Jolessa Dosage
Generic name: LEVONORGESTREL 0.15mg, ETHINYL ESTRADIOL 0.03mg;
Dosage form: tablets
Drug class: Contraceptives
Medically reviewed by Drugs.com. Last updated on Oct 24, 2024.
How to Start and Take JOLESSA
JOLESSA is dispensed in an Extended-Cycle Tablet Dispenser. JOLESSA 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 JOLESSA
Starting JOLESSA in females with no current use of hormonal contraception (Sunday Start) Important: Consider the possibility of ovulation and conception prior to initiation of this product. Tablet Color:
|
Sunday Start: For each 91-day course, take in the following order:
|
Switching from another contraceptive method to JOLESSA |
Start JOLESSA: |
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. |
Injection |
On the day when the next injection would have been scheduled. |
Intrauterine contraceptive (IUD) |
|
Implant |
On the day of removal. |
Starting JOLESSA after Abortion or Miscarriage
First-trimester
- After a first-trimester abortion or miscarriage, JOLESSA may be started immediately. An additional method of contraception is not needed if JOLESSA is started immediately.
- If JOLESSA 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 JOLESSA.
Second-trimester
- Do not start JOLESSA until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. Start JOLESSA 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 JOLESSA.
Starting JOLESSA after Childbirth
- Do not start JOLESSA until 4 weeks after delivery, due to the increased risk of thromboembolic disease. Start contraceptive therapy with JOLESSA following the instructions in Table 1 for women not currently using hormonal contraception.
- JOLESSA is not recommended for use in lactating women.
- If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of JOLESSA.
Dosing JOLESSA
Instruct patients to take one tablet by mouth at the same time every day. The dosing of JOLESSA is one pink pill containing levonorgestrel and ethinyl estradiol daily for 84 consecutive days, followed by one white pill (inactive pills without hormone) for 7 days. To achieve maximum contraceptive effectiveness, JOLESSA must be taken exactly as directed, in the order directed on the Tablet Dispenser, and at intervals not exceeding 24 hours. Start taking the first pink pill from a new Tablet Dispenser the very next day after taking the last white inactive pill in the Tablet Dispenser. The failure rate may increase when pills are missed or taken incorrectly.
Missed Doses
Table 2: Instructions for Missed JOLESSA Tablets
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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. |
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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 backup 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 backup if the patient has sex within 7 days after missing tablets. |
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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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