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Healthcare providers at Pandia Health and GoodRx are not affiliated with Agile Therapeutics, Inc. and exercise independent medical judgment in prescribing decisions.

Resources that
work with you

NEED A NEW PATCH? OR JUST WANT TO TALK?

If anything happens to your Twirla patch, don’t stress. Just give us a call at 1‑855‑389‑4752 and we can have a replacement shipped to your home.* And if you have any questions about using Twirla, our Nurse Educators are happy to chat and give you honest answers.

CALL US AT 1‑855‑389‑4752

*At no additional out-of-pocket cost. Program limitations apply, including a limit on the number of replacement patches available per person. Agile Therapeutics, Inc., reserves the right to change the terms of the program at any time without notice.

Nurse Educators are not affiliated with your doctor and cannot give medical advice. Talk to your doctor or pharmacist if you have medical questions.

GET TWIRLA DELIVERED
TO YOU

You’ve got a busy life—getting your birth control shouldn’t be a hassle. You can ask your doctor to send your Twirla prescription to our partner, Sterling Specialty Pharmacy. They’ll contact you to help guide you through the process to get Twirla delivered right to your door!

Download a brief overview of Sterling’s offerings and contact info to share with your doctor.

DOWNLOAD NOW

GET REMINDER TEXTS

You have enough to keep track of, so let us help take the guesswork out of remembering when to change your patch.

Sign up for the Twirla Reminders text program by texting REMINDERS to 96676

Message frequency varies. Message and data rates may apply. View terms at agiletherapeutics.com/terms-of-use.

TALK TO A DOCTOR NOW

Don’t have a regular gyno or can’t get an appointment? We’ve got you. Our partners, Pandia Health and GoodRx, can help you quickly and virtually connect with a doctor to ask for a Twirla prescription.

CONNECT NOW

Introducing the Loop

Created for you, The Loop is your online destination for inspiration, resources, and more. See you there!

CHECK IT OUT

GET MORE TIPS AND TOOLS

Take us along on your Twirla journey. Sign up to receive emails or texts with tips and info designed for you.

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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.