• Image of NuvaRing medication Image of NuvaRing medication

    • NUVARING (Brand for ETONOGESTREL-ETHINYL ESTRADIOL)

    • QTY 3
    • .12-.015MG
    • VAG RING
    • Near  77381

ETONOGESTREL; ETHINYL ESTRADIOL (et oh noe JES trel; ETH in il es tra DYE ole) prevents ovulation and pregnancy. It belongs to a group of medications called contraceptives. It is a combination of the hormones estrogen and progestin.

NUVARING (Brand for ETONOGESTREL-ETHINYL ESTRADIOL) Lifestyle Interactions

  • Ethinyl Estradiol 0.015mg/24h, Etonogestrel 0.12mg/24h, Vaginal insert

    • Interaction: Tobacco
    • Severity: Major
    • Notes for Consumers: Do not smoke or use tobacco products while taking this medication. Smoking while taking this medication increases the risk for serious side effects such as blood clots, heart attack, and stroke. Call emergency services right away if you experience symptoms of a blood clot in your lung: shortness of breath or chest pain. You should also call emergency services right away if you experience symptoms of a heart attack: pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded. You should also call emergency services right away if you experience symptoms of a stroke: sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision. Contact your care team right away if you experience symptoms of a blood clot in your leg: pain, swelling, or warmth in the leg.
    • Notes for Professionals: Advise patients to avoid cigarette smoking while taking estrogen hormones. Cigarette smoking increases the risk of serious cardiovascular events, such as myocardial infarction, stroke, deep vein thrombosis, and pulmonary embolism. Combined hormonal contraceptives are contraindicated in females who are over 35 years of age and smoke.

  • Ethinyl Estradiol 0.015mg/24h, Etonogestrel 0.12mg/24h, Vaginal insert

    • Interaction: Caffeine-containing Foods/Beverages
    • Severity: Mild
    • Notes for Consumers: Side effects from Caffeine may get worse if you take Ethinyl Estradiol (an estrogen hormone commonly found in birth control pills). Too much Caffeine can cause effects like nausea, nervousness, or sleeplessness. Although an interaction is possible, these drugs are often used together without problems.
    • Notes for Professionals: Serum concentrations of caffeine may be increased during concurrent administration with ethinyl estradiol. Patients may desire to limit products that contain high amounts of caffeine in an effort to minimize caffeine-related side effects such as nausea or tremors.

  • Ethinyl Estradiol 0.015mg/24h, Etonogestrel 0.12mg/24h, Vaginal insert

    • Interaction: Grapefruit juice
    • Severity: Mild
    • Notes for Consumers: Grapefruit juice may increase levels of hormones in the blood. Do not significantly change your grapefruit intake while taking Etonogestrel. Report any increase in common side effects, like headache, nausea, fluid retention, or mood changes to your health care professional.
    • Notes for Professionals: Coadministration of etonogestrel and strong CYP3A4 inhibitors such as grapefruit juice may increase the serum concentration of etonogestrel. Grapefruit juice contains a compound that inhibits CYP3A4 in enterocytes. The clinical significance of the interaction is unknown. It is possible that progestin induced side effects could be increased in some individuals. Patients should be advised to not significantly alter their grapefruit juice ingestion.

DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.