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Ethinyl Estradiol; Etonogestrel



About Ethinyl Estradiol; Etonogestrel

Ethinyl Estradiol Etonogestrel is a vaginal ring containing combination hormone medication and is used to prevent pregnancy. Ethinyl Estradiol;Etonogestrel contains 2 hormones: progestin (etonogestrel) and estrogen (Ethinyl estradiol). Nuvaring generic works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. Nuvaring for acne also makes vaginal fluid thicker to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) to prevent attachment of a fertilized egg. If a fertilized egg does not attach to the uterus, it passes out of the body. Side effects Nuvaring can be based on your medical condition.

Using this product does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia).

How to use

Read the Patient Information Leaflet provided by your pharmacist before you start using Ethinyl Estradiol Etonogestrel and each time you get a refill. The leaflet contains very important information on how to properly use and dispose of the vaginal ring. If you have any questions, ask your doctor or pharmacist.

  • Nuvaring generic is for vaginal use only.
  • Before use, wash and dry your hands.
  • Remove the ring from the reclosable foil pouch, keeping the pouch for later disposal of the used ring.
  • Fold the ring in half and gently push it into your vagina as directed, until it feels comfortable.
  • Although some women may be aware of the ring in the vagina, most women do not feel it once it is in place

If this is the first time you are using the ring, use an additional form of non-hormonal birth control (such as condoms, spermicide) for the first 7 days to prevent pregnancy until the ring has enough time to work. Do not use a diaphragm, female condom, or cervical cap for additional birth control since the ring may interfere with proper placement. If you start using the ring on the first day of your period, you do not need to use backup birth control the first week.

After using it for 3 weeks what should you do?

After using the ring for 3 weeks, remove it on the same day of the week and about the same time that you placed it. Place the used ring back into the foil pouch and discard it in the trash. Do not flush the used ring down a toilet. If you have pain/bleeding when trying to remove the ring, or if you cannot remove it, tell your doctor right away.

Next, do not wear a ring for 1 week (7 days). You should have your period within 2 to 3 days after the ring is removed. After 1 ring-free week, insert a new ring on the same day of the week that you removed the old ring, whether or not you have your period. If you do not get your period, consult your doctor. Do not go longer than 7 days without a ring. Doing so will increase your risk of pregnancy.

Check regularly

Regularly check that the Nuvaring generic ring is in your vagina, such as before and after sexual intercourse. The ring may accidentally fall out during sexual intercourse, during a bowel movement, or while removing a tampon. If this happens and the ring has been out of your vagina for less than 3 hours, rinse it with cool to lukewarm (not hot) water and re-insert the ring as soon as possible.

If the ring has been out longer than 3 hours, you could become pregnant. Re-insert it or insert a new ring as directed and use an additional form of non-hormonal birth control for the next 7 days to prevent pregnancy. If you are not sure how long the ring has been out of your vagina. You may not be protected from pregnancy. Contact your doctor for a pregnancy test before inserting a new ring and using additional backup birth control for 7 days.

Don’t leave it for a long time

If you have left the ring in place longer than directed, up to an extra week. You will still be protected from pregnancy. Remove the ring and insert a new ring after 1 ring-free week. However, if you have left the ring in place longer than 4 weeks, you may not be protected from pregnancy. Remove the ring. Contact your doctor for a pregnancy test before inserting a new ring and using additional backup birth control for 7 days.

Rarely, the vaginal ring has broken at the weld joint after placement. This increases the chance of it slipping out of the vagina. If this happens, throw it away and use a new Nuvaring for acne ring.

Ask your doctor or pharmacist about how to switch from other forms of hormonal birth control to Nuvaring generic. If any information is unclear, consult the Patient Information Leaflet or your doctor or pharmacist.

Side effects

  • Vaginal discomfort/irritation
  • nausea
  • vomiting
  • headache
  • bloating
  • breast tenderness
  • swelling of the ankles/feet
  • weight change

Vaginal bleeding between periods (spotting) may occur, especially during the first few months of use. If any of these side effects Nuvaring persist or worsen, tell your doctor or pharmacist promptly. If you miss 2 periods in a row (or 1 period if the ring has not been used properly), talk to your doctor about a pregnancy test.

Remember that your doctor has prescribed Nuvaring generic because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects Nuvaring.

Nuvaring for acne may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high.

Tell your doctor right away if you have any serious side effects Nuvaring, including lumps in the breast, mental/mood changes (such as new/worsening depression), severe stomach/abdominal pain, unusual changes in vaginal bleeding (such as continuous spotting, sudden heavy bleeding, missed periods), dark urine, yellowing eyes/skin.

Some serious and rare side effects

Very rarely, Ethinyl Estradiol Etonogestrel ring has been accidentally placed into the bladder. Tell your doctor right away if you have urgent/frequent/burning/painful urination and cannot find the ring in your vagina.

Ethinyl Estradiol;Etonogestrel may rarely cause serious (sometimes fatal) problems from blood clots (such as deep vein thrombosis, heart attack, pulmonary embolism, stroke). Get medical help right away if any of these side effects Nuvaring occur:

  • chest/jaw/left arm pain
  • confusion
  • sudden dizziness/fainting
  • pain/swelling/warmth in the groin/calf
  • slurred speech
  • sudden shortness of breath/rapid breathing
  • unusual headaches
  • , unusual sweating
  • weakness on one side of the body
  • vision problems/changes

Rarely, a very serious (possibly fatal) bacterial infection (toxic shock syndrome-TSS) has occurred in women using vaginal rings. Remove Nuvaring for acne and get medical help right away if you develop symptoms of toxic shock syndrome, including sudden high fever, severe/sudden dizziness, fainting, unusual muscle pain, sunburn-like rash.

A very serious allergic reaction to Ethinyl Estradiol;Etonogestrel is rare. However, get medical help right away.

Warnings & Precautions

  1. Before using Ethinyl Estradiol Etonogestrel, tell your doctor or pharmacist if you are allergic to Ethinyl estradiol or etonogestrel.
  2. Before using Ethinyl Estradiol;Etonogestrel, tell your doctor or pharmacist your medical history.
  3. Check your blood sugar regularly.
  4. Before having surgery, tell your doctor or dentist about all the products you use.
  5. Limit your time in the sun.
  6. Avoid tanning booths and sunlamps.

Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

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.

Ethinyl Estradiol Etonogestrel must not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. If you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about reliable forms of birth control, and find out when it is safe to start using birth control that contains a form of estrogen, such as this medication.

The hormones in Ethinyl Estradiol;Etonogestrel may decrease breast milk production. A small amount passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breastfeeding.


Different brands of Ethinyl Estradiol;Etonogestrel have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Do not use after 4 months or after the expiration date, whichever comes first. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Nuvaring generic when it is expired or no longer needed.

Drug interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.



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