Nextstellis is a limited distribution medication.

Nextstellis

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This medication is a combination of 2 hormones: an estrogen (estetrol) and a progestin (drospirenone). This product is used to prevent pregnancy. Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, and decrease your risk of ovarian cysts. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). To decrease your risk of infection, always use an effective barrier method (latex or polyurethane condom/dental dams) during all sexual activity.
Our Nextstellis coupons are free to use. You can print the coupon, email it to yourself, or receive the Nextstellis coupon via text message. To get your free discount, show the pharmacist your Nextstellis savings card which has the discounted coupon price. Use our filters below to edit the prescription box to match your needs. The Nextstellis prices will update based on your prescription needs. Above our Nextstellis coupons, you can change the location to see pharmacy prices in other areas. Our prescription discount card will update online with the specific pharmacy costs associated with your edits. Be sure to text, email, or print the Nextstellis savings card code that you need after editing the prescription box and location field. Show the discount card to your pharmacist before paying.

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3-14.2MG, Nextstellis (30 Tablets)

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CVS

$219.75

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Rite Aid

$217.20

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Walmart

$218.42

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Walgreens

$229.41

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Nextstellis savings card

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CVS

$219.75

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Warnings

Smoking raises your risk of stroke, heart attack, blood clots, and high blood pressure from hormonal birth control (such as the pill, patch, ring). The risk of these serious problems increases with age and with the number of cigarettes you smoke. Do not smoke or use tobacco. Do not use this medication if you smoke cigarettes/use tobacco and are over 35 years old.

Nextstellis Side Effects

Nausea, vomiting, headache, abdominal cramps/bloating, breast tenderness, swelling of the ankles/feet (retaining fluid), or weight change may occur. Vaginal bleeding between periods (spotting) or missed/irregular periods may occur, especially during the first few months of use. If any of these effects last or get worse, tell your doctor or pharmacist promptly. If you miss 2 periods in a row (or 1 period if the pill has not been used properly), contact your doctor for a pregnancy test. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Tell your doctor right away if you have any serious side effects, including: unusual changes in vaginal bleeding (such as continuous spotting, sudden heavy bleeding, missed periods), symptoms of a high potassium blood level (such as muscle weakness, slow/irregular heartbeat). This medication may rarely cause serious (sometimes fatal) problems from blood clots (such as heart attack, stroke, blood clots in the lungs or legs). Get medical help right away if you have: shortness of breath/rapid breathing, chest/jaw/left arm pain, unusual sweating, confusion, sudden dizziness/fainting, pain/swelling/warmth in the groin/calf, sudden/severe headaches, trouble speaking, weakness on one side of the body, sudden vision changes. Get medical help right away if you have any very serious side effects, including: lumps in the breast, severe stomach/abdominal pain, dark urine, yellowing eyes/skin, mental/mood changes (such as new/worsening depression, suicidal thoughts). A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Interactions

Some products that may interact with this drug are: aromatase inhibitors (such as anastrozole, exemestane), atazanavir/cobicistat, fezolinetant, ospemifene, tamoxifen, tizanidine, tranexamic acid, certain combination products used to treat chronic hepatitis C (ombitasvir/paritaprevir/ritonavir with or without dasabuvir). Drospirenone may raise your potassium blood level. Tell your doctor if you are regularly taking other drugs/products that can also raise your potassium level (including aliskiren, ACE inhibitors such as enalapril/lisinopril, angiotensin receptor blockers such as losartan/valsartan, heparin, NSAIDs such as ibuprofen/naproxen, potassium-sparing "water pills"/diuretics such as eplerenone/spironolactone/triamterene). Some drugs may cause hormonal birth control to work less well by decreasing the amount of birth control hormones in your body. This effect can result in pregnancy. Examples include griseofulvin, modafinil, rifamycins (such as rifampin), ritonavir, St. John's wort, drugs used to treat seizures (such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate), HIV drugs (such as nelfinavir, nevirapine), among others. Ask your doctor or pharmacist for more details. Tell your doctor when you start any new drug, and discuss if you should use reliable backup birth control. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well. This medication can affect the results of many lab tests. Make sure lab personnel and all your doctors know you use this medication.
Nextstellis FAQs
How is Nextstellis different from regular birth control?

Nextstellis is different from regular birth control primarily because it contains a novel estrogen called estetrol (E4), which is a naturally occurring estrogen produced by the human fetal liver. Most traditional birth control pills use ethinyl estradiol as the estrogen component. Additionally, Nextstellis combines estetrol with drospirenone, a progestin. This unique combination may offer a different side effect profile and is designed to provide effective contraception while potentially minimizing some of the side effects associated with traditional estrogens.

Weight gain is not listed as a common side effect of Nextstellis. However, individual responses to birth control pills can vary, and some people may experience changes in weight. If there are concerns about weight changes while taking Nextstellis, it is advisable to consult with a healthcare provider.

Nextstellis and Yaz are not the same. They are both oral contraceptives, but they contain different active ingredients. Nextstellis contains drospirenone and estetrol, while Yaz contains drospirenone and ethinyl estradiol. It is important for individuals to consult with their healthcare provider to determine which contraceptive is most suitable for their needs.

Nextstellis is different because it contains a novel estrogen called estetrol (E4), which is a naturally occurring estrogen produced by the human fetal liver during pregnancy. This distinguishes it from other oral contraceptives that typically use synthetic estrogens. Additionally, Nextstellis combines estetrol with drospirenone, a progestin, to provide contraceptive efficacy. The unique profile of estetrol may offer a different side effect profile compared to traditional estrogens used in birth control pills.

The progesterone-only pill, also known as the mini-pill, may cause weight gain in some individuals, but it is not a common side effect for everyone. Weight changes can vary from person to person, and other factors such as diet, lifestyle, and metabolism may also play a role. If there are concerns about weight gain while taking the progesterone pill, it is advisable to consult with a healthcare provider for personalized advice.