Natazia Hair Loss, Patient Usage Guide, and Precautions & Warnings

Our little sister, well she’s no longer little as she’s 5’8″ and is now 26 years old, decided to use Natazia birth control pills last year. It was all hunky dory until she noticed some loss of hair. Hair loss is not listed as a side effect of Natazia in our earlier post [see Natazia Side Effects] but it is apparently one of its less common side effects according to

Have any of you experienced hair loss [or in other instances hair growth] when you are/were taking Natazia?

Anyhoo, for those of us (little sis included) who want to know more about this particular birth control pill, here are some important information you should know about the drug. [Note: this is excerpted from the Natazia prescribing information issued by the pill’s manufacturer, Bayer.]

How to take Natazia and when does one start using the pill?. To achieve maximum contraceptive effectiveness, Natazia must be taken exactly as directed. Take one tablet by mouth the same time every day. Tablets must be taken in the order directed on the blister pack. Tablets should not be skipped or intake delayed by more than 12 hours.

You should begin taking Natazia on Day 1 of your menstrual cycle (that is, the first day of menstrual bleeding). Use a non-hormonal contraceptive as back-up during the first 9 days.

Can smokers take Natazia? What about nursing moms and those with high blood pressure? Women who are over 35 years old and smoke should not use Natazia as cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive (COC) use.

It should not also be prescribed to a woman with uncontrolled hypertension or hypertension with vascular disease. Nor is it recommended for nursing mothers because it can decrease milk production.

Who else should not take Natazia? It should not be prescribed to women who have the following:

• A high risk of arterial or venous thrombotic diseases. Examples include women who are known to: have deep vein thrombosis or pulmonary embolism (now or in the past), have cerebrovascular disease, have coronary artery disease, have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for example, subacute bacterial
endocarditis with valvular disease, or atrial fibrillation), have inherited or acquired hypercoagulopathies, have diabetes with vascular disease, and have headaches with focal neurological symptoms or have migraine headaches with or without aura if overage.
• Undiagnosed abnormal genital bleeding
• Breast cancer or other estrogen- or progestin-sensitive cancer, now or in the past
• Liver tumors, benign or malignant, or liver disease
• Pregnancy, because there is no reason to use COCs during pregnancy

FDA-Approved Patient Labeling Guide for Using Natazia

Do not use Natazia if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects (heart and blood vessel problems) from birth control pills, including death from heart
attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.

• Take one pill every day at the same time. Take the pills in the order directed on the blister pack.
• Do not skip pills or delay taking your pill by more than 12 hours. If you miss pills (including starting
the pack late), you could get pregnant. The more pills you miss, the more likely you are to get pregnant.
• If you have trouble remembering to take Natazia, talk to your healthcare provider about how to make pill-taking easier, or about using another method of birth control.
• You may have spotting or light bleeding when you first take Natazia. Spotting or light bleeding is normal at first.
• You may feel sick to your stomach (nauseous), especially during the first few months that you take Natazia. If you feel sick to your stomach, do not stop taking the pill. Th e problem will usually go away. If your nausea doesn’t go away, call your healthcare provider.
• If you vomit or have diarrhea within 4 hours of taking your pill, follow the instructions for “What
Should I Do if I Miss any Pills.”
• Missing pills can also cause spotting or light bleeding, even when you take the missed pills later. On the days you take 2 pills to make up for missed pills, you could also feel a little sick to your stomach.