Alesse 28 day (Levonorgestrel/Ethinyl Estradiol)

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Alesse 28 day Brand
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Levonorgestrel/Ethinyl Estradiol (Generic alternate to Alesse 28 day) Generic

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Table of contents:

Alesse is a prescription medication used for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. It contains two hormones, levonorgestrel and ethinyl estradiol, which work together to prevent ovulation (the release of an egg from the ovaries) and to make it difficult for sperm to reach an egg. Alesse is a combination birth control pill and should only be used under the guidance of a healthcare provider.

Each pack contains 28 pills, with 21 active pills that contain hormones (levonorgestrel and ethinyl estradiol) to prevent ovulation and seven inactive or "reminder" pills that do not contain hormones. The active pills need to be taken at the same time each day for 21 consecutive days, followed by the seven days of inactive pills. During the week of inactive pills, a woman may have her menstrual period.

Use and Dosage

To use Alesse 28-day pack, you should take one pill every day at the same time for a total of 28 days. The pack contains 21 hormone-containing pills and 7 reminder pills. It is recommended that you take the pills at the same time each day, preferably after the evening meal or at bedtime.

If you are starting the pack for the first time, you should begin taking the pills on the first day of your menstrual period. If you are switching from another birth control method, you should follow your doctor's instructions for when to start taking the pills.

If you miss a pill, take it as soon as possible, even if it means taking two pills in one day. You should also use backup contraception, such as condoms, for at least 7 days. If you miss two or more pills, you should contact your doctor or pharmacist for further instructions. Note that Alesse 28-day pack is a prescription medication and should only be used under the guidance of a healthcare professional.

Side Effects

Common Side Effects of Alesse 28-day (Levonorgestrel/Ethinyl Estradiol):

  • Bloating
  • Breast pain or swelling
  • Swelling of the legs, feet, and hands
  • Headaches
  • High blood pressure
  • Menstruation changes (missed or fewer periods)
  • Nausea
  • Stomach upset or abdominal pain
  • Vaginal bleeding or spotting between periods
  • Vomiting
  • Weight gain

Serious Side Effects of Alesse 28-day (Levonorgestrel/Ethinyl Estradiol):

  • Blurring or changes of vision
  • Breast lumps
  • Changes in memory, mood, or thinking
  • Chest pain
  • Depression or feeling sad
  • Fainting
  • Jaw pain
  • Severe or persistent abdominal pain
  • Severe or persistent headache
  • Shortness of breath
  • Sudden leg pain, swelling, warmth or redness
  • Symptoms of liver damage (such as yellowing of skin or eyes, dark urine, unusual tiredness, or weakness; severe stomach or back pain)
  • Symptoms of stroke (such as one-sided weakness, slurred speech, confusion)

Forms and Strength

Alesse 28-day (Levonorgestrel/Ethinyl Estradiol) is available in the following forms and strength:

Alesse 28-day: Packs

  • 0.1/0.02mg


  • Alesse 28-day may increase the risk of blood clots, stroke, or heart attack, especially in women who smoke or have a history of blood clots, high blood pressure, or high cholesterol.
  • Women who are pregnant or breastfeeding should not use Alesse 28-day.
  • Alesse 28-day may cause side effects such as headaches, nausea, vomiting, breast tenderness, or changes in weight or appetite.
  • Alesse 28-day may interact with other medications, including antibiotics and seizure medications.
  • Women with a history of liver disease, diabetes, or certain cancers may need to use Alesse 28-day with caution.
  • Alesse 28-day does not protect against sexually transmitted infections (STIs), so additional protection such as condoms may be needed.
  • Women who are over 35 years old and smoke may be at a higher risk of serious cardiovascular events if using Alesse 28-day.
  • Alesse 28-day may interact with herbal supplements or over-the-counter medications, discuss any other medications or supplements with a healthcare provider.
  • Women who experience any persistent or severe side effects or symptoms while taking Alesse 28-day, such as vision changes or severe abdominal pain, should seek medical attention.
  • Alesse 28-day may increase the risk of cervical cancer, although the risk is considered low.
  • Women who have a history of depression or mood disorders should use Alesse 28-day with caution, as it may exacerbate these conditions.

Frequently Asked Questions (FAQ)

Can I use Alesse 28-day to delay my period?

Alesse 28-day can be used to delay your period by skipping the inactive pills and starting a new pack of active pills. However, this should only be done under the guidance of a healthcare provider.

Can Alesse 28-day cause weight gain?

Weight gain is a rare side effect of Alesse 28-day, but it may occur in some women due to the pill's effect on hormone levels.

What should I do if I vomit after taking Alesse 28-day?

If you vomit within two hours of taking Alesse 28-day, follow the instructions provided in the package insert or by your healthcare provider. You may need to take another pill to ensure that you have absorbed the medication.


It's important to purchase Alesse 28 day from verified Canadian pharmacy.

Additional information

Generic name:

Levonorgestrel/Ethinyl Estradiol





Quantities Available:

1, 3


Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Alesse 28 day (Levonorgestrel/Ethinyl Estradiol). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Alesse 28 day (Levonorgestrel/Ethinyl Estradiol).