On Sunday, throw out the rest of the pack and start a new pack that day. If you are a Sunday starter, keep taking a pill every day until Sunday. If you miss 3 active pills in a row in Week 1, 2, or 3, throw out the pack and start a new pack on the same day if you are a Day 1 starter. If you miss 2 active pills in a row in Week 3, throw out the pack and start a new pack the same day if you are a Day 1 starter. Use back-up birth control for at least 7 days following the missed pills. Then take 1 pill per day for the rest of the pack. If you miss 2 active pills in a row in Week 1 or 2, take 2 pills per day for 2 days in a row. If you miss 1 active pill, take 2 pills on the day you remember. Missing a pill increases your risk of becoming pregnant. While taking birth control pills, you will need to visit your doctor regularly.įollow the instructions provided with your medicine. Any doctor or surgeon who treats you should know that you are using estradiol and levonorgestrel. If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Use a back-up birth control if you are sick with severe vomiting or diarrhea. Tell your doctor if this bleeding continues or is very heavy. You may have breakthrough bleeding, especially during the first 3 months. Your period will usually begin while you are using these reminder pills. Some birth control packs contain "reminder" pills to keep you on your regular cycle. You may get pregnant if you do not take one pill daily. When the pills run out, start a new pack the following day. Take one pill every day, no more than 24 hours apart. You may need to use back-up birth control, such as condoms with spermicide, when you first start using this medicine.
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