Nuvaring (Ethinyl Estradiol / Etonogestrel)
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Ethinyl Estradiol / Etonogestrel Information
(ess' troe jen) and (pro jes' tin)Cigarette smoking increases the risk of serious side effects from estrogen and progestin vaginal ring, including heart attacks, blood clots, and strokes. This risk is higher for women over 35 years of age and heavy smokers (15 or more cigarettes per day). If you use estrogen and progestin, you should not smoke.
Before using the estrogen and progestin vaginal ring,
- tell your doctor and pharmacist if you are allergic to etonogestrel, segesterone, ethinyl estradiol, any other medications, or any of the ingredients in the estrogen and progestin vaginal ring. Ask your pharmacist for a list of the ingredients in the estrogen and progestin vaginal ring.
- tell your doctor if you are taking the combination of ombitasvir, paritaprevir, and ritonavir (Technivie) with or without dasabuvir (in Viekira Pak). Your doctor will probably tell you not to use estrogen and progestin vaginal ring if you are taking one or more of these medications.
- tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking. Be sure to mention any of the following: acetaminophen (Tylenol, others); antifungals such as fluconazole (Diflucan), griseofulvin (Gris-Peg), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Oravig), and voriconazole (Vfend); aprepitant (Emend); ascorbic acid (vitamin C); atorvastatin (Lipitor); barbiturates; boceprevir (Victrelis; no longer available in U.S.); bosentan (Tracleer); clofibric acid; cyclosporine (Gengraf, Neoral, Sandimmune); medications for HIV or AIDS such as atazanavir (Reyataz), darunavir (Prezista) with ritonavir (Norvir), delavirdine (Rescriptor), efavirenz (Sustiva), etravirine (Intelence), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir), saquinavir (Invirase), and tipranavir (Aptivus); morphine (Astramorph, Kadian, others); prednisolone (Orapred); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane), rufinamide (Banzel); medications for seizures such as carbamazepine (Tegretol, Teril, others), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), and topiramate (Topamax); telaprevir (Incivek; no longer available in U.S); temazepam (Restoril); theophylline (Elixophyllin, Theo-24, others); thyroid hormone; and tizanidine (Zanaflex). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. You may need to use an extra method of birth control if you take some of these medications while you are using the contraceptive ring.
- tell your doctor what herbal products you are taking, especially products containing St. John's wort.
- tell your doctor if you have or have ever had breast cancer or any other cancer; cerebrovascular disease (clogging or weakening of the blood vessels within the brain or leading to the brain); a stroke or mini-stroke; coronary artery disease (clogged blood vessels leading to the heart); chest pain; a heart attack; blood clots in your legs or lungs; high cholesterol or triglycerides; high blood pressure; atrial fibrillation; an irregular heartbeat; any condition that affects your heart valves (flaps of tissue that open and close to control blood flow in the heart); diabetes and are over 35 years old; diabetes with high blood pressure or problems with your kidneys, blood vessels, eyes, or nerves; diabetes for longer than 20 years; diabetes that has affected your circulation; headaches that come along with other symptoms such as vision changes, weakness, and dizziness; migraines (if you are over 35 years old); liver tumors or liver disease; bleeding or blood clotting problems; unexplained vaginal bleeding; or hepatitis or other types of liver disease. Your doctor will probably tell you not to use an estrogen and progestin vaginal ring.
- tell your doctor if you have recently had a baby, a miscarriage, or an abortion. Also, tell your doctor if you have or have ever had jaundice (yellowing of skin or eyes); breast problems such as an abnormal mammogram or breast x-ray, breast nodules, fibrocystic breast disease; a family history of breast cancer; seizures; depression; melasma (brown patches on the face); bladder, uterus or rectum that has dropped or bulged into the vagina; any condition that makes your vagina more likely to become irritated; toxic shock syndrome (bacterial infection); hereditary angioedema (inherited condition that causes episodes of swelling in the hands, feet, face, airway, or intestines); or kidney, thyroid, or gallbladder disease.
- tell your doctor if you are pregnant or plan to become pregnant. If you become pregnant while using estrogen and progestin vaginal ring, call your doctor immediately. You should suspect that you are pregnant and call your doctor if you have used the contraceptive ring correctly and you miss two periods in a row, or if you have not used the contraceptive ring according to the directions and you miss one period. You should not breast-feed while you are using the contraceptive ring.
- if you are having surgery, tell the doctor that you are using an estrogen and progestin vaginal ring. Your doctor may ask you to stop using the vaginal ring at least 4 weeks before and for up to 2 weeks after certain surgeries.
- swelling, redness, irritation, burning, itching, or infection of the vagina
- white or yellow vaginal discharge
- vaginal bleeding or spotting when it is not time for your period
- unusual breast tenderness
- weight gain or loss
- breast pain, tenderness, or discomfort
- vaginal discomfort or foreign body sensation
- stomach pain
- changes in sexual desire
- pain in the back of the lower leg
- sharp, sudden, or crushing chest pain
- heaviness in chest
- sudden shortness of breath
- sudden severe headache, vomiting, dizziness, or fainting
- sudden problems with speech
- weakness or numbness of an arm or leg
- double vision, blurred vision, or other changes in vision
- dark patches of skin on forehead, cheeks, upper lip, and/or chin
- yellowing of skin or eyes; loss of appetite; dark urine; extreme tiredness; weakness; or light-colored bowel movements
- sudden high fever, vomiting, diarrhea, fainting or feeling faint when standing up, rash, muscle aches, or dizziness
- depression; difficulty sleeping or staying asleep; loss of energy; or other mood changes
- rash; swelling of the hands, feet, ankles, or lower legs; hives; or itching