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    But for fast-growing Washington, D. SPSY, which rose 2. These medicines may be affected by Levlen ED, or may affect how well it works. Your doctor may need to alter the dose of your medicine, or prescribe a different medicine. You may need to use additional barrier methods of contraception such as condoms or a diaphragm while you are taking any of these medicines with Levlen ED and for some time after stopping them. Your doctor will be able to tell you how long you will need to use additional contraceptive methods.

    Your doctor and pharmacist have more information on medicines that you need to be careful with or avoid while taking this medicine. They may differ from the information contained in this leaflet. If you do not understand the instructions on the pack, ask your doctor or pharmacist for help. How to take it Take one tablet daily at about the same time every day. You must take Levlen ED every day regardless of how often you have sex. This will also help you remember when to take it.

    Swallow the tablet whole with a full glass of water. It does not matter if you take it before or after food. Each blister pack is marked with the day of the week.

    Take your first tablet from the red area on the blister pack corresponding to the day of the week. Follow the direction of the arrows on the blister pack until all the tablets have been taken. A period should begin 2 to 3 days after starting to take the white inactive tablets last row and may not have finished before the next pack is started.

    Always start a new blister pack on the same day of the week as your previous pack. Taking Levlen ED for the first time If you are starting Levlen ED after a natural cycle, and you have not used a hormonal contraceptive in the past month, start on the first day of your period, i. You must also use additional barrier contraceptive precautions e. Your doctor will advise you when to start if you: are taking Levlen ED after having a baby have had a miscarriage or an abortion.

    Changing from another contraceptive Changing from a combined oral contraceptive: Start taking Levlen ED on the day after taking the last active tablet in your previous Pill pack. Bleeding may not occur until the end of the first pack of Levlen ED. Your previous Pill pack may have different colour tablets to those of Levlen ED.

    Changing from a vaginal ring: Start taking Levlen ED on the day of removal of the ring but at the latest when the next application would have been due. Changing from a progestogen-only injection, implant or intrauterine system IUS : Start taking Levlen ED when your next injection is due, or on the day that your implant or IUS is removed. If you are considering becoming pregnant, it is recommended that you begin taking a vitamin supplement containing folic acid.

    It is best that you start taking folic acid tablets before you stop taking Levlen ED and not stop until your doctor advises this.

    Ask your doctor or pharmacist about suitable supplements. It is both safe and recommended that you take folic acid during pregnancy. Additional contraceptive precautions When additional contraceptive precautions are required you should either abstain from sex, or use a barrier method of contraception, a cap or diaphragm plus spermicide, or a condom.

    Rhythm methods are not advised as the Pill disrupts the cyclical changes associated with the natural menstrual cycle e. If you forget to take Levlen ED If you miss a tablet and take the missed tablet within 12 hours of missing it, you should still be protected against pregnancy.

    If you are more than 12 hours late follow these detailed instructions: For Levlen ED to be most effective, beige active tablets need to be taken uninterrupted for 7 days. If you have been taking the beige active tablets for 7 uninterrupted days and miss a beige active tablet, take the missed tablet as soon as you remember, then go back to taking your Pill as you would normally, even if this means taking two tablets in one day, at the same time.

    You should still be protected against pregnancy. The chance of pregnancy after missing a beige active tablet depends on when you missed the tablet.