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Ask for Twirla®

I'm not afraid to ask for what I want. So I asked for Twrila

TELEHEALTH

Ready to ask for Twirla?

These telehealth providers can help you quickly and virtually connect with a doc to see if Twirla is right for you.

The Twentyeight, Nurx, and Pandia Health logos are trademarks of Twentyeight Health, Inc., Nurx, Inc., and Pandia Health, Inc., respectively. Reproduced with permission.

A GUIDE

to getting a birth control that fits your life

It might be called birth control, but sorting through all the options and figuring out how to ask for what you want can feel, well, out of your control. Use this quick guide to help you feel empowered to express your birth control needs and confidently ask your doctor about Twirla.

TLDR: If you’re short on time, have this guide emailed to you, so you can have it handy at your next doctor’s appointment.

EMAIL IT TO ME

Twirla® is a weekly birth control patch for women of reproductive potential with a BMI <30 kg/m2 for whom a combined hormonal contraceptive is appropriate. Twirla is less effective in women with a BMI ≥25 to <30 kg/m2 and should not be used in women with a BMI ≥30 kg/m2.

KNOW WHAT YOU WANT. ASK FOR TWIRLA BY NAME.

Who knows you better than you? If you’ve done your research and think a low-dose, weekly, noninvasive option like Twirla may be right for you, tell your doctor a bit more about why it fits your lifestyle. You can say things like:

“I’m going places…”
  • I’m super busy, I need a birth control that will fit my busy life, not the other way around
  • I have better things to do than remember to take a pill every single day, so I want something weekly
“I’m taking care of myself…”
  • I’m interested in a low-dose estrogen birth control option
  • I am not into having things inserted into my body or undergoing any medical procedures
“Let’s talk about Twirla…”
  • I heard about a birth control patch option named Twirla
  • Tell me about it. How does the Twirla patch work?
  • How does Twirla compare to the pill or other birth control options?
“It’s my ‘script’ and I’m sticking to it…”
  • How can I save on my Twirla prescription?
  • How can I have Twirla delivered to my home through Sterling Specialty Pharmacy?
  • What are some safety considerations I should know about Twirla?

Now that you’re prepped and ready to conquer that convo, you can email this guide to yourself, so it’s handy right before or during your appointment.

EMAIL IT TO ME

Important Safety Information about the TWIRLA® (levonorgestrel and ethinyl estradiol) transdermal system

  • Do not use TWIRLA if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from combination hormonal contraceptives (CHCs), including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.
  • Do not use TWIRLA if your Body Mass Index (BMI) is 30 kg/m2 or more. If you do not know what your BMI is, please talk to your health care provider. Women with a BMI of 30 kg/m2 or more who use CHCs may have a higher risk for developing side effects like blood clots compared to women with a BMI lower than 30 kg/m2.

Who should not use TWIRLA?

Do not use TWIRLA if you have or have had blood clots; history of heart attack or stroke, high blood pressure that medicine cannot control, any condition that makes your blood clot more than normal, certain heart valve problems; smoke and are over 35 years old; BMI ≥ 30 kg/m2.

TWIRLA is also not for women who have diabetes and are over 35 years old, diabetes with high blood pressure or kidney, eye, nerve, or blood vessel damage, diabetes for longer than 20 years; have had breast cancer or any cancer that is sensitive to female hormones; certain kinds of severe migraine headaches; have liver problems or liver tumors; unexplained bleeding from the vagina, who are or may be pregnant; or take hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of liver enzymes in the blood.

TWIRLA may not be a good choice for you if you have ever had depression; jaundice (yellowing of the skin or eyes) caused by pregnancy (also called cholestasis of pregnancy) or related to previous use of hormonal birth control.

What are the most serious side effects of TWIRLA?

TWIRLA increases the risks of serious side effects, including blood clots, stroke, or heart attack especially in women who have other risk factors. These can be life-threatening or lead to permanent disability. This increased risk is highest when you first start using hormonal birth control and when you restart the same or different hormonal birth control after not using it for a month or more. Treatment with TWIRLA should be stopped at least 4 weeks before and through 2 weeks after major surgery.

What are the most common side effects of TWIRLA?

The most common side effects reported by women using TWIRLA in a study were skin reactions at the patch site, nausea, headache, menstrual cramps, and weight gain.

These are not all the possible side effects of TWIRLA. Call your health care provider for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

What else should I know about TWIRLA?

TWIRLA is a birth control patch for women with a BMI less than 30 kg/m2 who can become pregnant. It contains two female hormones, a progestin called levonorgestrel, and an estrogen called ethinyl estradiol. TWIRLA may not be as effective in women with a BMI of 25 kg/m2 or more. If you have a BMI of 30 kg/m2 or more, please talk with your health care provider about which method of birth control is right for you.

You should not use TWIRLA any earlier than 4 weeks after having a baby or if you are breastfeeding.

Hormonal birth control methods help to lower the chances of becoming pregnant when taken as directed. They do not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs).

The risk information provided here is not complete. To learn more, review the TWIRLA Patient Information and talk with your health care provider or pharmacist.

IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING

  • Do not use TWIRLA if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from combination hormonal contraceptives (CHCs), including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.
  • Do not use TWIRLA if your Body Mass Index (BMI) is 30 kg/m2 or more. If you do not know what your BMI is, please talk to your health care provider. Women with a BMI of 30 kg/m2 or more who use CHCs may have a higher risk for developing side effects like blood clots compared to women with a BMI lower than 30 kg/m2.