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Important Instructions for Levonest

Levonest Dosing Guidelines

Levonest is a "triphasic" birth control pill, which means that there are three different phases of pills, plus the last phase of the inactive pills. These pills contain different amounts of hormones and must be taken in the correct order. This is why it is important to keep the pills in the original packaging.
Starting at the beginning of the pack, take one tablet daily at the same time each day. Each pack will last for 28 days (four weeks). After you finish one pack, immediately start a new one the next day. Do not wait any days between packs; this may take a little planning, since you will need a new pack on hand.
The first 21 tablets contain the active ingredients. The last seven tablets contain no active ingredients. During this last week, your body gets a little break from the hormones, allowing you to have a period.

What to Do If You Miss a Dose of Levonest

It is very important that you take Levonest every day, at the same time every day, even if you do not have sex very often. Missing doses increases the risk of pregnancy. What you should do if you miss pills depends on how many pills you missed, whether you are a day 1 starter or a Sunday starter, and when in the cycle the pills were missed.
If you are not sure what to do about missed pills, use a backup method of contraception until you can speak with your healthcare provider.
General instructions include:
  • 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 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.
If you are a day 1 starter, throw out the rest of the pack and start a new pack 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 pack (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, since you skipped the pills with no active ingredients.
  • 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 pregnanc, as long as you start your next pack on time. No backup contraception is necessary.
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Levonest Birth Control Information

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