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More Alesse information

Drug Uses

Alesse is one of the most effective methods for birth control (99% effective when taken as directed). Alesse contains natural hormones that stop the ovary from releasing an egg and prevent a man's sperm from entering the uterus. So with Alesse you can put your mind at ease and enjoy intimate moments with your partner.

How Taken

Take the first pill in a package on the first Sunday after your period begins (unless otherwise directed by your doctor).

Take one pill every day, no more than 24 hours after your last dose. Try to take the pills at a time that you will remember every day – for example just before bed, with a meal, or first thing in the morning.

Taking your pill at night may help to reduce any nausea or headache that you may experience because of the hormones.

If you are on a 28-day cycle, take one pill every day. When the pack runs out, throw it away. Begin a new pack the following day. The 28-day cycle contains seven pills that are either placebos (with no active ingredients) or iron supplements. These are "reminder" pills to keep you on your regular cycle. They are taken while you are menstruating.

If you are on a 21-day cycle, take one pill every day for 21 days, then do not take any pills for 7 days. You should have your period during the 7 days with no pills. Resume your pills on the 8th day with a new package.

Follow your doctor's instructions about using a second form of birth control when you first start taking birth control pills, when you are taking antibiotics, or if you miss a pill. If you are unsure what to do in any of these cases, talk to your pharmacist, nurse, or doctor about how to ensure that you will not become pregnant.


Before taking this medication, tell your doctor if you have high blood pressure, angina, or heart disease; have had a stroke; have a bleeding or blood-clotting disorder; have breast, uterine, or another hormone-related cancer; have liver disease or a history of jaundice (yellowing of the skin and eyes) caused by use of birth control in the past; have undiagnosed, abnormal vaginal bleeding; have migraines; have asthma; or have seizures or epilepsy.

You may not be able to take birth control pills, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

Birth control pills are in the FDA pregnancy category X. This means that birth control pills will cause birth defects in an unborn baby. Hormonal changes during pregnancy can have very serious negative effects on a developing baby. Do not take birth control pills if you are pregnant or if you think you might be pregnant.

The hormones in birth control pills pass into breast milk and may decrease milk production. Do not take birth control pills without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

If you miss pills you could get pregnant. This includes starting the pack late. The more pills you miss, the more likely you are to get pregnant in the 7 days after you miss pills.

The pill may not be as effective if you miss pink active pills, and particularly if you miss the first few or the last few pink active pills in a pack.

MISSING PILLS CAN ALSO CAUSE SPOTTING OR LIGHT BLEEDING, even when you make up these missed pills.

On the days you take 2 pills to make up for missed pills, you could also feel a little sick to your stomach.

Possible Side Effects

  • Vaginal bleeding
  • Fluid retention
  • Melasma.

Other side effects may include nausea, breast tenderness, change in appetite, headache, nervousness, depression, dizziness, loss of scalp hair, rash, vaginal infections, inflammation of the pancreas, and allergic reactions. If any of these side effects bother you, call your health-care provider.


Store at controlled room temperature 20° to 25°C (68° to 77°F). Keep this medication in the container it came in, and out of reach of children.


Symptoms of oral contraceptive over dosage in adults and children may include nausea, vomiting, and drowsiness/fatigue; withdrawal bleeding may occur in females. There is no specific antidote and further treatment of overdose, if necessary, is directed to the symptoms.

More Information

Your health-care provider will take a medical and family history before prescribing oral contraceptives and will examine you. The physical examination may be delayed to another time if you request it and the health-care provider believes that it is appropriate to postpone it. You should be reexamined at least once a year. Be sure to inform your health-care provider if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your health-care provider, because this is a time to determine if there are early signs of side effects of oral-contraceptive use.

Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth-control pills.

Avoid smoking. Smoking greatly increases your risk of a heart attack, stroke, or blood clot formation.


This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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