Nikki Birth Control Pills

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Equivalent Generic Brands: Gianvi, Lo-Zumandimine, Loryna, Vestura Jasmiel

5.0 - 2125 Reviews

$21 generic equivalent, $0 with most insurance

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What is Nikki Birth Control Pills?

Nikki is a “low dose” combination oral contraceptive pill (OCP, birth control medication, birth control pills) with only 20mcg of ethinyl estradiol (estrogen) that prevents pregnancy by preventing the release of an egg (ovulation), and thickening the cervical mucus, blocking sperm from getting into the uterus and getting to the egg. Read More

How to use Nikki

It’s super easy to use. Simply take one pill every day, at the same time each day.

Many women find that taking Nikki before bedtime or with your largest meal of the day helps reduce nausea and other side effects.

After taking 24 days of active pills, you’ll switch to 4 days of inactive/placebo/sugar pills. These inactive/placebo pills with no hormones are there to keep you in the habit of taking a pill every day.

Nikki Dosage

Nikki birth control pills have two main active ingredients: Drosperinone (progesterone) [3 mg] and Ethinyl Estradiol (estrogen) [20 mcg].

Benefits of Nikki

Nikki Side Effects

The risk of experiencing negative side effects with Nikki is very low. It is possible for some women to experience mild side effects like headaches, nausea, spotting, bloating, water retention, and breast tenderness. Some women may also experience slight increases in blood pressure or blood sugar levels. Many women taking Nikki appreciate the beneficial side effects such as: lighter periods, fewer mood swings, and decreased acne.

It’s unlikely for someone to have serious side effects of Nikki birth control. In rare cases, Nikki may increase the risk of blood clots. Blood clots can happen in the lungs (causing chest pain and shortness of breath), in the stomach or legs (causing swelling and pain), or in the brain (causing a sudden and intense headache, double vision, and other symptoms).

Because cigarette smoking can increase the risk of serious birth control side effects, women taking Nikki should not smoke.

Why Pandia Health?

FREE with insurance, $41/Pack without

FREE with insurance, $41/Pack without

FREE Delivery & Goodies

FREE Delivery & Goodies

Online prescription (skip the Dr. office visit and pharmacy lines)

Online prescription (skip the Dr. office visit and pharmacy lines)

Frequently Asked Questions


Very few women experience weight gain when taking Nikki. Nikki has a theoretical diuretic effect, meaning it helps shed water from the body.


As with any new prescription, you should go over anything you’re already taking with your doctor or Pandia Health Care Advisor before starting on Nikki. This includes recreational drugs, over-the-counter meds, and even herbal supplements. Even something as relatively harmless as St. John’s wort can cause Nikki to be less effective at preventing pregnancy. There are certain meds you should absolutely bring up. These are aromatase inhibitors, cancer medications, HIV drugs, seizure medicines, and those used for chronic hepatitis C.


Pretty much every kind of prescription birth control comes with a tiny risk of allergies, including Nikki. The symptoms are usually mild and include rashes, itching, dizziness,  or more serious symptoms of trouble breathing, and swollen lips, throat, or tongue. If you experience the latter, STOP the medication and call 911 or at least go to the emergency room.

Depending on your medical history, hormone-based birth control may not be for you. It’s important to discuss your medical history with your physician or one of our helpful Pandia Health Patient Care Advisors before you get started on Nikki. This is especially the case if you have cancer, heart disease, blood clotting, diabetes, or high blood pressure.


Nikki should be available at any pharmacy. It does require a prescription from a doctor/NP/PA, though. If you’re hesitant to approach a doctor/provider about Nikki or simply prefer the privacy, confidentiality, and ease of the internet, give Pandia Health a try.

We have licensed, expert birth control doctors in every state we operate in. We also accept almost all forms of private insurance here at Pandia Health. If you choose to pay out-of-pocket, Nikki is quite affordable because it’s a generic brand. You can also save by choosing one of several other Nikki generics, such as Gianvi, Lo-Zumandimine, Vestura, Drospirenone Ethinyl Estradiol, and Jasmiel.

No insurance? No problem. We also offer many payment options to fit your needs.


Some women worry that birth control pills like Nikki can cause long-term fertility issues. This isn’t true. If you want to have a baby soon, just stop the medication and you should return to full fertility within a cycle or two after stopping.

Watch our video by our Co-Founder and CEO Dr. Yen about birth control and infertility.

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