norelgestromin / ethinyl estradiol

Smoking cigarettes while using Xulane (norelgestromin / ethinyl estradiol) can significantly raise your risk for blood clots. These blood clots can lead to more serious problems, such as heart attack and stroke. The risk is greater if you're over 35 years old and have a history of smoking cigarettes. If you smoke, talk with your gynecologist about safer birth control alternatives.

Compared to other combined hormonal contraceptives, Xulane (norelgestromin / ethinyl estradiol) leads to higher estrogen absorption, which might raise the risk of side effects, including serious blood clots. These clots can occur anywhere in your body, including your lungs (pulmonary embolism or PE), legs (deep vein thrombosis or DVT), brain (stroke), and heart (heart attack). Get emergency help right away if you have any signs of a blood clot.

Don't use Xulane (norelgestromin / ethinyl estradiol) if you have liver problems, such as hepatitis, severe cirrhosis, or liver tumors. Although rare, this medication can raise your risk of benign liver tumors. If you notice signs of liver problems, stop using Xulane (norelgestromin / ethinyl estradiol) and talk to your gynecologist about other birth control options. Signs of liver problems include jaundice (yellowing of the skin or whites of the eyes), fever, tiredness, loss of appetite, or dark urine.

Xulane (norelgestromin / ethinyl estradiol) can raise your blood pressure. The risk is higher if you're older and have been using birth control for a long time. If you have a history of high blood pressure that's well-controlled, your prescriber might monitor you while you use Xulane (norelgestromin / ethinyl estradiol). If you have concerns, talk with them about the risks and benefits of using this medication.

Some studies show that Xulane (norelgestromin / ethinyl estradiol) can slightly raise your risk of gallbladder problems. And if you already have gallbladder problems, this medication could make them worse. If you’ve had cholestasis (a liver condition that slows or stops bile flow) from birth control or pregnancy before, you might have a higher risk of getting it again with Xulane (norelgestromin / ethinyl estradiol). Talk to your prescriber if you have a history of gallbladder or liver problems before using this medication.

Xulane (norelgestromin / ethinyl estradiol) can raise your blood sugar and triglycerides levels. If you have prediabetes or diabetes, your prescriber will likely monitor your blood sugar while you take this medication. High triglycerides can lead to a higher risk of pancreatitis (inflammation of the pancreas). Speak with your gynecologist before starting Xulane (norelgestromin / ethinyl estradiol) if you have a history of high blood sugar or triglycerides. They might suggest a different birth control option or monitor your lab work more closely while you're using this medication.

Let your gynecologist know if you experience new or worsening migraines or headaches while using Xulane (norelgestromin / ethinyl estradiol). If you develop frequent, severe, or new headaches, you might need to stop the medication.

People who use Xulane (norelgestromin / ethinyl estradiol) can sometimes experience breakthrough bleeding or spotting. If this happens, talk to your gynecologist to rule out pregnancy, infections, or other medical conditions. If no serious cause is found, the bleeding might stop over time or after switching to a different birth control.

If you have a history of depression, your prescriber will monitor you while using Xulane (norelgestromin / ethinyl estradiol). If your depression gets worse or becomes serious, they might stop the medication. Let your prescriber know if you experience mood changes, sadness, or loss of interest in activities while taking this medication.

Study results are mixed, but Xulane (norelgestromin / ethinyl estradiol) and other combined hormonal birth control pills might raise your risk for breast and cervical cancer.