get medications prescription

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.

Whether you’re concerned about side effects, dosage, or overall effectiveness, understanding Nikki birth control can help you make an informed decision. 

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. Belonging to a group of medications called oral contraceptives, Nikki combines the hormones estrogen and progestin to deliver comprehensive birth control benefits.

Uses of Nikki  birth control

  • Contraception: Nikki is primarily used to prevent pregnancy.
  • Acne treatment: It is also prescribed to treat moderate acne in women who are at least 14 years old, have started menstruating, and wish to use birth control pills.
  • Premenstrual dysphoric disorder (PMDD): Nikki is effective in treating symptoms of PMDD, which include anxiety, depression, irritability, trouble concentrating, lack of energy, sleep or appetite changes, breast tenderness, joint or muscle pain, headache, and weight gain.

How does it works?

Nikki is a combination birth control pill containing female hormones that prevent ovulation, the release of an egg from an ovary. Additionally, Nikki causes changes in your cervical mucus and uterine lining, making it more difficult for sperm to reach the uterus and for a fertilized egg to attach to the uterus. This dual action ensures robust contraception to prevent pregnancy.

What are the different dosage forms and strengths of nikki birth control?

Nikki birth control is formulated to provide effective contraception with a straightforward dosage regimen. The medication comes in blister packs, ensuring easy and organized usage.

Dosage and strengths:

  • Active Ingredients: Each pink film-coated tablet contains 3 mg of drospirenone (DRSP) and 0.02 mg of ethinyl estradiol (EE).
  • Inactive Tablets: Each blister pack also includes 4 white to off-white inert tablets, which are placebo pills taken during the menstruation phase of the cycle.

How to take it?

Taking Nikki birth control properly ensures its effectiveness in preventing pregnancy and managing other conditions. Here’s how to take Nikki birth control correctly:

  • Consistency is key: Take this medication by mouth simultaneously every day, as directed on your prescription label. You can take it with or without food. If it upsets your stomach, taking it with food may help.
  • Daily routine: Pick a time of day that is easy to remember, and take your pill simultaneously each day, 24 hours apart. Taking the pill after your evening meal or at bedtime can help reduce stomach upset and nausea.
  • Follow the pack instructions: Start with the first tablet in the pack and take them in the correct order. Do not skip any doses. Missing pills, starting a new pack late, or taking your pill at different times of the day increases the likelihood of pregnancy.
  • Managing side effects: Vomiting or diarrhea can reduce the effectiveness of birth control pills. If you experience these symptoms, use a backup birth control method (such as condoms or spermicide) and consult a doctor.

Switching from other hormonal birth control

Consult your doctor or pharmacist for detailed instructions on how to switch from other forms of hormonal birth control (such as patches or other birth control pills) to Nikki.

Side effects of Nikki birth control

Nikki birth control, like any medication, may cause side effects. It’s important to be aware of these potential effects and to communicate with your healthcare provider if they occur. Common side effects include:

  • Nausea
  • Vomiting
  • Headache
  • Bloating
  • Breast tenderness
  • Swelling of the ankles/feet (fluid retention)
  • Weight change
  • Vaginal bleeding between periods (spotting) or missed/irregular periods

While serious side effects are rare, they can occur. Seek medical attention immediately if you experience any of the following:

  • Unusual changes in vaginal bleeding (continuous spotting, sudden heavy bleeding, missed periods)
  • Symptoms of high potassium levels (muscle weakness, slow/irregular heartbeat)
  • Blood clot symptoms (deep vein thrombosis, pulmonary embolism, stroke, heart attack)
  • Sudden shortness of breath
  • Chest, jaw or left arm pain
  • Unusual sweating
  • Confusion
  • Coughing up blood
  • Sudden dizziness or fainting
  • Pain, swelling, or warmth in the groin or calf
  • Tingling, weakness or numbness in the arms/legs
  • Unusual headaches (vision changes, lack of coordination, worsening of migraines, severe headaches)
  • Trouble speaking
  • Weakness on one side of the body
  • Sudden vision changes (partial/complete blindness)

How to Connect with an Online Doctor?

Connect with a health care professional online in 3 easy steps.


Describe your Issue

Download our app, register and tell us about your medical issue to get started.

  • Birth Control
  • Anemia
  • STD
  • UTI
  • Skin
  • Covid


Chat with a Doctor

Connect with a board-certified doctor. You can chat, send pictures and videos.

Hi I’m dr. Nicole. How may I help you?

Hi Dr. Nicole, I want to start Nikki birth control. Can I get prescription, please?


Get Prescription

Our online doctors can help you with your medical issues and give you refill.


  • Nikki (drospirenone and ethinyl estradiol tablets USP), 3 mg/0.02 mg
  • Take one active pill (with hormones) once daily for 24 days in a row

Send Prescription

Precautions and Contraindications

Before using Nikki birth control, be aware of the following precautions and contraindications:

  • Allergies: Inform your doctor if you are allergic to ethinyl estradiol, drospirenone, other estrogens or progestins, or any other ingredients in this medication.
  • Medical history: Disclose your medical history, especially if you have adrenal gland problems, stroke or blood clots, high blood pressure, abnormal breast exam, cancer (endometrial or breast), blood clotting disorders (protein C or S deficiency), diabetes, severe headaches/migraines, angioedema, heart problems (heart valve disease, irregular heartbeat, previous heart attack), kidney or liver disease (including tumors), jaundice during pregnancy or birth control use, or unexplained vaginal bleeding
  • Diabetes: Monitor your blood sugar regularly; this medication may affect glucose levels.
  • Surgery or immobility: Inform your doctor if you will undergo major surgery or be immobilized for long periods, as these conditions increase the risk of blood clots.
  • Potassium levels: This medication may increase potassium levels. Consult your doctor before using potassium supplements or salt substitutes.
  • Sun sensitivity: The medication may cause melasma (dark, blotchy areas on the skin). Limit sun exposure, use sunscreen, and wear protective clothing.
  • Vision issues: If you are nearsighted or wear contact lenses, you may experience vision problems. Consult your eye doctor if issues arise.
  • Pregnancy and fertility: This medication should not be used during pregnancy. Inform your doctor immediately if you become pregnant. It may take longer to become pregnant after stopping birth control pills.
  • Breastfeeding: Nikki passes into breast milk, which may affect milk production and the nursing infant. Consult your doctor before breastfeeding.
  • Smoking and age: Do not use Nikki if you smoke and are over 35 years old. Smoking increases the risk of serious cardiovascular events like stroke, heart attack, and blood clots. The risk escalates with age and the number of cigarettes smoked.

Adhering to these precautions will help ensure the safe and effective use of Nikki’s birth control. Always communicate openly with your healthcare provider about any concerns or conditions.

FAQs About Nikki birth control

What happens if I miss a dose?

Missing doses increases the risk of pregnancy. Ensure you take your pill at the same time every day and do not start a new pack late.

What other drugs will affect Nikki?

Several medications can interact with Nikki, potentially reducing its effectiveness and increasing the risk of pregnancy. Inform your doctor about all your medications, supplements, and herbal products. Notable interactions include aromatase inhibitors (e.g., anastrozole, exemestane), certain hepatitis C treatments (e.g., ombitasvir/paritaprevir/ritonavir), atazanavir/cobicistat, fezolinetant, ospemifene, tamoxifen, tizanidine, and tranexamic acid.

Is it harder to lose weight on Nikki?

No, a study found that individuals with PCOS who took drospirenone and ethinyl estradiol tablets daily experienced significant weight loss and better hormonal control after three months.

At what age should you stop taking Nikki?

Women should continue using contraceptives until menopause or age 50–55, as spontaneous pregnancies can still occur among women over 44 years old.

Why should you not take birth control over 35?

The risk of blood clots and heart attacks increases slightly with long-term use of birth control pills, especially after age 35. This risk is higher if you have high blood pressure or a history of heart disease.

Is it bad to be on birth control for a long time?

For most people, long-term use of birth control is safe. It can lower the risk of some cancers while slightly increasing the risk of others. Additionally, it can cause blood clots, heart attacks, and strokes, though these risks are small. Long-term use does not affect the ability to become pregnant once you stop taking it.

How our app has
helped patients

Our 500,000+ members love our online doctors 5-star ratings and 1600+ reviews. Here is what they have to say

Read More
This is the best app..You ask anything and the doctors answer you within minutes, i love it

-Phindile Mkhatshwa

Read More
It is a good app, it can be helpful with pictures and be very detailed.

-brooke snow

Read More
Wow, these people are such a blessing. Dey give accurate answered to questions asked. Its really too good

-Okiti Stephanie

Read More
Impressive work !! Connecting to a doctor was so quick. I am really impressed.

-ASIF Khan

Read More
Doctor was really great, fast at responding very helpful


Read More
Chat with them the doctor that I chat with very helpful and answer all my questions I recommend to anyone

-edith bien aime

Read More
The best patient doctors that understand and give you useful information ..I'm really thankful.

-Lesego Thejane

Read More
Very informative and very detailed in explanations.Also pleasant and courteous.I would recommend to anyone.

-Stephanie Brown

Read More
Very helpful, very polite and answers every question in a well mannered way.

-kulwinder gill

Read More
I really rate this website a lot, you people don't stick and and im sure you try your best to take swift actions for your patients.

-Elijah Mark


Get Started Today

Talk to online doctors now and get medical advice, online prescriptions, and referrals within minutes. On-demand healthcare services at your fingertips.

online doctor in texas