Can a smoker use Jadelle?
Cigarette smoking increases the risk of heart attacks and strokes in users of combined oral contraceptives. This risk increases with age and with heavy smoking (15 or more cigarettes a day) and is quite marked women over 35 years old. While this is believed to be an estrogen-related effect, it is not known whether similar risk exists with progestin-only methods such as Jadelle. A woman who chooses to use Jadelle advised not to smoke.