Levest is a combined oral contraceptive pill containing levonorgestrel (150 micrograms) and ethinylestradiol (30 micrograms). It prevents pregnancy by stopping ovulation, thickening cervical mucus to block sperm, and thinning the lining of the womb to reduce implantation.
Each pack contains 21 active tablets. When taken correctly, Levest is over 99% effective at preventing pregnancy.
Levest
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- Take one tablet daily at the same time each day.
- Take tablets for 21 days, followed by a 7-day tablet-free break.
- Start the next pack after the 7-day break, even if bleeding continues.
- A withdrawal bleed usually occurs during the break.
Starting Levest:
- Start on Day 1 of your period for immediate protection.
- If starting on Days 2–5, use additional contraception for 7 days.
Missed tablet:
- Less than 12 hours late: take as soon as remembered and continue as normal.
- More than 12 hours late: take the last missed tablet immediately and use extra contraception for 7 days.
- If more than one tablet is missed, seek medical advice.
Vomiting or severe diarrhoea within 4 hours of taking a tablet may reduce protection — take another tablet and use extra contraception for 7 days.
After childbirth:
- Start 21 days after delivery if fully mobile and not breastfeeding.
- If breastfeeding, seek medical advice before use.
- Take one tablet daily at the same time each day.
- Take tablets for 21 days, followed by a 7-day tablet-free break.
- Start the next pack after the 7-day break, even if bleeding continues.
- A withdrawal bleed usually occurs during the break.
Starting Levest:
- Start on Day 1 of your period for immediate protection.
- If starting on Days 2–5, use additional contraception for 7 days.
Missed tablet:
- Less than 12 hours late: take as soon as remembered and continue as normal.
- More than 12 hours late: take the last missed tablet immediately and use extra contraception for 7 days.
- If more than one tablet is missed, seek medical advice.
Vomiting or severe diarrhoea within 4 hours of taking a tablet may reduce protection — take another tablet and use extra contraception for 7 days.
After childbirth:
- Start 21 days after delivery if fully mobile and not breastfeeding.
- If breastfeeding, seek medical advice before use.
Do NOT take Levest if you:
- Are pregnant.
- Have ever had blood clots, stroke, heart attack, or angina.
- Have migraine with aura.
- Have severe liver disease or liver tumours.
- Have breast cancer or hormone-dependent cancer.
- Have very high blood pressure or severe diabetes with complications.
- Are taking certain Hepatitis C treatments (e.g. ombitasvir/paritaprevir/ritonavir-containing regimens).
Speak to a clinician before use if you:
- Are over 35 and smoke.
- Are overweight (BMI >30).
- Have diabetes, high blood pressure, migraines, epilepsy, lupus, Crohn’s disease or gallbladder disease.
- Have a family history of blood clots or breast cancer.
Important information:
- Slightly increases the risk of blood clots and breast/cervical cancer.
- Does not protect against STIs — condoms are recommended.
- Some medicines and herbal remedies (e.g. epilepsy medicines, rifampicin, St John’s Wort) can reduce effectiveness.
How effective is Levest?
Over 99% effective with correct use.
Will my periods change?
Periods usually become regular, lighter and less painful.
Can I get pregnant after stopping Levest?
Yes — fertility returns quickly after stopping.
What should I do if I miss a pill?
Take the last missed pill as soon as possible and use extra contraception for 7 days if more than 12 hours late.
Can I take Levest after having a baby?
Yes, from 21 days after delivery if not breastfeeding. Breastfeeding women should seek medical advice.
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