Medically reviewed by Drugs.com. Last updated on Apr 12, 2023.
How to Start and Take Iclevia
Iclevia is dispensed in an Extended-Cycle Wallet [see How Supplied/Storage and Handling (16)]. Iclevia should be started on a Sunday (see Table 1). For the first cycle of a Sunday Start regimen, an additional method of contraception should be used until after the first 7 consecutive days of administration.
Table 1: Instructions for Administration of Iclevia
|Starting Iclevia in females with no current use of hormonal contraception (Sunday Start)
Consider the possibility of ovulation and conception prior to initiation of this product.
For each 91-day course, take in the following order:
|Switching from another contraceptive method to Iclevia
|Another oral contraceptive
||On the day when the new pack of the previous COC would have been started
| Transdermal patch
||On the day when the next application would have been scheduled.
| Vaginal ring
||On the day when the next insertion would have been scheduled.
||On the day when the next injection would have been scheduled.
| Intrauterine contraceptive (IUD)
||On the day of removal.
Starting Iclevia after Abortion or Miscarriage
- After a first-trimester abortion or miscarriage, Iclevia may be started immediately. An additional method of contraception is not needed if Iclevia is started immediately.
- If Iclevia is not started within 5 days after termination of the pregnancy, the patient should use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of her first 91-day course of Iclevia.
- Do not start Iclevia until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. Start Iclevia following the instructions in Table 1 for Sunday start. Use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of the patient’s first 91-day course of Iclevia [see Contraindications (4), Warnings and Precautions (5.1)].
Starting Iclevia after Childbirth
- Do not start Iclevia until 4 weeks after delivery, due to the increased risk of thromboembolic disease. Start contraceptive therapy with Iclevia following the instructions in Table 1 for women not currently using hormonal contraception.
- Iclevia is not recommended for use in lactating women [see Use in Specific Populations (8.2)].
- If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of Iclevia [see Contraindications (4), Warnings and Precautions (5.1), Use in Specific Populations (8.1 and 8.2)].
Instruct patients to take one tablet by mouth at the same time every day. The dosing of Iclevia is one white pill containing levonorgestrel and ethinyl estradiol daily for 84 consecutive days, followed by one green pill (inactive pills without hormone) for 7 days. To achieve maximum contraceptive effectiveness, Iclevia must be taken exactly as directed, in the order directed on the Wallet, and at intervals not exceeding 24 hours. Start taking the first white pill from a new Wallet the very next day after taking the last green inactive pill in the Wallet. The failure rate may increase when pills are missed or taken incorrectly.
Table 2: Instructions for Missed Iclevia Tablets
Take the tablet as soon as possible. Take the next tablet at the regular time and continue taking one tablet a day until the 91-day course is finished.
Take 2 tablets on the day remembered and 2 tablets the next day. Then continue taking one tablet a day until the 91-day course is finished. Additional non-hormonal contraception (such as condoms or spermicide) should be used as back-up if the patient has sex within 7 days after missing tablets.
Do not take the missed tablets. Continue taking one tablet a day until the 91-day course is finished. Additional non-hormonal contraception (such as condoms or spermicide) must be used as back-up if the patient has sex within 7 days after missing tablets.
||Throw away the missed tablets. Continue taking the remaining tablets until the pack is finished. A backup birth control method is not needed.
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