When is a pill considered to be MISSED? I take my birth control at 10pm. In the past I've had instances where I've taken 4 hours late or have fallen asleep and have woken up the next morning and taken it (so we'll say at the very latest 12 or 11 hours late). The instructions in the birth control pamphlet always say missed pill. So is a missed pill taking it a few hours late or taking it a day past the time you should have?
The time you took it when you got up, would be a missed pill because you didn't take until the next day.
I'd say more than 3-4 hours late, treat it as a missed pill for safety's sake. 11-12 hours is too long. You want to keep the pill as close to 24 hours apart as you can. Going too much beyond that is risky. Everyone is a bit different as to at what point the blood level of hormone drops low enough that ovulation may be triggered so try to keep as close to 24 hours apart as you can, give or take an hour or two, at most. You have to kind of use common sense. 4 hours late probably wont be a big deal but it could be if your body is very sensitive to the drop in hormone. It is safer to treat it like a missed pill than it is to not. If you go beyond 3-4 hours late, go ahead and take it as soon as you remember but use back up for 7 days to be safest. It just depends on how willing you are to risk it. There is really no hard and fast rule that I know of. Different docs will each have their own opinion of what is late. The safest thing to do is to treat anything beyond more than a few hours as a missed pill.
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