Levlen is a combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel, designed to prevent pregnancy with high efficacy when taken as directed. It offers a reliable, reversible method of birth control, suitable for many women seeking to avoid unplanned pregnancies. This product card provides comprehensive, expert-level information for informed decision-making and safe usage.

Features

• Contains 30 mcg ethinyl estradiol and 150 mcg levonorgestrel per active tablet
• 28-day regimen: 21 active tablets, 7 placebo tablets
• Monophasic formulation (consistent hormone levels in each active pill)
• Packaged in a compact, discreet blister pack with day-of-week labeling
• Requires prescription; not available over-the-counter

Benefits

• Prevents pregnancy with up to 99% effectiveness when used correctly
• May result in lighter, less painful, and more predictable menstrual periods
• Can reduce the risk of ovarian cysts and ectopic pregnancies
• Offers non-contraceptive benefits such as improved acne in some users
• Provides reversible contraception, allowing for future family planning
• Convenient daily dosing supports adherence and routine

Common use

Levlen is primarily prescribed for pregnancy prevention. It may also be used off-label for management of menstrual-related disorders, such as dysmenorrhea (painful periods) or menorrhagia (heavy menstrual bleeding), and for acne treatment in certain cases, under medical supervision.

Dosage and direction

Take one tablet daily at approximately the same time each day, with or without food. Begin with the first active tablet on the first day of menstruation or the Sunday after menstruation begins, as directed by your healthcare provider. Follow the arrow on the blister pack, taking tablets consecutively for 28 days before starting a new pack. The placebo pills are included to maintain habit; a withdrawal bleed typically occurs during this week.

Precautions

• Not protective against sexually transmitted infections (STIs); condoms are recommended for STI prevention.
• Smoking increases the risk of serious cardiovascular side effects, especially in women over 35.
• May affect blood glucose levels; monitor closely if diabetic.
• Periodic blood pressure checks are advised during use.
• Use with caution in patients with a history of depression; monitor for mood changes.
• May reduce milk production; generally not recommended for breastfeeding women.

Contraindications

• History of or current thrombophlebitis or thromboembolic disorders
• Known or suspected carcinoma of the breast or estrogen-dependent neoplasia
• Undiagnosed abnormal genital bleeding
• History of or current cerebrovascular or coronary artery disease
• Impaired liver function, liver tumors, or active liver disease
• Known or suspected pregnancy
• Hypersensitivity to any component of Levlen

Possible side effects

Common side effects may include:

• Nausea, vomiting, or abdominal cramps
• Headache or migraine
• Breast tenderness or enlargement
• Weight changes
• Changes in menstrual flow or spotting
• Mood changes or decreased libido

Serious side effects (seek immediate medical attention if experienced):

• Sudden severe headache, dizziness, or faintness
• Visual disturbances or loss
• Severe chest pain, shortness of breath, or coughing blood
• Severe leg pain or swelling
• Jaundice (yellowing of skin or eyes)

Drug interaction

Levlen may interact with:

• Antibiotics (e.g., rifampin, griseofulvin)
• Anticonvulsants (e.g., phenytoin, carbamazepine)
• Antifungals (e.g., ketoconazole)
• HIV medications (e.g., ritonavir)
• St. John’s Wort
• Certain anticoagulants

These interactions may reduce contraceptive efficacy or increase side effect risk. Always inform your healthcare provider of all medications, supplements, or herbal products you are taking.

Missed dose

If one active pill is missed (less than 24 hours late): Take it as soon as remembered, and take the next pill at the regular time. No additional protection is needed.

If two active pills are missed in weeks 1 or 2: Take two pills as soon as remembered and two pills the next day. Then resume regular schedule. Use backup contraception (e.g., condoms) for 7 days.

If three or more active pills are missed: Discard the pack and begin a new pack on the same day. Use backup contraception for 7 days. Consider emergency contraception if unprotected intercourse occurred.

If placebo pills are missed: Discard missed placebos; no action required.

Overdose

Serious overdose is unlikely but may cause nausea, vomiting, or withdrawal bleeding. In case of suspected overdose, seek medical attention or contact a poison control center. There is no specific antidote; treatment is supportive.

Storage

Store at room temperature (20–25°C or 68–77°F), away from light, moisture, and heat. Keep out of reach of children and pets. Do not use if packaging is damaged or tablets appear altered.

Disclaimer

This information is for educational purposes only and does not replace professional medical advice. Always consult a healthcare provider for diagnosis, treatment decisions, and personalized guidance. Use only as prescribed. Individual results and risks may vary.

Reviews

“Levlen has provided reliable contraception for me over three years, with minimal side effects and improved cycle regularity.” – Verified User, Age 29

“As a healthcare provider, I find Levlen to be a well-tolerated option for many patients, offering both efficacy and additional menstrual benefits.” – OB/GYN Specialist

“Experienced some initial nausea, but it subsided after the first pack. Appreciate the predictable periods and peace of mind.” – Verified User, Age 24