Levonorgestrel/ethinyl estradiol

• This medicine is a birth control pill used to prevent pregnancy. It contains two hormones that work together to stop your body from releasing an egg each month.

• Swallow the tablet whole with a glass of water.
• Take one tablet every day at about the same time, preferably in the evening or before bed, to help with nausea.
• You can take this medicine with or without food.
• If you use the 21-day pack: take one tablet daily for 21 days, then take no tablets for 7 days before starting your next pack.
• If you use the 28-day pack: take one active tablet daily for 21 days, then one reminder tablet daily for the next 7 days, then start your next pack right away.
• Take this medicine exactly as your healthcare professional tells you.

If you miss a dose

• If you miss one pill, take it as soon as you remember, even if that means taking two pills in one day.
• If you miss two or more pills in a row, ask the Care365 care team for instructions specific to your pack, and use a backup method of birth control, such as condoms, for at least 7 days.
• If you have vomiting or diarrhea within a few hours of taking a pill, it may not have been fully absorbed; follow the same steps as for a missed pill.
• If you miss two periods in a row, contact your healthcare professional, since you may be pregnant.

• Do not take this medicine if you are pregnant or think you might be pregnant.
• If you are breastfeeding, talk to your healthcare professional about other birth control options, since this medicine can reduce your milk supply.

• Tell your healthcare professional if you smoke, especially if you are over 35 years old, since this greatly increases your risk of serious side effects.
• Tell your healthcare professional if you have ever had a blood clot, stroke, heart attack, migraine with warning signs (aura), liver disease, or breast cancer.
• Tell your healthcare professional if you have high blood pressure, diabetes, high cholesterol, or a family history of blood clots.
• Tell your healthcare professional about all other medicines you take, including antibiotics, seizure medicines, and herbal products like St. John's Wort.
• Tell your healthcare professional if you are pregnant, think you might be pregnant, or are breastfeeding.
• This medicine does not protect against sexually transmitted infections. Use condoms as well if you need that protection.

Important warnings

• This medicine increases your risk of serious blood clots in your legs, lungs, heart, or brain. This risk is much higher if you smoke and are over 35.
• Get emergency help right away for sudden chest pain, shortness of breath, coughing up blood, severe leg pain or swelling, sudden severe headache, sudden vision changes, or signs of a stroke, such as weakness on one side of your body or trouble speaking.
• This medicine can rarely cause serious liver problems, including liver tumours. Tell your healthcare professional about severe stomach pain or a lump in your abdomen.
• Stop taking this medicine and see your healthcare professional right away if you have a new, severe, or unusual headache, or if your migraines get worse or change.

• Spotting or bleeding between periods, especially in the first few months
• Headache
• Nausea
• Breast tenderness or swelling
• Painful periods
• Acne
• Weight or appetite changes
• Mood changes
• Vaginal discharge or yeast infection
• Bloating or stomach cramps

When to get emergency help

• Sudden chest pain or shortness of breath
• Sudden, severe headache or vision changes
• Weakness or numbness on one side of your body, or trouble speaking
• Severe pain or swelling in one leg
• Severe stomach pain

When to contact a healthcare professional

• Yellowing of your skin or eyes
• A new lump in your breast
• Migraines that are new, worse, or different than usual
• Signs of depression that concern you or people around you
• Missed periods, since you may be pregnant

• Certain antibiotics, seizure medicines, and herbal products like St. John's Wort can make this medicine less effective. Ask the Care365 care team before starting any new medicine, and use a backup method of birth control if needed.
• You can take this medicine with or without food.
• Alcohol does not directly affect how well this medicine works, but drink in moderation.

• Store this medicine at room temperature.
• Keep tablets in their original packaging to protect them from light.
• Keep out of reach of children and pets.