Medical Editor: John P. Cunha, DO, FACOEP Last updated on RxList: 5/26/2022
Vienva Side Effects Center

What Is Vienva?

Vienva (levonorgestrel and ethinyl estradiol tablets) are oral contraceptives indicated for the prevention of pregnancy in women who elect to use this product as a method of contraception. Vienva is available in generic form.

What Are Side Effects of Vienva?

Common side effects of Vienva include:

  • acne,
  • missed menstrual periods,
  • breast changes (tenderness, pain, enlargement, nipple discharge),
  • problems with contact lenses,
  • dizziness,
  • bloating,
  • abdominal pain,
  • cramps,
  • excess hair growth,
  • changes in sex drive,
  • freckles or darkening of facial skin,
  • changes in menstrual flow, mood changes,
  • depression,
  • nausea,
  • nervousness,
  • rash (allergic),
  • loss of scalp hair,
  • spotting,
  • vaginal infection including yeast infection,
  • vomiting,
  • or weight changes.

Cigarette smoking increases the risk of serious cardiovascular side effects from use of oral contraceptives such as Vienva. Women who use oral contraceptives including Vienva are strongly advised not to smoke.

Dosage for Vienva

To achieve maximum contraceptive effectiveness, Vienva must be taken exactly as directed and at intervals not exceeding 24 hours. The dosage of Vienva is one white tablet daily for 21 consecutive days, followed by one peach inert tablet daily for 7 consecutive days, according to the prescribed schedule. It is recommended that Vienva be taken at the same time each day.

What Drugs, Substances, or Supplements Interact with Vienva?

Vienva may interact with:

Vienva During Pregnancy and Breastfeeding

Tell your doctor all medications and supplements you use. Vienva is not recommended for use during pregnancy. Small amounts of Vienva pass into breast milk and may cause adverse reactions in nursing infants. Breastfeeding while using Vienva is not recommended.

Additional Information

Our Vienva (levonorgestrel and ethinyl estradiol tablets) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Which of the following are methods for contraception? See Answer
Vienva Consumer Information

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Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using birth control pills and call your doctor at once if you have:

  • signs of a stroke--sudden numbness or weakness (especially on one side of the body), severe headache, slurred speech, balance problems;
  • signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, swelling or redness in an arm or leg;
  • heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;
  • liver problems--loss of appetite, upper stomach pain, tiredness, fever, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • increased blood pressure--severe headache, blurred vision, pounding in your neck or ears;
  • swelling in your hands, ankles, or feet;
  • changes in the pattern or severity of migraine headaches;
  • a breast lump; or
  • symptoms of depression--sleep problems, weakness, tired feeling, mood changes.

Common side effects may include:

  • nausea, vomiting (especially when you first start taking this medicine);
  • breast tenderness;
  • breakthrough bleeding;
  • acne, darkening of facial skin;
  • weight gain; or
  • problems with contact lenses.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the entire detailed patient monograph for Vienva (Levonorgestrel and Ethinyl Estradiol)


Choosing Your Birth Control Method See Slideshow
Vienva Professional Information


An increased risk of the following serious adverse reactions (see WARNINGS section for additional information) has been associated with the use of oral contraceptives:

Thromboembolic and thrombotic disorders and other vascular problems (including thrombophlebitis and venous thrombosis with or without pulmonary embolism, mesenteric thrombosis, arterial thromboembolism, myocardial infarction, cerebral hemorrhage, cerebral thrombosis), carcinoma of the reproductive organs and breasts, hepatic neoplasia (including hepatic adenomas or benign liver tumors), ocular lesions (including retinal vascular thrombosis), gallbladder disease, carbohydrate and lipid effects, elevated blood pressure, and headache including migraine.

The following adverse reactions have been reported in patients receiving oral contraceptives and are believed to be drug related (alphabetically listed):

The following adverse reactions have been reported in users of oral contraceptives:

Read the entire FDA prescribing information for Vienva (Levonorgestrel and Ethinyl Estradiol)

© Vienva Patient Information is supplied by Cerner Multum, Inc. and Vienva Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.

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