1) Efficacy, effect
contraception
2) Usage and dosage
Take 1 tablet per day for 21 days in the indicated order, then take a break for 7 days. It is desirable to take the dose at the same time every day, if possible. Menstruation occurs during the 7-day withdrawal period and usually begins 2 to 3 days after the last dose of the tablet. Menstruation may not end before starting a new pack. If you continue to take this medicine, take a break for 7 days and start taking it with a new packaged tablet.
1. When taking it for the first time
1) If you have not used hormonal contraceptives in the past month
Start taking it on the first day of menstruation. If not, it can be started even within 5 days of menstruation, but a complete contraceptive effect cannot be expected, so a separate non-hormonal contraceptive method (methods other than cycle control or basal temperature method: contraceptive device, etc.) must be used for the first 7 days of taking . If it has been more than 5 days since menstruation began, wait until the next menstrual period before taking it. In addition, the possibility of ovulation and pregnancy that has already occurred before taking the drug must be considered.
2) In case of changing from combined hormonal contraceptives (combined oral contraceptives), vaginal ring or transdermal patch
Start taking this medicine the day after taking the last tablet of the contraceptive you have been taking (no withdrawal period). However, if the contraceptive you were taking contains a placebo tablet without a washout period or an active ingredient, start taking this medicine at the latest the day after the withdrawal period ends or the day after you have taken all the placebo tablets. If you are using a vaginal ring or transdermal patch, start taking this drug from the day you remove the patch from the last ring or cycle pack, and you should start taking this drug by the time the next scheduled use is at the latest. do.
3) In case of changing from contraceptives containing only progesterone
You can stop using the mini-pill (progesterone single oral contraceptive) and start taking this medicine at any time. In the case of an implant or intrauterine device, take it from the day it is removed, and in the case of an injection, take it when the next injection is scheduled. However, in all cases, diaphragmatic contraception must be used for the first 7 days after taking the drug.
2. If you forget to take
1) If 12 hours have not passed since the time of taking
The contraceptive effect is maintained. Take 1 tablet as soon as you remember and take the next tablet at the usual time
2) If 12 hours have passed since the time of taking
Since the contraceptive effect may be reduced, follow the instructions below according to the following two principles.
1. The period of stopping taking tablets should not exceed 7 days.
2. In order for the hypothalamus-pituitary-ovarian-axis to be properly suppressed, it must be taken continuously for 7 days.
● 1 week
Take the last forgotten tablet as soon as you remember. Because of that, you may be taking two tablets at once. Then take the next tablet at the set time as usual. Diaphragmatic contraception, such as condoms, should be used for the first 7 days after taking it. If sexual intercourse has occurred in the previous 7 days, there is a possibility of pregnancy. The greater the number of missed pills and the closer the missed doses are to the normal withdrawal period, the higher the risk of pregnancy.
● 2 weeks
Take the last forgotten tablet as soon as you remember. Because of that, you may be taking two tablets at once. Then take the next tablet at the set time as usual. If you have been taking this medicine continuously for 7 days immediately before you forget the first tablet, you do not need to use additional contraceptive methods. However, if this is not the case, or if more than one tablet is missed, additional contraception should be used for the first 7 days after taking it.
● 3 weeks
As the withdrawal period approaches, the risk of reducing the contraceptive effect is high. You can avoid reducing the effectiveness of contraception by following the instructions below.
If you have been taking this medicine continuously for the 7 days immediately before you forgot to take the first tablet, you do not need to use additional contraceptive methods by choosing one of the following two methods. If not, follow the first of the following two methods and use an additional method of contraception during the first 7 days.
① Take the last forgotten tablet as soon as you remember. Because of that, you may be taking two tablets at once. Then take the next tablet at the set time as usual. As soon as the current package is finished, the next package should be started without a washout period. Withdrawal bleeding may not occur until you finish taking the second pack of tablets, but breaking or petechial bleeding may occur while taking the tablet.
② Stop taking the medicine from the current package and start taking the medicine from the new package after having a withdrawal period for 7 days, including the day you forgot to take the medicine.
If withdrawal bleeding does not occur during the first normal withdrawal period after a missed dose, the possibility of pregnancy should be considered.
3. In case of vomiting or gastrointestinal disorder
In case of severe gastrointestinal disturbance, absorption of this drug is incomplete, so an additional method of contraception should be used in combination.
If you vomit within 3-4 hours after taking, consider not taking it and take it according to "2. If you forget to take it". If you do not want to change your normal dosing plan, take the extra tablets you need from the new packaging.
4. If you have unexpected bleeding
Irregular bleeding (petechiae or destructive bleeding) may occur mainly during the first 3 months, but in this case, continue taking it. Symptoms usually disappear after 3 months, but if bleeding continues or increases in amount, consult a doctor.
5. Take after childbirth and miscarriage
1) After miscarriage within the first 3 months of pregnancy
You can start taking it right away. In such cases, no additional contraceptive method is required.
2) After miscarriage or delivery between 4 and 6 months of pregnancy
You may start taking it between days 21 and 28 after a miscarriage or delivery. For later initiation, non-hormonal contraception should be used for the first 7 days of treatment. However, if sexual intercourse has already taken place, after confirming whether or not you are pregnant, you should start a combined oral contraceptive or wait for normal menstruation to begin and take it from the first day of menstruation.
6. In case of changing or extending the cycle
To prolong the cycle, take a new package of this medicine in sequence without a washout period. You can extend it for as long as you like until you finish taking the second pack. You may experience breakout or petechial hemorrhage over an extended period of time. Then resume taking the drug normally after a 7-day washout period.
To change the cycle to a day other than the current schedule, the upcoming withdrawal period can be reduced by the desired date. The shorter the withdrawal period, the higher the risk of experiencing breakage and petechiae while taking a second package without developing withdrawal bleeding.
3) Packing unit
PTP) 21 tablets/ptp
4) Ingredients and contents
Levonorgestrel 0.15mg, ethinylestradiol 0.03mg
5) Period of use
60 months from the date of manufacture
6) Storage method
Airtight container, room temperature (1~30℃) storage
