What is this medication?
Ethinyl Estradiol+Etonogestrel, NuvaRing/EluRyng
Contraceptive; Estrogen and Progestin Combination
Indicated for the prevention of pregnancy.
How does this medication work?
Combination contraceptives work through the suppression of gonadotropins. Their primary function is the inhibition of ovulation; such contraceptives also alter the cervical mucus, which increases the difficulty of sperm entry to the uterus. Changes in the endometrium may also occur, producing an unfavorable environment for implantation.
How should I take this medication?
Vaginal: One ring, inserted vaginally and left in place continuously for 3 consecutive weeks, then removed for 1 week. A new ring is inserted 7 days after the last was removed (even if bleeding is not complete) and should be inserted at approximately the same time of day the ring was removed the previous week.
How to Use:
Intravaginal: Wash hands and remove ring from protective pouch (keep pouch for later ring disposal). Press sides of ring together between thumb and index finger and insert folded ring into vagina. Specific placement is not required for ring to be effective, but ring should be inserted far enough into the vagina as to be comfortable.
To remove, hook index finger around rim and pull out. Place used vaginal ring back into foil pouch and dispose of in trash. New rings should be inserted at approximately the same time of day the ring was removed the previous week. If the ring accidentally falls out, it may be rinsed with cool or warm (not hot) water and replaced as long as it has been no longer than 3 hours. Refer to dosing if ring is out of place for more than 3 hours.
What should I watch for while using this medication?
Before using NuvaRing, make sure your physician is aware of any allergies or medications you currently take, your medical conditions, and if you are pregnant or breastfeeding.
What if I miss a dose?
During Week 1:
If your ring has been out for more than three hours or you're not sure how long the ring has been out, insert your ring as soon as possible. Keep it in until your next scheduled ring removal day. Use back-up birth control (e.g. condoms) for the next seven days.
During Week 2 or 3:
If your ring has been out for less than 72 hours (3 days), insert your ring as soon as possible. Keep it in until your next scheduled ring removal day. Start a new cycle with a new ring with no ring-free week.
If your ring has been out for more than 72 hours (3 days), insert your ring as soon as possible. Keep it in until your next scheduled ring removal day. Start a new cycle with a new ring with no ring-free week. Use back-up birth control (e.g. condoms) for the next seven days.
How should I store this medication?
NuvaRing can be stored in the refrigerator with no loss of efficacy. Alternatively, NuvaRing can be stored at room temperature between 68°F to 77°F (20°C to 25°C) for up to 4 months after you receive it. Do not store above 86°F (30°C).
Throw NuvaRing away if the expiration date on the label has passed.
What are the possible side effects of using this medication?
The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified:
Headache, intermenstrual bleeding, vaginitis, mood changes, acne vulgaris, weight gain, amenorrhea, decreased libido, nausea, vomiting, abdominal pain, vaginal discharge, dysmenorrhea, vaginal discomfort, breast tenderness, mastalgia.
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