Female Healthcare

Women’s Health Conditions must be managed under the guidance of a registered healthcare provider. Please speak to your doctor if you are unsure which condition is relevant to you.

How to use Lexilev.

 

1. How to start Lexilev

If it is the first time you take LEXILEV (and you’re not on any other oral contraceptive), take one yellow tablet daily for 21 uninterrupted days, beginning on Day 1 of your menstrual cycle, i.e. the first day of bleeding.

1.1 Starting LEXILEV after a miscarriage or abortion.
If you have had a miscarriage or an abortion during the first three months of pregnancy, your doctor may tell you to start taking LEXILEV straight away. Discuss this with your healthcare provider.

If you have had a miscarriage or an abortion after the third month of pregnancy, ask your doctor for advice. You may need to use extra contraception, such as condoms, for a short time.
1.2 Contraception after having a baby.
If you have just had a baby, your doctor may advise you that LEXILEV should be started 21 days after delivery provided that you are fully mobile. You do not have to wait for a period. You will need to use another method of contraception, such as a condom, until you start LEXILEV and for the first 7 days of pill taking.
1.3 If you are sick or have Diarrhea. 
If you are sick (vomit) or have very bad Diarrhea within 4 hours of taking LEXILEV, your body may not get its usual dose of hormones from that tablet. Take another tablet and continue with the pack.
Talk to your doctor if your stomach upset carries on or gets worse. Your doctor may recommend another form of contraception.

2. When to take Lexilev

Take LEXILEV every day for 28 days. LEXILEV comes in strips of 28 pills. There are 21 active yellow tablets, and 7 inactive white tablets.

  • Take your pill at the same time every day, no longer than 24 hours apart, preferably after the evening meal or at bedtime.
  • Swallow each pill whole, with water if necessary. Do not chew the pill.
  • If it is the first time you take LEXILEV, take one yellow tablet daily for 21 uninterrupted days, beginning on Day 1 of your menstrual cycle, i.e. the first day of bleeding.
  • One white inactive tablet is taken daily for the next 7 continuous days.
  • Withdrawal bleeding should usually occur 2 to 4 days after the last yellow tablet is taken.
  • During this first cycle, an alternative method of contraception, such as a condom, should be used together with LEXILEV until 14 tablets have been taken. If the tablets are begun after Day 5 of your menstrual cycle, or after giving birth, it must be considered that ovulation and conception may have occurred before the tablets were started.

Then start your next strip.

The next and all the following courses will begin on the day after the last package was completed, even if withdrawal bleeding has not occurred or is still in progress. Each course of LEXILEV is therefore begun on the same day of the week and follows the same schedule (21 days of yellow tablets, 7 days of white inactive tablets) as the first course.

 

3. How to switch from another contraceptive

 

If you are changing from another oral contraceptive product to LEXILEV, start LEXILEV on the day you would usually start a new package of the other product.
During the first LEXILEV cycle, an alternative method of contraception, such as a condom, should be used until 14 uninterrupted tablets have been taken. If temporary spotting or breakthrough bleeding occurs, continue the treatment since such bleeding is usually without significance. If the bleeding is persistent or prolonged, contact your doctor.
  • If you are currently taking a 21-day Pill or a 28-day Pill:
    – Start LEXILEV the next day after the end of the previous strip 
  • or, if you are taking a progestogen-only Pill (POP or ‘mini-Pill’):
    – Start LEXILEV on the first day of bleeding, even if you have already taken the progestogen-only Pill for that day. The remaining progestogen-only tablets should be discarded.

4. What to do when you forget

Take a missed yellow tablet as soon as you remember. If two consecutive yellow tablets are missed, they should both be taken as soon as you remember. In either case, the next tablet should be taken at its usual time. Each time you miss one or two consecutive yellow tablets, a mechanical method of contraception, such as a condom, should be supplemented until 14 consecutive daily tablets have been taken or until the package is finished if less than 14 yellow tablets remain.

If you miss one or more white placebo tablets, you are still protected against pregnancy, provided you begin the yellow tablets on the proper day. If three consecutive yellow tablets are missed, LEXILEV should be discontinued, and the remainder of the package discarded. A new package should be started on the eighth day after the last tablet was taken.

A mechanical method of contraception, such as a condom, should be used until 14 consecutive daily tablets have been taken.

If withdrawal bleeding does not occur and LEXILEV has been taken according to directions, it is unlikely that you could be pregnant. Begin a second course of LEXILEV on the usual day. If bleeding does not occur at the end of this second cycle, you should not take LEXILEV until you are certain that you are not pregnant, by consulting your doctor and having a pregnancy test done.

If you have missed one or more yellow tablets or started taking them on a day later than
recommended, the probability of pregnancy should be considered at the time of the first missed period before LEXILEV is restarted.

5. Barrier contraceptives

Tablet-taking should usually start on the first day of your natural menstrual cycle (on the first day of menstrual bleeding). An additional barrier method – such as the use of a condom – is recommended for the first seven days of tablet taking during the first cycle.

 

Download the PIL here

ORAL CONTRACEPTIVE

Visit here to find out more about the symptoms and management of women’s health conditions.

PRIMARY DYSMENORRHOEA

Visit here to find out more about the symptoms and management of women’s health conditions.

DYSFUNCTIONAL UTERINE BLEEDING

Visit here to find out more about the symptoms and management of women’s health conditions.

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These articles are for information purposes only. It cannot replace the diagnosis of a healthcare provider. Pharma Dynamics gives no warranty as to the accuracy of the information contained in such articles and shall not, under any circumstances, be liable for any consequences which may be suffered as a result of a user’s reliance thereon.

The information the reader is about to be referred to may not comply with the South Africa regulatory requirements. Information relevant to the South African environment is available from the Company and in the Professional Information/Patient Information Leaflet/Instructions for Use approved by the Regulatory Authority.

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