If you need medical tests or surgery, or if you will be on bed rest, you may need to stop using this medication for a short time.
Any doctor or surgeon who treats you should know that you are using birth control pills. If you miss one "active" pill, take two pills on the day that you remember.
Then take one pill per day for the rest of the pack. If you miss two "active" pills in a row in week one or two, take two pills per day for two days in a row. Use back-up birth control for at least 7 days following the missed pills.
Take exactly as prescribed by your doctor. You also certify that you are not Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. A new package of contraceptives is begun on the following day. See full Prescribing Information, including Boxed Warning. If you miss one "active" pill, take two pills on the day that you remember. Print out your coupon, or bring it up on the Groupon app, and present it to the cashier. What happens if I miss a dose?
If you miss two "active" pills in a row in week three, or if you miss three pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new one the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new one that day. If you miss three "active" pills in a row during any of the first 3 weeks, throw out the rest of the pack and start a new pack on the same day if you are a Day 1 starter.
If you miss two or more pills, you may not have a period during the month. If you miss a period for two months in a row, call your doctor because you might be pregnant.
If you miss any reminder pills, throw them away and keep taking one pill per day until the pack is empty. You do not need back-up birth control if you miss a reminder pill.
Seek emergency medical attention or call the Poison Help line at Overdose symptoms may include nausea, vomiting, and vaginal bleeding. Do not smoke while taking birth control pills, especially if you are older than Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills. Using a condom is the only way to protect yourself from these diseases.
Get emergency medical help if you have any of these signs of an allergic reaction: Stop using this medication and call your doctor at once if you have any of these serious side effects:. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Ethinyl estradiol-norgestrel products are packaged in 21 or 28 day dosage preparations. The last 7 tablets in 28 day dosage preparations are hormonally inert. Regardless of the number of tablets in a package, the cycle length for oral contraceptives is generally considered to be 28 days.
The first day of menstrual bleeding is counted as day 1. When initiating a Sunday start regimen, the first tablet may be taken on the first Sunday after menstruation begins. If a period begins on a Sunday, the first tablet may be taken on that day. When initiating a Sunday start regimen, another contraceptive method should be used until after the first 7 consecutive days of administration.
For a 28 day package, one tablet is taken daily for 28 days and a new package begun on the following day. For a 21 day package, one tablet is taken daily for 21 days followed by 7 days with no medication. A new package of contraceptives is begun on the following day. When initiating a Day 1 start regimen, the first tablet is taken on the first day on menstruation. Such initiation may increase the risk of spotting and breakthrough bleeding but decrease the risk of early ovulation and pregnancy.
Many clinicians recommend that additional contraceptive methods be used during the first cycle of hormonal therapy in order to reduce the risk of unintended pregnancy.
If a woman misses one dose of active tablets, the missed dose should be taken as soon as it is remembered and the normal schedule should be resumed. If a woman misses two doses in week 1 or week 2 of the cycle, 2 tablets may be taken as soon as they are remembered and 2 tablets taken the next day and the normal schedule may be resumed.
Additional contraceptive methods should be used for 7 days. If a woman misses two doses in week 3 or three doses at any time in the cycle, Day 1 starters should discard the current package and begin a new package that same day. Sunday starters should take 1 tablet daily from the current package until Sunday, when the current package is discarded and a new package begun.
Additional contraceptive methods should be used until the woman has taken at least 7 days of hormonal therapy from the new package. Ethinyl estradiol-norgestrel 50 mcg mcg Ovral , 2 tablets no later than 72 hours after having unprotected sex followed by 2 more tablets exactly 12 hours after the first dose. Patients should be advised to begin therapy at a time that it will make it convenient to take the second dose 12 hours later. Savings card program can be used on up to 9 qualifying prescriptions.
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