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Author Topic: Missed pills - what next?
HeyLife
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Hi guys. So, I came home for the weekend from college, assuming I forgot to pack something and hoping it wasn't important. Well, lucky me, I forgot my pills. I'm currently on Velivet. I left Friday, so the last pill I took was on Thursday night. I'll be back Monday night. I just finished week two of my pills.

When I get back, what do I do? I assume I start a new pack. Do I start as soon as possible, or wait and let my withdrawal bleed have its seven days (because it's starting now)? Also, at this point in the pack, will insurance be a problem? I know that you can't get another pack until a certain amount of time has passed since you got the last one.

Thanks.

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Heather
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When you get back, you'll go ahead and take a placebo week, then start again on Thursday with a new pack. (And don't throw away the old one: if you ever miss just one or two pills, it can come in handy for makeup pills.) You'll want to use a backup method of BC from now until you've been on the new pills a week.

I can't speak for your insurance coverage of the new pack, because plans differ. You'll have to ask your pharmacist what your plans cover.

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HeyLife
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Okay. I asked my sister, and she found information online that said I should start a new pack as soon as possible without the placebo week. I just don't want to screw up my cycle. Is this another theory/possibly on what to do, or it is wrong?
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Heather
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What pill are you using?

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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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HeyLife
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I'm using Velivet and I was just about to start week 3.
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Heather
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I'm having a hard time finding a version on the patient information packet that comes with your pills to get specific instructions for that one.

Do you have a copy or did you throw it out?

If you tossed it (and really, always keep a copy), then you can call into your pharmacist to get the specific directions for this particular pill.

[ 02-15-2010, 11:48 PM: Message edited by: Heather ]

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Heather Corinna, Executive Director & Founder, Scarleteen
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Heather
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Nix that, found one. Here's the info for missed pill for Velivet:

quote:
f a patient misses one active tablet in Weeks 1, 2, or 3, she should take the missed tablet as soon as she remembers. If the patient misses 2 consecutive active tablets in Week 1 or Week 2, the patient should take 2 tablets the day she remembers and 2 tablets the next day; thereafter, the patient should resume taking 1 tablet daily until she finishes the cycle pack. The patient should be instructed to use a back-up method of birth control if she has intercourse in the 7 days after missing pills. If the patient misses 2 consecutive pink (active) tablets in the third week or misses 3 or more active tablets in a row at any time during the cycle, the patient should keep taking 1 active tablet daily until the next Sunday. On Sunday the patient should throw out the rest of that cycle pack and start a new cycle pack that same day. The patient should be instructed to use a back-up method of birth control if she has intercourse in the 7 days after missing pills.


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Heather Corinna, Executive Director & Founder, Scarleteen
About Me • Get our book!
Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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Heather
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But, since you'll basically be taking a placebo period as you can't take those 1 pill each day after a miss, I'd advise figuring you started your placebo week Thursday, then start your next new pack this Thursday, and again, use a backup from now until the end of that first week of the next pack's pills.

In other words, I'd stick with my original suggestion, but if you want a second opinion, ring your pharmacist.

And here's that insert information for you if you want to bookmark it for future reference: http://www.drugs.com/pro/velivet.html

[ 02-15-2010, 11:57 PM: Message edited by: Heather ]

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Heather Corinna, Executive Director & Founder, Scarleteen
About Me • Get our book!
Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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HeyLife
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Okay, thanks! So basically it's just as if I'd finished the third week and gotten to my placebo week, except I'm doing it a week early. That sounds good to me.
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