Special Notes on Administration
Menstruation usually begins two or three days, but may begin as late as the fourth or fifth day, after discontinuing medication. If spotting occurs while on the usual regimen of one tablet daily, the patient should continue medication without interruption.
If a patient forgets to take one or more white tablets, the following is suggested:
One tablet is missed
take tablet as soon as remembered
take next tablet at the regular time
Two consecutive tablets are missed (Week 1 or Week 2)
take two tablets as soon as remembered
take two tablets the next day
use another birth control method for seven days following the missed tablets
Two consecutive tablets are missed (Week 3)
Sunday-Start Regimen:
take one tablet daily until Sunday
discard remaining tablets
start new pack of tablets immediately (Sunday)
use another birth control method for seven days following the missed tablets
Day-1 Start Regimen:
discard remaining tablets
start new pack of tablets that same day
use another birth control method for seven days following the missed tablets
Three (or more) consecutive tablets are missed
Sunday-Start Regimen:
take one tablet daily until Sunday
discard remaining tablets
start new pack of tablets immediately (Sunday)
use another birth control method for seven days following the missed tablets
Day-1 Start Regimen:
discard remaining tablets
start new pack of tablets that same day
use another birth control method for seven days following the missed tablets
The possibility of ovulation occurring increases with each successive day that scheduled tablets are missed. While there is little likelihood of ovulation occurring if only one tablet is missed, the possibility of spotting or bleeding is increased. This is particularly likely to occur if two or more consecutive tablets are missed.
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