"Nov. 26, 2012 -- Pediatricians should routinely talk to their teen patients about emergency birth control and write them prescriptions for “morning-after pills” so they can get them quickly if necessary, according to a new policy statement from t"...
Natazia Patient Information including If I Miss a Dose
In this Article
- What is dienogest and estradiol (Natazia)?
- What are the possible side effects of dienogest and estradiol (Natazia)?
- What is the most important information I should know about dienogest and estradiol (Natazia)?
- What should I discuss with my healthcare provider before using dienogest and estradiol (Natazia)?
- How should I take dienogest and estradiol (Natazia)?
- What happens if I miss a dose (Natazia)?
- What happens if I overdose (Natazia)?
- What should I avoid while using dienogest and estradiol (Natazia)?
- What other drugs will affect dienogest and estradiol (Natazia)?
- Where can I get more information?
What happens if I miss a dose (Natazia)?
If you are less than 12 hours late in taking your pill, take the missed dose as soon as you remember. Take the next pill at the usual time, then take one pill per day in the order directed on the pack. Missing a pill by more than 12 hours increases your risk of becoming pregnant.
If you miss one pill:
- During Days 1 through 17, take the missed pill as soon as you remember, then take your next pill at the usual time. Use back-up birth control for at least 9 days.
- During Days 18 through 24, throw out the pack and start a new one the same day. Take the Day 1 pill from the new pack and then take one pill per day in the order directed on the pack. Use back-up birth control for at least 9 days.
- During Days 25 through 28, take the missed pill as soon as you remember, then take your next pill at the usual time. You do not need back-up birth control if you miss one pill during Days 25 through 28.
If you miss two pills:
- During Days 1 through 16, skip the missed pills and start with the pill that corresponds to the day you remember you missed your doses. Then take one pill per day in the order directed on the pack. Use your back up birth control for at least 9 days.
- During Days 17 through 24, throw out the rest of the pack and start a new on the same day. Take the Day 3 pill from the new pack and then take one pill per day in the order directed on the pack. Use your back up birth control for at least 9 days.
- During Days 25 through 28, throw out the rest of the pack. Start a new pack on the same day or on the day you would normally start a new pack. Take one pill per day in the order directed on the pack. No back up birth control is needed.
Your risk of getting pregnant will increase with the number of pills you miss. If you miss a period for two months in a row, call your doctor because you might be pregnant. Use back-up birth control if you are not sure how many pills you have missed.
What happens if I overdose (Natazia)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include nausea, vomiting, or vaginal bleeding.
What should I avoid while using dienogest and estradiol (Natazia)?
Do not smoke while using this medication, especially if you are older than 35. Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills.
Birth control pills will not protect you from sexually transmitted diseases, including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.
What other drugs will affect dienogest and estradiol (Natazia)?
Many drugs can make birth control pills less effective, which may result in pregnancy. Below is just a partial list:
- antifungal medication (Sporanox, Extina, Ketozole, Nizoral, Vfend, and others);
- certain antibiotics (especially Biaxin, Ery-Tab, Erythrocin, Ketek, and others);
- certain antidepressants, or St. John's wort;
- certain HIV medications;
- certain seizure medications;
- isoniazid (for treating tuberculosis);
- St. John's wort;
- rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin);
- thyroid replacement (Synthroid, Levothroid, and others);
- phenobarbital or other barbiturates; or
- heart or blood pressure medication (especially Cartia, Cardizem, Cardene, Procardia, Calan, Covera, Isoptin, Verelan, and others).
This list is not complete and other drugs may interact with dienogest and estradiol. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about dienogest and estradiol.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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