Nextstellis Use In Pregnancy & Lactation

Pregnancy: Nextstellis is not indicated during pregnancy.
If pregnancy occurs while taking Nextstellis, further intake must be stopped.
There are limited amount of data from the use of Nextstellis in pregnant women.
Studies in animals have shown reproductive toxicity (see Pharmacology: Toxicology: Preclinical safety data under Actions). Based on animal experience, harmful effects due to hormonal action of the active substances cannot be excluded.
The increased risk of VTE during the postpartum period should be considered when re-starting Nextstellis (see Dosage & Administration and Precautions).
Breast-feeding: Small amounts of the contraceptive steroids and/or their metabolites may be excreted with the breast milk and might affect the child.
Breast-feeding may be influenced by CHCs as they may reduce the quantity and change the composition of breast milk. Therefore, the use of CHCs should not be recommended until the breast-feeding mother has completely weaned her child and an alternative method of contraception should be proposed to women wishing to breastfeed.
Fertility: Nextstellis is indicated for oral contraception. For information on return to fertility, see Pharmacology: Pharmacodynamics under Actions.