Millinette 20/75 is a low-dose combined oral contraceptive pill containing ethinylestradiol (20 micrograms) and gestodene (75 micrograms). It works by stopping ovulation, thickening cervical mucus to block sperm, and thinning the womb lining to reduce implantation.
Each pack contains 21 active tablets. When taken correctly, Millinette is over 99% effective at preventing pregnancy.
Millinette 20/75 Tablets
From: £14.99
- 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 7 days, even if bleeding continues.
- A withdrawal bleed usually occurs during the pill-free break.
Starting Millinette:
- 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, or if no bleed occurs, seek medical advice.
Vomiting or severe diarrhoea within 3–4 hours of taking a tablet may reduce protection — follow missed-pill advice and use extra contraception for 7 days.
After childbirth:
- Start 21–28 days after delivery if not breastfeeding.
- Not recommended during breastfeeding — seek medical advice.
Serious side effects (seek urgent medical help):
- Blood clots (DVT, pulmonary embolism, heart attack, stroke).
- Sudden chest pain, breathlessness, leg swelling, severe headache or visual disturbance.
- Severe allergic reactions (swelling of face, lips, tongue or throat).
- Severe liver problems (yellowing of skin or eyes, severe abdominal pain).
- Possible signs of breast or cervical cancer.
Common side effects:
- Headache
- Nausea or stomach pain
- Mood changes or depression
- Weight gain
- Breast tenderness
- Irregular bleeding or spotting, especially in the first few months
Report side effects via the MHRA Yellow Card Scheme.
Do NOT take Millinette if you:
- Are pregnant.
- Have ever had a blood clot, 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 medicines (ombitasvir/paritaprevir/ritonavir, dasabuvir, glecaprevir/pibrentasvir, sofosbuvir/velpatasvir/voxilaprevir).
Speak to a clinician before use if you:
- Are over 35 and smoke.
- Are overweight (BMI >30).
- Have diabetes, high blood pressure, depression, epilepsy, lupus, Crohn’s disease or gallbladder disease.
- Have a personal or family history of blood clots.
Important information:
- Slightly increases the risk of blood clots and breast/cervical cancer, but reduces ovarian and womb cancer risk with long-term use.
- Does not protect against STIs — condoms are recommended.
- Some medicines and herbal remedies (e.g. epilepsy medicines, rifampicin, St John’s Wort, HIV treatments) can reduce effectiveness.
- Contains lactose and sucrose.
How effective is Millinette 20/75?
Over 99% effective with correct use.
Will Millinette affect my periods?
Periods usually become regular, lighter and less painful.
Can I get pregnant after stopping Millinette?
Yes — fertility returns quickly after stopping.
What should I do if I miss a pill?
Take the last missed pill immediately and use extra contraception for 7 days if more than 12 hours late.
Can I take Millinette after having a baby?
Yes, from 21–28 days after delivery if not breastfeeding. Breastfeeding women should use another method.
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