Review of: Nuvaring

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Nuvaring

NuvaRing®. Der Vaginalring ist ähnlich wie die Pille eine hormonelle Methode der Schwangerschaftsverhütung. Der weiche Kunststoffring hat einen. Beipackzettel und wichtige Informationen zum Medikament NUVARING vag.​redtebas.com redtebas.com: Wirkung, Anwendung. Nuvaring und Johanniskraut! Bei Einnahme von Johanniskraut kann die Wirkung des Nuvarings ja beinträchtigt werden (so steht es in der.

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NuvaRing. Liebe Patientinnen,. NuvaRing Der NuvaRing® ist ein mit Hormonen bestückter Vaginalring mit einem Durchmesser von etwa 5,3 cm. Es handelt. Der Nuvaring ist ein mit Hormonen versehener Vaginalring. Dieser Ring wird als Verhütungsmethode genutzt. Lesen Sie die wichtigsten. NuvaRing®. Der Vaginalring ist ähnlich wie die Pille eine hormonelle Methode der Schwangerschaftsverhütung. Der weiche Kunststoffring hat einen.

Nuvaring Anwendungsgebiet Video

NuvaRing, the Birth Control Vaginal Ring, as a Form of Birth Control - Planned Parenthood

Nuvaring
Nuvaring
Nuvaring NuvaRing makes a tampon-like applicator you can order to make inserting it easier. Or you can put the ring in an empty tampon applicator. How Effective Is a Vaginal Ring?. NuvaRing uses estrogen and progestin to keep your uterus unoccupied. “People have mysterious thoughts about it, but it really is like taking a combined hormonal birth control pill in another. NuvaRing is not for women with a history of these conditions or any condition that makes your blood more likely to clot. The risk of getting blood clots may be greater with the type of progestin in NuvaRing than with some other progestins in certain low-dose birth control pills. NuvaRing is a safe, simple, and convenient way to prevent pregnancy. It also has other benefits like reducing acne, making your periods lighter and more regular, and easing menstrual cramps. If you follow the instructions and use NuvaRing the right way, it gives you great protection against. NuvaRing - Clinical Pharmacology Mechanism of Action. Combination hormonal contraceptives act by suppression of gonadotropins. Although the primary effect of this action is inhibition of ovulation, other alterations include changes in the cervical mucus (which increase the difficulty of sperm entry into the uterus) and the endometrium (which reduce the likelihood of implantation).
Nuvaring Allergische Reaktionen sind Absolute Geschwindigkeit bekannt. Über uns Abonnement Newsletter Themen. Um zu erfahren, ob eine bestimmte Erkrankung oder Vorerkrankung in der Familie mit dem von Ihnen gewählten Mittel vereinbar ist oder nicht, sollten Sie mit Ihrer Ärztin oder Ihrem Arzt sprechen. Durch die runde Form und die Flexibilität ist ein sicherer Sitz Krzysiu Gdzie Jesteś Online.
Nuvaring 10/3/ · NuvaRing (NEW-vah-ring) is a flexible birth control vaginal ring used to prevent pregnancy. NuvaRing contains a combination of a progestin and estrogen, 2 kinds of female hormones. Birth control methods that contain both an estrogen and a progestin are called combination hormonal contraceptives (CHCs). How well does NuvaRing work? NUVARING est destiné aux femmes en âge de procréer. La sécurité et l'efficacité ont été établies chez des femmes âgées de 18 à 40 ans. NUVARING - prospect actualizat | redtebas.com - Indicatii Previne redtebas.com si mod de administrare Inel Vaginal: prevenirea sarcinii: inelul este introdus in vagin de catre femeie, unde ramane timp de 3 saptamani; este inlaturat apoi pentr. Für detaillierte Angaben zur Anwendung von NuvaRing® lesen Sie bitte die entsprechende Gebrauchsinformation/ Fachinformation. Anwendungsgebiet. Zur​. Wie ist NuvaRing anzuwenden? Wie wird NuvaRing eingelegt und entfernt Drei Wochen Anwendung, eine Woche Pause Wann wird der erste Ring. Der Nuvaring ist ein mit Hormonen versehener Vaginalring. Dieser Ring wird als Verhütungsmethode genutzt. Lesen Sie die wichtigsten. Der NuvaRing® ist der erste in Deutschland zugelassene Vaginalring zur hormonellen Empfängnisverhütung. Die enthaltenen Hormone, eine Estrogen/​Gestagen.

Ohne Werbeunterbrechungen hat Nuvaring The Hills with James Franco Absolute Geschwindigkeit Mila Kunis Stream eine Dauer von 3 Minuten. - Inhaltsverzeichnis

Sollte der Ring einmal beim Netflix Proxy oder beim Entfernen eines Tampons herausrutschen, können Sie ihn innerhalb von drei Stunden bedenkenlos wieder einsetzen. A woman who is using NuvaRing should have a yearly visit with her healthcare provider for a blood pressure check and for other indicated healthcare. Do not use in Nuvaring or smaller amounts or for longer than Dragons Auf Zu Neuen Ufern Folgen. Female sterilisation Vasectomy male sterilisation. The pooled pregnancy rate Pearl Index was 1. In rats and rabbits at dosages up to times the anticipated dose, etonogestrel is neither embryotoxic nor teratogenic. Women who use hormonal birth control methods may have a slightly higher chance of getting cervical cancer. FDA-funded Study in Kaiser Permanente and Medicaid databases Sidney, Women on thyroid hormone replacement therapy may need increased doses of thyroid hormone because serum Wettervorhersage Oberösterreich of thyroid-binding globulin increase with Nuvaring of CHCs. When you use NuvaRing you may have bleeding and spotting between periods, called unplanned bleeding. To put the risk of developing a VTE into Absolute Geschwindigkeit If 10, women who are not pregnant and do not use CHCs are followed for one year, between 1 and 5 Upgrade Movie these women will develop a VTE. In case of suspected overdose, all NuvaRing rings should be removed and symptomatic treatment given. Non sono stati esaminati il Sturm Der Liebe 3010 ed il possibile ruolo farmacologico dell'esposizione all'etinilestradiolo ed all'etonogestrel del partner Emmas Glück Stream maschile attraverso l'assorbimento Sylvie Meis Po pene. NuvaRing is contraindicated in women with uncontrolled hypertension or Gravity Falls Stream German with vascular disease [see Contraindications 4 ]. Figure I. This is less likely to occur once breastfeeding is well-established; however, it can occur at any time in some women. Il farmacista Deception Staffel 2 indicare sulla confezione la data di vendita. Do not use NuvaRing in women with liver disease such as acute viral hepatitis or severe decompensated cirrhosis of the liver [see Contraindications 4 ]. Start NuvaRing no earlier than four weeks after a second trimester Absolute Geschwindigkeit or miscarriage, due to the increased risk of thromboembolism.

HOME About NuvaRing How NuvaRing Works How to Use NuvaRing Inserting NuvaRing Removing NuvaRing Starting NuvaRing Is NuvaRing Right For You?

Talk to Your Health Care Provider Safety Risks and Side Effects Who Should Not Use NuvaRing? Before Using NuvaRing FAQS Important Safety Information.

PLEASE ORIENT YOUR DEVICE TO THE PORTRAIT POSITION TO RETURN TO THE SITE. Please be informed that effective August 1, , Merck will no longer offer the applicator for NuvaRing.

Se le emorragie irregolari si manifestano dopo cicli precedentemente regolari mentre NuvaRing viene usato seguendo la posologia raccomandata, si deve prendere in considerazione una causa non ormonale e, per escludere tumori maligni o una gravidanza, debbono essere attuate misure diagnostiche adeguate, che possono comprendere un raschiamento.

Non sono stati esaminati il grado ed il possibile ruolo farmacologico dell'esposizione all'etinilestradiolo ed all'etonogestrel del partner sessuale maschile attraverso l'assorbimento dal pene.

Si deve consigliare alla donna di rimuovere l'anello rotto e reinserire appena possibile un nuovo anello, e di usare in aggiunta un metodo di barriera, come un preservativo , per i successivi 7 giorni.

Pertanto, per assicurare l'efficacia, si deve consigliare alla donna di verificare regolarmente la presenza di NuvaRing. In quel caso, devono essere seguiti i suggerimenti forniti nel paragrafo 4.

Le seguenti interazioni sono state riportate in letteratura. Metabolismo epatico: possono verificarsi interazioni con medicinali che inducono enzimi microsomiali, risultanti in un aumento della clearance degli ormoni sessuali ad es.

Le donne in trattamento con uno di questi medicinali devono temporaneamente utilizzare un metodo di barriera in aggiunta a NuvaRing o scegliere un altro metodo di contraccezione.

Con i medicinali induttori degli enzimi microsomiali epatici, il metodo di barriera deve essere usato per tutto il periodo di somministrazione concomitante del medicinale e per i 28 giorni successivi alla loro sospensione.

In uno studio farmacocinetico sulle interazioni, la somministrazione orale di amoxicillina mg, due volte al giorno o doxiciclina mg al giorno 1, seguito da mg al giorno per 10 giorni durante l'utilizzo di NuvaRing, non ha influenzato significativamente la farmacocinetica dell'etonogestrel e dell'EE.

Le donne in trattamento con antibiotici tranne amoxicillina e doxiciclina devono usare un metodo di barriera fino a 7 giorni dopo la sospensione.

Stando a dati di farmacocinetica, gli antimicotici per uso vaginale e gli spermicidi non dovrebbero influire sull'efficacia contraccettiva e sulla sicurezza di NuvaRing.

I contraccettivi ormonali possono interferire con il metabolismo di altri medicinali. Di conseguenza, le concentrazioni plasmatiche e tissutali possono o aumentare ad es.

Devono essere consultate le informazioni sulla prescrizione di medicinali concomitanti per identificare potenziali interazioni.

Le variazioni rientrano, in genere, nei limiti dei valori normali di laboratorio. I dati farmacocinetici mostrano che l'uso dei tamponi assorbenti non ha effetto sull'assorbimento sistemico degli ormoni rilasciati da NuvaRing.

Se dovesse instaurarsi una gravidanza con NuvaRing in situ , l'anello deve essere rimosso. Uno studio clinico in un piccolo numero di donne ha mostrato che, a dispetto della somministrazione intravaginale, le concentrazioni intrauterine di steroidi contraccettivi con NuvaRing sono simili ai livelli osservati nelle utilizzatrici di COC vedere paragrafo 5.

Il maggior rischio di tromboembolia nel periodo dopo il parto, deve essere preso in considerazione quando viene ripresa l'assunzione di NuvaRing vedere paragrafi 4.

Nella tabella seguente sono elencate le reazioni avverse al medicinale segnalate nelle sperimentazioni cliniche, negli studi osservazionali o durante l'uso post-marketing con NuvaRing.

In associazione con l'uso di COC sono stati riportati tumori ormono-dipendenti ad es. Per ulteriori informazioni vedere paragrafo 4. In rari casi i partner di donne che utilizzano NuvaRing hanno segnalato patologie del pene durante la sorveglianza post-marketing.

Questi effetti comprendono:. Non sono stati riportati effetti negativi gravi dovuti a sovradosaggio da contraccettivi ormonali.

In questa circostanza possono presentarsi sintomi quali nausea, vomito e, nelle ragazze, lieve sanguinamento vaginale.

Non vi sono antidoti ed un eventuale trattamento deve essere sintomatico. Categoria farmacoterapeutica: Altri ginecologici, Contraccettivi intravaginali, anello vaginale con progestinico ed estrogeno , codice ATC: G02BB NuvaRing contiene etonogestrel ed etinilestradiolo.

Nella tabella seguente sono indicati gli Indici di Pearl numero di gravidanze per anni di utilizzo da parte di donne riscontrati negli studi clinici con NuvaRing.

Non sono stati osservati effetti avversi sulla massa ossea. Le concentrazioni sieriche massime di etonogestrel, di circa 1.

Le concentrazioni sieriche mostrano delle lievi fluttuazioni e si riducono lentamente fino a circa 1. I livelli di etonogestrel a livello della cervice ed intrauterini sono stati misurati in un piccolo numero di donne che usavano NuvaRing o un contraccettivo orale contenente 0, mg di desogestrel e 0, mg di etinilestradiolo.

I livelli osservati erano comparabili. I livelli sierici di etonogestrel diminuiscono in modo bifasico. L'etinilestradiolo rilasciato da NuvaRing viene rapidamente assorbito dalla mucosa vaginale.

I livelli di etinilestradiolo alla cervice ed intrauterini sono stati misurati in un piccolo numero di donne che usavano NuvaRing o un contraccettivo orale contenente 0, mg di desogestrel e 0, mg di etinilestradiolo.

I livelli sierici dell'etinilestradiolo diminuiscono in modo bifasico. Non sono stati effettuati studi per valutare l'effetto della malattia renale sulla farmacocinetica di NuvaRing.

Non sono stati condotti studi per valutare l'effetto della malattia epatica sulla farmacocinetica di NuvaRing. Il farmacista scrive la data di vendita sulla confezione.

Il prodotto deve essere inserito non oltre 4 mesi dalla data di vendita, ma in ogni caso prima della data di scadenza nel caso questa cada prima.

Bustina contenente un singolo NuvaRing. Ciascuna scatola contiene 1 o 3 anelli. Vedere paragrafo 4. Il farmacista deve indicare sulla confezione la data di vendita.

Per la confezione da 3 anelli si raccomanda di indicare questa data sull'astuccio esterno e sulle bustine. NuvaRing deve essere inserito non oltre 4 mesi dalla data di vendita, ma in ogni caso prima della data di scadenza nel caso questa cada prima.

Dopo essere stato rimosso, NuvaRing deve essere riposto nella bustina richiudibile e smaltito insieme ai normali rifiuti domestici in modo da evitare contatti accidentali.

Securgin: Per quali malattie si usa? A cosa Serve? Come si utilizza e quando non dev'essere usato? Avvertenze ed Effetti Collaterali. Foglietto illustrativo e Riassunto delle caratteristiche.

NuvaRing will not prevent pregnancy if you wear it only during intercourse. You must wear the ring around-the-clock for 3 full weeks 21 days.

For 7 days after inserting your first vaginal ring, you may need to use back-up birth control condoms or spermicide, but not a diaphragm or female condom.

After 21 days, remove the ring and wait 7 full days before inserting a new ring. Avoid leaving the ring in place for longer than 3 weeks.

Call your doctor if you get off schedule, or if you have trouble removing a vaginal ring. You may have breakthrough bleeding. Tell your doctor if this bleeding continues or is very heavy.

If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time.

Any doctor or surgeon who treats you should know that you are using the NuvaRing vaginal ring. Store unused vaginal rings at room temperature for up to 4 months.

Protect from heat and light. Dispose of a used vaginal ring in the foil pouch it came in and throw it away where children and pets cannot get to it.

Do not flush the ring down a toilet. Insert 1 ring into the vagina and leave in place continuously for 3 weeks, then remove for 1 week and insert a new ring 1 week after the last ring was removed Comments: During the 1 week ring-free period, withdrawal bleeding usually occurs.

Use: For females of reproductive age to prevent pregnancy. Spoel de ring niet door het toilet, maar gooi het in het daarvoor bedoelde zakje weg bij het huisvuil.

In deze anticonceptiering zitten de hormonen etonogestrel en ethinylestradiol. Via je vagina komen deze stoffen gelijkmatig in je bloed terecht.

Daarom krijgt jouw lichaam niet te maken met dagelijkse hormoonpieken. Etonogestrel en ethinylestradiol voorkomen dat er een eicel vrijkomt uit de eierstokken, op deze manier wordt zwangerschap voorkomen.

Wanneer je stopt met het gebruik van deze anticonceptiering kun je direct zwanger worden. Zoals alle geneesmiddelen kan NuvaRing bijwerkingen veroorzaken, hoewel niet iedereen deze krijgt.

De meest voorkomende bijwerkingen vind je in de onderstaande tabel. Raadpleeg de bijsluiter voor een overzicht van alle bijwerkingen.

Het is belangrijk om te weten dat je een hoger risico hebt om trombose te krijgen als je een combinatiemethode gebruikt. Trombose is een bloedstolsel dat ontstaat in het bloedvat.

Infecties: schimmelinfectie van de vagina zoals spruw , vaginaal ongemak als gevolg van de ring, jeuk aan de geslachtsorganen, afscheiding uit de vagina.

Psychische stoornissen: depressiviteit, minder zin om te vrijen. Epidemiologic studies and meta-analyses have not shown an increased risk of genital or non-genital birth defects including cardiac anomalies and limb-reduction defects following maternal exposure to low dose CHCs prior to conception or during early pregnancy.

In rats and rabbits at dosages up to times the anticipated dose, etonogestrel is neither embryotoxic nor teratogenic.

Harmful effects have not been observed in breastfed infants exposed to CHCs through breast milk. CHCs can reduce milk production in breastfeeding mothers.

This is less likely to occur once breastfeeding is well-established; however, it can occur at any time in some women.

When possible, advise the nursing mother to use non-estrogen-containing contraception until she has completely weaned her child.

The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for NuvaRing and any potential adverse effects on the breastfed child from NuvaRing or from the underlying maternal condition.

Safety and efficacy of NuvaRing have been established in women of reproductive age. Efficacy is expected to be the same for postpubertal adolescents under the age of 18 and for users 18 years and older.

Use of this product before menarche is not indicated. NuvaRing has not been studied in postmenopausal women and is not indicated in this population.

The effect of hepatic impairment on the pharmacokinetics of NuvaRing has not been studied. Steroid hormones may be poorly metabolized in patients with impaired liver function.

Acute or chronic disturbances of liver function may necessitate the discontinuation of CHC use until markers of liver function return to normal.

The effect of renal impairment on the pharmacokinetics of NuvaRing has not been studied. There have been no reports of serious ill effects from overdose of CHCs.

Overdosage may cause withdrawal bleeding in females and nausea. If the ring breaks, it does not release a higher dose of hormones.

In case of suspected overdose, all NuvaRing rings should be removed and symptomatic treatment given. NuvaRing has an outer diameter of 54 mm and a cross-sectional diameter of 4 mm.

The molecular weights for etonogestrel and ethinyl estradiol are Combination hormonal contraceptives act by suppression of gonadotropins.

Although the primary effect of this action is inhibition of ovulation, other alterations include changes in the cervical mucus which increase the difficulty of sperm entry into the uterus and the endometrium which reduce the likelihood of implantation.

Etonogestrel : Etonogestrel released by NuvaRing is rapidly absorbed. The serum etonogestrel and ethinyl estradiol concentrations observed during three weeks of NuvaRing use are summarized in Table 2.

Ethinyl estradiol : Ethinyl estradiol released by NuvaRing is rapidly absorbed. The serum ethinyl estradiol concentrations observed during three weeks of NuvaRing use are summarized in Table 2.

The pharmacokinetic profile of etonogestrel and ethinyl estradiol during use of NuvaRing is shown in Figure 2. Figure 2: Mean Serum Concentration-Time Profile of Etonogestrel and Ethinyl Estradiol during Three Weeks of NuvaRing Use.

The pharmacokinetic parameters of etonogestrel and ethinyl estradiol were determined during one cycle of NuvaRing use in 16 healthy female subjects and are summarized in Table 3.

The mean serum ethinyl estradiol concentration at the end of the fourth week of continuous use of NuvaRing was Ethinyl estradiol: Ethinyl estradiol is highly but not specifically bound to serum albumin In vitro data shows that both etonogestrel and ethinyl estradiol are metabolized in liver microsomes by the cytochrome P 3A4 isoenzyme.

Ethinyl estradiol is primarily metabolized by aromatic hydroxylation, but a wide variety of hydroxylated and methylated metabolites are formed.

These are present as free metabolites and as sulfate and glucuronide conjugates. The hydroxylated ethinyl estradiol metabolites have weak estrogenic activity.

The biological activity of etonogestrel metabolites is unknown. A single-dose vaginal administration of mg water-based nonoxynol-9 spermicide gel did not affect the serum concentrations of etonogestrel or ethinyl estradiol.

The use of tampons had no effect on serum concentrations of etonogestrel and ethinyl estradiol during use of NuvaRing [see Dosage and Administration 2.

In a month carcinogenicity study in rats with subdermal implants releasing 10 and 20 mcg etonogestrel per day, approximately 0.

Treatment did not have any adverse effect on resulting litter parameters after cessation of treatment supporting the return to fertility after suppression with etonogestrel.

The pooled pregnancy rate Pearl Index was 1. In the US study, the Pearl Index was 2. Study data indicate the return of ovulation and spontaneous menstrual cycles in most women within a month after discontinuation of NuvaRing use.

The ring should be replaced in this reclosable sachet after use and discarded in a waste receptacle out of the reach of children and pets.

It should not be flushed down the toilet. For the Dispenser: When NuvaRing is dispensed to the user, place an expiration date on the label.

The date should not exceed either 4 months from the date of dispensing or the expiration date, whichever comes first. Advise the patient to read the FDA-approved patient labeling Patient Information and Instructions for Use.

Manufactured by: N. All rights reserved. What is the most important information I should know about NuvaRing? Do not use NuvaRing if you smoke cigarettes and are over 35 years old.

Smoking increases your risk of serious cardiovascular side effects heart and blood vessel problems from combination hormonal contraceptives CHCs , including death from heart attack, blood clots or stroke.

This risk increases with age and the number of cigarettes you smoke. Hormonal birth control methods help to lower the chances of becoming pregnant.

They do not protect against HIV infection AIDS and other sexually transmitted infections. NuvaRing contains a combination of a progestin and estrogen, 2 kinds of female hormones.

Birth control methods that contain both an estrogen and a progestin are called combination hormonal contraceptives CHCs.

Your chance of getting pregnant depends on how well you follow the directions for using NuvaRing.

The better you follow the directions, the less chance you have of getting pregnant. Based on the results of a US clinical study, approximately 1 to 3 women out of women may get pregnant during the first year they use NuvaRing.

The following chart shows the chance of getting pregnant for women who use different methods of birth control.

Each box on the chart contains a list of birth control methods that are similar in effectiveness. The most effective methods are at the top of the chart.

The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant.

Hormonal birth control methods may not be a good choice for you if you have ever had jaundice yellowing of the skin or eyes caused by pregnancy or related to previous use of hormonal birth control.

Tell your healthcare provider if you have ever had any of the conditions listed above. Your healthcare provider can suggest another method of birth control.

Tell your healthcare provider about all medicines and herbal products you take , including prescription and over-the-counter medicines, vitamins and herbal supplements.

Some medicines and herbal products may make hormonal birth control less effective, including, but not limited to:. Use an additional barrier contraceptive method such as a male condom with spermicide when you take medicines that may make NuvaRing less effective.

Since the effect of another medicine on NuvaRing may last up to 28 days after stopping the medicine, it is necessary to use the additional barrier contraceptive method for that long to help prevent you from becoming pregnant.

While using NuvaRing, you should not use certain female barrier contraceptive methods such as a vaginal diaphragm, cervical cap or female condom as your back-up method of birth control because NuvaRing may interfere with the correct placement and position of a diaphragm, cervical cap or female condom.

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