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LoSeasonique Dosage

Generic name: LEVONORGESTREL 0.1mg, ETHINYL ESTRADIOL 0.02mg; ETHINYL ESTRADIOL 0.01mg
Dosage form: tablets

Medically reviewed by Drugs.com. Last updated on Jun 18, 2019.

How to Start and Take LOSEASONIQUE

Instruct the patient to begin taking LOSEASONIQUE on the first Sunday after the onset of menstruation. If menstruation begins on a Sunday, the first orange tablet is taken that day. One orange tablet should be taken daily for 84 consecutive days, followed by one yellow tablet for 7 consecutive days. A non-hormonal back-up method of contraception (such as condoms or spermicide) should be used until an orange tablet has been taken daily for 7 consecutive days. A scheduled period should occur during the 7 days that the yellow tablets are taken.

Begin the next and all subsequent 91-day cycles without interruption on the same day of the week (Sunday) on which the patient began her first dose of LOSEASONIQUE, following the same schedule: 84 days taking an orange tablet followed by 7 days taking a yellow tablet. If the patient does not immediately start her next pill pack, she should protect herself from pregnancy by using a non-hormonal back-up method of contraception until she has taken an orange tablet daily for 7 consecutive days.

For postpartum women who are not breastfeeding, start LOSEASONIQUE no earlier than four to six weeks postpartum due to increased risk of thromboembolism. If the patient starts on LOSEASONIQUE postpartum and has not yet had a period, evaluate for possible pregnancy, and instruct her to use an additional method of contraception until she has taken an orange tablet for 7 consecutive days.

Dosing LOSEASONIQUE

Instruct the patient to take one tablet by mouth at the same time every day. The dosage of LOSEASONIQUE is one orange tablet containing levonorgestrel and ethinyl estradiol daily for 84 consecutive days, followed by one yellow ethinyl estradiol tablet for 7 days. To achieve maximum contraceptive effectiveness, LOSEASONIQUE must be taken exactly as directed, in the order directed, and at intervals not exceeding 24 hours. The failure rate may increase when pills are missed or taken incorrectly.

If unscheduled spotting or bleeding occurs, instruct the patient to continue on the same regimen. If the bleeding is persistent or prolonged, advise the patient to consult her healthcare provider.

Missed Doses

Instruct patients about the handling of missed doses and to follow the dosing instructions provided in the FDA-approved Patient Labeling (Guide for Using LOSEASONIQUE).

Table 1. Instructions for Missed LOSEASONIQUE Tablets

If 1 orange tablet is missed

Take it as soon as possible. Take the next tablet at the regular time. Continue taking one tablet a day until the pack is finished. A back-up birth control method is not required if the patient has sex.

If 2 orange tablets in a row are missed

Take the two missed 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 and spermicide) MUST be used if the patient has sex within 7 days after missing tablets.

If 3 or more orange tablets in a row are missed

Do not take the missed pills. Continue taking one tablet every day as indicated on the pack until the pack is finished. The patient may experience bleeding during the week following the missed pills. Additional nonhormonal contraception (such as condoms and spermicide) MUST be used if the patient has sex within 7 days after missing tablets.

If any of the 7 yellow tablets are missed

Throw away the missed tablets. Continue taking the remaining tablets until the pack is finished. A backup birth control method is not needed.

Advice in Case of Gastrointestinal Disturbances

In case of prolonged vomiting or diarrhea, absorption may not be complete and additional contraceptive measures should be taken.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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