Why is Nuvaring prescribed?

Nuvaring, a combination of Ethinyl estradiol and Etonogestrel, is a vaginal ring used for contraception.

What does it do?

Ethinyl estradiol is classified as an estrogen receptor agonist that works by preventing ovulation (release of the egg) during the menstrual cycle. It also changes the vaginal fluid to prevent fertilization and prevents the attachment of the fertilized egg to the uterus. Etonogestrel, on the other hand, prevents the release of a certain hormone (luteinizing hormone) which regulates ovulation. In combination, both drugs work for contraception.

How should I use it?

Nuvaring (Etonogestrel/Ethinyl estradiol) is currently available as a 0.120mg/0.015mg vaginal ring, which is directly inserted into the vagina and left there for several weeks.

The dosage strength and frequency depend on every patient’s condition and the doctor’s prescription. It is imperative that you do not self-medicate and only take this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

The desired effects of prescribed medications will only be achieved if taken properly. As much as possible, strictly follow your doctor’s prescribed dosing schedule. However, if you miss a dose, take it immediately and adjust the time of your next dose depending on your doctor’s advice. Never take two doses at the same time just to make up for your missed dose.

What are the special precautions before taking Nuvaring?

Avoid smoking or the intake of grapefruit or grapefruit juice while using this medication.

Inform your doctor about all the medications you are taking. Discuss your current and previous medical history and any allergic reactions to Nuvaring or any other ingredients included in the manufacture of this medication.

Inform your doctor if you had any form of surgery or if you are planning to get one.

For the drug label information of Nuvaring, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects include:
• Headache
• Mood changes
• Changes in libido
• Vaginal changes (irritation, pain, or discharge)
• Menstrual cramps
• Breast changes (pain, tenderness)
• Nausea
• Vomiting
• Abdominal pain
• Acne
• Weight changes

Serious side effects include:
• Blood clots
• Loss of consciousness
• Dizziness
• Groin pain or swelling
• Slurring of speech
• Vision changes
• Worsening migraines
• Unusual sweating
• One-sided weakness

Is it safe to take it with another drug?

Some drug interactions may cause life-threatening reactions when used with other medications. Immediately inform your doctor if you are using Nuvaring with any of the following medications:

• Acitretin
• Azithromycin
• Lipitor
• Bexarotene
• Biaxin
• Boceprevir
• Carbamazepine
• Cardizem
• Coumadin
• Doxycycline
• Dronedarone
• Empagliflozin
• Erythromycin
• Etretinate
• Fluconazole
• Fosphenytoin
• Griseofulvin
• Hemin
• Hytone
• Insulin
• Invokana
• Kanamycin
• Mycophenolic mofetil
• Mycophenolic acid
• Nizoral
• Oxcarbazepine
• Penicillin
• Phenytoin
• Prograf
• Pulmicort
• Rapamune
• Rifampin
• Rhinocort
• Sporanox
• St. John’s wort
• Vfend
• Voxelotor

Ask your doctor or pharmacist for other possible interactions not listed within this section.

How should I store it?

Keep Nuvaring in its original packaging in a clean environment away from excessive heat and moisture. Keep out of reach of children.

What action should I take in case of overdose?

Immediately call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

Ethinyl estradiol/Etonogestrel is contraindicated for use in pregnant women, women trying to get pregnant, or lactating women. Hence, the potential risks and benefits of using Nuvaring in pregnant or breastfeeding infants should be carefully considered.

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