Generic name: LEVONORGESTREL 0.15mg, ETHINYL ESTRADIOL 0.03mg;
Dosage form: tablets
Drug class: Contraceptives
Medically reviewed by Drugs.com. Last updated on Mar 3, 2022.
How to Start and Take LEVORA 0.15/30-28
LEVORA 0.15/30-28 is dispensed in a compact dispenser containing 28 tablets (see HOW SUPPLIED). LEVORA 0.15/30-28 may be started using either a Day 1 start or a Sunday start (see Table 3). 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.
|Starting LEVORA 0.15/30-28 in females with no current use of hormonal contraception||Day 1 start
|Switching from another contraceptive method
||Start LEVORA 0.15/30-28 :
Starting LEVORA 0.15/30-28 after Abortion or Miscarriage
- After a first-trimester abortion or miscarriage, LEVORA 0.15/30-28 may be started immediately. An additional method of contraception is not needed if LEVORA 0.15/30-28 is started immediately.
- If LEVORA 0.15/30-28 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 cycle of LEVORA 0.15/30-28.
- Do not start until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. Start LEVORA 0.15/30-28 following the instructions in Table 3 for Day 1 or Sunday start. Use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of the patient's first cycle of LEVORA 0.15/30-28 (see CONTRAINDICATIONS, WARNINGS (1), PRECAUTIONS (10) and FDA-APPROVED PATIENT LABELING).
Starting LEVORA 0.15/30-28 after Childbirth
- Do not start until 4 weeks after delivery, due to the increased risk of thromboembolic disease. Start contraceptive therapy with LEVORA 0.15/30-28 following the instructions in Table 3 for women not currently using hormonal contraception.
- LEVORA 0.15/30-28 is not recommended for use in lactating women (see PRECAUTIONS (7) and FDA-APPROVED PATIENT LABELING).
- If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of LEVORA 0.15/30-28 (see CONTRAINDICATIONS, WARNINGS (10), PRECAUTIONS (6) and FDA APPROVED PATIENT LABELING).
Dosing LEVORA 0.15/30-28
Instruct patients to take one tablet by mouth at the same time every day. To achieve maximum contraceptive effectiveness, patients must take LEVORA 0.15/30-28 as directed, in the order directed on the blister pack. The failure rate may increase when pills are missed or taken incorrectly.
Instruct patients about the handling of missed doses (e.g., to take single missed pills as soon as possible) and to follow the dosing instructions provided in the FDA-approved patient labeling.
||Take the tablet as soon as possible. Continue taking one tablet a day until the pack is finished.|
||Take the two missed tablets as soon as possible and the next two active tablets the next day. Continue taking one tablet a day until the pack is finished. Additional nonhormonal contraception (such as condoms or spermicide) should be used as back-up if the patient has sex within 7 days after missing tablets.|
||Day 1 start: Throw out the rest of the pack and start a new pack that same day.
Sunday start: Continue taking one tablet a day until Sunday, then throw out the rest of the pack and start a new pack that same day.
Additional nonhormonal contraception (such as condoms or spermicide) should be used as back-up if the patient has sex within 7 days after missing tablets.
Advice in Case of Gastrointestinal Disturbances
If vomiting occurs within 3 to 4 hours after taking LEVORA 0.15/30-28, the patient should proceed as if she missed a tablet. In case of prolonged vomiting or diarrhea, absorption may not be complete and additional contraceptive measures should be taken.
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