NuvaRing 0.12 mg. 0.015 mg. 1
NuvaRing 0.12 mg. / 0.015 mg. - 1
NuvaRing WHAT IS AND WHAT IT IS USED
NuvaRing contraceptive vaginal ring is used to prevent pregnancy . Each ring contains a small amount of two female hormones , etonogestrel and ethinyl estradiol .
The ring slowly releases these hormones into the bloodstream . Due to the low content of hormones that is separated, is considered to NuvaRing 0 low dose hormonal contraceptive. Since NuvaRing releases two different types of hormones it is called a combined hormonal contraceptive.
NuvaRing is acting just like a combined contraceptive pill ( the pill) , but instead of taking a pill every day, the ring was used for 3 weeks. NuvaRing releases two female hormones that prevent the release of eggs from the ovaries. If no egg is released , you can not get pregnant .
2 . BEFORE YOU USE NuvaRing
In this leaflet, several situations are described where you should stop using NuvaRing , or NuvaRing may be less reliable. In these situations, you should not have sex or you should take extra non-hormonal contraceptive precautions , eg . to use a condom or other barrier method . Do not use a calendar or temperature method. These methods can be unreliable because NuvaRing alters the monthly changes in body temperature and cervical mucus ( mucus in the cervix) .
NuvaRing , like other hormonal contraceptives , does not protect against HIV infection (AIDS) or any other sexually transmitted diseases path.
2.1 When not to use NuvaRing
In some situations, you should not use combined hormonal contraceptive. Tell your doctor if any of these apply to you. Your doctor may then advise you to use a different ( non-hormonal ) method of birth control .
Have ( or have had ) a blood clot ( DVT ) in the blood vessels of the legs, lungs ( embolism ) or other organs. For possible signs of a blood clot , see section 2.2 6Kravni clots (thrombosis ) "1.
Have ever had a heart attack ( infarction) or stroke ( stroke) , or if you have (or ever had) a condition that may be a first sign of attack ( such as angina pectoris or acute chest pain ) or stroke (such as transient ischemic attack - a slight stroke)
Have a disorder affecting blood clotting , such as protein C deficiency have a serious risk factor or multiple risk factors for the development of a blood clot - see also section 2.2 'Blood clots (thrombosis ) . "
You have ( had) a kind of migraine called ' migraine with aura '.
Have diabetes with damaged blood vessels.
You have (had ) an inflammation of the pancreas ( pancreatitis) associated with high fat content in the blood.
You have ( had) severe liver disease and your liver is still not functioning normally.
You have (had ) a benign or malignant tumor of the liver.
You have (had ), or may have breast or genital organs .
Have any unexplained vaginal bleeding.
You are allergic to ethinyl estradiol or etonogestrel or any of the excipients NuvaRing .
If any of these conditions appear for the first time while using NuvaRing immediately remove the ring and tell your doctor. Meanwhile, use a non-hormonal contraceptive precautions.
2.2 When to take care with NuvaRing
In some situations you need to take special care while using the combined hormonal contraceptive. Tell your doctor if any of these apply to you. Also, if the state or worsen while using NuvaRing , you should tell your doctor.
close relative has or had breast cancer.
have epilepsy ( see section 2.2 6 Taking other medicines ') .
have liver disease ( jaundice , for example ) or gallbladder disease (e.g., formation of gallstones ) .
have Crohn's disease or ulcerative colitis ( a chronic inflammation of the intestines ) .
have CJIE ( systemic lupus erythematosus, a disease affecting your immune system).
You have HUS ( hemolytic uremic syndrome , impaired blood clotting, causing kidney failure).
have a condition that occurred for the first time or worsened during pregnancy or previous use of sex hormones ( eg hearing loss, porphyria [ blood disorder ] , herpes gestationis [ skin rash with blisters in pregnancy ] , Huntington's Saydenham [ neurological disease in which appear sudden body movements ] ) , hereditary angioedema [ You should immediately contact your doctor if you have symptoms of angioedema such as swollen face , tongue and / or pharynx and / or difficulty swallowing or hives together with difficulty breathing ] ) .
have (or have had) chloasma ( yellowish- brown pigment patches , so-called " pregnancy patches', especially of the face ) . In this case , avoid prolonged exposure to the sun or ultraviolet light.
have a health condition that makes it difficult NuvaRing example . you have constipation, you have prolapse of the uterus or cervix pain during intercourse.
you are going to surgery or stay in bed for a long time , see section 2 , blood clots (thrombosis )
Blood clots ( thrombosis).
Blood clots in the vein
Blood clot in a vein ( known as " DVT " ) can block the vein. This can happen in veins in the legs, lungs ( pulmonary embolism ) or other organs.
The use of any combined hormonal contraceptives , including NuvaRing increases a woman's risk of developing such clots compared with a woman not taking any hormonal contraceptive. The risk is not as high as the risk of developing a blood clot during pregnancy . It is not yet known how NuvaRing influences the risk of a blood clot compared with contraceptive pills.
If you use combined hormonal contraceptive, your risk of getting a blood clot in a vein is further increased :
with increasing age ;
if someone in your immediate family has had a blood clot ( thrombosis) in the legs , lung, or other organ in his youth ;
if you are overweight ;
if you have to have surgery or are immobile for long due to injury or illness , or your leg is in plaster .
If this applies to you, it is important to tell your doctor that you use NuvaRing as treatment may have to be terminated. Your doctor may advise you to discontinue hormonal contraception several weeks before surgery or while moving less. Your doctor will also tell you when you can start using NuvaRing again after you have recovered .
Blood clot in an artery
Blood clot in an artery can cause serious problems. For example, a blood clot in an artery of the heart causing heart attack and blood clot in an artery of the brain causes a stroke.
The use of combined hormonal contraceptive has been associated with an increased risk of clot formation in the arteries . The risk is increased even more :
with age ;
if you smoke . When using a hormonal contraceptive like NuvaRing necessarily advised to stop smoking, especially if you are older than 35 years ;
if you are overweight ;
if you have high blood pressure. If you develop high blood pressure while using NuvaRing , you may be told to stop using it .
if a close relative has had a heart attack or stroke at a young age;
if you have high blood fats ( cholesterol or triglycerides) ;
if you have diabetes ;
If you have migraines ;
If you have problems with your heart ( valve disorder , disturbance of the rhythm ) .
Symptoms of obstruction of a vein or artery by a blood clot see blue box below .
Symptoms of obstruction of a vein or artery by a blood clot
Remove NuvaRing and tell your doctor immediately if you notice possible signs of blood vessel occlusion with :
blood clot suddenly panting ;
sudden cough, without objective justification , unusual, Severe , prolonged headache or worsening of migraine;
partial or complete blindness or double vision ;
difficulty in speaking or inability to speak ;
dizziness or fainting ;
weakness, strange feeling or numbness in any part of the body;
Subsequent recovery from a condition caused by a blood clot is not always complete . Very rarely can appear serious permanent disabilities and blood clot may even be fatal .
The information given below is obtained in studies of combined oral contraceptives and may be referred also to NuvaRing . No information on contraceptive hormones vaginal administration ( NuvaRing ) . Slightly more often detected breast cancer in women taking combined pills, but it is not known whether this is caused by the treatment. It is possible , for example , be no more tumors in females combined pills , because they are more often viewed by a doctor . The increased incidence of breast cancer gradually decreases after stopping the combined pill.
It is important to regularly check your breasts , and if you feel a lump you should contact your doctor. You should also tell your doctor if a close relative has or had breast cancer (see section 2.2 ' When to take care with NuvaRing ) .
In rare cases, benign liver tumors , and several cases of malignant liver tumors in pill users . Contact your doctor if you have unusual severe abdominal pain .
For users of the combined pill has been reported that cancer of the endometrium ( lining of the uterus ) and ovarian cancer is less common . This may also be true of NuvaRing , but has not been confirmed .
Using other medicines
Always tell the doctor who prescribed NuvaRing which medicines or herbal medicines you are already taking . Also tell any other doctor or dentist who prescribes another medicine (or the dispensing ) that use NuvaRing . They can tell you if you need to take extra contraceptive precautions and if so, for how long. medicines may cause some problems when using hormonal contraceptives , such as NuvaRing .
There are medicines that may make NuvaRing less effective in preventing pregnancy or cause unexpected bleeding . These include drugs for the treatment of :
- Epilepsy (e.g., primidone , phenytoin , barbiturates , carbamazepine,
- Kskarbamazepin , topiramate, felbamate ) ;
- Tuberculosis (eg rifampicin) ;
- HIV infection ( ritonavir) ;
- Other infectious diseases ( excluding antibiotic amoxicillin and doxycycline , which have been shown not to interfere with the secretion of hormones from NuvaRing ) .
The herb St. John's wort can also interfere with the NuvaRing . If you want to use herbal products containing St. John's wort while using NuvaRing you should first consult your doctor.
NuvaRing may also affect how other medicines - such as cyclosporine and anti-epileptic lamotrigine .
You can use tampons while using NuvaRing . Inserting the ring before inserting the swab . You should be careful when removing a tampon to be sure that the random ring is not removed. If the ring out , just rinse with cold to lukewarm water and immediately reinsert it.
The use of spermicides or vaginal yeast products will not reduce the contraceptive efficacy of NuvaRing .
If you have a blood test and urine tests , tell your doctor that you use NuvaRing as it may affect the results of some tests.
NuvaRing should not be used by women who are pregnant or think they may be pregnant . If you become pregnant while using NuvaRing you should remove the ring and contact your doctor.
If you want to stop using NuvaRing because you want to get pregnant, please see section 3.5 4When you want to stop using NuvaRing '.
NuvaRing is not usually recommended for use during breastfeeding . If you want to use NuvaRing while breastfeeding , please seek the advice of your doctor.
Driving and using machines
No Effects on ability to drive or operate machinery.
3 . HOW TO USE NuvaRing ?
You can insert and remove NuvaRing . Your doctor will tell you when to start using NuvaRing for the first time . The vaginal ring should be placed on the correct day of your monthly cycle ( see section 3.3 ' When you start with the first ring ') and stayed there for 3 consecutive weeks. Good habit to regularly check whether the ring is still in your vagina . After the third week, remove NuvaRing and have a week off . Typically, this ring-free interval will have your monthly cycle.
3.1 How to insert and remove NuvaRing
1. Before inserting the ring , make sure it is not out of date (see 5 ' Storage NuvaRing ') .
2 . Wash your hands before inserting or removing the ring .
3 . Select the most comfortable position for you to hold, like standing with one leg up, squatting, or lying down.
4 . Remove NuvaRing from its sachet.
5 . Hold the ring between your thumb and index finger, press the opposite sides together and insert the ring into the vagina When NuvaRing is in place you should not feel anything. If you feel uncomfortable , gently push NuvaRing is a little deeper into the vagina . The exact position of the ring within the vagina is not critical.
6 . 3 weeks after you remove NuvaRing from the vagina . You can do this by hooking your index finger under the front edge of the ring or by grasping the rim and pulling it out (see Figure 5).
7 . Discard the used ring with the normal household waste , preferably within. Do not flush NuvaRing in the toilet.
SCHEME OF PLACEMENT :
3.2 Three weeks in, one week out
1. Starting from the day of placing the vaginal ring should remain there without interruption for 3 weeks.
2 . After three weeks remove the ring on the same day of the week and at approximately the same time as it was put . For example, if you put NuvaRing on Wednesday at about 22.00 hours, you should remove it three weeks later, on Wednesday around 22.00.
3 . Once you have removed the ring, do not use the ring for a week. This week should occur menstrual bleeding . Usually starts 2-3 days after removal of NuvaRing .
4 . Start a new ring just after one week apart (again on the same day of the week and at approximately the same time) , even if the bleeding has not stopped.
If the new ring is inserted more than 3 hours , the prevention of pregnancy can be reduced . Follow the instructions in section 3.4 ' What to do if ... You forgot to insert a new ring after ring-free interval '.
If you use NuvaRing as described - above your vaginal bleeding will appear each month in the same day .
3.3 When to start with the first ring
• You have not used a hormonal contraceptive in the past month Insert the first NuvaRing on the first day of your natural cycle (ie the first day of your period ) . NuvaRing starts working immediately. There is no need to take other contraceptive precautions .
You can also start NuvaRing between the second and fifth day of the cycle , but if you have sex during the first 7 days of NuvaRing use an extra method of contraception (eg condoms ) . This board should follow only when use NuvaRing for the first time .
• You have used a combined Pill last month
Start using NuvaRing at the latest the day following the tablet-free interval of your present Pill . If your Pill pack also contains inactive tablets , start NuvaRing at the latest the day after the last inactive tablet. If you are not sure which tablet this is ask your doctor or pharmacist. Never extend the hormone-free interval of these pills more than the recommended length.
If you have used the pills consistently and correctly , and if you are sure you are not pregnant , you can also stop taking the pill every day from your current pack of pills and start using NuvaRing immediately .
• You have used transdermal patch last month
Start using NuvaRing at the latest the day following the patch . Never extend the patch more than the recommended length. If you used the patch consistently and correctly , and if you are sure you are not pregnant , you can also stop using the patch every day and start using NuvaRing immediately .
• You have used minipill ( progestagen-only pill ) last month may stop taking minipill in any day and start NuvaRing next day , at the same time as you would your usual pill during the first 7 days of use