What Is Rheumatoid Arthritis? Causes, symptoms, treatment

What is rheumatoid arthritis? 

Patients with rheumatoid arthritis (RA) have a chronic autoimmune condition where their immune system mistakenly attacks the healthy cells in their body, leading to inflammation (painful swelling) in the affected parts of the body. This disease commonly affects the hands, knees or ankles, and usually the same joint on both sides of the body. Sometimes, other parts of the body (eyes, heart, and circulatory system and/or lung) can be affected as well. 


In a healthy body, the immune system will attack bacteria, viruses to fight infection. However, with rheumatoid arthritis, healthy cells that line your joints are attacked, which causes the joints to become swollen, stiff, and painful. Unfortunately, doctors do not yet know the exact reason behind RA. There are some possible factors that may put you at higher risk of having this chronic disease:

  • Female
  • Family history with RA
  • Smoking


What is rheumatoid arthritis like? At the early stage, patients may experience tenderness and pain, not visible redness or swelling in the joint.

Rheumatoid arthritis affects everyone differently regardless of age, gender.

Pay attention to some warning signs of RA such as:

  • Joint pain, tenderness, swelling, or stiffness that lasts for six weeks or longer.
  • Small joints (wrists, certain joints in the hands and feet) are typically affected first.
  • The same joints on both sides of the body are affected.

Rheumatoid arthritis affects everyone differently regardless of age, gender. Let’s break down the mindset that someone is “too young to have arthritis” as it may hurt their feelings. Avoiding what NOT to say to people living with RA is important because your words, even coming with good intentions, may hurt them. 

When to get medical advice

If you suspect that you have symptoms of rheumatoid arthritis, contact a general practitioner (GP) as soon as possible so that they can try to identify the underlying cause. The sooner rheumatoid arthritis is diagnosed, the more likely your condition can be prevented from getting worse or from the risk of joint damage.


Not so great news, rheumatoid arthritis is incurable. However, early diagnosis and appropriate treatment can help patients to enjoy their life to the fullest possible and continue their daily activities and work. 

Take your pill consistently, every day.

Several options of treatment include:

  • Long-term medication: relieve symptoms and slow down the condition
  • Supportive treatments: for example, physiotherapy and occupational therapy, to support your daily activities in case of having any problems.
  • Surgery: to fix any new or existing joint problems.

In terms of taking medication for rheumatoid arthritis, it is vital to stay consistent, which means taking your pill every day at the same time. This routine will help keep your condition under control, reduce flares, and make your life somewhat easier. There is no doubt that many solutions for remembering medication are available, from the humble smartphone alarm to a smart pill tracker. Please keep in mind that seeking help from a professional health advisor or doctor is super important when your condition is worsening or if you miss your pill. 

Popit collaborates with Pfizer to improve the adherence of patients with rheumatoid arthritis. After studying rheumatoid arthritis patients’ treatment journey, Pfizer discovered that they do not receive sufficient support in order to cope with the condition. Therefore, this collaboration targets encouraging the patient’s medication treatment and gives them less stress about forgetting their pill. Popit Smart Pill Reminder can be purchased here; Popit App, delivery fee are all included. 




Rheumatoid Arthritis: What NOT to say to someone who lives with it

If you know someone who has Rheumatoid Arthritis, you may try to offer help or sympathize.  However, before making a comment or saying something about their condition, you better avoid these phrases as they may sound offensive or judgemental to them. 

“You are too young to have Rheumatoid Arthritis”

Theoretically, Rheumatoid Arthritis (RA) is an autoimmune disease in which the body mistakes healthy tissues and attacks them. Many people may think RA is similar to Osteoarthritis. However, Osteoarthritis is not caused by the same factor and more about the “wear and tear” of the joint by time, commonly found in elder people. 

RA can be found in women, men, and children of all ages, affecting hands, shoulders, knees, and/or feet with severe joint pain and stiffness. In short, RA is not a discriminatory disease. 

“You don’t look sick”

Rheumatoid Arthritis is usually described as an “invisible” illness. This chronic illness is, unfortunately, not curable. Patients can experience periods of remission with little pain or RA can flare up with no warning or reason. Many times it can be super painful to simply get out of bed or tie the shoes. Many times, people living with arthritis can be mistaken for being “better” although, in fact, they only feel less miserable or painful in their joints. 

“I think you will get better”

As explained above, Rheumatoid Arthritis is an ongoing condition, there are just days with either severe or less pain. Although this phrase has good intentions and people tend to use it when someone feels unwell or in pain, the other person may find it unsympathetic. Try offering some help if they need it.

“Be on a diet and lose weight, it will help”

Let’s be straightforward, losing weight does not eventually help to cure Rheumatoid Arthritis. If someone having RA is overweight or obese, losing weight might only reduce some stressed weight on the joint or make them feel a bit better generally. However, it does not cure this autoimmune disease. 

“Oh, my knee is hurting too”

RA patients often deal with joint pain and fatigue and do not mention much about it unless it is so bad or beginning to disable them. If they tell you they are in pain, they are not exaggerating. However, assuming that you are going through the same even though you are not diagnosed with RA is indirectly dismissing their pain. In other words, you make them feel weak or foolish when they mention their struggle. 

In order to show that you acknowledge the other person’s pain, ask if you can help them with anything. By doing that, you also show how much you care and are willing to help if you can. 

“You can’t do this, you will be in pain”

Having arthritis does make it difficult for patients to perform many activities. However, it may upset them if people try to completely prevent them from doing even simple things. They are in pain, but their body still can function and no one wants to be left out just because of their illness. 

In this case, ask them: “Do you feel up to doing ___ today?” instead of assuming that they cannot do it. 

“Have you tried yoga?”

One of the most common misconceptions is that yoga is good for everyone with RA because it includes stretching. It may work for some, but not everyone. They don’t have weak joints, the root of the problem is in their blood and it attacks the joints. Therefore, putting lots of weight on inflamed joints, whether it is in the wrist, knee, or shoulder, etc., is not helping at all. 


So, how can you offer help?

Due to Rheumatoid Arthritis, your close ones will experience physical pain and it will impact their lifestyle, mental health a lot. However, there are several ways that you can do to help them reduce inflammation, for example, planning suitable exercises together (such as yoga, light stretches, aerobic, etc.), stress-reduction activities (eg. meditation), reminding them to take medication on time or suggest them to use smart pill reminder to always remember their meds and reduce inflammation. 


Popit collaborates with Pfizer to improve the adherence of patients with Rheumatoid Arthritis. After studying rheumatoid arthritis patients’ treatment journey, Pfizer discovered that they do not receive sufficient support in order to cope with the condition. Therefore, this collaboration targets encouraging the patient’s medication treatment and gives them less stress about forgetting their pill. Popit Smart Pill Reminder can be purchased here; Popit App, delivery fee are all included.


Resource: Healthline, Creakyjoint 

Hypothyroidism: How To Best Take Thyroid Medication

Avoid these mistakes to make thyroid medication work best for you. We also list 5 best practices for how to take thyroid medication.

When starting hypothyroid treatment, your doctor should talk with you about how to take thyroid medication. Sticking with the following dos and don’ts will put you on the fast track to feeling better.

How to Take Thyroid Medication: 5 Best Practices

1. Double Check the Pharmacist

Although pharmacies must adhere to high standards, pharmacists still sometimes make mistakes. Thyroid medications work with precision; even the slightest changes or inconsistencies will impact your treatment. When you receive your prescription, make sure you receive the correct:

  • Brand and type of medication (even seemingly insignificant differences between a generic and name brand will affect your treatment)
  • Number of pills and dosage

You should also make sure the pills you receive will not expire before they have been taken.

2. Ask about Drug Interactions

Several hundreds of prescription drugs, over the counter medications, vitamins and supplements react with thyroid medications.

Bring a detailed list of everything you take with you to your doctor appointment and to the pharmacy to be certain you are not taking other medications or supplements which will affect your thyroid treatment plan or which will be unsafe to take in conjunction with thyroid medication.

3. Store Medications Properly

Medications should be stored in a dry, relatively cool location. Exposure to heat and moisture breaks down the active ingredients in your medications, making them less effective. In other words, the medicine cabinet in your bathroom is not a suitable storage location for your thyroid medication.

4. Stick with Your Medication Schedule

Keeping the levels of medication and thyroid stimulating hormone in your body as consistent as possible is paramount to effective treatment. Most doctors recommend taking medications first thing in the morning for the best absorption. Others recommend taking pills before bed at night.

For the best treatment outcome, be sure to remember to take your medication every single day and try to take it at about the same time each day, too.

5. Take Medications on an Empty Stomach

Your body will better absorb thyroid medication when taken on an empty stomach. After taking your medication, wait at least an hour before eating or drinking anything, other than water. If taking medications at bedtime, wait for at least three to four hours after your last meal before taking your pill.

Avoid These 4 Mistakes When Taking Thyroid Medication

1. Starting or Stopping Other Medications without Asking Your Doctor

Consistency is the key to effective hypothyroid treatment. It is advisable to use a solution to track and – if needed – remind of pills.

Always ask your doctor before starting or stopping any medication or supplement.

2. Consuming Inconsistent Amounts of Fiber

Fiber intake affects the body’s ability to absorb thyroid medication. Sudden changes in the amount of fiber in your diet can adversely affect hypothyroid treatment.

3. Taking Medication with Coffee, Calcium, Iron and/or Iodine

All of these substances block the body’s ability to absorb thyroid medication. While it’s obvious to avoid supplements and foods containing these ingredients, also be wary of foods fortified with calcium and iron and calcium-rich antacid tablets.

4. Changing Brands without Your Doctor’s Consent

Sometimes insurance companies pay more on generic prescriptions, but there is actually a big difference between different brands of thyroid medication. Always speak with your doctor before switching medication brands and take all thyroid medications exactly as prescribed.

When taking thyroid medication, what do you think is the biggest challenge?

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Birth Control Pills And Sex Drive. Do Pills Lower Libido?

There has been a lot of speculation about the effects of birth control on women’s libido. However, scientists have come to discover that the elements that drive a woman’s desire to have sex are not compatible with scientific methods. The research into the relationship between birth control pills and sex drive has continuously produced different results.

The science on birth control pills and sex drive

An analysis of the research studies conducted on this topic shows that most women reported no link between birth control pills and their sex drive. However, there are various ways in which the contraceptives can alter your bodily functions which can cause you to lose interest in sex.

Hormonal abnormalities

Many scientists consider testosterone to be a sex drive hormone. Estrogen, which is common in many birth control pills, has been linked to a reduction in testosterone levels in the body. This is because estrogen contributes to the increase in sex hormone-binding globulin. It traps some of the testosterone in the body.

In a study appearing in the Journal of Sexual Medicine scientists found that the level of sex hormone-binding globulin in women taking birth control pills was four times higher than in women who had never used hormonal contraceptives.

Another factor that might lead to lower testosterone levels is the lack of ovulation. Most oral contraceptives work by releasing hormones into the body that mimic pregnancy. In return, this helps to prevent pregnancy by preventing ovulation. However, some women experience a rise in the testosterone levels mid-cycle. The increase in testosterone causes some women to experience a spike in their sexual desire.

However, since ovulation does not occur when taking birth control pills, there is no spike in testosterone. Therefore, a person might miss this rise in sexual appetite once they get on the pill.

Birth control pills can affect lubrication

One of the side effects of low-dose birth control is that it can make it harder for a woman to get wet. Although this is not a sign of low sex drive, it does affect some women’s ability to get turned on.

Challenges in research

It is really hard to pin down what low sex drive means to different people. For some, it might mean that they are not that into it. Others might be repulsed by the thought of having sex. This is one of the reasons why studies keep giving different results on the connection between birth control pills and sex drive.

What to do if your pill is affecting your libido

If you feel that there is a link between your birth control pills and sex drive, then you should switch to another pill or method. Read on for information on both.

Switch to another pill

The beauty of oral contraceptives is that they come in different varieties. If your birth control is not working for you, you can switch to another pill with the help of your physician.

Pills containing drospirenone are known to be anti-testosterone. If your pills contain it, you can switch to a pill that has levonorgestrel which is considered to be pro-testosterone.

Switch to another method

If pills just aren’t working for you, you can opt for an alternative birth control method. An IUD is a good option since it does not prevent ovulation. The copper IUD may even be better since it is not hormonal.

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Open position: Digital Operations Market Manager

UPDATE: This position has been filled. To hear first about our new positions, follow us on LinkedIn.


Are you a self-driven professional with a strong track record in getting things done? Do you have a flair for content creation and analytics? Would you be interested in launching a unique digital health solution on new markets? Well look no further and get in touch!

Popit is a pioneering Finnish startup and we make medication digital. By doing so we improve medication adherence and help patients get the best possible medical treatment outcome. We’re big on making things happen and small on hierarchy. Popit works with the world’s largest pharmaceutical companies in Europe and Japan and our goal is to make a positive impact on the treatment of as many patients as possible. We support the United Nations Development Goal number 3 – Good Health and Wellbeing.

We are looking for a creative and analytical Digital Operations Market Manager (DOMM) to work with our pharma customers in introducing Popit to patients on new markets. The person we have in mind is a great communicator who can coordinate a project efficiently. S/he also knows how to create content, interpret data and draw conclusions from it and be a creative problem solver at heart.

What you would be doing:

  • Influence and create patient and healthcare professional (HCP) facing materials for new markets (such as onboarding materials, ads, flyers, video tutorials, webinars, blog posts, etc.).
  • Coordinate with PMs of respective markets to provide sales and onboarding materials, localize content and gather feedback on the content effectiveness.
  • Provide product training and onboarding support to local pharma customer reps and
  • Analyze and report the performance and success of rolled out campaigns and materials.
  • Data points to use: pharma customer feedback, patient feedback, Popit Solution data, Anonymous app data analytics.
  • Identify new marketing strategies and channels to enable growth.

Ideally, you have

  • 4+ years experience in project management/coordination
  • Hands on experience with Excel and analytics tools
  • Hands on experience with graphics tools, such as InDesign, Illustrator and Photoshop (or similar).
  • Excellent communication and interpersonal skills with a knack for understanding communication in different cultures
  • Creative and persistent problem-solving approach and customer-centric thinking
  • Entrepreneurial spirit
  • Desire to learn new things and not be afraid to go outside your comfort zone.
  • Professional fluency in English. Other languages – especially Japanese – considered a plus
  • Experience from pharma or health tech industry considered a plus

We offer

  • A challenging key role in a truly international company.
  • An opportunity to make a real impact on the lives of patients.
  • A possibility to grow with the company and build this into a team lead role. You get to influence the direction.
  • Competitive salary.
  • Work flexibility – We expect to see you at our office frequently (when things normalize, of course), but you can also work from home.
  • We’re still a company that’s growing up, so don’t expect a La Pavoni espresso machine or weekly fruit basket deliveries. They’re coming somewhere down the line, but right now we’re focusing on doing the right things for the business. We have two excellent restaurants in the building though and you do get lunch benefits. Oh and a free gym too, so you don’t have to spend time commuting to get those rock-hard abs :)

Employment Type


How to apply

Apply through LinkedIn.


Popit and Ashfield Engage Partner To Improve Patient Adherence

Ashfield Engage and Popit partner to improve patient adherence through supplemental real-time personalized support.

Ashfield Engage, part of UDG Healthcare plc, today announces it has partnered with Popit, a digital health company, to improve patient adherence in oral solid dosage (OSD) treatments and advance supplemental personalized patient support.

The collaboration brings together Popit’s novel monitoring technology, and Ashfield Engage’s patient support programs, to proactively respond to patients’ needs and tailor their reminders accordingly.

The Popit Sense™ device is attached to a pill sheet and uses patented technology to monitor missed doses and send alerts to patients via a smartphone app. The data is also transmitted to healthcare providers and support partners such as Ashfield Engage. Now enriched with this real-time data, Ashfield Engage can easily identify which patients require extra support.

As well as providing support through the app, Ashfield Engage will leverage its expert call center teams to reach out to patients to discuss any challenges with their medication.

We can engage with patients in a way that was previously not possible.

Ian Riches, Global Vice President, Patient Solutions at Ashfield Engage, explained:

“Prior to Popit’s technology, a large group of OSD patients were not getting the support they needed. While the majority of patients are adherent, those with a need for support can now be quickly identified and we can engage with them in a way that was previously not possible, which is really exciting.

“While typically patient data is only collected up to the point of prescription, we can now support patients throughout their treatment in real-time. By partnering with Popit we have a digital solution that enables rapid, personalized support to increase patient adherence and significantly improve patients’ health and wellbeing in the long term.”

Popit Sense technology is already being leveraged by many large pharmaceutical organizations, including Pfizer, Almirall and Novartis.

We see this as a really important step towards building better, more connected healthcare solutions that truly benefit patients’ health.

Timo Heikkilä, COO and Co-Founder of Popit, added: “Our solution provides a wealth of invaluable data for healthcare providers, and pharmaceutical organizations and we have seen excellent results following its adoption.

“By partnering with Ashfield Engage, we can now advance that service, and provide not only the data, but the direct follow up support to those patients in need. We are thrilled about this collaboration and look forward to supporting the large patient population reliant on OSD treatments. We see this as a really important step towards building better, more connected healthcare solutions that truly benefit patients’ health.”

To find out more about how Ashfield Engage and Popit Sense can benefit your organization, your product and your patients, visit: https://ashfieldengage.com/

To learn more about Popit, visit: https://popit.io/.

Contact Information

Lara Lovenbury, ramarketing | lara@ramarketingpr.com | +44 773 268 1275

About Popit

Popit is a pioneer in improving patient adherence through smart consumer devices. The Company is dedicated to improving adherence by digitalizing medication, a major opportunity that benefits patients, patient support programs, healthcare payors and the pharmaceutical industry. Popit works with the world’s leading pharmaceutical companies in executing against this vision.

For more information, go to https://popit.io/

Popit Media contact: 

Timo Heikkilä
Co-founder & COO
Phone: +358 50 487 3728

About Ashfield

Ashfield, part of UDG, is an integrated healthcare services partner, offering a breadth of services across strategic consulting, benchmarking, commercialization, customer engagement, events, marketing and communications.

Ashfield comprises of three clearly defined, integrated business units: Ashfield Advisory, Ashfield Engage and Ashfield Health. Together, the Ashfield team uses imagination, strategy and action to redefine and deepen client partnerships, reimagine health and improve lives.

Ashfield   has   carefully   curated   its   business   through   the   acquisition   of   22 companies and is committed to offering streamlined services to best meet its clients’ needs. With a presence in more than 50 countries, over 7,000 employees strive to provide best-in-class service for more than 300 clients, including the top 30 global pharmaceutical companies.

For more information, go to www.oneashfield.com

About Ashfield Engage

Ashfield Engage, part of UDG Healthcare plc, is an expert, global partner in customer strategy and execution. Ashfield Engage helps clients connect with all healthcare audiences to ensure people get knowledge, support and medicines when and where they need them. As experts in strategic engagement, Ashfield Engage creates personalized, impactful experiences, across all channels. Every program is underpinned by human connections, omnichannel engagement and adaptive analytics.

Ashfield Engage has over 20 years’ experience with a team of over 5,000 employees, delivering services in more than 50 countries. Offering services across Medical Affairs, Market Access, Commercial, Patient Solutions and Event Experiences, Ashfield Engage helps its clients to engage with their stakeholders across the whole commercialization journey. Under the Ashfield umbrella, Ashfield Engage sits alongside Ashfield Advisory and Ashfield Health.

For more information, go to https://ashfieldengage.com/

Pill reminders – Can they help you take your pills on time?

Pill reminder and pill-tracking app is the new mantra used by researchers to improve medication adherence in patients.

A 2016 poll conducted by Popit Research Labs showed that around 40% of voters relied on their memory to track their pill usage while almost 60% used some form of external pill reminder. Also, multiple studies are suggesting the rise in medication non-adherence due to forgetfulness. There is clearly a need for an external source to keep track of one’s medication usage.

Forgot your pills again? Can pill reminders help? Learn about the different types of pill reminders and which is the most effective one.

Popit Research Labs, 2016

Do pill reminders work?

With the rise in pill reminder solutions, the first question that pops into your mind is – Do pill reminders actually help? Can they help you take your medications on time?

According to a randomised clinical trial done in 2018, to check the impact of medication reminder apps to improve medication adherence in a Coronary Heart Disease study, adherence improvement for app users seemed to be ~7.2%. It was concluded that patients who used medication reminder apps had better medication adherence compared to those with usual care.

A study by Cochrane on interventions for medication adherence in the elderly concluded that behavioural and educational interventions along with the aid of simple strategies such as using pill reminders may lead to greater satisfaction in medication management in the elderly.

In a poll conducted by Popit, almost 50% of the users confirmed they have some kind of reminders for pills and they find these useful in tracking their pills for birth control. In a clinical pilot together with a leading university hospital, their pill reminder solution was able to reduce missed pills by over 80% and help build a solid routine around pill-taking.

Forgot your pills again? Can pill reminders help? Learn about the different types of pill reminders and which is the most effective one.
Popit Research Labs, 2016

Which is the most effective pill reminder?

With the internet being flooded with various pill reminders apps and medication trackers, how do you know if these are effective or not?  Does it really make sense to invest in one? If yes, then which one?

Pill dispensers are cheap, but using a pill dispenser is more or less relying on your memory. On the other hand, smartphone alarms are free, but most people end up ignoring these alarms as constant notifications can get annoying after a while.

A smart sensing device could be another option that you can rely on. This is the world’s first and only tracker for a pill blister that comes with built-in sensors. It can sense when you pop a pill off the blister and notifies you only when you miss a pill. Which means, if you take the pill, you don’t get the daily annoying reminders. Also, there is no manual input needed to keep a track of your pill usage.

We compiled a comparison chart so you can evaluate which solution is best for you.

Forgot your pills again? Can pill reminders help? Learn about the different types of pill reminders and which is the most effective one.

Pill Reminders

How do pill reminders help?

Medication cannot work as intended if it is not taken as prescribed. Consistency and taking pills according to guidance play a key role in any treatment.

Some of the cases where pill reminders have proven to be beneficial include:

1. Avoiding unwanted pregnancy

Forgot your pills again? Can pill reminders help? Learn about the different types of pill reminders and which is the most effective one.

The risk of pregnancy with a typical birth control pill use is 9% and the pill is 99% efficient only when used perfectly.

By perfect use, it means you have to take the pill every day without fail. You must also take it at the same time day after day. In a recent survey conducted by Popit, more than 1 in 12 women on the pill may have experienced an unintended pregnancy due to missing a pill.

2. Medication adherence in chronic health conditions

Medication non-adherence in chronic health conditions is a recognized public health problem. According to a study conducted by NCBI on unintentional non-adherence of prescribed medication, more than 60% of the test group forgot to take their pills on time.

3. Improved parental or caregiver medication adherence

To keep a track of someone’s medication is more challenging than managing one’s own treatment. You can easily manage this when you have an app that can notify you whenever they miss their pills.

4. Adherence in research

Patients not adhering to medications in research is one of the factors that makes medication development so expensive, and as a result, the prices so high. Taking medications correctly is essential and adherence in research enables a successful study.

So, do you need one?

Forgot your pills again? Can pill reminders help? Learn about the different types of pill reminders and which is the most effective one.

Evolution of pill reminders

From the humble reminders such as markings on a calendar to smart sensing devices, pill reminders have evolved over the years. This also confirms the need for an external source to track pill usage apart from relying on one’s memory. Multiple studies are also supporting this claim saying it could be one of the ways to improve adherence in patients.

Pill reminder solutions are usually a one time purchase and cost less than a good pair of sneakers. They are the most reliable alternative to ensuring you take your medicines on time and stay on track. These can also be a thoughtful gift for your loved ones. For, after all, there is no greater gift that you can give or receive than to stay healthy or investing in the good health of your loved ones.

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5 Signs You’re On the Wrong Birth Control Pill

If you are taking the birth control pills because of PCOS, cramps, fibroids or as a contraceptive, it’s important to know you’re taking the right birth kind of control pill. We listed some symptoms that might indicate your current birth control pill is not the best one for you.

Frequent Headaches or Migraines

If you are experiencing regular headaches or worse migraines after starting to take your birth control pill, your sensitivity to estrogen might be higher than normal. The pill increases levels of estrogen in the body. Look for pills that do not contain hormones.

Lost Your Mojo

The birth control pill can lower your libido since it replaces hormones. The body is responsible for creating 50% of the testosterone when a natural ovulation occurs and testosterone actually plays a huge part in sex drive. The pill can prevent a person from ovulating, which in turn will result in zero production of testosterone hormones, necessary to keep the libido up and running. Testosterone is also responsible for increasing the blood flow to sexual organs – crucial for their sensitivity.

Low Energy

There is a proven connection between taking birth control pills and depletion of vitamin B. If you are not taking a vitamin B6 supplement, chances are that you might feel low on energy. Other symptoms can be moodiness, tiredness and nausea. If experiencing any of these symptoms look into supplementing your vitamin intake or switching the contraceptive method altogether.

If you are not taking a vitamin B6 supplement, chances are that you might feel low on energy.

Feeling Depressed

The birth control pill contains progesterone & estrogen and these can affect the brain. It is very important to find a well-balanced pill which will not put you in bouts of depression or low moods. Each pill has a different dose of these hormones so it might be a good idea to try a different pill or other birth control methods.

Not Being Yourself

If your mood and behavior have changed after taking the pill, you feel miserable and moody and most of all you don’t feel quite yourself, it might be best to look into other options. Your body knows best when something is not right and it may be that birth control pills are not the best contraceptive method for you.

Your body knows best when something is not right and it may be that birth control pills are not the best contraceptive method for you.

If you experience any of the above-mentioned symptoms, it’s probably a good idea to schedule a visit with your doctor to discuss options and clarify the root cause.

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Missed, Forgotten Or Late Birth Control Pill – Effects and Remedy?

The birth control pills are the most used means of contraception but can be easily forgotten to take. Birth control pills are easiest to use since they are taken orally and are effective over 99 % of the time.

Can there be side-effects to forgetting to take birth control? One quite common side-effect is spotting, but it is also possible to get pregnant because of a missed pill.

For one missed pill this isn’t a very likely scenario, but it’s better to play it safe and stay consistent.

Gynecologists prescribe birth control pills according to the requirements and needs of the taker. They are available in various packs but the most used are those which contain 21 pills and 28 pills and are to be taken on a daily basis.

But many times you simply might just forget to take the daily dose. Forgetting birth control pills is actually quite common.

Here’s a compilation of instructions from the internet on what to do if you’re on the combined oral contraceptive pill.

If you are less than 24 hours late, you can take it without any delay as soon as you remember

  1. Less than one day late:
    If you have not taken your pill and are less than 24 hours late you can take it without any delay as soon as you remember. No additional contraceptive protection or emergency contraception is required.
  2. Two days late (24h to 48h):
    Take the missed pill as soon as possible. The remaining pill should be taken according to the usual schedule as well. This means you might need to take two pills at the same time. With most birth control pills, you will not require additional contraceptive protection or emergency contraception. Read the leaflet that came with your pills to make sure.
  3. Three days late or more (more than 48h):
    Take the most recent pill as soon as possible and continue with the remaining pills at the usual time. If you are to have sexual intercourse, apart from the pill you need to make sure you use other contraceptive means such as condoms, IUD’s etc. for the next seven to ten days to be extra careful. Consider also emergency contraception.

Also, if you miss three or more pills in the third week, finish the hormonal pills in the package and discard the placebos. Start a new sheet the next day.

To sum it up:
Understand that sticking to your pill schedule is very important and measures should be taken to remember.

If by any chance you miss a pill or two, take those pills along with the ones that are scheduled.

Missing three pills usually means you may need to alter the pill routine by discarding the placebos. Also, emergency contraception might be needed.

Sticking to your pill schedule is very important and measures should be taken to remember

Don’t panic and don’t worry. Go the extra mile and use other contraceptive measures as well. Just to make sure, consult your doctor or physician for instructions.

References and useful sources for further information:

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Popit And Almirall Start Offering New Support Tool To Help Psoriasis Patients

The Finnish digital health startup launches together with the biopharmaceutical company focused on skin health, first in The Netherlands.


Finnish digital health startup Popit and Almirall, a global biopharmaceutical company focused on skin health have started a collaboration to provide a novel support solution for patients with psoriasis. Popit’s innovative solution is available for patients using the Skilarence® (Dimethyl fumarate) medication, used for treatment of moderate-to-severe plaque psoriasis. The solution improves medication adherence and offers support for the patient. The partnership has started with the first patients already using Popit in The Netherlands.

Psoriasis is a chronic, non-contagious skin disease with symptoms that include clearly defined red patches (“plaques”), scaly skin and often itching. It is estimated that 125 million people worldwide – or 2 to 3 % of the population – have psoriasis1. The condition has a profound impact on patients: nearly 60 % of people with psoriasis reported their disease to be a large problem in their everyday life2.

Skilarence® (Dimethyl fumarate) is a systemic treatment taken orally for psoriasis3. As with all medications, if patients are not taking it according to guidance, they also do not receive the best possible treatment outcomes. Popit helps patients stay on track with the treatment and gain access to tailor-made content on their therapy.

The innovative solution consists of a unique device that automatically tracks when a medication is taken, as well as an accompanying app that reminds only if a dose has been missed. The patient also receives useful support messages and psoriasis content tailored specifically for them. Popit has been clinically validated to significantly reduce missed doses4 and is already used by some of the largest pharmaceutical companies in the world with great results.

In the words of Francesca Wuttke, Chief Digital Officer of Almirall:

We are pleased to be collaborating with Popit to bring novel adherence and engagement solutions to patients with psoriasis. As a result of this partnership we are able to provide a new patient experience through digital psoriasis treatment to inform, educate, manage expectations, and motivate our patients. Making our medicines connected is a huge leap for patients and the industry and we’re excited to be doing it with Popit”.

Teemu Piirainen, Popit’s CEO weighs in:

There is a great need to improve medication adherence and patient support in psoriasis care. Popit can really help in this by tackling some of the most common causes for why doses are missed, which include forgetting the daily doses and insufficient awareness of how missed doses impact treatment outcomes. Additionally, the patient might face quite practical challenges with their treatment, like up-titration or predetermined changes in product strength, which may not always be easy to master. Popit supports the patient with these challenges.


About Popit:

Popit is a pioneer in improving patient adherence through smart consumer devices. The Company is dedicated to improving adherence by digitizing medication, a major opportunity that offers benefits for patients, healthcare payors and pharmaceutical companies. Popit works with the world’s leading pharmaceutical companies.

For more information, please visit popit.io


About Almirall

Almirall is a global biopharmaceutical company focused on skin health. We collaborate with scientists and healthcare professionals to address patient’s needs through science to improve their lives. Our Noble Purpose is at the core of our work: “Transform the patients’ world by helping them realize their hopes and dreams for a healthy life”. We invest in differentiated and groundbreaking medical dermatology products to bring our innovative solutions to patients in need.

The company, founded in 1943 and headquartered in Barcelona, is publically traded on the Spanish Stock Exchange and is a member of the IBEX 35 (BME: ALM). Throughout its 77-year history, Almirall has retained a strong focus on the needs of patients. Currently, Almirall has a direct presence in 21 countries and strategic agreements in over 70, through 13 subsidiaries, with about 1,800 employees. Total revenues in 2019 were 908.4 million euros.

For more information, please visit almirall.com


Almirall media contact:

Communications Agency: Tinkle
Pilar Colomer
Phone: (+34) 93 93 545 0861

Almirall Communications contact:
Francesca Wuttke

Popit Media contact: 

Timo Heikkilä
Co-founder & COO
Phone: +358 50 487 3728


  1. Psoriasis.org (https://www.psoriasis.org/psoriasis-statistics/)
  2. Stern RS, Nijsten T, Feldman SR, Margolis DJ, Rolstad T. Psoriasis is common, carries a substantial burden even when not extensive, and is associated with widespread treatment dissatisfaction. J Investig Dermatol Symp Proc. 2004;9(2):136-139.
  3. European Medicines Agency (https://www.ema.europa.eu/en/documents/overview/skilarence-epar-summary-public_en.pdf)
  4. DOI: 10.15761/COGRM.1000217