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Nikki

Nikki is a combination hormonal contraceptive that is used to prevent pregnancy. It typically contains a combination of estrogen and progestin, which work together to inhibit ovulation, alter the uterine lining, and thicken cervical mucus.



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Frequently Asked Questions

How quickly does Nikki work?
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Nikki is effective within 7 days if started during the first week of your menstrual cycle. If started at another time, use backup contraception for the first 7 days.

Can I take Nikki with food?
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Yes, you can take Nikki with or without food.

What should I do if I miss a dose?
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If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule. If you miss more than one dose, follow the instructions provided in the package insert or consult your healthcare provider.

Is Nikki safe during pregnancy?
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Nikki should not be taken during pregnancy. If you suspect you are pregnant, discontinue use and contact your healthcare provider.

What are the signs of serious side effects to watch for?
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Monitor for symptoms of blood clots or severe allergic reactions, and seek immediate medical attention if these occur.

Comprehensive Drug Guide

How Does Nikki Work?

The hormones in Nikki work by preventing ovulation, which means that no egg is released for fertilization. They also make the uterine lining less suitable for implantation and thicken cervical mucus, making it more difficult for sperm to reach an egg.



Common Dosages

  • Tablets: Commonly in packs containing 21 active tablets and 7 placebo tablets.

Typical Dosing

  • Adults: The usual recommended dose is to take one tablet daily at the same time each day. The cycle usually starts with active pills followed by placebo pills.


Typical Dosing

FDA Approved Indications

  • Prevention of pregnancy.


Who Shouldn't Take Nikki?

  • Known hypersensitivity to any component of the formulation.
  • History of thromboembolic disorders (e.g., deep vein thrombosis, pulmonary embolism).
  • Certain cancers (e.g., breast cancer) or liver disease.


Advice From The Pharmacist

  • Take Nikki exactly as prescribed, and do not skip doses to ensure maximum effectiveness.
  • Inform your healthcare provider about any other medications you are taking, as some can interact with hormonal contraceptives.
  • Consider using backup contraception (like condoms) if you miss a dose.


Side Effects of Nikki

Common Side Effects

  • Nausea
  • Headache
  • Breast tenderness
  • Mood changes
  • Weight gain


Uncommon/Severe Side Effects

  • Blood clots (symptoms may include swelling, pain, or redness in the legs)
  • Severe allergic reactions (rash, itching, swelling)


Risks and Warnings of Nikki

  • Thromboembolic Events: Monitor for symptoms of blood clots, especially in women with additional risk factors (smoking, obesity).
  • Cancer Risk: Long-term use of hormonal contraceptives may increase the risk of certain types of cancers.


Interactions with Nikki

Common Drug Interactions

  • Antibiotics: Some antibiotics may reduce the effectiveness of hormonal contraceptives.
  • Anticonvulsants: Certain seizure medications can affect how well Nikki works.

Alternatives to Nikki

  • Other Hormonal Contraceptives: Such as other combination pills, patches, or vaginal rings.
  • Non-hormonal Contraceptives: Such as condoms or copper intrauterine devices (IUDs).