STD Home > Precautions and Warnings With Pirmella
Women may have an increased risk for heart attacks, blood clots, and strokes if they smoke cigarettes while taking Pirmella. Also, women who have a history of depression, migraines, or cancer should pay special attention to the warnings and precautions with Pirmella. This birth control pill is not suitable for everyone. For example, if you have heart disease or high blood pressure, you should not take Pirmella.
What Should I Tell My Healthcare Provider?
You should talk with your healthcare provider before taking Pirmella™ (norethindrone and ethinyl estradiol) if you have:
- A history of a heart attack or stroke
- A history of blood clots or a blood-clotting disorder
- Chest pain
- High blood pressure (hypertension)
- Undiagnosed abnormal vaginal bleeding
- Heart disease
- Yellowing of the whites of the eyes or skin (jaundice) during a prior pregnancy or oral contraceptive use
- High cholesterol
- Gallbladder disease
- Liver disease, such as liver failure, cirrhosis, or hepatitis
- Cancer (or if you have had cancer in the past)
- Any allergies, including to dyes, foods, or preservatives.
Also, let your healthcare provider know if you:
- Have an upcoming surgery
- Are over 35 years old
- Smoke cigarettes
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding.
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.