Prior to using Twirla transdermal system, tell your doctor:, About all the medications you take, including prescription, over-the-counter, vitamins, and herbal supplements, About your allergies, About your health conditions, About any planned surgeries, If you are pregnant or have plans to become pregnant, If you are breastfeeding or have plans to breastfeed, Twirla can increase your risk for blood clots, a heart attack, or a stroke. Cardiovascular risk factors should be considered before starting Twirla., Twirla can cause liver problems., Twirla can cause high blood pressure. Your blood pressure should be checked periodically., Twirla can cause or worsen existing gallbladder disease., Twirla can decrease glucose intolerance in women who are prediabetic or diabetic., Twirla can increase triglyceride levels, which can lead to pancreatitis., Twirla can cause headaches that may become severe or persistent., Twirla can cause abnormal vaginal bleeding or no menstruation. About all the medications you take, including prescription, over-the-counter, vitamins, and herbal supplements, About your allergies, About your health conditions, About any planned surgeries, If you are pregnant or have plans to become pregnant, If you are breastfeeding or have plans to breastfeed
