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Posology: When to start taking LIPZ and LIPZ ED: There are 2 ways to start taking the first tablet if a hormonal contraceptive hasn't been used in the previous month: 1. Start taking the tablet on the first day of the cycle (the first day of the period). No additional contraceptive methods are required.
2. Start taking the tablet on the first Sunday after menstrual bleeding has started. In this case, an alternative contraception method should be employed for the next 7 days.
In case of a switch from another hormonal contraceptive, LIPZ and LIPZ ED can be started immediately if it is certain that the method has been used correctly, or that no pregnancies have occurred. If the previous method was injectable contraceptive, LIPZ and LIPZ ED should be initiated when the repeat injection would have been given. No additional contraceptive protection is needed.
In case of amenorrhea, LIPZ and LIPZ ED can be initiated anytime if it is reasonably certain that no pregnancies have occurred. Additional contraceptive should be used for the next 7days.
How to take LIPZ and LIPZ ED: LIPZ: LIPZ pack contains 21 tablets. Each tablet is marked with the day of the week on which it is to be taken. Take the tablet around the same time each day and follow the direction of the arrows until all 21 tablets have been taken, then stop taking tablets for the next 7 days. A withdrawal bleeding usually starts 2-3 days after the last tablet. On the 8th day, start taking the next pack whether the bleeding has stopped or not.
LIPZ ED: LIPZ ED pack contains 28 tablets: 21 Active Tablets and 7 Placebo Tablets. Each tablet is marked with the number of the day on which it is to be taken. Take the tablet around the same time each day and follow the direction of the arrows until all 28 tablets have been taken. A withdrawal bleeding usually starts 2-3 days after the last active tablet. Each subsequent pack is started the day after the last tablet of the current pack whether the bleeding has stopped or not.
Missed doses: Depending on the day of the cycle on which one active tablet has been missed, additional contraceptive precautions may need to be taken, for example a barrier method such as a condom. Take the tablets according to the following principles. See also the 'missed pill chart' for details. In case of doubt, contact the doctor.
If it is less than 12 hours late when taking a tablet, the protection against pregnancy is not reduced. It is advised to take the tablet as soon as the patient remembers and then continues taking the tablets again at the usual time.
If it is more than 12 hours late in taking a tablet the protection against pregnancy maybe reduced. The more tablets that have been forgotten, the greater the risk that the protection from pregnancy is reduced. There is a particularly high risk of becoming pregnant if the tablets are missed at the beginning of the pack or at the end (the last of the 21 active tablets). Therefore, advise the patient to follow the rules given as follows (see also figure as follows).
More than one tablet forgotten in a pack: Contact the doctor.
Do not take more than 2 tablets on a given day, to make up for missed pills.
If the patient has forgotten tablets in a pack, and they do not have the expected bleeding that should start in the normal tablet-free break (in case of LIPZ) or during the placebo week (in case of LIPZ ED), they may be pregnant. It is recommended that they contact the doctor before starting the next pack.
1 tablet missed during week 1: If the patient has forgotten to start a new pack, or if they have missed tablet(s) during the first 7 days of the pack, there is a risk that they are already pregnant (if they had sex in the 7 days before forgetting the tablet). In that case, contact the doctor before starting the next pack.
See also the 'missed pill chart' for details.
If the patient had no sex in the 7 days before the oversight, it is advised that they take the missed tablet as soon as they remember (even if this means taking two tablets at the same time) and take the next tablets at the usual time. Use extra contraceptive precautions (barrier method) for the next 7 days.
1 tablet missed during week 2: Take the missed tablet as soon as the patient remember (even if this means taking two tablets at the same time) and take the next tablets at the usual time. The reliability of the Pill is maintained. The extra contraceptive precautions are not required.
1 tablet missed during week 3: The patient may choose either of the following options, without the need for extra contraceptive precautions: 1. Take the missed tablet as soon as they remember (even if this means taking two tablets at the same time) and take the next tablets at the usual time. Start the next pack as soon as the current pack is finished so that no gap is left between packs (in case of LIPZ) or forgo the Placebo Tablets and start the next pack immediately (in case of LIPZ ED). They may not have a withdrawal bleed until the end of the second pack but they may have spotting or breakthrough bleeding while taking the tablets, or
2. Stop taking tablets from the current pack, have a tablet-free break of 7 days or less (also count the day the patient missed the tablet) and continue with the next pack. (See figure.)
Click on icon to see table/diagram/imageNausea and Vomiting: If vomiting or severe diarrhea occur after taking any of the active tablets, the active ingredients in that tablet may not be completely absorbed. In case of vomiting within 3-4 hours after taking the tablet, follow the advice under "Missed doses" as previously mentioned as the contraception effectiveness is similar to missing a tablet. For severe diarrhea, contacting a doctor is recommended.
