Get a prescription for Nikki birth control
Looking for a reliable birth control option? Nikki birth control might be the perfect choice for you. This combination pill, containing 3 mg of drospirenone and 0.02 mg of ethinyl estradiol, is designed to provide effective contraception with additional benefits. Whether you’re concerned about side effects, dosage, or overall effectiveness, understanding Nikki birth control can help you make an informed decision.
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You can choose any Canadian pharmacy near you and we will send the prescription immediately.
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The prescription is sent to the pharmacy within 30 minutes, so you can pick it up the same day.
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How to get Nikki birth control?
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Register online, pay, and briefly describe your needs to get started.
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Buy pills from the pharmacy.
Your prescription is sent to your chosen pharmacy, medication is available for same-day pickup.
What is Nikki birth control?
Nikki birth control, also known as Yaz 28-day, is a highly effective oral contraceptive designed to prevent ovulation and pregnancy. It combines the hormones estrogen and progestin to deliver comprehensive birth control benefits. It is often prescribed for:
Nikki dosage forms and strengths
The medication comes in a blister pack containing 28 film-coated tablets, ensuring easy and organized usage.
- 24 active tablets (3mg/0.02 mg drospirenone/ethinyl estradiol)
- 4 placebo tablets (taken during the menstruation phase of the cycle)
Nikki side effects
Like any medication, Nikki birth control may cause side effects. While most are mild and temporary, it’s important to know what to expect and when to seek help. Common side effects may include:
- Nausea or vomiting
- Headaches
- Bloating or breast tenderness
- Fluid retention (swelling in ankles/feet)
- Weight changes
- Spotting between periods or irregular/missed periods
Precautions and contraindications
- Allergies: Let your doctor know if you’re allergic to ethinyl estradiol, drospirenone, other hormones, or any inactive ingredients in Nikki.
- Kidney or adrenal problems: Nikki may not be safe for individuals with kidney disease or adrenal insufficiency.
- Pregnancy and fertility: This medication should not be taken during pregnancy. If you become pregnant, stop using it and speak to your doctor right away.
- Breastfeeding: Nikki can pass into breast milk and may affect milk production. Always consult your doctor before using birth control while nursing.
- High blood pressure: Women with uncontrolled hypertension should not take Nikki.
- Blood clot risk: If you have a high risk of blood clots (venous or arterial), this birth control may not be recommended.
- Smoking: Women over 35 who smoke should avoid Nikki due to a higher risk of serious cardiovascular events.
- Potassium levels: Drospirenone may raise potassium levels. Inform your doctor if you’re on medications that increase potassium levels (e.g., NSAIDs, ACE inhibitors).
- Unusual bleeding: Discontinue use and consult a doctor if you experience abnormal bleeding or missed periods.
- Liver issues: Stop taking Nikki if you notice signs of liver problems, such as jaundice
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Dr. Asim Cheema is a board-certified Cardiology and Internal Medicine specialist with nearly 30+ years of clinical experience. He has been operating as an independent practitioner since 2001. He has worked at several leading healthcare institutions in Ontario, including Southlake Regional Health Centre in Newmarket and St. Michael’s Hospital in Toronto. He focuses on the diagnosis, management, and long-term care of complex cardiovascular and internal medicine conditions.
For more than eleven years, Dr. Marsha Dunkley has been committed to providing compassionate, comprehensive medical care to patients across Ontario, British Columbia, and Nova Scotia. Her clinical experience spans chronic conditions such as diabetes, hypertension, and high cholesterol and acute illnesses, including the common cold, seasonal allergies, influenza, and COVID-19.
Dr. Sohail Cheema is a seasoned pediatrician with 30+ years of experience. A 1987 graduate of Nishtar Medical College, he’s recognized for patient-centered care and clear communication. He's a member of the Royal College of Physicians (UK & Ireland) and certified in Ontario. He practices at Halton Healthcare – Georgetown and St. Michael’s Hospital in Toronto.
Dr. Mandy Leideman offers telehealth services and chronic care consultations to patients, whether insured or uninsured. With 30+ years of experience in general practice, she now focuses on long-term care and chronic disease prevention. Dr. Leideman is affiliated with several professional organizations, including the College of Physicians and Surgeons of Ontario, the Canadian College of Family Physicians, and the Canadian Medical Association.
Dr. Kieran Kettyls is a compassionate family physician who specializes in bariatric medicine, women’s health, and in-office procedures. Originally from Calgary, Alberta, he pursued his medical education and training internationally. He provides virtual care for patients across Alberta and British Columbia. He developed an AHS-covered weight loss program focusing on personalized care for obesity, metabolic, and hormonal health.
Dr. Katherine Killoran is a board-certified OB/GYN with over 25 years of experience supporting women through every stage of health. She did medicine from Boston University School of Medicine and completed her residency at the University of Colorado. A breast and cervical cancer survivor, Dr. Killoran offers deeply empathetic care, blending her clinical training with personal experience.
Dr. Richard Honaker is a board-certified physician with more than 40 years of experience in family and emergency medicine. He serves as Chief Medical Advisor at Your Doctors Online and is affiliated with Medical City Plano in Texas. Recognized multiple times by D Magazine and Texas Monthly, Dr. Honaker provides evidence-based care across a wide range of conditions including diabetes, hypertension, and injury care.
Dr. Monique Rainford is an OB/GYN expert and Assistant Clinical Professor at Yale School of Medicine. With 25+ years of experience, she’s led OB/GYN departments at Yale Health and Baltimore Medical System. Her clinical interests include pregnancy, menstrual health, chronic pelvic conditions, and lifestyle medicine. Dr. Rainford advocates for maternal health equity, especially in underserved communities.
Dr. Candice Fraser is an OB/GYN practitioner and founder of Trinity Medical Care. With over a decade of experience, she focuses on reproductive care, menstrual health, and menopause management. Along with medical training and residency, she also holds an MBA in healthcare management, blending business insight with clinical excellence.
Frequently asked questions
Is Yaz and Nikki the same thing?
Yes. Nikki is the generic version of Yaz. Both contain the same active ingredients—drospirenone and ethinyl estradiol—and work the same way to prevent pregnancy and manage hormonal symptoms. The main difference is the brand name and possibly the cost.
How does Nikki work?
Nikki prevents ovulation and thickens cervical mucus, making it harder for sperm to reach the egg. It also thins the uterine lining, reducing the chance of implantation. This triple action makes Nikki birth control an effective contraceptive option.
How to take Nikki?
Take one tablet by mouth at the same time each day, with or without food. Follow the order on the pill pack and don’t skip doses. If you have any questions regarding dosage adjustments, missed doses, or overdose, speak to a doctor right away!
What happens if I miss a dose?
Missing a Nikki pill may increase the risk of pregnancy. Ensure you take your pill at the same time every day and do not start a new pack late. If you miss more than one, refer to the instructions provided on the online prescription or consult a doctor via our app.
What other drugs will affect Nikki?
Medications like Tamoxifen, certain antibiotics, anti-seizure meds, and hepatitis C treatments may reduce Nikki’s effectiveness. Always share your full medication list with your doctor before starting Nikki birth control.
Is it harder to lose weight on Nikki?
No. In fact, studies show some people, especially those with PCOS, may lose weight on drospirenone-based pills like Nikki. Healthy eating and exercise can help maintain or improve weight while on Nikki.
Does Nikki pill cause weight gain?
Most people do not gain weight on Nikki. Some may notice mild fluid retention, but clinical studies have not shown significant long-term weight gain.
Will I have a period on Nikki birth control?
Yes, most users get a withdrawal bleed during the placebo pill week. However, periods may become lighter, shorter, or even stop completely over time, which is normal with combination birth control pills.
Does Nikki birth control clear skin?
Yes, Nikki can help improve acne due to its anti-androgenic effects. It reduces the hormones that contribute to breakouts, making it a common choice for people looking to treat acne and prevent pregnancy at the same time.
At what age should you stop taking Nikki?
Most doctors recommend stopping hormonal birth control between the ages of 50–55 or once menopause is confirmed. Pregnancy is still possible in your 40s, so don’t stop without a doctor’s advice.
Why should you not take birth control after 35?
Birth control pills may increase the risk of blood clots and cardiovascular issues after age 35, especially in smokers. Non-smokers with no health issues can often use Nikki safely under a doctor’s supervision.
Is it bad to be on birth control for a long time?
For most people, long-term use of birth control is safe. However, some studies report a small increase in the risk of breast cancer among long-term users of combined oral contraceptive pills. Studies have shown an increased risk of developing hepatocellular carcinoma in (>8 years) COCs users. However, the attributable risk of liver cancers in COC users is less than one case per million users.
Are there any serious side effects of Nikki Birth Control?
While rare, serious side effects such as the following require immediate care:
- Continuous heavy bleeding or a sudden change in period patterns
- Symptoms of high potassium (muscle weakness, irregular heartbeat)
- Blood clot signs: chest pain, shortness of breath, coughing up blood, leg swelling, or pain in the groin/calf
- Stroke or heart attack symptoms: severe headaches, sudden dizziness, vision loss, trouble speaking, facial drooping, or weakness on one side of the body
If you notice any of the above, stop taking Nikki and consult your doctor immediately. Early attention helps ensure safe, effective use of birth control.
