Generic Notability: ethinyl estradiol and levonorgestrel (ETH in ill ess tra DYE ol and LEE vo nor JESS trel)
Sticker Names: Alesse, Altavera, Amethyst, Aviane, Enpresse, Lessina, Levlen, Levora, Lutera, Lybrel, Nordette, Orsythia, Portia, Sronyx, Tri-Levlen, Triphasil-21, Triphasil-28, Trivora-28

Medically reviewed on. Measure updated on Aug 9, 2018.

The Alesse grading pinpoint has been discontinued in the U.S. If generic versions of this offering mash been approved nigh the FDA, there may be generic equivalents available.

What is Alesse?

Alesse (ethinyl estradiol and levonorgestrel) contains a brotherhood of female hormones that inhibit ovulation (the broadcast of female hormones that obstruct ovulation (the spread of an egg from an ovary). This medication also causes changes in your cervical mucus and uterine lining, making it harder representing sperm to reach the uterus and harder after a fertilized egg to nautical bend to the uterus.

Alesse is used as contraception to frustrate pregnancy.

Alesse may also be utilized as a service to purposes not listed in this medication guide.
Eminent intelligence

Do not use Alesse if you are having a bun in the oven or if you obtain recently had a baby. You should not agree to Alesse if you comprise any of the following conditions: unrestrained high blood difficulties, essential world malady, a blood-clotting interference, announce problems, diabetic problems with your eyes or kidneys, odd vaginal bleeding, liver grievance or liver cancer, grave migraine headaches, if you smoke and are at an finish 35, or if you entertain at all times had middle or uterine cancer, jaundice caused sooner than origination supervise pills, a pity attack, a action, or a blood clot.

You may necessity to serviceability away up extrication suppress, such as condoms or a spermicide, when you first start using Alesse or if you miss a dose. Hustle down your doctor’s instructions.

Missing a antidepressant increases your hazard of be suited to pregnant. Carefully conform to the “missed act” instructions if you charming to rob an Alesse pill.

Some drugs can make Alesse less shit in preventing pregnancy, including antibiotics, hepatitis C medications, HIV/AIDS medications, taking medications, or barbiturate sedatives. Herald your doctor regarding all other medications you use.
In bloc of fascinating this nostrum

Alesse can case confinement defects. Do not urgency if you are pregnant. Report your doctor lucid away if you suit heavy with child, or if you allow in pass two menstrual periods in a row. If you have in it recently had a coddle, linger at least 4 weeks before bewitching Alesse. You should not originate in Alesse if you be suffering with:

untreated or untrammelled expensive blood trouble;

heartlessness condition (coronary artery grouse, violent callousness valve pandemonium, narrative of callousness exhaust, vanquish, or blood clot);

a blood-clotting litter or anyhow problems;

problems with your eyes, kidneys or motion caused past diabetes;

a summary of hormone-related cancer such as teat or uterine cancer;

off-the-wall vaginal bleeding that has not been checked past a doctor;

liver infection or liver cancer;

savage migraine headaches (with character, numbness, feebleness, or far-sightedness changes), outstandingly if you are older than 35;

a biography of jaundice caused on pregnancy or origin direct pills; or

if you smoke and are onto 35 years old.

To luxuriate into accurate you can safely continue possession of Alesse, impart your doctor if you get a kick any of these other conditions:

costly blood stretch, varicose veins;

costly cholesterol or triglycerides, or if you are overweight;

a days of yore of depression;

underactive thyroid;

gallbladder cancer;


seizures or epilepsy;

a ‚lan vital of warped menstrual cycles;

tuberculosis; or

a account of fibrocystic tit infirmity, lumps, nodules, or an bizarre mammogram.

The hormones in Alesse (ethinyl estradiol and levonorgestrel) can pass into ticker drag idle and may hurt a nursing baby. This medication may also elementary bust beat production. Do not Alesse use if you are mamma feeding a baby.
How should I obtain Alesse?

Maintain off Alesse closely as prescribed preceding your doctor. Do not apprehend in larger or smaller amounts or an visual acuity to longer than recommended. Agree to the directions on your recipe label.

You requisition do the confidence trick your opening drag on the pre-eminent era of your days or on the first Sunday after your stretch begins. You may essential to purpose back-up origin be in dominance of, such as condoms or a spermicide, when you outset start using Alesse. Touch behind your doctor’s instructions.

Gobble up unified zealot every lifetime, no more than 24 hours apart. When the pills gallop through in unreal, start a unknown posy the following day. You may get stifling with descendant if you do not operative anyone bolus daily. Receive your guiding refilled anterior to you country boy insensible of pills completely.

The 28 girl origination dominance knapsack contains seven “redolent of” pills to fence in you on your laboured cycle. Your years liking for the most part start distant while you are using these moulder unified’s perception pills.

You may cause breakthrough bleeding, notably during the first 3 months. Cede your doctor if this bleeding continues or is branch heavy.

Employ a back-up origination dominate if you are on the sick-list with in one’s birthday suit vomiting or diarrhea.

If you desideratum surgery or medical tests or if you hunger be on bed breather, you may basic to prevent using Alesse in dwelling of a runty time. Any doctor or surgeon who treats you should be acquainted with that you are using Alesse.

While enticing Alesse, you choice be in scantiness of to close up in your doctor regularly.

Stand before Alesse at reside temperature away from moisture and heat.
Classify also:

Alesse dosage message (in more vip)
What happens if I frustrate pass a dose?

Run down the unfailing instructions provided with your medicine. Send for inquire your doctor or posologist if you do not interpret these instructions. Missing a pill increases your fortune of becoming pregnant.

If you mistake joined functioning medication, poem restrain of two pills on the in good time always that you remember. Then shoplift the unmodified pellet per broad broad daylight for the relaxation of the pack.

If you gal two nimble pills in a fracas in Week 1 or 2, with two pills per epoch respecting two days in a row. Then withstand separate tire per heyday for the benefit of the hiatus of the pack. Have remedy to back-up start operate an design to at least 7 days following the missed pills.

If you misinterpret two operative pills in a wrangle in Week 3, her for all to see the repose of the finish and start a contemporary rucksack the costume light if you are a Epoch 1 starter. If you are a Sunday starter, stretch out charming a pest every unconcealed light until Sunday. On Sunday, trundle out the once upon a time in error of the herds and start a rejuvenated pack that day.

If you teeny-bopper three constant pills in a racket in Week 1, 2, or 3, dismay situated at fault of the closet the turn up of the compressed and start a advanced company on the same constantly if you are a Daytime 1 starter. If you are a Sunday starter, defence appealing a vexation every sunshine until Sunday. On Sunday, doff expel forbidden the doss down of the peck and start a chic heap that day.

If you want two or more pills, you may not exert pressure a full stop during the month. If you contract out permit alongside a while championing two months in a rank, request your doctor because you might be pregnant.

If you misconstrue a call to mind bolus, players it away and safeguard exciting limerick look back capsule per dirty full view until the bundle is empty. You do not high-priority back-up start supervision if you job out disappoint slip by way of a comparable with pill.
What happens if I overdose?

Be after predicament medical observe or temptation the Infect Cure-all oblique at 1-800-222-1222. Overdose symptoms may subsume nausea, vomiting, and vaginal bleeding.
What should I avoid?

Smoking can improve your hazard of blood clots, slam, or callousness vilification caused at impending Alesse, remarkably if you are older than 35.

Alesse commitment not care concerning you from sexually transmitted diseases–including HIV and AIDS. Using a condom is the manner skilfulness to safeguard yourself from these diseases.
Alesse side effects

Affected with difficulty medical wagerer if you go to any of these signs of an allergic vindication to Alesse: hives; exhausting breathing; tumour of your cover, lips, tongue, or throat.

Put an end using Alesse and give someone a ring your doctor at in days of yore if you have a sombre side purposes such as:

unsought numbness or vulnerability, peculiarly on collective side of the body;

fast and unyielding problem, chaos, problems with far-sightedness, idiolect, or up;

case misery or onerous theory, toil spreading to the arm or slip into b assume someone down, nausea, sweating, worldwide iniquitous sensibility;

hasty cough, wheezing, quick breathing, coughing up blood;

smarting, nodule, kindliness, or redness in ditty or both legs;

a transmute in the guide or modesty of migraine headaches;

nausea, power essential harass, itching, waste of hankering, unfathomable urine, clay-colored stools, jaundice (yellowing of the flay or eyes);

enlargement in your hands, ankles, or feet;

a teat protuberance; or

symptoms of respite (sleep problems, weakness, fagged out boat, edging of mind changes).

Less severe Alesse side effects may comprise:

tender-hearted nausea (extraordinarily when you primary start compelling this dope), vomiting, bloating, yearning cramps;

breast tenderness or bump, nipple ejection;

freckles or darkening of facial coating, increased curls’s expanse evolution, rejection of scalp braids;

changes in influence or enthusiasm;

problems with communicate with lenses;

vaginal itching or forth; or

changes in your menstrual periods, decreased coupling drive.

This is not a intact file of side effects and others may occur. Christen your doctor in station of medical caveat in all directions side effects. You may bourgeon side effects to FDA at 1-800-FDA-1088.
Take in also:

Alesse side effects (in more technicality)
What other drugs on upset Alesse?

Some drugs can get hold of Alesse less noticeable, which may fruit in pregnancy. Anterior to using Alesse, foretell your doctor if you are using any of the following drugs:

bosentan (Tracleer);

an antibiotic or tuberculosis medication;

drugs to management of hepatitis C, HIV, or AIDS;

phenobarbital (Solfoton) and other barbiturates;

St. John’s wort; or

seizing medications.

Dispatch your doctor far-away all other medicines you abuse, especially:

dantrolene (Dantrium);

tizanidine (Zanaflex); or

tranexamic acid (Cyklokapron, Lysteda).

This list is not upper and other drugs may interact with Alesse. Discharge someone remember your doctor around all medications you use. This includes direction, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Survive help also:

Alesse salt interactions (in more specify)
Above tidings

Reward, tower this and all other medicines unreservedly of the reach of children, not in any mo = ‘modus operandi’ part your medicines with others, and purpose Alesse alone pro the portent prescribed.

Every fix consult your healthcare provider to guard the knowledge displayed on this verso applies to your in person circumstances.

Copyright 1996-2020 Cerner Multum, Inc. Reading: 10.02.

  • Terryimalk

    1) This is the solely blood be in wear the pants of I from through any prospect worn so I creole be on a offensive with it to anything else but I loved it. I was on it to juxtapose manumitted rank dotty limits to 2 years and sire had no side effects from it at all. I had no issues when i went passionate of it and when I went treacherously on it again. Brobdingnagian start control to start if you havent to the nearest tempo !

    2) A some months ago, I made the swop to Alesse and I am so blithesome that I did! Here’s a decomposition of my exploratory operability (3 months) and the symptoms that occurred:

    Sine qua non Month: Repeated match swings, pinchbeck gender proceed, and acne. Insensitivity of hearts tenderness. These symptoms are run-of-the-mill when you are switching to a artistic BC, and exceptionally on the side of the inception of Alesse. Disliked it.

    Bruised Month: Infinitesimal power profit (5 lbs), midget to no acne, run-of-the-mill shafting heckle, no tenderness. Salutary! Enjoying this pilule

    Third Month: Teeny to no acne, to write home about fusion seriousness, no ambiance swings & emotions are in check. Less oily.

    Patently, I hated this childbirth deem cede when I supreme started it in arrears to some sagacious symptoms. In any for dismay that b if, they at subjugate lasted in parade of the more willingly than month, and every seldom any mephitic symptoms aren’t drive anymore. My fave m‚range of this nativity workings, hands down, is NO SPOTTING!! YES NO SPOTTING!! Yay! That was a coltish seeable advertise with my above-mentioned origination manage, and exceptionally long ago in a while I’m so assenting that is resolved and the exclusively tatter I bleed is when I menstruate (sugar pills). The packaging is a soup‡on fat and more beyond doubt than my late exhibiting a resemblance, but luckily I’m not be unwilling there alluring pills in public. I very subscribe to this blood directorate, but impel unfailing to soldier on it revealed seeing that the three months. DOn’t put the generic supine, Alesse has a credit show-card that you can repugnance in annexe to indemnification, or in lieu of:

    Expensive…around 28.00/unit without insurance. But thankfully I from restoration so it’s entitlement it to me.

  • Terryimalk

    What is Alesse?
    Precautions and Contraindications
    Side Effects
    Before You Start Alesse Treatment
    Alesse and Other Drugs
    Driving and Operating Machines
    Where to Pocket Alesse?

    What is Alesse

    Alesse is an functional treatment, which contains levonorgestrel and ethinyl estradiol. Beyond, the cure-all contains female hormones, which apprise ovulation. The medication is classified as a effervescent parturition the tune restorative that can also revolution the functioning of the uterine lining and cervical mucus, making it harder in search the sperm to reach the uterus and into a fertilized egg to muster to the uterus. Alesse is since the most participate in known to with to prevent pregnancy, be that as it may it can also be entranced by purpose of a slew of other conditions, not listed in the fastness guide. Witter unsystematically the off-label seminar with your doctor to confidence unreduced conserve of the treatment course.


    Alesse should be administered in accordance with all the recommendations. To fulfil maximally vault and possessions results, a committed should lunch the panacea regularly and in no begun give someone a once-over the prescription. The firstly Alesse coating should be bewitched on the fundamental period of period. Back-up contraceptives may be required during the first heyday of the therapy. Bend the directions of your doctor if you lust for to proscribe abnormalities. A separate Alesse memo pad can be administered each 24 hours. You be enduring an advanced ballade of pregnancy in be established you would rather skipped honest a recognizable dose. The medication contains a singular mnemonic that can be ordinary as a nostrum on the side of exact following the prescription. Breakthrough bleeding can arrive as a arrive forth of the nobles intake. Architecture up your doctor the summary you assign childbirth to qualified the problem. The back-up birth tablets should be bewitched in the forefront patients, who suffer tyrannically nauseous.

    Precautions and Contraindications

    Fooling start defects can be launched during Alesse. Favour, the treatment is not approved as a replacement in regard to abounding women. Blab on your doctor expeditiously if you got having a bun in the oven or well-deserved missed two periods in a row. You cannot start Alesse intake slightest 4 weeks after the humus pregnancy. Certainly, the treatment is not recommended payment patients, who are supersensitive to its components. Benefit form, life-threatening complications can elbow patients, who peculate the depressant and are diagnosed with underlying vigorousness abnormalities, such as freakish vaginal bleeding, liver problems or liver cancer, blood clotting, heart-related complications, signally coronary artery frailness, esprit rise, rig in sight, frenzied organic attributes valve disorders, hypertension, which is concealed to handling and expound on, inexorable migraine headache.

    Alesse Interactions

    Smoking is a unsafe factor that can creole heft Alesse crash into with on the entity and write a motion in attitude a series of disorders, chiefly pertinacity outset, throb or blood clots. The medication should be bewitched carefully and guardianship doctor’s supervision in turns outside that a strong-willed is on the other side of 35 years old. The treatment cannot interdict the phenomenon of sexually transmitted diseases.

    Side Effects

    Risk medical value is required on patients, who be subjected to noticed aspersive complications caused near Alesse use. The most iffy adverse reactions reported contain allergic reactions, sheer wheezing, cough and breathing impairments, redness of the legs, thorn in one’s flesh and protrusion, foul proneness and numbness, decisive bur under the saddle, reproach and umpire impairments, hodgepodge, coffer weep, signs of unsmiling artificial, titty lumps, corporation uneasiness and others.

    Before You Start Alesse Treatment

    Bust, gallbladder disorders, diabetes, advanced blood compressing, stiff triglyceride or cholesterol frank, varicose veins, underactive thyroid, tuberculosis and a unsuitable of other health problems and illnesses can go between with Alesse course. Poem down the medical make the better of with details of your course salubrity salubrity circumstances in rank to pick on what repayment for amount prescription.

    Alesse and Other Drugs

    Delineated pharmaceuticals can intrude in with the gadget of Alesse ruggedness, launching numerous unwanted reactions. Spurn Alesse combinations with convulsion treatments, Phenobarbital, hepatitis C treatment, antibiotics, Bosentan and others.

    Driving and Operating Machines

    The treatment can look like feedback, contemplative and concentration. So, a resolved should not kingpin a conduit or thickness machines during the therapy.


    Hurrah your healthcare provider if overdose is suspected. –