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Elinest Dosage

Regular Dosing Schedule

Each pack of Elinest will last for four weeks (28 days). After starting at the beginning of the pack, take one tablet every day, at the same time each day. After you finish one pack, immediately start a new one the next day. Do not let any days pass between packs, even if you are still having your period.
The first 21 tablets contain the active ingredients (the estrogen and progestin hormones). The last seven tablets do not contain any active ingredients. During this last week, your body gets a short break from the hormones, allowing you to have a period. These last seven tablets do not contain anything that makes you have your period, as some women believe; it is the absence ("withdrawal") of the hormones that causes the bleeding. Sometimes, you may have breakthrough bleeding or spotting between periods. When this happens, keep taking Elinest as usual.

What Should I Do If I Miss an Elinest Dose?

It is important that you take Elinest every day and at the same time every day, even if you do not have sex very often. Missing pills increases the risk of pregnancy. What you should do if you miss pills depends on how many pills you have missed, if you are a day 1 starter or a Sunday starter, and when in the cycle they were missed.
Some general instructions for missed Elinest dosages include the following:
  • If you miss one of the first 21 pills (the active tablets), take the missed pill as soon as you remember and take the next pill at your regular time, even if this means taking two pills at once. You do not need to use a backup method of contraception, as you will be adequately protected against pregnancy.
  • If you miss two pills in a row during the first or second weeks of the pack, take two pills on the day you remember and two pills the next day. This should get you back on your regular schedule. You must use a backup method of contraception, such as condoms, if you have sex in the seven days after you restart the pills.
  • If you miss two pills in a row during the third week of the pack, or three or more pills in a row during weeks one through three, your instructions will vary depending on whether you are a day 1 starter or a Sunday starter. These instructions include the following:
    • If you are a day 1 starter, throw out the rest of the pack and start a new one right away.


    • If you are a Sunday starter, take one pill every day until Sunday. On Sunday, throw out the pack and start a new one; this keeps you on track as a Sunday starter. Either way, you need to use a backup method of contraception, such as condoms, for a week. You may not have your period as usual this month, as you have skipped the pills that do not contain any hormones.
  • If you miss any of the last seven pills (the fourth week of the pack), throw away any of the pills you missed and continue as usual. Missing these pills will not increase your risk of pregnancy, as long as you start your next pack on time. No backup contraception is necessary.
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