Seasonique Warnings and Precautions

Specific Seasonique Warnings and Precautions

Warnings and precautions to be aware of prior to using Seasonique include the following:
  • Combined oral contraceptives (including Seasonique) increase the risk of blood clots, strokes, and heart attacks. These risks are minimal for healthy, young nonsmokers. However, tell your healthcare provider if you have ever had a blood clot, stroke, heart attack, or chest pain.
  • Even though you will have fewer periods while taking Seasonique (only four periods per year), many women have breakthrough bleeding between periods while taking this form of birth control pill. This bleeding may be inconvenient and unpredictable. Keep taking the medication as usual, but contact your healthcare provider if the bleeding is heavy.
  • Seasonique does not protect against HIV, AIDS, or other sexually transmitted diseases (STDs). In many cases, it is advisable to use condoms in addition to Seasonique.
  • Smoking cigarettes greatly increases the risk of serious Seasonique side effects, such as heart attacks, strokes, and blood clots. This risk is particularly high for smokers over the age of 35.
  • Combined oral contraceptives may also slightly increase the risk of breast cancer or cervical cancer, although this is an unresolved and controversial issue. 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 side effects of Seasonique.
  • Oral contraceptives can increase the risk of benign (noncancerous) liver tumors. In rare cases, these tumors can rupture and cause serious problems.
  • Hormonal contraceptives (such as Seasonique) can make gallbladder disease worse. Therefore, if you have had a problem with your gallbladder, Seasonique may not be the best contraceptive method for you.
  • The medication may increase blood sugar levels, particularly in women with diabetes. Your healthcare provider may need to monitor you more closely in this case. Tell him or her 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 Seasonique and other hormonal contraceptives).
  • Hormonal contraceptives (including Seasonique) can increase your blood pressure. This can be a problem if you already have high blood pressure.
  • While taking Seasonique, if you experience a migraine for the first time, or if you have any changes in your migraines if you have had them before, please contact your healthcare provider.
  • Seasonique can change your menstrual bleeding patterns. Some women have breakthrough bleeding (bleeding between periods), while others may not have a period at all. It is normal to have shorter and lighter periods while using the drug. If you notice any unusual changes in your bleeding patterns, however, let your healthcare provider know. If you miss a period, you should make sure you are not pregnant.
  • The medication can affect your cholesterol. Therefore, your healthcare provider may need to check your cholesterol levels after you start Seasonique, 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, Seasonique (as well as any other hormonal contraceptive) can cause eye changes that make it more difficult to wear contact lenses.
  • Seasonique can interact with a number of different medications (see Seasonique Drug Interactions).
  • Seasonique is considered a pregnancy Category X medication. This means that you should not intentionally use it during pregnancy (see Seasonique and Pregnancy).
  • Contraceptive hormones (such as the ones in Seasonique) 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 Seasonique and Breastfeeding). Combined hormonal contraceptives such as Seasonique are not usually recommended for breastfeeding women.
Last reviewed by: Kristi Monson, PharmD
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