What is Levonorgestrel/Ethinyl Estradiol?
Levonorgestrel/ethinyl estradiol is a birth control tablet that contains two hormones called estrogen and progestin.
These hormones work together to stop the ovaries from releasing eggs and to change the uterus so pregnancy does not happen.
Many people use levonorgestrel ethinyl estradiol birth control to prevent pregnancy when taken once daily as directed.
It comes in different levonorgestrel ethinyl estradiol tablets and dose options, depending on the brand and schedule.
Some people also choose to buy levonorgestrel/ethinyl estradiol in Canada or use a levonorgestrel ethinyl estradiol coupon to help lower the cost.
Indications and Benefits of Levonorgestrel/Ethinyl Estradiol
Levonorgestrel/ethinyl estradiol is mainly used to prevent pregnancy by stopping ovulation and changing the lining of the uterus.
It is also used to help manage heavy or irregular monthly bleeding and to reduce pain linked to endometriosis.
Some people take it to improve acne by lowering hormone changes that affect the skin.
Doctors may recommend different levonorgestrel ethinyl estradiol dose options based on age, health history, and lifestyle.
While many people tolerate it well, it is important to understand possible levonorgestrel ethinyl estradiol side effects, especially for those who smoke or are over 35 years old.
What Are the Benefits of Levonorgestrel/Ethinyl Estradiol?
- Helps prevent pregnancy by stopping the release of eggs from the ovaries when taken daily as directed.
- Supports regular monthly cycles by making bleeding more predictable and easier to manage.
- Reduces heavy bleeding and strong cramps during monthly periods for many users.
- Improves acne by lowering hormone changes that affect the skin.
- Eases symptoms of endometriosis, such as pelvic pain and irregular bleeding.
- Offers multiple levonorgestrel ethinyl estradiol brand names and tablet options to match personal needs.
- Provides access for people who want to buy levonorgestrel/ethinyl estradiol in Canada for better pricing.
- Becomes more affordable when using a levonorgestrel ethinyl estradiol coupon from select pharmacies.
- Fits into daily routines with a simple once-daily schedule.
- Gives users more control over family planning and cycle management.
Fact Table
| Fact Category | Fact Details |
| Generic Name | Levonorgestrel/ethinyl estradiol |
| Levonorgestrel/Ethinyl Estradiol Class | Oral contraceptive with estrogen and progestin |
| Primary Use | Prevents pregnancy by stopping ovulation |
| Additional Benefit | Helps manage heavy or irregular periods, reduces endometriosis pain, and improves acne in some users |
| Available Form | Tablets |
| Method of Administration | Taken by mouth |
| Frequency | Once daily at the same time each day |
| Storage Instructions | Store at room temperature, away from heat and moisture, and keep out of reach of children |
| Pregnancy and Breastfeeding | Not for use during pregnancy. Tell your doctor if you are breastfeeding or plan to become pregnant |
| Drug Interactions | Some drugs reduce effectiveness, including St. John’s wort. Always review all current products with a doctor |
| Manufacturer | Made by multiple manufacturers under different brand names |
How It Works
Levonorgestrel/ethinyl estradiol works by using two hormones to prevent pregnancy in several ways.
These hormones stop the ovaries from releasing an egg each month, which means fertilization cannot happen. The lining of the uterus also becomes less suitable for a fertilized egg to attach.
Changes in the cervix make it harder for sperm to reach the egg. When taken daily as directed, levonorgestrel ethinyl estradiol birth control provides steady hormone levels that support reliable pregnancy prevention while helping regulate the monthly cycle.
Brand Name Options
- Aubra
- Afirmelle
- Alesse
- Altavera
- Ashyna
- Aviane
- Ayuna
- Balcoltra
- Cerinta
- Chateal
- Chabelina
- Daysee
- Dolishale
- Elifemme
- Enpresse
- Falmina
- Fayosim
- Introvale
- Jaimiess
- Kurvelo
- Lessina
- Levlite
- Levora
- Lo Simpesse
- Lybel
- Marlissa
- Minzoya
- Myzilra
- Nordette
- Orsythia
- Portia
- Quartette
- Quasense
- Seasonale
- Seasonique
- Setlakin
- Simpesse
- Sylevia
- Tri-Phasil
- Tri-Vora
- Tyblume
- Vienva
Dosage
Levonorgestrel ethinyl estradiol birth control is taken once daily to help prevent pregnancy. The recommended levonorgestrel ethinyl estradiol dose is one tablet each day for 28 days in a row.
The first 21 tablets are active and contain hormones, while the last 7 tablets are inactive. Tablets should be taken on an empty stomach, either swallowed whole or chewed and followed by a full glass of water.
Taking the tablet at the same time every day helps keep hormone levels steady and improves pregnancy prevention.
Missing doses or taking tablets late may lower the effectiveness of levonorgestrel ethinyl estradiol birth control.
What Dosage Strengths Does Levonorgestrel/Ethinyl Estradiol Come In?
- levonorgestrel 0.1 mg
- ethinyl estradiol 0.02 mg
- 21 active tablets
- 7 inactive tablets
- 28 tablet pack
Dosage Chart
| Condition or Situation | Recommended Dosage | Extra Instructions |
| Pregnancy prevention | One tablet daily for 28 days | Take at the same time each day on an empty stomach |
| New users, Day 1 start | First tablet on the first day of the period | No backup birth control needed |
| New users start on Sunday | First tablet on the first Sunday after the period | Use backup birth control for 7 days |
| Switching from another pill | Start on the day the next pack is due | No gap between packs |
| Switching from patch | Start on the next scheduled patch day | Continue daily tablets |
| Switching from the ring | Start on the next planned ring day | Continue daily tablets |
| Switching from injection | Start on the next injection day | Continue daily tablets |
| Switching from an IUD | Start on removal day | Continue daily tablets |
| Switching from the implant | Start on removal day | Continue daily tablets |
| One missed active tablet | Take it as soon as possible | Continue normal schedule |
| Two missed tablets in Week 1 or 2 | Take two tablets for two days | Use backup birth control for 7 days |
| Three missed tablets | Start a new pack the same day | Use backup birth control for 7 days |
| Missed inactive tablets | Throw away missed tablets | No backup needed |
| Vomiting or diarrhea | Take the next active tablet | Follow missed dose rules if needed |
Usage Guide
Levonorgestrel ethinyl estradiol birth control tablets are taken by mouth once a day to help prevent pregnancy.
The tablet should be taken at the same time every day to keep hormone levels steady.
Different levonorgestrel ethinyl estradiol tablets may follow different schedules, so it is important to know which pack you are using.
Most users start on the first day of their period or on the first Sunday after bleeding begins. Using the tablets regularly helps improve protection and supports better cycle control.
How do you take Levonorgestrel/Ethinyl Estradiol?
- Take one tablet by mouth each day at the same time to maintain steady hormone levels and prevent pregnancy.
- Follow the exact schedule for your specific levonorgestrel ethinyl estradiol birth control pack to avoid missed doses.
- Start the first tablet on the first day of your period or on the first Sunday after bleeding begins, as advised by your doctor.
- Use another form of birth control for the first seven days if starting on a Sunday to lower the risk of pregnancy.
- Continue taking tablets daily even if spotting or light bleeding happens during the first few weeks.
- Begin a new pack on time, even if bleeding has not fully stopped.
- Contact your doctor if vomiting or diarrhea happens soon after taking a tablet since protection may be reduced.
- Use a backup birth control method for seven days if advised due to missed doses or stomach issues.
- Keep taking levonorgestrel ethinyl estradiol birth control regularly to maintain effective pregnancy prevention.
- Do not stop using the tablets without medical guidance to avoid unwanted pregnancy.
Side Effects
Levonorgestrel ethinyl estradiol birth control can cause side effects in some users. Many side effects are mild and may improve as the body adjusts. However, serious reactions can also happen and need quick medical care.
Common side effects
- A headache that may happen during the first weeks of use
- Nausea or upset stomach after taking the tablet
- Abdominal pain or bloating that feels uncomfortable
- Acne caused by hormone changes in the body
- Vaginal irritation or yeast infection symptoms
- Breast tenderness or breast pain that feels mild to moderate
- Changes in monthly bleeding, such as spotting or lighter flow
- Mood changes or lower interest in intimacy
- Fluid retention that may cause mild swelling
- Trouble wearing contact lenses due to eye changes
Severe side effects
- Yellowing of the skin or eyes, which may signal liver problems
- Strong pain or tenderness in the abdomen that does not go away
- A lump in the breast that feels new or unusual
- Very heavy bleeding or bleeding that lasts more than seven days
- Chest pain or shortness of breath may signal heart or lung issues
- Sudden severe headache or vision changes that may signal a stroke
- Swelling or pain in the legs may signal blood clots
- High blood pressure that becomes hard to control
- Signs of liver disease, such as dark urine or light colored stools
- Mood changes that include deep sadness or depression
Some users may also face a higher risk of liver tumors, breast cancer, or liver cancer with long-term use. These risks are rare but serious. Anyone using levonorgestrel ethinyl estradiol birth control should report unusual symptoms to a healthcare provider right away.
Missed Dose
If you miss a levonorgestrel ethinyl estradiol birth control tablet, take it as soon as you remember.
If you miss more than one tablet, follow the instructions from your doctor or the patient information guide.
Using a backup birth control method, such as condoms, may be needed for seven days after missing tablets.
Taking tablets at the same time every day helps keep protection against pregnancy consistent and reduces the chance of a missed dose.
Overdose
Taking more levonorgestrel ethinyl estradiol tablets than recommended can cause nausea, vomiting, or tiredness. Vaginal bleeding may also occur.
Serious problems from overdose are rare, but if symptoms are severe or the person becomes unresponsive, emergency medical attention should be sought immediately.
Contact a poison control center or go to the nearest emergency room for guidance.
Storage Information
Store levonorgestrel ethinyl estradiol birth control tablets at room temperature away from heat, moisture, and direct sunlight.
Keep the tablets in the original container with the lid tightly closed. Store out of reach of children and pets.
Do not store in the bathroom. Dispose of unused tablets safely using a take-back program or follow local guidelines to prevent accidental use.
Warnings
Levonorgestrel ethinyl estradiol birth control is generally safe for most healthy adults, but there are important precautions to consider.
Some users may experience serious side effects, especially those with existing health conditions or risk factors.
- Tell your doctor if you are allergic to levonorgestrel, ethinyl estradiol, or any other drugs, foods, or substances. Allergic reactions can include rash, swelling, or breathing difficulties.
- Some medications and herbal products, including St. John’s wort, can reduce the effectiveness of levonorgestrel ethinyl estradiol birth control. Discuss all medications with your doctor.
- Do not take levonorgestrel ethinyl estradiol birth control if you have a history of blood clots, heart attacks, strokes, or certain vascular diseases.
- Women over 35 years who smoke should not use levonorgestrel ethinyl estradiol birth control because the risk of serious cardiovascular events increases.
- Inform your doctor if you have high blood pressure, diabetes that affects circulation, high cholesterol, gallbladder disease, liver disease, or a history of breast cancer.
- Avoid starting this birth control immediately after giving birth if not breastfeeding; wait at least four weeks to reduce the risk of blood clots.
- Tell your doctor if you have migraines with aura, unexplained vaginal bleeding, or depression, as levonorgestrel ethinyl estradiol may worsen these conditions.
- Avoid excessive sun or UV exposure because levonorgestrel ethinyl estradiol may cause dark patches on the skin. Wear sunscreen and protective clothing.
- If you wear contact lenses, monitor your vision as hormonal changes may make lenses uncomfortable or harder to wear.
- Use additional birth control methods if tablets are missed, or if vomiting or diarrhea occurs shortly after taking a tablet.
Boxed Warning and Precautions for Levonorgestrel/Ethinyl Estradiol
| Levonorgestrel ethinyl estradiol birth control carries a boxed warning due to risks of serious cardiovascular and vascular events. Blood clots, heart attacks, and strokes are more likely in certain groups, including women over 35 years, smokers, and those with high blood pressure, diabetes, or obesity. Use of this birth control should be carefully evaluated in individuals with a history or family history of blood-clotting disorders. |
Contraindications
- Levonorgestrel ethinyl estradiol birth control should not be used by women who have a high risk of blood clots in the veins or arteries. This includes women over 35 who smoke or those with a history of deep vein thrombosis or pulmonary embolism.
- Women who have had a stroke, heart attack, or any heart disease, such as clogged arteries, should avoid using levonorgestrel ethinyl estradiol birth control.
- Those with heart rhythm problems or valve diseases that increase the risk of blood clots should not take this birth control.
- Women with inherited or acquired clotting disorders should avoid levonorgestrel ethinyl estradiol birth control.
- Uncontrolled high blood pressure or high blood pressure with vascular disease makes levonorgestrel ethinyl estradiol unsafe to use.
- Women with diabetes over age 35, or those with long-term diabetes, diabetes with high blood pressure, vascular disease, or other organ damage, should not use this birth control.
- Women who have migraines with aura, focal neurological symptoms, or any migraine if over 35 years of age should avoid levonorgestrel ethinyl estradiol.
- Current or past breast cancer, or any cancer sensitive to estrogen or progestin, is a contraindication.
- Liver problems, including liver tumors, severe liver disease, or acute viral hepatitis, prevent safe use of this birth control.
- Women with unexplained abnormal vaginal bleeding should not take levonorgestrel ethinyl estradiol until the cause is known.
- Use of certain Hepatitis C drug combinations, including ombitasvir, paritaprevir, ritonavir, with or without dasabuvir, is unsafe because it can harm the liver while taking this birth control.
Interactions
- Some drugs can lower the levels of levonorgestrel ethinyl estradiol in the blood, which may reduce the effectiveness of birth control.
- Enzyme-inducing drugs like carbamazepine, phenytoin, rifampin, barbiturates, topiramate, oxcarbazepine, primidone, griseofulvin, felbamate, rufinamide, bosentan, aprepitant, and St. John’s wort may reduce hormone levels.
- Using backup contraception, like condoms, is recommended while taking these drugs and for 28 days after stopping them.
- Colesevelam can decrease ethinyl estradiol absorption. Take levonorgestrel ethinyl estradiol tablets at least four hours apart from colesevelam.
- Certain statins, such as atorvastatin or rosuvastatin, can increase ethinyl estradiol levels by 20 to 25 percent.
- Grapefruit juice, ascorbic acid, acetaminophen, and antifungal drugs like itraconazole, ketoconazole, voriconazole, and fluconazole can increase hormone levels in the blood.
- HIV or hepatitis C protease inhibitors like ritonavir, nelfinavir, darunavir/ritonavir, lopinavir/ritonavir, tipranavir/ritonavir, boceprevir, and telaprevir may lower hormone levels.
- Some other HIV and hepatitis C drugs, like indinavir and atazanavir/ritonavir, may increase hormone levels.
- Non-nucleoside reverse transcriptase inhibitors, such as nevirapine and etravirine, may either decrease or increase hormone levels depending on the specific drug.
- Levonorgestrel ethinyl estradiol may lower blood levels of lamotrigine, which could reduce seizure control. Dose adjustments may be needed.
- Thyroid hormone or corticosteroid replacement therapy may require higher doses because levonorgestrel ethinyl estradiol can increase binding proteins.
- Some drugs may have their levels increased, including cyclosporine, prednisolone, theophylline, tizanidine, and voriconazole.
- Other drugs may have lower levels, including acetaminophen, morphine, salicylic acid, and temazepam. Dosage adjustments may be needed for these drugs.
- Hepatitis C combination therapy containing ombitasvir, paritaprevir, and ritonavir with or without dasabuvir should not be used while taking levonorgestrel ethinyl estradiol. Tablets can be restarted about two weeks after finishing this therapy.
Alternatives
- Levonorgestrel
- Etonogestrel
- Norethindrone
- Ethinyl estradiol/norgestimate
- Ethinyl estradiol/drospirenone
- Ethinyl estradiol/levonorgestrel
- Medroxyprogesterone acetate
- Ethinyl estradiol/etonogestrel
Cost & Coupons
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Frequently Asked Questions
Disclaimer
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