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Search term: NUVARING
NOTE: All prescription products REQUIRE A VALID PRESCRIPTION from your doctor
  NUVARING (etonogestrel/ethinyl estradiol)
 Pls. note this has to be stored in fridge, but can be left in room temp for up to 4 months. Cannot endure sunlight or temp over 30 degress celsius. Can only ship 3 Rings per Order
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Nuvaring
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ETONOGESTREL/ETHINYL ESTRADIOL - VAGINAL RING COMMON BRAND NAME(S): NUVARINGUSES FOR NUVARING: This combination-hormone vaginal ring is used to prevent pregnancy. It contains hormones similar to those in birth control pills (ethinyl estradiol, an estrogen, and etonogestrel, a progestin). The hormones slowly release from the ring over time and are absorbed through the vaginal wall. This vaginal ring works like birth control pills. These hormones prevent pregnancy by preventing the release of an egg (ovulation). They also change the womb and cervical mucus, making it more difficult for an egg to meet sperm (fertilization) or for the fertilized egg to attach to the wall of the womb (implantation). Using this hormone ring does not protect you or your partner against HIV or other sexually transmitted diseases (STDs).
HOW TO USE NUVARING: Read the Patient Information Leaflet provided by your pharmacist before you start using this product and each time you get a refill. Make sure you understand how to insert a new ring and how to dispose of the used product. If you have any questions, consult your doctor or pharmacist. This product is for vaginal use only. Insert 1 ring and leave in for 3 continuous weeks (21 days), then remove it and discard properly. Do not use a ring for a 1-week period. After the ring-free week, insert a new ring at about the same time of the same day that you removed the previous ring the week before. It may be helpful to mark a calendar to remind you when to remove it and insert a new ring. If any of the information is unclear, consult your doctor or pharmacist. Wash and dry your hands. Open the reclosable foil pouch. Remove the ring, saving the pouch to dispose of the ring after it is used. Fold the ring in half gently and insert into your vagina. When the ring is placed properly, you should not feel it, and it will not interfere with sexual intercourse (though your partner may feel the ring). Unlike a diaphragm, the ring's exact position in the vagina does not matter as long as it stays securely inside. It is very important that you follow the directions carefully for when to insert and remove the ring to prevent pregnancy. If this is the first time you are using this ring, insert it on the first day of your period. For the first cycle of use only, if you insert the ring on days 2-5 instead of the first day, use an additional form of non-hormonal birth control (e.g., male condom or spermicide) for the first 7 days to prevent pregnancy until the medication has enough time to work. A diaphragm is not recommended as a back-up method of birth control with this ring because it may interfere with the correct placement of the diaphragm. If you start on the first day of your period, you do not need to use back-up birth control the first week. Remove the ring after the 3rd week on the same day of the week and about the same time as you placed it. Put the used ring in the foil pouch and discard in the trash. Do not flush the used ring down a toilet. Do not wear a ring for 1 week (7 days). You should get your period within 2 to 3 days after the ring is removed. If your period does not begin during the ring-free week, consult your doctor. Do not go longer than 7 days without a ring. Doing so may increase your risk of pregnancy. After 1 ring-free week, insert a new ring on the same day of the week and about the same time as during the last cycle. You must insert the new ring one week after the last one was removed, even if your period has not stopped. If you need to insert a new ring during your period, you may use tampons at the same time as the ring without affecting how well the ring works. Do not go longer than 7 days without a ring. Doing so may make this product less effective. The vaginal ring may accidentally fall out during intercourse, during a bowel movement, or while removing a tampon. If the ring falls out of the vagina, rinse it with cool to lukewarm (not hot) water and re-insert as soon as possible, within 3 hours maximum. If the ring has been out more than 3 hours, or if you are not sure how long it has been out, you may not be protected from pregnancy. In this case, rinse the ring, re-insert as soon as possible, and use a back-up method of birth control (e.g., male condoms, spermicide) until the ring has been in place for 7 continuous days. If you have left the ring in place for longer than 3 weeks, but less than 4 weeks, remove it, wait 1 week, then insert a new ring. If you have left the ring in place for longer than 4 weeks, your body may not have enough hormones to protect you from pregnancy. Remove the ring and contact your doctor for a pregnancy test. If not pregnant, insert a new ring and use a back-up method of birth control (e.g., condoms, spermicide) until the new ring has been in place for 7 continuous days. If the ring breaks, discard it and replace with a new ring. Ask your doctor or pharmacist or consult the Patient Information Leaflet for information about switching from other forms of birth control to the vaginal ring. If any of this information is unclear, ask your doctor or pharmacist.
SIDE EFFECTS OF NUVARING: Nausea, vomiting, headache, stomach cramping/bloating, dizziness, vaginal discomfort/irritation, increased vaginal discharge, or breast tenderness/enlargement may occur. Vaginal bleeding between periods (spotting) or missed/irregular periods may occur, especially during the first few months of use. If you miss 2 periods in a row (or 1 period if the ring has not been used properly), contact your doctor for a pregnancy test. If any of these effects persist or worsen, notify your doctor promptly. Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor immediately if any of these serious side effects occur: changes in vaginal bleeding (e.g., continuous spotting, sudden heavy bleeding, missed periods), problem wearing contact lenses, dark patches on the skin (melasma), swelling of the ankles/feet, weight changes (gain or loss). This medication may rarely cause serious (sometimes fatal) blood clot-related problems (e.g., pulmonary embolism, stroke, heart attack). Seek immediate medical attention if you experience: sudden shortness of breath, chest/jaw/left arm pain, confusion, coughing up blood, sudden dizziness/fainting, pain/swelling/warmth in the groin/calf, tingling/weakness/numbness in the arms/legs, headaches that are different from those you may have experienced in the past (e.g., headaches with other symptoms such as vision changes/lack of coordination, existing migraines becoming worse, sudden/very severe headaches), slurred speech, weakness on one side of the body, vision problems/changes. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: lumps in the breast, severe stomach/abdominal/pelvic pain, mental/mood changes (e.g., depression, suicidal thoughts, persistent trouble sleeping), unusual tiredness, dark urine, yellowing eyes/skin. Vaginal rings have rarely caused a very serious (possibly fatal) bacterial infection (toxic shock syndrome-TSS). Remove this product and seek immediate medical attention if you develop symptoms of toxic shock syndrome, including: high fever, severe/sudden dizziness, fainting, unusual muscle pain, sunburn-like rash, diarrhea. A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS WHEN USING NUVARING: See also Warning section. Before using this medication ring, tell your doctor or pharmacist if you are allergic to ethinyl estradiol or etonogestrel; or to other estrogens or progestins; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this product, consult your doctor or pharmacist if you have: history of stroke or other blood clots (e.g., in the legs, eyes, lungs), severe high blood pressure, abnormal breast exam, cancer (especially endometrial or breast cancer), diabetes that has caused kidney/eye/nerve/blood vessel disease, severe headaches, history of heart disease (e.g., heart attack, chest pain), heart valve disease, kidney disease, liver problems (e.g., liver tumor, active liver disease), current or suspected pregnancy, recent major surgery, long periods of sitting or lying down (e.g., immobility such as being bedridden), history of yellowing eyes/skin (jaundice) during pregnancy or while using birth control pills, unexplained vaginal bleeding, heavy tobacco use (especially if 35 or over). Before using this product, tell your doctor your medical history, especially of: high blood pressure, breathing problems (e.g., asthma), high cholesterol or triglyceride (blood fat) levels, depression, diabetes, fluid retention (edema), gallbladder problems, migraine, obesity, irregular/missed/very light periods, recent pregnancy, thyroid problems, vaginal conditions (e.g., vaginal stenosis, cervical prolapse). Do not smoke cigarettes or use tobacco. Hormonal birth control (e.g., pills, injections, devices) combined with smoking cigarettes significantly increase your risk for stroke, blood clots, high blood pressure, and heart attacks, especially in women older than 35. For more details, ask your doctor or pharmacist or consult the Patient Information Leaflet that comes with this product. If you have diabetes, this medication may make it harder to control your blood sugar levels. Monitor your blood sugar regularly as directed by your doctor. Tell your doctor the results and any symptoms such as increased thirst/urination. Your anti-diabetic medication or diet may need to be adjusted. Notify your doctor beforehand if you will be having surgery or will be confined to a chair/bed for a long time (e.g., a long plane flight). You may need to stop the medication for a time or take special precautions. The drugs in this ring may cause blotchy, dark areas on your skin (melasma). Sunlight may intensify this effect. Avoid prolonged sun exposure, sunlamps, and tanning booths. Use a sunscreen, and wear protective clothing when outdoors. If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur. This product should not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. If you have just given birth and are not breast-feeding, or if you have had a pregnancy loss or abortion after the first trimester, wait at least 4 weeks before starting the ring. Talk with your doctor about other forms of birth control and to find out when it is safe to start using the ring. The medication from this ring passes into breast milk. This may affect how much milk you make and may also have undesirable effects on the nursing infant. Breast-feeding is not recommended while using this product. Consult your doctor before breast-feeding.
DRUG INTERACTIONS WHEN USING NUVARING: Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop or change the dosage of any medicine before checking with them first. This drug should not be used with the following medications because very serious interactions may occur: aromatase inhibitors (e.g., anastrazole, exemestane), sodium tetradecyl sulfate, troleandomycin. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication. Before taking this medication, tell your doctor of all prescription and nonprescription medications you may use, especially of: raloxifene, tamoxifen, medication for underactive thyroid (hypothyroidism), drugs that may increase blood levels of this drug such as acetaminophen, ascorbic acid (vitamin C), atorvastatin, azole antifungals such as itraconazole/ketoconazole/vaginal miconazole. Certain drugs can decrease the effectiveness of combination-type birth control by decreasing the amount of birth control hormones in your system. This can result in pregnancy. These drugs include: many antibiotics (e.g., cephalosporins, chloramphenicol, macrolides such as erythromycin, penicillins, sulfas), aprepitant, bexarotene, bosentan, dapsone, felbamate, griseofulvin, certain HIV protease inhibitors (e.g., amprenavir, nelfinavir, ritonavir), modafinil, nevirapine, phenylbutazone, rifamycins (e.g., rifampin), many seizure medications (e.g., barbiturates, carbamazepine, phenytoin, lamotrigine, topiramate), St. John's wort. Consult your doctor or pharmacist for details, and ask them if you should use additional reliable birth control methods while taking any of the drugs mentioned above. This drug can speed up or slow down the removal of other drugs from your body by affecting certain liver enzymes. These affected drugs include acetaminophen, aspirin, clofibrate, cyclosporine, morphine, corticosteroids such as prednisolone, certain benzodiazepines such as lorazepam/temazepam, and theophylline, among others. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication. This medication can affect the results of certain lab tests (e.g., blood tests for clotting factors, thyroid). Make sure laboratory personnel and all your doctors know you use this medication. WARNING: Smoking cigarettes/using tobacco while using hormonal birth control (pill/patch/ring) increases your risk of heart problems and stroke. Do not smoke. The risk of heart problems increases with age (especially in smokers over 35) and also with frequent smoking (15 or more cigarettes a day).
OVERDOSE: This product may be harmful if swallowed. Overdose with this product is highly unlikely. Do not use more than one ring at a time. If overdose or swallowing is suspected, remove the ring if possible and contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly.
MISSED DOSE: If this product is out of the vagina for more than 3 hours, or if you forget to insert or remove this product at the recommended time, read the Patient Information Leaflet or consult your doctor or pharmacist to establish a new dosing schedule. If the hormone ring has been removed for longer than 3 hours, using a back-up method of birth control for 7 days is recommended. See the How to Use section. Consult your doctor or pharmacist for more information. If you have trouble remembering to remove and reinsert the ring as directed, or if it falls out repeatedly, contact your doctor to discuss switching to another form of birth control.
STORAGE FOR NUVARING: Pharmacist: Prior to dispensing, store in the refrigerator between 36-46 degrees F (2-8 degrees C). Do not freeze. Patient: Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture for up to 4 months. Brief storage up to 59-86 degrees F (15-30 degrees C) is permitted. Do not use after the expiration date. Do not store in the bathroom. Keep all medicines away from children and pets. Properly discard this product when it is expired or no longer needed (See How to Use section).
NUVARING NOTES: Do not share this product with others. Keep all laboratory and medical appointments. You should have regular complete physical exams including blood pressure, breast exam, pelvic exam, and screening for cervical cancer (Pap smear). Follow your doctor's instructions for examining your own breasts, and report any lumps immediately. Consult your doctor for more details.
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