LR is a 36 y/o, 61kg female with a history of asthma and HTN seen in your clinic. You see that she is taking Nordette 28, a combined oral contraceptive containing 30mcg of estradiol and 0.15mg of levonorgestrel. She is generally pleased with her contraceptive which she has been taking successfully for years. What modification is advised based on the information you have about LR?

Advise LR switches to an ultra low estrogen dose to improve safety - Aviane 28 (ethinyl estradiol 20mcg, levonorgestrel 0.1mg)

No therapy modification is advised at this time

Advise LR switches to an oral contraceptive patch for increased efficacy - Xulane (ethinyl estradiol 35 mcg. norelgestromin 0.15mcg)

Advise LR switches to a spironolactone derivative progestin for diuretic effect - Ocella (ethinyl estradiol 30mcg, drospirenone 3mg)