Natazia

Natazia

Natazia

What is Natazia?

Natazia is used to prevent pregnancy.

Natazia is also used to treat heavy menstrual bleeding that is not caused by a disease of the uterus.

Warnings

Do not use Natazia if you are pregnant or have recently had a child.

You should not take Natazia if you have any of the following conditions: uncontrolled high blood pressure, heart disease, blood clotting disorder, circulatory problems, diabetic eye or kidney problems, unusual vaginal bleeding, liver disease or liver cancer, severe migraine headaches, if you smoke and are over 35 years old, or if you have ever had breast or uterine cancer Have had a heart attack, stroke or blood clot.

Taking Natazia may increase your risk of blood clots, stroke or heart attack, especially if you have certain other medical conditions or are overweight.

Smoking can significantly increase your risk of blood clots, strokes or heart attacks.You should not take Natazia if you smoke and are over 35 years old.

If you forget the pill, your risk of becoming pregnant increases. Follow the missed dose instructions carefully if you forget to take your medicine.

Some medications may make Natazia less effective in preventing pregnancy, including antibiotics, hepatitis C medications, HIV/AIDS medications, seizure medications, or barbiturate sedatives. Tell your doctor about all other medications you are taking.

Before you take this medicine

Taking Natazia may increase your risk of blood clots, stroke, or heart attack. You are at even greater risk if you have high blood pressure, diabetes, high cholesterol or are overweight. Your risk of a stroke or blood clot is highest in the first year of taking Natazia. Your risk is also high if you take this medicine again after you have not taken it for 4 weeks or more.

Smoking can significantly increase your risk of blood clots, strokes or heart attacks.Your risk increases the older you are and the more you smoke. You should not take Natazia if you smoke and are over 35 years old.

Do not use if pregnant.Stop taking Natazia and tell your doctor if you become pregnant or if you miss two menstrual periods. If you have recently had a child, wait at least 4 weeks before taking this medicine.

You should not take Natazia if you:

• untreated or uncontrolled high blood pressure;

• Heart disease (coronary artery disease, uncontrolled heart valve disease, history of heart attack, stroke or blood clots);

• a blood clotting disorder or circulatory problems;

• eye, kidney or circulatory problems caused by diabetes;

• a history of hormone-related cancer such as breast or uterine cancer;

• unusual vaginal bleeding that has not been checked by a doctor;

• liver disease or liver cancer;

• severe migraine headaches; or

• if you smoke and are over 35 years old.

To make sure Natazia is safe for you, tell your doctor if you have:

• high blood pressure, high cholesterol or triglyceride levels, or if you are overweight;

• a history of depression;

• diabetes, hypothyroidism, gallbladder disease;

• seizures or epilepsy; or

• a history of jaundice caused by pregnancy or birth control pills.

The hormones in Natazia can pass into breast milk and may harm a breastfed baby. This medicine may also slow the production of breast milk. Do not use if breastfeeding a baby.

How should I take Natazia?

Natazia contains a combination of dienogest and estradiol. contains 5 different pill colors. Take 1 tablet daily in the exact order stated on the blister pack. Follow the arrows on each row of pills in the pack. Use additional contraception such as condoms or spermicide for the first 9 days. Do not take two different types of birth control pills at the same time.

If you are switching from another birth control pill, start taking Natazia on the first day of your period. If you are taking progestogen-only pills, start taking Natazia on the day you would have taken your next pill.

If you are switching from a contraceptive implant, intrauterine device (IUD), vaginal ring, or skin patch, start taking Natazia on the day the other contraceptive is removed. If you are switching from a contraceptive injection, start taking Natazia on the day you would have had your next scheduled injection.

Tell your doctor if you experience heavy breakthrough bleeding. You may also have very little or no bleeding during your period.

If you need surgery, medical tests, or need to be on bed rest, you may need to stop taking this medicine for a short time. Any doctor or surgeon who treats you should know that you are using Natazia.

You must see your doctor regularly while taking Natazia.

Store at room temperature, protected from moisture and heat.

What happens if I miss a dose?

Follow the patient instructions that come with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. If you forget the pill for more than 12 hours, your risk of becoming pregnant increases. Vomiting or diarrhea within 4 hours of taking a pill is the same as missing that dose.

If you forget a pill:

• On days 1 to 17, take the missed pill as soon as you remember, and then take the next pill at the usual time. Use additional contraception for at least 9 days.

• On days 18 to 24, throw away the rest of the pack and start a new one on the same day. Take the day 1 pill from the new pack and then take one pill per day in the order listed on the pack. Use additional contraception for at least 9 days.

• On days 25 to 28, take the missed pill as soon as you remember, and then take the next pill at the usual time. You do not need additional contraception if you miss a pill between days 25 and 28.

If you forget two pills:

• On days 1 to 16, skip the missed pills and start with the pill corresponding to the day you remember forgetting to take it. Then take one tablet daily in the order listed on the pack. Use your backup contraception for at least 9 days

• On days 17 to 24, throw away the rest of the pack and start a new one on the same day. Take the day 3 pill from the new pack and then take one tablet per day in the order listed on the pack. Use your backup contraception for at least 9 days.

• On days 25 to 28, throw away the rest of the pack. Start a new pack on the same day or the day you would normally start a new pack. Take one tablet daily in the order listed on the package. No additional contraception is required.

If you miss your period for two months in a row, call your doctor because you may be pregnant.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help hotline at 1-800-222-1222. Symptoms of overdose may include nausea, vomiting, and vaginal bleeding.

What to avoid

Do not smoke while taking this medicine.especially if you are over 35 years old.

Natazia does not protect you from sexually transmitted diseases – including HIV and AIDS. The only way to protect yourself from these diseases is to use a condom.

Natazia side effects

If necessary, get emergency medical helpSigns of an allergic reaction to Natazia: hives; difficult breathing; Swelling of your face, lips, tongue, or throat.

Stop taking Natazia and call your doctor immediately if you have:

• Signs of a stroke - sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance;

• Signs of a blood clot - chest pain, sudden cough, wheezing, coughing up blood, swelling or warmth in one or both legs;

• Symptoms of a heart attack – pain or pressure in the chest, pain spreading to the jaw or shoulder, nausea, sweating;

• Liver problems - severe stomach pain, fever, tiredness, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

• sudden and severe pain in the pelvic area;

• a change in the pattern or severity of migraine headaches;

• swelling of your hands, ankles, or feet;

• a lump in the breast; or

• Symptoms of depression – sleep problems, weakness, fatigue, mood swings.

Common side effects of Natazia may include:

• slight vaginal bleeding or spotting;

• nausea (especially in the first few months of taking this medicine), vomiting;

• breast pain or tenderness;

• 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 can report side effects to FDA at 1-800-FDA-1088.

What other medications affect Natazia?

Many medications can interact with dienogest and estradiol and make them less effective, which can lead to pregnancy. Estradiol can also affect the blood levels of certain other medicines, making them less effective or increasing side effects. You may need to use an additional method of contraception while taking certain other medications. Tell your doctor about all medications you are currently taking and any medications you are taking or stopping. Not all possible interactions are listed in this medication guide.

More information

Remember to keep this and all other medicines out of the reach of children, never share your medicines with others, and only use Natazia for the prescribed indication.