 mg 数字属于同一片中的两种成分，24、4、28 和 3 属于不同包装层级，不能相加或改写为个人应服片数、漏服处理、换药或避孕方案。",
    "history": "FDA Drugs@FDA 记录 NDA 021676 于 2006-03-16 原始批准，并把当前 3 mg/0.02 mg 口服片列为 RLD 与 RS。DailyMed 当前公开标签（2025-05-29 更新，SPL v21）由 Bayer 发布，列示 NDC 50419-405-03、三板包装、24 片活性片和 4 片无活性片。标签同时写有 Initial U.S. Approval: 2001，这是复方所依托产品历史表述，不能替代 NDA 021676 的原始批准日期。YASMIN、BEYAZ、SAFYRAL、SLYND 及其他市场产品均不能并入这一准确包装。",
    "sourceDocuments": [
      {
        "id": "src_e050b7fd67ffa799",
        "label": "DailyMed（NLM）：YAZ 屈螺酮/炔雌醇当前美国公开标签（2025-05-29 更新；SPL v21）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-04",
        "reviewedAt": "2026-09-04"
      },
      {
        "id": "src_11400c4c99f4c228",
        "label": "FDA Drugs@FDA：YAZ NDA 021676 产品、RLD/RS 与审批历史",
        "url": "https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=021676",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "regulatory_product_record",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-04",
        "reviewedAt": "2026-09-04"
      },
      {
        "id": "src_862034bf7cd36bc3",
        "label": "FDA：YAZ NDA 021676 原始批准函（2006-03-16）",
        "url": "https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2006/021676s000ltr.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "historical_public_record",
        "documentKind": "approval_letter",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-04",
        "reviewedAt": "2026-09-04"
      }
    ],
    "applicationNumber": "FDA NDA 021676（YAZ；drospirenone/ethinyl estradiol tablets）",
    "approvalTimeline": [
      {
        "date": "2006-03-16",
        "title": {
          "zh": "FDA 原始批准 YAZ NDA 021676",
          "en": "FDA original approval of YAZ NDA 021676"
        },
        "detail": {
          "zh": "Drugs@FDA 的申请历史把该日期列为 ORIG-1 Approval；这是美国监管历史节点，不是其他市场批准、供应或个人适用性结论。",
          "en": "The Drugs@FDA application history lists this date as the ORIG-1 approval. It is a U.S. regulatory-history point, not another market's approval, supply or individual-suitability conclusion."
        },
        "source": {
          "id": "src_11400c4c99f4c228",
          "label": "FDA Drugs@FDA：YAZ NDA 021676 产品与申请历史",
          "url": "https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=021676",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-04",
          "reviewedAt": "2026-09-04"
        }
      },
      {
        "date": "2025-05-29",
        "title": {
          "zh": "当前 DailyMed SPL v21 更新",
          "en": "Current DailyMed SPL v21 updated"
        },
        "detail": {
          "zh": "本页的准确 NDC、三板包装、活性/无活性片、外观、黑框警告和相互作用阅读均以该公开标签为主要来源；标签更新日期不等于渠道库存。",
          "en": "The exact NDC, three-blister pack, active/inert tablet distinction, appearance, boxed warning and interaction reading use this public label as the primary source. A label-update date is not channel stock."
        },
        "source": {
          "id": "src_e050b7fd67ffa799",
          "label": "DailyMed（NLM）：YAZ 当前美国公开标签（SPL v21）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=065f33e4-b587-4e66-b896-ca9ab7b7c876",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-04",
          "reviewedAt": "2026-09-04"
        }
      }
    ],
    "marketStatus": [
      {
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "status": {
          "zh": "NDA 021676 当前产品记录与公开标签已建立",
          "en": "Current product record and public label established under NDA 021676"
        },
        "detail": {
          "zh": "3 mg/0.02 mg 口服片在 Drugs@FDA 当前表中为处方 RLD 与 RS；本页只记录准确公开标签和包装身份，不声称实时供应或购买资格。",
          "en": "The 3 mg/0.02 mg oral tablet is currently listed by Drugs@FDA as a prescription RLD and RS. This page records the exact public label and pack identity, not real-time supply or purchase eligibility."
        }
      },
      {
        "market": {
          "zh": "中国大陆、欧盟、日本及其他市场",
          "en": "Mainland China, EU, Japan and other markets"
        },
        "status": {
          "zh": "现行品牌、批准、包装和参比关系待逐市场核验",
          "en": "Current brand, approval, pack and reference status not yet established market by market"
        },
        "detail": {
          "zh": "不从美国 YAZ 商品名、NDA、RLD/RS、NDC、24+4 结构或颜色推定当地产品身份、批准、供应、可售资格或可替代性。",
          "en": "No local product identity, approval, supply, sale eligibility or interchangeability is inferred from the U.S. YAZ name, NDA, RLD/RS status, NDC, 24+4 structure or colours."
        }
      }
    ],
    "frequentlyAskedQuestions": [
      {
        "question": {
          "zh": "3 mg、0.02 mg、24、4、28 和 3 分别是什么意思？",
          "en": "What do 3 mg, 0.02 mg, 24, 4, 28 and 3 each mean?"
        },
        "answer": {
          "zh": "3 mg 与 0.02 mg 是每片浅粉色活性片中两种不同成分的标示量；每板有 24 片活性片和 4 片白色无活性片，共 28 片；外包装有 3 板。这些数字不能相加，也不能单独回答某个人怎么吃。",
          "en": "3 mg and 0.02 mg are the labelled amounts of two different ingredients in each light-pink active tablet. Each blister has 24 active and 4 white inert tablets, 28 total, and the outer pack has three blisters. These numbers are not added and do not by themselves answer how an individual should use the product."
        }
      },
      {
        "question": {
          "zh": "漏了一片或拿错颜色，网页能直接告诉我补几片吗？",
          "en": "Can the page tell me how many to make up after a missed or wrong-colour tablet?"
        },
        "answer": {
          "zh": "不能。活性片与无活性片、漏了几片、处于哪一段、是否呕吐腹泻及其他用药都会改变需要核对的标签路径。请立即查手中准确包装的患者说明并联系药师或开方团队；不要按网上通用表自行补服。",
          "en": "No. Active versus inert tablet, how many were missed, cycle position, vomiting or diarrhoea and other medicines change which exact-label path applies. Check the patient information for the pack in hand and contact a pharmacist or prescribing team promptly; do not self-make-up from a generic online chart."
        }
      }
    ],
    "relatedMedicineChecks": [],
    "relatedArticleSlugs": []
  },
  "canonicalUrls": {
    "zh": "https://origindrug.com/drugs/yaz/",
    "en": "https://origindrug.com/en/drugs/yaz/"
  },
  "limitations": [
    "No originator, generic, interchangeability, availability, price, holder, strength or sale-eligibility conclusion is inferred beyond the linked source documents.",
    "Target-market current labels and official records must be checked separately."
  ]
}