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.

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.

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!

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.

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.

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. If you’re dealing with weight problems, check out our page for PCOS treatment online.

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. 

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.

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.

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.

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.

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. 

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.