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Specific Precautions and Warnings for Natazia

Some warnings and precautions to be aware of prior to using Natazia include the following:
  • Combined oral contraceptives (including Natazia) increase the risk of blood clots, strokes, and heart attacks. These risks are quite small for healthy, young nonsmokers. Make sure to tell your healthcare provider if you have ever had a blood clot, stroke, heart attack, or chest pain.
  • Smoking cigarettes greatly increases the risk of serious Natazia side effects (such as heart attacks, strokes, and blood clots). This risk is particularly high for smokers over the age of 35.
  • As with all birth control pills, Natazia does not protect against HIV, AIDS, or other sexually transmitted diseases (STDs). In many cases, it is advisable to use condoms in addition to Natazia.
  • In general, the evidence suggests that combined oral contraceptives probably do not increase the risk of breast cancer, although they may slightly increase the risk of cervical cancer. These are unresolved and controversial issues. However, combined oral contraceptives seem to help protect women against ovarian and uterine cancer.
  • Birth control pills are sometimes not the best contraceptive choice for obese women. They may be less effective in these women, and obese women may be at a higher risk for some of the serious Natazia side effects. Natazia has not been studied in women who have a body mass index (BMI) of 30 or greater (see BMI Calculator to find your BMI).
  • Natazia can interact with a number of different medications (see Natazia Drug Interactions for more information).
  • Oral contraceptives increase the risk of benign (noncancerous) liver tumors. Very rarely, these tumors can rupture and cause serious problems. There is some evidence that long-term use of oral contraceptives may increase the risk of liver cancer, although the risk is still extremely small (less than one case per one million users).
  • Hormonal contraceptives (such as Natazia) can make gallbladder disease worse. If you have had a problem with your gallbladder, this birth control pill may not be the best contraceptive method for you.
  • Natazia may increase blood sugar levels, particularly in women with diabetes. Your healthcare provider may need to monitor you more closely. Let your healthcare provider know if you have any sudden vision changes, as this may be a sign of a blood clot in the eyes (a possible side effect of Natazia and other hormonal contraceptives).
  • Hormonal contraceptives (including Natazia) can increase your blood pressure. This can be a problem if you already have high blood pressure.
  • If you experience a migraine for the first time (or a change in your migraines if you have had them before) while taking Natazia, please contact your healthcare provider.
  • Natazia can change your menstrual bleeding patterns. Some women have breakthrough bleeding (bleeding between periods), while others may not have a period at all. If you notice any bothersome or persistent changes in your bleeding patterns, let your healthcare provider know. If you miss a period, you should make sure you are not pregnant.
  • Natazia can affect your cholesterol. Your healthcare provider may need to check your cholesterol levels after you start Natazia, especially if you already have high cholesterol.
  • Sometimes, hormonal contraceptives can make depression worse. Let your healthcare provider know if you develop new or worsening depression symptoms.
  • Occasionally, Natazia (as well as any other hormonal contraceptive) can cause eye changes that make it more difficult to wear contact lenses.
  • Natazia is considered a pregnancy Category X medication. This means that it should not be used during pregnancy (see Natazia and Pregnancy).
  • Contraceptive hormones (such as the ones in Natazia) pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Natazia and Breastfeeding). Combined hormonal contraceptives (such as Natazia) are not usually recommended for breastfeeding women.
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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