Twirla

Alternate Name: Twirla

Dosage Form: Box

Administration Route: Absorbed through the skin

Drug Class: Endocrine-Metabolic Agent

Generic Available: No

Strength: 120-30 MCG/24HR

Warnings: You might have some light bleeding or spotting, especially during the first 3 months of using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office. Tell your doctor if you are breastfeeding, or if you have recently been pregnant. Tell your doctor if you have gallbladder disease, uncontrolled high cholesterol, or a history of depression, hereditary angioedema, or dark patches in the face during pregnancy (chloasma gravidarum). Tell your doctor if you smoke, have a BMI greater than 25 kg/m2 but less than 30 kg/m2, or if you are having surgery that requires inactivity for a long time. This medicine may cause the following problems:Increased risk of heart attack, stroke, or blood clotsLiver problems (including liver tumor or cancer)High blood pressureGallbladder diseaseHigh cholesterol in the blood, which can lead to swelling of the pancreas (pancreatitis)Changes in mood or behaviorIncreased risk of cancer (including cancer of the cervix) Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results. Transdermal routeFold the used patch in half with the sticky sides together. Throw any used patch away so that children or pets cannot get to it. You will also need to throw away old patches after the expiration date has passed. It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant. Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests. Do not use this medicine at least 4 weeks before and 2 weeks after a surgical procedure. This medicine will not protect you from getting HIV/AIDS or other sexually transmitted diseases. Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Food Warnings: Some medicines can affect how levonorgestrel/ethinyl estradiol works. Tell your doctor if you are using any of the following:Acetaminophen, aprepitant, ascorbic acid, atorvastatin, bosentan, cyclosporine, lamotrigine, morphine, prednisolone, rosuvastatin, salicylic acid, St John's wort, theophylline, tizanidineMedicine to treat HIV/AIDS (including amprenavir/ritonavir, atazanavir/ritonavir, boceprevir, darunavir/ritonavir, efavirenz, etravirine, fosamprenavir/ritonavir, indinavir, lopinavir/ritonavir, nelfinavir, nevirapine, telaprevir, tipranavir/ritonavir)Medicine to treat infection (including fluconazole, griseofulvin, itraconazole, ketoconazole, rifabutin, rifampin, rufinamide, voriconazole)Medicine to treat seizures (including carbamazepine, felbamate, oxcarbazepine, phenytoin, topiramate)Thyroid medicine, Do not eat grapefruit or drink grapefruit juice while you are using this medicine., Do not use this medicine together with medicine to treat hepatitis C virus infection, including ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. You may restart treatment with this medicine at least 2 weeks after completing treatment for hepatitis C infection., If you are using colesevelam, take it 4 or more hours before using levonorgestrel/ethinyl estradiol.