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The risk of blood clots is highest when you first start using XULANE and when you restart XULANE or a different hormonal birth control after a break of a month or more. These can cause death or lead to permanent disability. Some examples of blood clots are deep vein thrombosis (legs), pulmonary embolus (lungs), loss of eyesight (eyes), heart attack (heart), and stroke (brain). XULANE may cause serious side effects, including blood clots, especially if you have other risk factors, such as smoking, obesity, or age>35. What are the most serious risks of taking XULANE? XULANE does not protect against HIV infection (AIDS) and other sexually transmitted infections.ĭo not use XULANE if you have or have had blood clots an inherited problem that makes your blood clot more than normal history of heart attack, stroke, or certain heart valve or rhythm problems that can cause blood clots to form in the heart high blood pressure that medicine cannot control diabetes with kidney, eye, nerve, or blood vessel damage certain kinds of severe migraine headaches with aura, numbness, weakness, or changes in vision or any migraine headaches if you are over 35 a BMI of 30 kg/m 2 or more liver disease or liver tumors unexplained vaginal bleeding have had breast cancer or any cancer that is sensitive to female hormones if you take Hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of the liver enzyme “alanine aminotransferase” (ALT) in the blood or if you are or may be pregnant.

Wait for your first period, or see your healthcare provider to make sure you are If you have had sex since your miscarriage or abortion, XULANE and use a non-hormonal contraceptive method of birth control, suchĪs a condom and spermicide or diaphragm and spermicide, for the first 7 days If you are starting XULANE after a miscarriage or abortion that occurs after theįirst 12 weeks of pregnancy (second trimester), wait 4 weeks before using

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Your first XULANE patch that day, and no back-up birth control is needed.

The first 7 days of your first cycle only. Use a non-hormonal contraceptive method of birthĬontrol, such as a condom and spermicide or diaphragm and spermicide, for Sunday start: Apply your first XULANE patch on the first Sunday after your Choose theįirst day start: Apply your first XULANE patch during the first 24 hours of your You have 2 ways to begin using your XULANE patch. If you do not start XULANE within 5 days after a first trimester miscarriage orĪbortion, use a non-hormonal contraceptive method of birth control, such as aĬondom and spermicide or diaphragm and spermicide, while you wait for your In the first 12 weeks (first trimester) of pregnancy. You may start XULANE immediately after a miscarriage or abortion that occurs Some medicines and grapefruit juice may increase your level of the hormone ethinyl estradiol if used together with XULANE. Use another birth control method (such as a condom and spermicide or diaphragm and spermicide) when you take medicines that may make the XULANE patch less effective.

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Tell your healthcare professional about all medicines and herbal products that you take, including those for seizures and thyroid replacement therapy, as some of these may require dosing adjustments or may make XULANE less effective. XULANE may decrease the amount of milk you make, and a small amount of hormones from the XULANE patch may pass into your breast milk.

Are breastfeeding or plan to breastfeed.

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If you have experienced yellowing of the skin or eyes caused by pregnancy or related to previous use of hormonal birth control.

If you are scheduled for any laboratory tests as certain blood tests may be affected by XULANE.

You should stop using your XULANE patch at least 4 weeks before and through at least 2 weeks after surgery.

If you are scheduled for surgery as XULANE may increase your risk of blood clots after surgery.

If you are pregnant or think you are pregnant.

Tell your healthcare professional about all of your medical conditions, including: