NuvaRing

• If you miss a dose...
  If NuvaRing slips out, you'll still be protected against pregnancy provided the ring is replaced within 3 hours. You can use the old ring (after rinsing it with cool or lukewarm water) or insert a new ring. Remove the ring according to your original schedule.

If you're unable to replace the ring within 3 hours, insert it as soon as possible and use an additional method of birth control for 7 days.

If you forget and leave the ring in place for an extra week, remove it, take a one-week break, and reinsert a new one on day 7. If you leave the ring in place for more than 4 weeks you may not be adequately protected against pregnancy.

If you miss a menstrual period, you should check to be sure you are not pregnant if any of the following circumstances apply:

—If NuvaRing was out of the vagina for more than 3 hours during the 3 weeks of ring use

—If you waited longer than 1 week to insert a new ring after removing the old one

—If you followed the instructions but miss 2 periods in a row

—If you have left NuvaRing in place for longer than 4 weeks.

• Storage instructions...
  Store at room temperature and avoid sunlight. Discard unused rings after the expiration date marked on the label.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using NuvaRing.

• Side effects may include:
  Abdominal cramps, allergic rash, bloating, blood clots, breakthrough bleeding and spotting, breast secretions, change in menstrual flow, changes in the breast such as tenderness or enlargement, dark pigmentation of the skin, decreased milk production in nursing mothers, depression, emotional instability, gallbladder disease, headaches, heart attack, high blood pressure, intolerance to contact lenses, liver disease, liver tumors, migraine headaches, missed periods, nausea, problems with the ring, sinus inflammation, stroke, swelling, temporary infertility after discontinuing NuvaRing, upper respiratory tract infections, vaginal inflammation or discharge, vision problems, vomiting, weight gain or loss, yeast infections, yellow tint to the skin