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If it continues, becomes heavy or starts again, tell your doctor. Users of NuvaRing have reported the following side effects: If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
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In rare cases the following undesirable effects were reported during use of NuvaRing: Certain drugs may interact with hormonal contraceptives including NuvaRing and prevent NuvaRing from working properly. This can make hormonal contraceptives less effective in preventing pregnancy or cause unexpected bleeding spotting or breakthrough bleeding.
Hormonal contraceptives may also interfere with the working of other drugs. Please inform your doctor or pharmacist if you are taking or have recently taken any other drugs or herbal products, even those without a prescription. Also, tell any other doctor or dentist who prescribes another drug or the dispensing pharmacist that you use NuvaRing. They can tell you if you need to use an additional method of contraception and if so, for how long. Drugs that may interact with NuvaRing include: The blood levels of the hormones released by NuvaRing were not changed when women used tampons along with NuvaRing.
It is unknown how this affects the safety and the pregnancy protection of NuvaRing. Insert NuvaRing before inserting a tampon. You should pay particular attention when removing a tampon to be sure that the ring is not accidentally pulled out. If this should occur, simply rinse the ring in cool to lukewarm not hot water and immediately reinsert it.
The blood levels of the hormones released by NuvaRing were not changed when women used vaginal, water-based spermicides nonoxynol or N-9 products along with NuvaRing. The blood levels of the hormones released by NuvaRing were increased when women used either an oil-based or water-based vaginal medication miconazole nitrate for a yeast infection while NuvaRing was in place. Therefore, this may also happen with other yeast infection medications. The clinical relevance of this increase is unknown.
It is unknown how long-term use of spermicide or yeast infection medication with NuvaRing affects the safety and the pregnancy protection of NuvaRing. If you and your doctor decide that, for you, the benefits of hormonal contraceptives outweigh the risks, you should be aware of the following: If you want more information about contraceptive vaginal rings, ask your doctor or pharmacist. NuvaRing is designed to be a once-a-month contraceptive regimen. The ring has to be inserted in your vagina.
You can verify the presence of NuvaRing yourself, whenever you wish. After the ring is inserted, it releases a continuous low dose of hormones into your body. The ring stays in place for 3 weeks and then is removed for a one week ring free period.
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It is not necessary or recommended to remove NuvaRing during intercourse. For the best protection from pregnancy, use NuvaRing exactly as directed. Insert one NuvaRing in the vagina and keep it in place for three weeks in a row. Remove it for a one-week break and then insert a new ring. During the one-week break, you will usually have your menstrual period.
Your healthcare provider should examine you at least once a year. Do not use NuvaRing for a condition for which it was not prescribed. Do not give NuvaRing to anyone else who may want to use it. You should not use a NuvaRing if it was dispensed to you more than 4 months before or if the expiry date has passed. The dispensing date and expiry date are both shown on the carton and sachet.
Do not use the ring if you notice a colour change in the ring or any visible signs of deterioration. While using NuvaRing , you should not rely upon a diaphragm or cervical cap when you need a back-up method of birth control because NuvaRing may interfere with the correct placement and position of these devices. Follow the instructions in one of the sections below to find out when to start using NuvaRing: Insert NuvaRing within the first five days of your cycle. Day of the menstrual bleeding.
Make sure you also use an extra method of birth control barrier method , such as male condoms or spermicides during the first seven days of NuvaRing use in the first cycle.
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Switch from your previous combined hormonal contraceptive on any day, but at the latest on the day you would have started a new cycle, by inserting NuvaRing. If you have been using your hormonal contraceptive method consistently and correctly, no extra birth control method should be needed. Talk to your doctor about using NuvaRing following an abortion, miscarriage or childbirth or under any other circumstances that are not listed in this Consumer Information. If you are unable to remove NuvaRing , please contact your healthcare provider.
Your menstrual period will usually start two to three days after the ring is removed and may not have finished before the next ring is inserted. To continue to have pregnancy protection, you must insert the new ring one week after the last one was removed, even if your menstrual period has not stopped. After a one-week ring-free break, insert a new ring on the same day, at the same time of the week as it was removed in the last cycle. For example, if NuvaRing was removed on a Sunday at about If NuvaRing has been left in your vagina for an extra week or less up to four weeks total , you will remain protected.
Remove NuvaRing and insert a new ring after a one-week ring-free break. If NuvaRing has been left in place for more than four weeks total, there is a possibility that you could become pregnant. You must rule out pregnancy before inserting a new NuvaRing.
On rare occasions, NuvaRing may disconnect at the weld joint during use. Since the ring's core is solid its contents will remain intact and release of hormones will not be significantly affected. If you discover the ring has disconnected you should discard the ring and replace it with a new ring. If you wish to change the day on which you start a new NuvaRing cycle to another day of the week, complete the current cycle, removing NuvaRing on the same day of the week as the one on which you started.
During the ring-free period, a new start day may be selected by inserting the new NuvaRing on the first occurrence of the desired day.
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This will be your new Day 1. In no case should there be more than 7 consecutive ring-free days. Here are 10 ways to save money on prescription drugs. By clicking Subscribe, I agree to the Drugs.
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We comply with the HONcode standard for trustworthy health information - verify here. Skip to Content. Vaginal Ring 0. NuvaRing Coupons and Rebates NuvaRing offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples.
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Applies to: Nuvaring Number of uses: Patient Assistance Programs for NuvaRing Patient assistance programs PAPs are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Medications too Expensive? Drug Status Rx. Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.
A ring is inserted into the vagina for 3 weeks at a time, then removed for a 1-week break, during which time a menstrual period usually occurs. Choose the position that is most comfortable for you standing with one leg up, squatting, or lying down , as agreed upon by you and your doctor. The exact position of the ring is not important for it to work. When the ring is in place, most women do not feel it. If you feel uncomfortable, use your finger to gently push the ring further into your vagina. There is no danger of the ring being pushed too far up in the vagina or getting lost.
The ring can only be inserted as far as the end of the vagina, where the cervix will block the ring from going any further. Remove the vaginal ring 3 weeks after insertion on the same day of the week as it was inserted and at about the same time. To remove the vaginal ring:. Your menstrual period will usually start 2 to 3 days after you remove the ring, and may not end before the new ring is inserted.
For continuous protection against pregnancy, you must insert a new ring one week after one was removed, even if your menstrual period has not stopped. If the ring slips out of the vagina and is replaced within 3 hours, you should still be protected from pregnancy.
Rinse the ring with cool or lukewarm water and re-insert it as soon as possible. If the ring has been out of the vagina for more than 3 hours in the first or second week, protection from pregnancy may no longer be adequate and there is a possibility that you could become pregnant. Reinsert the ring as soon as you remember and use a second method of birth control, such as condoms, until the ring has been in place for 7 days in a row. Use it on the same schedule as you would have used the one that you were originally using.
If the ring has been out of the vagina for more than 3 hours in the third week, protection from pregnancy may be reduced. Throw the ring away and either:. If the ring has been left in your vagina for an extra week or less up to 4 weeks total , remove it, take a 1-week break, and re-insert a new ring. If the ring has been left in place for more than 4 weeks total, there is a possibility that you may become pregnant. To prevent pregnancy, you must use an extra method of birth control, such as condoms until a new ring has been in place for 7 days in a row.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor. Store this medication at room temperature, protect it from sunlight, and keep it out of the reach of children. This medication should be used within 4 months of receiving from the pharmacy.
Each transparent, colourless, flexible, nonbiodegradable vaginal ring contains Nonmedicinal ingredients: This medication does not contain any latex. Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication.
If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Stop taking the medication and seek immediate medical attention if any of the following occur: Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication. Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication. Blood clots: As with any hormonal contraceptives, there is a risk of developing blood clots. Tell your doctor if you have a history of blood clots or are at risk of developing blood clots. Inform your doctor if you are planning an upcoming surgery, as there is an increased risk of blood clot formation when using combination hormonal contraceptives. Stroke symptoms, such as confusion, difficulty speaking, loss of coordination, sudden headache or vision changes may occur as a result of a clot blocking blood flow to the brain.
Symptoms of blood clots in other parts of the body include: If you experience any of these symptoms, contact your doctor immediately, as blood clots can be life threatening. Blood pressure: People with high blood pressure should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
You may need to visit your doctor more frequently to have your blood pressure checked while using this medication. Occasionally, high blood pressure may develop with the use of hormonal contraceptives. This may require stopping this medication. Cigarette smoking and heart disease: Cigarette smoking increases the risk of serious heart disease and death.
Hormonal contraceptives such as the ring also increase this risk, particularly as a woman gets older.