What Is Levora?
Levora is a combination birth control which is most commonly prescribed to women for the prevention of pregnancy. There are a variety of ways Levora does this. As an oral combination pill, Levora contains an active progestin and estrogen (two types of female hormones) which promote changes in the body that make it more difficult for an egg to become fertilized and attached to the uterus wall. The vaginal fluid is thickened which make the chances of sperm traveling to an egg more improbable. Additionally the lining of the uterus changes to make implantation of a fertilized egg less likely. Combination birth control pills have a higher success rate for pregnancy prevention than progestin only pills (often called mini pills). In fact, when taken perfectly as directed, birth control pills like Levora are 99.9% effective in pregnancy prevention.
Proper Use
To make using oral contraceptives as safe and reliable as possible, you should understand how and when to take them and what effects may be expected.
A paper with information for the patient will be given to you with your filled prescription, and will provide many details concerning the use of oral contraceptives. Read this paper carefully and ask your health care professional if you need additional information or explanation.
Take this medicine with food to help prevent nausea that might occur during the first few weeks. Nausea usually disappears with continued use or if the medicine is taken at bedtime.
When you begin to use oral contraceptives, your body will require at least 7 days to adjust before a pregnancy will be prevented. You will need to use an additional birth control method for at least 7 days. Some doctors recommend using an additional method of birth control for the first cycle (or 3 weeks) to ensure full protection. Follow the advice of your doctor or other health care professional.
Try to take the doses no more than 24 hours apart to reduce the possibility of side effects and to prevent pregnancy. Since one of the most important factors in the proper use of oral contraceptives is taking every dose exactly on schedule, you should never let your tablet supply run out. When possible, try to keep an extra month's supply of tablets on hand and replace it monthly.
- Monophasic (one-phase) cycle dosing schedule: Most available dosing schedules are monophasic. If you are taking tablets of one strength (color) for 21 days, you are using a monophasic schedule. For the 28-day monophasic cycle you will also take an additional 7 inactive tablets, which are another color. If you are taking the brand name Mircette, the last seven tablets of the 28-day cycle contains two inactive tablets (for Days 22 and 23) and five tablets (for Days 24 through 28) that contain a low dose of estrogen. Taking the last 7 tablets is not required for full protection against pregnancy but they do help to replace estrogen.
- Biphasic (two-phase) cycle dosing schedule: If you are using a biphasic twenty-one–day schedule, you are taking tablets of one strength (color) for either seven or ten days, depending on the medication prescribed (the first phase). You then take tablets of a second strength (color) for the next eleven or fourteen days, depending on the medication prescribed (the second phase). At this point, you will have taken a total of twenty-one tablets. For the twenty-eight–day biphasic cycle you will also take an additional seven inactive tablets, which are a third color.
Dosage
The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
For oral dosage forms (monophasic, biphasic, triphasic, or quadriphasic tablets):
For contraception:
Adults and teenagers—
- For the twenty-one–day cycle—Take 1 tablet a day for twenty-one days. Skip seven days. Then repeat the cycle.
- For the twenty-eight–day cycle—Take 1 tablet a day for twenty-eight days. Then repeat the cycle.
For oral dosage forms (norethindrone acetate and ethinyl estradiol triphasic tablets and norgestimate and ethinyl estradiol triphasic tablets:
To treat acne:
Adults and teenagers—
For the twenty-one–day cycle—Take 1 tablet a day for twenty-one days. Skip seven days. Then repeat the cycle.
For the twenty-eight–day cycle—Take 1 tablet a day for twenty-eight days. Then repeat the cycle.
Teenagers up to 15 years of age—Use and dose must be determined by your doctor.
Missed Dose
Follow your doctor's orders or the directions on the label if you miss a dose of this medicine. The following information includes only some of the ways to handle missed doses. Your health care professional may want you to stop taking the medicine and use other birth control methods for the rest of the month until you have your menstrual period. Then your health care professional can tell you how to begin taking your medicine again.
For monophasic, biphasic, triphasic, or quadriphasic cycles:
- If you miss the first tablet of a new cycle—Take the missed tablet as soon as you remember and take the next tablet at the usual time. You may take 2 tablets in one day. Then continue your regular dosing schedule. Also, use another birth control method until you have taken seven days of your tablets after the last missed dose.
- If you miss 1 tablet during the cycle—Take the missed tablet as soon as you remember. Take the next tablet at the usual time. You may take 2 tablets in one day. Then continue your regular dosing schedule.
- If you miss 2 tablets in a row in the first or second week—Take 2 tablets on the day that you remember and 2 tablets the next day. Then continue taking 1 tablet a day. Also use another birth control method until you begin a new cycle.
- If you miss 2 tablets in a row in the third week; or
- If you miss 3 or more tablets in a row at any time during the cycle
Storage
Keep out of the reach of children.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Do not keep outdated medicine or medicine no longer needed.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
ConversionConversion EmoticonEmoticon