Proper Use

Drug information provided by: Micromedex

To make using vaginal contraceptives as safe and reliable as possible, you should understand how and when to use them and what effects may be expected.

This combination medicine is in a ring that is placed into your vagina and releases small amounts of medicine that is absorbed into your body.

It is important to know how and when to insert, remove, or replace NuvaRing®. Read and follow the patient instructions carefully. Ask your doctor or pharmacist if you have any questions.

NuvaRing® is used in a 4 week cycle. You must insert it in the vagina on the appropriate day and keep it in place for 3 weeks. Then, remove the vaginal ring 3 weeks later on the same day of the week it was inserted and at about the same time. During the 1-week break, you will usually have your menstrual period.

While using this medicine, do not use a vaginal diaphragm. Instead, use a male condom with spermicide as an additional form of birth control method during the first 7 days to prevent pregnancy.

If you are switching from a combination hormonal method (eg, pills, patch) to using NuvaRing®, start using this medicine on any day. Do not start using this medicine any later than the day you would start your next birth control pill or patch.

If you are switching from a progestin-only method (eg, progestin-only pill, implant, injection, intrauterine system) to using NuvaRing®, start using it on the day after you used your last progestin-only pill, or on the day your implant or IUD is removed, or on the day you would have your next injection. You must also use an additional barrier method of birth control (eg, male condom with spermicide) for the first 7 days.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

Your doctor may ask you to start using the vaginal ring on the first day of your menstrual period called First day start. You may also start on Day 2 to Day 5 of your menstrual period, but you need to use an extra form of birth control (eg, male condoms with spermicide) for the first 7 days of NuvaRing® use in the first cycle.

  • For vaginal dosage form (ring):
    • For contraception (to prevent pregnancy):
      • Adults—One ring inserted into the vagina. The ring must remain in place continuously for 3 weeks, followed by 1 week ring-free interval. Then, a new ring is inserted 1 week after the last ring was removed.
      • Children—Use and dose must be determined by your doctor.

Missed Dose

Call your doctor or pharmacist for instructions.

If NuvaRing® has slipped out of the vagina and it has been out less than 3 hours, you should still be protected from pregnancy. If NuvaRing® has been out of the vagina for more than 3 hours, you may not adequately be protected from pregnancy, and must use an extra method of birth control until NuvaRing® has been in place for 7 days in a row.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store this medicine for up to 4 months after you receive it.

Place the used NuvaRing® in the re-sealable foil pouch and put it in a thrash can where children and pets cannot get to it. Do not flush the ring down the toilet.