Zafemy
Warnings
What may interact with Norelgestromin, Ethinyl Estradiol?
Do not take this medication with the following:
-Dasabuvir; ombitasvir; paritaprevir; ritonavir
-Ombitasvir; paritaprevir; ritonavir
This medication may also interact with the following:
-Acetaminophen
-Antibiotics or medications for infections, especially rifampin, rifabutin, rifapentine, penicillins, or tetracyclines
-Aprepitant or fosaprepitant
-Armodafinil
-Ascorbic acid (vitamin C)
-Barbiturate medications, such as phenobarbital or primidone
-Bosentan
-Certain antivirals for HIV or hepatitis
-Certain medications for cancer treatment
-Certain medications for cholesterol
-Certain medications for seizures, such as carbamazepine, clobazam, felbamate, lamotrigine, oxcarbazepine, phenytoin, rufinamide, or topiramate
-Cyclosporine
-Dantrolene
-Elagolix
-Flibanserin
-Grapefruit juice
-Lesinurad
-Medications for diabetes
-Medications to treat fungal infections, such as griseofulvin, miconazole, fluconazole, ketoconazole, itraconazole, posaconazole, or voriconazole
-Mifepristone
-Mitotane
-Modafinil
-Morphine
-Mycophenolate
-St. John's wort
-Tamoxifen
-Temazepam
-Theophylline or aminophylline
-Thyroid hormones
-Tizanidine
-Tranexamic acid
-Ulipristal
-Warfarin
What should I tell my health care provider before I take Norelgestromin, Ethinyl Estradiol
They need to know if you have or ever had any of these conditions:
-Abnormal vaginal bleeding
-Blood clots
-Blood vessel disease
-Breast, cervical, endometrial, ovarian, liver, or uterine cancer
-Diabetes
-Gallbladder disease
-Having surgery
-Heart disease or recent heart attack
-High blood pressure
-High cholesterol or triglycerides
-History of irregular heartbeat or heart valve problems
-Kidney disease
-Liver disease
-Lupus
-Migraine headaches
-Protein C or S deficiency
-Recently had a baby, miscarriage, or abortion
-Stroke
-Tobacco use
-An unusual or allergic reaction to estrogens, progestins, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breastfeeding
What should I watch for while using Norelgestromin, Ethinyl Estradiol?
Visit your care team for regular checks on your progress. You will need a regular breast and pelvic exam and Pap smear while on this medication.
Use an additional method of contraception during the first cycle that you use this patch.
If you have any reason to think you are pregnant, stop using this medication right away and contact your care team.
If you are using this medication for hormone related problems, it may take several cycles of use to see improvement in your condition.
Smoking tobacco increases the risk of getting a blood clot or having a stroke while you are taking this medication, especially if you are older than 35 years.
This medication can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your care team if you feel you are retaining fluid.
This medication can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and sunscreen. Do not use sun lamps, tanning beds, or tanning booths.
If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.
Tenderness, swelling, or minor bleeding of the gums may occur. Talk to your dentist if this happens. Brushing and flossing your teeth regularly may reduce the risk of side effects. Visit your dentist on a regular basis. Tell your dentist about any medications you are taking.
If you are going to have elective surgery or an MRI, tell your care team that you are using this medication. You may need to remove the patch before the procedure.
Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs).
Where should I keep my medicine?
Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep the patch in its pouch until time of use. Throw away any unused medication after the expiration date.
Dispose of used patches properly. Since a used patch may still contain active hormones, fold the patch in half so that it sticks to itself prior to disposal. Throw away in a place where children or pets cannot reach.
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