General Practice 2022

How to take the Stezza contraceptive

Table of contents:

How to take the Stezza contraceptive
How to take the Stezza contraceptive

Stezza is a combined pill that is used to prevent pregnancy. Each pack contains 24 active tablets with a small amount of female hormones, nomegestrol acetate and estradiol and 4 placebo tablets.

As with all contraceptives, Stezza has some side effects and therefore you should always talk to your doctor before starting treatment. When this contraceptive is taken correctly, the chance of getting pregnant is very small.

How to take it

The Stezza pack contains 24 white tablets that contain the hormones nomegestrol acetate and estradiol, which must be taken every day at the same time for 24 days, following the direction of the arrows on the pack.On the following days, the remaining yellow tablets should be taken for 4 days and the next day, start a new pack, even if menstruation has not ended.

For people who are not taking any contraceptive and wish to start Stezza, they should do so on the first day of menstruation, which is equivalent to the first day of the cycle.

What to do if you forget to take it

When forgetting is less than 12 hours, the missed pill should be taken and the rest at the usual time, even if you have to take 2 pills on the same day. In these cases, the contraceptive effect of the pill is maintained.

When forgetting is more than 12 hours, the contraceptive effect of the pill is reduced. Here's what to do in this case.

Who should not use

Stezza contraceptive is contraindicated in the following situations:

  • Allergy to estradiol, nomegestrol acetate or any component of the drug;
  • History of venous thrombosis of legs, lungs or other organs;
  • History of heart attack or stroke;
  • History of cardiovascular problems;
  • Diabetes with compromised blood vessels;
  • Very high blood pressure;
  • High cholesterol or triglycerides;
  • Disorders that affect blood clotting;
  • Migraine with aura;
  • Pancreatitis associated with high concentrations of fat in the blood;
  • History of severe liver disease;
  • History of benign or malignant liver tumor;
  • History of breast or genital cancer.

Also, if a person is pregnant, suspects they are pregnant or is breastfeeding, they should not take Stezza. If any of these conditions appear for the first time while the person is already taking birth control, they should stop treatment and talk to their doctor.

Possible side effects

The most common side effects that can occur with the use of Stezza are acne, changes in the menstrual cycle, decreased sexual appetite, mood changes, headache or migraine, nausea, heavy periods, pain and breast tenderness, pelvic pain and weight gain.

Although more rare, this contraceptive can also cause increased appetite, fluid retention, swollen abdomen, increased sweating, hair loss, generalized itching, dry or oily skin, feeling of heaviness in the limbs, irregular periods, breast enlargement, pain during intercourse, vaginal dryness, uterus spasm, irritability and liver enzymes increase.

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