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Eloine Contraceptive Pill

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What is Eloine?

Eloine is an oral contraceptive pill. It was first approved for contraceptive use in Europe in 2002 by the EMA. It is made by the pharmaceutical company Bayer.

Eloine contains two active ingredients:

  • ethinylestradiol (0.02 mg) - a synthetic oestrogen
  • drospirenone (3 mg) - a synthetic progesterone.

These ingredients work together to prevent pregnancy by stopping ovulation (the release of an egg).

Eloine is known as an “everyday pill” as each pack contains 28 tablets:

  • 24 active tablets (containing hormones)
  • 4 inactive tablets (containing no active ingredients to allow for a withdrawal bleed)

In addition to preventing pregnancy, Eloine is sometimes used to treat hormonal acne or premenstrual dysphoric disorder (PMDD). At euroClinix, it is prescribed for contraception only.

How does Eloine work?

Eloine is a combined contraceptive pill. This means it contains synthetic versions of both oestrogen (ethinylestradiol) and progesterone (drospirenone).

These synthetic hormones work in 3 key ways to prevent pregnancy.

How Eloine tablets work

A simple explanation of how Eloine tablets prevent pregnancy

Image 1

Stops ovulation

Ovulation is when your ovaries release an egg each month. Eloine prevents the production of key reproductive hormones, luteinising hormone (LH) and follicle-stimulating hormone (FSH), that trigger ovulation. If no egg is released, there is nothing to fertilise, so pregnancy is prevented.

Image 1

Thickens the cervical mucus

Eloine thickens cervical mucus, making it harder for sperm to reach the egg, further reducing the chance of fertilisation.

Image 1

Thins the uterine lining

The lining of the womb (uterine lining) thickens during your menstrual cycle so a fertilised egg can implant in the womb. Eloine thins the womb lining, making it unlikely for an egg to attach.

What are the benefits of Eloine?

Eloine is an effective form of contraception with unique benefits.

Key benefits of Eloine

Image 1

Highly effective

Eloine tablets have a very low risk of causing pregnancy. They are over 97-99% effective when used correctly.

Image 2

Daily tablet

Eloine is an ‘everyday pill’, which means you don’t need to have a pill-free break. This is ideal if you struggle to remember to restart your pills after the break.

Image 3

Easy to take

Eloine is one of the least invasive contraceptive methods and the simplest to use. You simply take a pill once a day.

Image 4

Improves menstrual symptoms

Research suggests Eloine reduces menstrual bleeding more than other combined pills. This is because you have a shorter hormone break and a lower dose of oestrogen.

You can also safely and easily delay your period when taking Eloine. If you have an event or holiday where you don’t want your period, you can simply skip the 4 inactive pills to prevent the withdrawal bleed.

How effective is Eloine?

While no contraception method is 100% effective, some contraceptive methods have higher effectiveness rates than others.

Eloine tablets are 97-99% effective with perfect use

Eloine tablets offer one of the highest efficacy rates among birth control options.

This is based on the Pearl Index, which measures how many pregnancies occur per 100 women using the contraceptive method over one year. The lower the number, the more effective it is.

  • One study investigating the effectiveness of Eloine found that only 11 pregnancies occurred out of 11,140 cycles of treatment.
  • It considered the majority of these pregnancies to be due to improper use.
  • It concluded that the Pearl Index of Eloine was 0.72, meaning 7 in every 1000 women who use it for one year will become pregnant.

However, Eloine is only so effective if you use it correctly. Improper use like forgetting to take pills on time can reduce its effectiveness and increase the risk of pregnancy.

Who can and cannot use Eloine?

Eloine is suitable for most people. However, you should always ask your doctor if you have another medical condition or take any other medication.

Who can use it

  • Fertile women who want safe and effective contraception.
  • Women looking to improve menstrual symptoms.

Your doctor will want to monitor your weight and blood pressure throughout treatment to make sure it is still safe for you to take - even if you are a healthy weight or have normal blood pressure.

Who cannot use it

You cannot use Eloine if you are allergic to Eloine or any of the other ingredients present in this medicine. You should also avoid this medicine if any of the following apply to you:

Pregnancy and postpartum

  • are pregnant or think you may be pregnant
  • are less than 3 weeks postpartum and are not breastfeeding with other risk factors for blood clots
  • are less than 6 weeks postpartum and are breastfeeding

Heart problems or blood disorders

  • have certain heart problems (e.g. cardiomyopathy and heart disease)
  • have acute porphyrias (a rare group of genetic disorders that affect red blood cells)
  • have atrial fibrillation (a common heart rhythm disorder)
  • have high blood pressure
  • have known genetic mutations that increase the risk of blood clots
  • have previously had a blood clot
  • have had a stroke or a mini-stroke (a transient ischaemic attack or TIA)
  • have systemic lupus erythematosus (SLE) with antibodies that can increase the risk of blood clots

Other medical conditions

  • have severe diabetes
  • currently have breast cancer or liver cancer
  • have had major surgery and will be immobile for a prolonged period
  • have migraine with aura
  • smoke more than 15 cigarettes a day and are 35 years or older

Cautions

You should also ask your doctor if you have any of the following conditions, as you may be at a greater risk of side effects:

Cancer risks

  • carrier of breast cancer gene mutations (e.g. BRCA1 or BRCA2)
  • abnormal precancerous cervical cells or cervical cancer
  • history of breast cancer
  • focal nodular hyperplasia (a benign tumour on the liver)

Heart and blood-related risks

  • a personal or family history of high triglyceride levels in the blood
  • being at risk of heart problems or blood clots
  • sickle-cell disease

Liver, gallbladder, and digestive issues

  • cholestasis (problems with bile flow) during pregnancy or whilst taking a combined contraceptive
  • gallbladder disease
  • inflammatory bowel disease
  • viral hepatitis whilst taking combined contraception
  • bariatric surgery (weight loss surgery) with a BMI between 30 and 34

Other medical conditions

  • history of mood side effects on combined contraception
  • having an organ transplant
  • undiagnosed breast mass or symptoms whilst taking combined contraception
  • undiagnosed vaginal bleeding
  • a BMI of 35 or above

If you’re not sure, ask your doctor for advice.

How do I take Eloine?

What dose do I take?

Eloine contains both active and inactive tablets. You take one tablet each day, starting with the active tablets, followed by the inactive tablets.

The active tablets contain synthetic versions of hormones. Each active tablet contains:

  • 0.02 mg of ethinylestradiol (oestrogen)
  • 3 mg of drospirenone (progesterone)

The inactive or ‘placebo’ tablets do not contain any hormones.

The active pills are pink and the inactive pills are white. This is to avoid confusion.

When do I start it?

You should take your first Eloine tablet on days 1-5 of your cycle (when your period starts) for immediate effectiveness. If you start on day 6 or later, it will not be effective for 7 days - use additional protection, such as condoms, during this time.

Your doctor’s advice will be different if starting Eloine after childbirth, miscarriage, abortion or when switching between contraceptives.

Directions for starting Eloine

When not pregnant and not switching from another contraceptive

  • Start Eloine on days 1-5 of your cycle (when your period starts)
  • Additional barrier contraception is not required if started on days 1-5
  • If started on day 6 or later of your cycle, use barrier contraception for the first 7 days

After childbirth (not breastfeeding)

  • Start Eloine 3 weeks after giving birth if you have no additional risk factors for blood clots
  • Start Eloine 6 weeks after giving birth if you have risk factors for blood clots
  • Use barrier contraception for the first 7 days

After an abortion

  • Start Eloine within 5 days of your abortion for it to be effective immediately.
  • If you take it any later than 5 days, you will need to use a barrier contraceptive for the first 7 days

After a miscarriage or ectopic pregnancy

  • Start Eloine from day 5 after a miscarriage or ectopic pregnancy
  • Use barrier contraception for the first 7 days

Switching from a progestogen-only method

  • From the implant: Take the first pill on the day the implant is removed
  • From the injection: Take the first pill on the day the next injection is due
  • From the mini-pill (POP): Take the first pill on any day after stopping the pill
  • From the hormonal IUD: Take the first pill on the day the IUD is removed
  • Use barrier contraception for the first 7 days

When do I take it?

You should aim to take Eloine pills at the same time every day. This will ensure Eloine remains as effective as possible.

To make sure your contraception is effective, you must remember to take your pills on time. Why not try setting reminders on your phone or add it to your calendar?

Dr. Caroline Fontana Lead Prescribing Doctor

Eloine dosage schedule

Day 1

Take your first active pill

Day 25

Take the first inactive pill to allow for a withdrawal bleed

Day 29

Take the first active pill in a new pack

Follow the arrows on the blister pack so that you take them correctly.

Each pack of Eloine contains 7 strips that have the days of the week. You can apply them to the blister pack to help you keep track of your pills.

What should I do if I miss a pill?

If you forget to take a pill, the advice will depend on how long it has been and during which week the pill is missed. A missed pill is a pill that is late by 24 hours.

It has been less than 24 hours since your last active pill:

  • Your protection will not be affected.
  • Take the missed pill as soon as you remember.
  • Take the next pill at your usual time.
  • Additional precautions are not needed.

It has been 24 hours or more since your last active pill:

  • Your protection may be reduced.
  • If you forget a pill at the beginning of the strip and at the end, your protection is most likely to be affected.
  • Follow the advice below based on which week the pill is missed in our missed pill tool or in the patient leaflet in your medicine packet.

Use our interactive tool below on what to do if you miss one or multiple pills in one month (menstrual cycle). Simply click to begin.

Missed pill, what should I do?

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill and take the active (21) pills as per the normal schedule.

2) Skip the pill-free break.

3) Start the new pill pack straight away.

If your pill pack contains 21 tablets, your 4th week should be a pill-free week if you have not chosen to skip it. This means you should still be fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The combined pill may not be as effective. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours before your usual pill time. As long as you are not sick again, you should still be protected against pregnancy. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill and take the active (21) pills as per normal schedule.

2) Skip the inactive (placebo) pills / the pill-free break.

3) Start the new pill pack straight away.

If you missed an inactive pill (placebo), in the 4th week of your cycle, you will still be protected from pregnancy.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The combined pill may not be as effective. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours before your usual pill time. As long as you are not sick again, you should still be protected against pregnancy. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

The combined pill may not be as effective. If intercourse took place in the week prior, the possibility of a pregnancy should be considered. Contact a doctor for advice and consider using an emergency contraceptive method.

You should keep these key points about taking this pill in mind:

1) The more 'white active tablets' are missed and the closer the missed tablets are to the 4 yellow placebo tablets, the higher the risk of pregnancy.

2) 7 days of uninterrupted 'active tablet'-taking are required to attain adequate protection against pregnancy. If you have trouble remembering to take your pill consistently, you should speak to your doctor for advice.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

Provided you have only missed one pill and taken the pills correctly the week prior, you should still be protected against pregnancy.

You should:

1) Take the missed pill or start a new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

If you have missed more than 1 tablet or have not taken the pills consistently the week pior, you should use a barrier contraceptive method for the following 7 days.

If you have missed a pill in the last week of active tablets, the risk of pregnancy is higher. You should still be protected if you have taken the active pills uninterrupted the 7 days before and you take the following advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

If you have missed more than 1 tablet or have not taken the pills consistently the week prior, you should use a barrier contraceptive method for the following 7 days.

If you missed one of the last 4 pills of the pill pack, it should have no impact as these are hormone-free pills. You should:

1) Dispose of the missed pill and take the next scheduled pill at the correct time, ensuring you don't go longer than 4 days before you start a new pack with active pills.

2) You can also start a new pill pack straight away. This changes the first day of your cycle.

If you had sex the week before missing your pill, you may be at risk of pregnancy. Contact your doctor for advice and consider using an emergency contraceptive method. You should also follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

The combined pill may not be as effective. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours before your usual pill time. As long as you are not sick again, you should still be protected against pregnancy. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy if you experienced a few episodes of diarrhoea in a day/for less than 24 hours. Take your next pill as per your usual schedule. Speak to your doctor or pharmacist if you are not sure.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The protection against pregnancy will not be reduced if it has been less 12 hours. But, you should still take the following advice to ensure protection:

1) Take the tablet as soon as you remember.

2) Then take the next tablets at the usual time.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The protection against pregnancy will be reduced. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 9 days.

The protection against pregnancy may be reduced. For multiphasic pills, the advice on missed pills will depend on where in the cycle you are, and on which pill brand you are taking. Follow the advice below:

1) Always familiarise yourself with the instructions in the patient information leaflet (PIL) that comes with your pill packs.

2) Take note of when in your cycle you missed your pill - the advice will differ based on this.

  • 2.1 At the beginning of your cycle you should take the missed pill and continue taking the pill as per the normal schedule. You should use a barrier contraceptive method if you have sex the following 9 days to ensure protection against pregnancy.
  • 2.2 If the missed pill was towards the end of your cycle you may be advised to skip the pill and start a new cycle (take the 1st pill of a new pill pack).

If you forget to take an inactive/placebo pill (the last pills in the pill pack), you do not need to take them later, as they do not contain active substances. But you should throw away the white tablet(s) you forgot to take, so that you do not prolong the period of inactive tablets. Prolongation may increase the risk of pregnancy. Continue to take the next tablet at the usual time. This is only relevant if you are taking a multiphasic pill with 28 pills (not 21).

If you vomited within 3 hours of taking the pill, you should take a new pill no longer than 24 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

If you are less than 12 hours late, take the missed tablet as soon as possible, even if this means taking 2 tablets on the same day. This will ensure that contraceptive protection is maintained.

If you have missed a pill in the first week of your cycle, you should:

1) Take the last missed tablet as soon as possible and then continue to take the rest of the tablets in the normal manner.

2) Use extra contraceptive protection, such as a condom, or refrain from sex, for the next 7 days.

3) If you had sex in that 1st week (without additional contraception), you could become pregnant. Contact your doctor for advice as soon as possible. They may recommend you use emergency contraception. You should still continue taking your pill as normal.

If you are late by more than 12 hours, take the last missed tablet as soon as possible and then continue to take the rest of the tablets in the normal manner. In addition, use extra contraceptive protection, such as a condom for the next 7 days.

If you have fewer than seven tablets in your blister strip after you have missed taking a dose, you should:

1) Complete the blister strip and start the next blister strip without a break.

This will give you protection from when you took the last missed tablet. You may not have a period until the end of two blister strips, but this will not harm you. You may also have some bleeding on days when you take the tablets.

If you vomited within 3 hours of taking the pill, you should take a new pill no longer than 24 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancies. Take your next pill as per your usual schedule.

If you have missed more than one pill, you should:

1) Take the most recently missed pill and skip any previously missed pills.

2) Take your next pills as normal (this could mean taking two pills in one day)

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

4) If you had sex in that 1st week (without additional contraception), you could become pregnant. Contact your doctor for advice as soon as possible. They may recommend you use emergency contraception. You should still continue taking your pill as normal.

If you have missed more than one pill, you should:

1) Take the most recent missed pill (skip any previously missed pills)

2) Take your next pills as normal (this could mean taking two pills in one day)

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

If you missed a pill and have less than 7 pills left of your pack, you should:

1) Take the most recent missed pill (skip any previously missed pills)

2) Take your next pills as normal (this could mean taking two pills in one day)

3) When you finish the strip of pills, start the next strip the next day without a break.

4) Use a barrier contraceptive method if you have sex, for the following 7 days.

5) If you do not have a withdrawal bleed after you have finished the second strip, do a pregnancy test before starting another strip.

The desogestrel pill may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can (as long as it is taken within 12 hours of your normal time).

2) Continue the pack as normal.

The desogestrel pill may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You may be at risk of pregnancy. Please see your own doctor for advice and consider using an emergency contraceptive. Please note you should continue taking the pill as normal if you have used emergency contraception.

The desogestrel pill may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

If you vomited within 3 hours of taking the pill, you should take a new pill no longer than 12 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the mini pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

Your contraception may not be as effective. You should follow the below advice:

1) Take the last missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You will not be protected against pregnancy if you have missed more than 2 pills. Unless a pregnancy can be ruled out, you should stop taking it until it can be confirmed (e.g. from a pregnancy test). If pregnancy can be ruled out, follow the advice below:

1) Continue taking the pill where you left off (or start a new pill pack).

2) Use a barrier contraceptive method if you have sex, for the following 2 days.

3) After seven days of taking the pill at a regular time, you will be protected again.

You are still fully protected, as long as you:

1) Take the pill as soon as you can (no later than 3 hours from your normal time)

2) Continue the pack as normal.

Your contraception may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You may be at risk of pregnancy. Please see your own doctor for advice and consider using an emergency contraceptive. Please note you should continue taking the pill as normal if you have used emergency contraception.

Your contraception may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

If you vomited within 2 hours of taking the pill, you should take a new pill no longer than 3 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the mini pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

Your contraception may not be as effective. You should follow the below advice:

1) The more pills you have missed, the more the effect against pregnancy is reduced.

2) Take the last missed pill or start the new pill pack as soon as you can.

3) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

4) Use a barrier contraceptive method if you have sex, for the following 7 days.

5) If this happened in the 1st week of the cycle (one or more of the first 7 pills), and you had sex the week before, you may be pregnant. Speak to your doctor for advice.

You are still fully protected, as long as you:

1) Take the pill as soon as you can (no later than 24 hours from your normal time).

2) Continue the pack as normal.

Your contraception may not be as effective. The more pills you forget to take, the more the effecicacy reduced. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

You should still be protected against pregnancy as long as you:

1) Take the missed pill and take the rest of the active pills as per normal schedule (24 pills).

2) Skip the 4 inactive (placebo) pills and start the new pill pack straight away.

You will now have a different start day of your cycle.

If you missed one of the last 4 pills of the pill pack it should have no impact (as these are hormone-free pills). You should:

1) Dispose of the missed pill and take the next scheduled pill at the correct time.

2) Be aware that only a specific type of mini pill brands contain inactive pills, and these should be clearly indicated and have a different colour to the rest of the pills (containing hormones). The instructions will be different if you have missed an active pill.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up. They may suggest you use a form of emergency contraception. You can continue taking your pills as normal if you have used an emergency contraception. You should also use a barrier method (such as a condom) if you have sex over the next 7 days.

Your contraception may not be as effective. The more pills you forget to take, the more the effecicacy reduced. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you experienced severe diarrhoea within 3 hours of taking the pill, you should take a new pill as soon as you can, and after no longer than 24 hours than your normal pill time. As long as you are feeling better and do not continue having diarrhoea, you should still be protected against pregnancy.

If you had severe diarrhoea within 3-4 hours of taking your pill and you have not taken a new one (within 24 hours of the normal pill time), or continue to have diarrhoea, you may not be protected. Retake this quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

On rare occasions, the contraceptive vaginal ring can break. Vaginal damage has been reported in connection with the ring breaking. If you discover that your ring has broken, follow the below advice:

1) Dispose of that ring and insert a new ring as soon as possible.

2) Use additional contraception (eg a male condom) for the next 7 days.

3) Contact your doctor if you had intercourse before you discovered that the ring was broken.

If you are being sick (vomiting) or have diarrhoea, the contraceptive ring is still effective (unlike when you are taking the pill).

If you are being sick (vomiting) or have diarrhoea, the contraceptive ring is still effective (unlike when you are taking the pill).

If your ring-free break was no longer than 7 days, you are still protected from pregnancy. You should follow the below advice:

1) Put the new ring in as soon as possible (at your normal insertion time)

2) Replace the ring as per your normal schedule (1 ring should be replaced every seven days, at the same time)

If the ring-free break was longer than 7 days, you may not be protected against pregnancy. The longer the ring-free break lasts, the higher the risk of becoming pregnant. Follow the below advice:

1) Insert a new ring as soon as you remember.

2) Use additional contraception (such as a male condom) if you have intercourse in the next 7 days.

3) If you had intercourse during the ring-free break, there is a possibility that you could be pregnant. Talk to your doctor immediately and consider using a form of emergency contraception.

If the ring has been out of the vagina for less than 3 hours, it will still protect you from pregnancy. You should follow the below advice:

1) Wash the ring in cold or lukewarm water (do not use hot water).

2) Put the ring back in as soon as possible.

3) Replace the ring as per your normal schedule (1 ring should be replaced every seven days, at the same time).

You may not be protected against pregnancy. Take a pregnancy test and consult a doctor before inserting a new ring.

If the ring has been out of the vagina for more than 3 hours, you may not be protected against pregnancy. You should:

1) Wash the ring in cold or lukewarm water (do not use hot water)

2) Reinsert the ring into the vagina as soon as you remember, and leave the ring in place without interruption for at least 7 days.

3) Use a barrier contraceptive method if you have sex, for the following seven days.

4) If you are in your 1st week and you had intercourse in the previous 7 days, there is a possibility that you could be pregnant. In this case, you must contact your doctor.

You may not be protected against pregnancy. You should dispose of that ring and choose one of the following two possibilities:

1) Insert a new ring immediately.

2) This will start the next 3-week period with the ring.

3) You may not have a period, but breakthrough bleeding and spotting may occur.

OR

1) Do not insert a new ring.

2) Have a period first and insert a new ring no later than 7 days from the time the previous ring was removed or fell out.

3) You should only choose this option if you have used NuvaRing continuously for the last 7 days.

If you are being sick (vomiting) or have diarrhoea, the contraceptive patch is still effective (unlike when you are taking the pill).

If you are being sick (vomiting) or have diarrhoea, the contraceptive patch is still effective (unlike when you are taking the pill).

Follow the below advice to ensure you are still protected:

1) Try to attach it again or put on a new transdermal patch immediately (so it has been off for less than 24 hours).

2) Use a new patch if the other one is no longer sticky, has stuck together or to something or if it's fallen off before (do not attempt to use tape or wraps to stick the old one back on).

3) Your "patch change day" must remain unchanged.

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

Follow the below advice to ensure you are still protected:

1) Try to attach it again or put on a new transdermal patch immediately (so it has been off for less than 24 hours).

2) Use a new patch if the other one is no longer sticky, has stuck together or to something or if it's fallen off before (do not attempt to use tape or wraps to stick the old one back on).

3) Your "patch change day" must remain unchanged.

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

If you forget to put on the transdermal patch in your cycle's 1st week, you may have a particularly high risk of becoming pregnant. Follow the advice below:

1) You must use additional non-hormonal contraception for one week (seven days).

2) Put on the first patch of the new cycle as soon as you remember.

3) You now have a new day 1 and a new "patch change day".

If you are on the 4th week of the cycle, you should still be protected against pregnancies. If you left the patch on for too long (forgot to remove it), take it off as soon as you remember. Follow the below advice to stay protected:

1) Start the next cycle on the usual "patch change day", the day after day 28.

2) Continue replacing them weekly, on the same day at the same time.

3) There is no need for additional contraception.

You should still be protected, provided you follow the below advice:

1) Attach a new patch as soon as you remember (within 48 hours).

2) Replace the following patch on the usual "patch change day".

3) No additional contraception is necessary.

If you forget to change the patch for more than 2 days, you can become pregnant. The longer you have been without the patch, the lower the effectiveness will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new patch.

2) You now have a new day 1 and a new "patch change day".

3) You must use a barrier contraceptive method if you have sex, for the following seven days (1st week of cycle).

If you miss more than one pill, you should take a pregnancy test if you have had sex in the week prior to the missed pill.

What should I do if I vomit or have diarrhoea?

Severe vomiting or diarrhoea can reduce your protection.

If you vomit within 3-4 hours of taking an active pill or have diarrhoea for more than 24 hours, you must:

  • Take another active pill as soon as possible.
  • Try to take it within 24 hours of taking the last tablet.
  • If you take it later than 24 hours after the last pill, follow the advice for a missed pill.

For more advice on what to do if you miss a pill, use our handy tool above or consult the patient information leaflet.

What lifestyle changes should I make while using Eloine?

When taking combined hormonal contraception like Eloine, it’s important you follow a healthy lifestyle to avoid developing a blood clot.

Blood clots are serious but rare side effects of Eloine. However, you can reduce the risk by making certain lifestyle changes.

Minimising how many saturated fats you eat will help lower your cholesterol levels and reduce your risk of blood clots. Instead, prioritise healthy fats like avocados, nuts, seeds and oily fish.

Silvia Fonda Nutritionist

Lifestyle tips for Eloine users

How to reduce the risk of blood clots

Image 1

Maintain a healthy weight

  • Clinical studies show that being overweight is a significant risk factor for blood clots.
  • It’s important to maintain a healthy weight while using Eloine.
  • For example, eating a balanced diet, swapping sugary drinks for water, and practising portion control.
Image 2

Avoid high-fat foods

  • Limit or avoid foods that are high in unhealthy fats like cakes, biscuits and fast food.
  • Foods high in saturated fat can cause plaque to build up in the arteries which may rupture and cause a blood clot.
Image 3

Do plenty of exercise

  • A major risk factor for blood clots is immobility.
  • Try to do some physical activity while using Eloine.
  • This could be as simple as a short walk or doing household chores like vacuuming or gardening.

What are the side effects of Eloine?

Common side effects

Very common and common side effects occur in 1-10 in every 100 people using this medicine. These may include:
  • stomach pain or swelling
  • enlarged or sensitive breasts
  • diarrhoea
  • headaches
  • irregular menstrual bleeding
  • depression and mood changes
  • nausea and vomiting
  • changes in libido
  • skin reactions
  • vaginal discharge
  • weight gain
  • uterine cramps
  • vaginal bleeding
  • dizziness
  • fatigue
  • increased risk of infection

Uncommon side effects

Uncommon side effects occur in less than 1-10 in every 100 people. These may include:
  • alopecia (hair loss)
  • increased appetite
  • high blood pressure
  • low blood pressure
  • insomnia
  • fluid retention
  • sensitivity to sunlight
  • vulvovaginal dryness
  • lactation disorders

Rare side effects

Rare side effects occur in less than 1-10 in every 1,000 people. Rare side effects include:
  • asthma
  • gallbladder disorders
  • hearing problems
  • erythema nodosum (a condition that causes painful patches of red or darkened skin)
  • blood clots in the leg (DVT), lungs (PE), or other organs of the body

Eloine, like other forms of combined contraception, can slightly increase the risk of breast cancer. The risk is small and gradually decreases after you finish using it. However, you should still regularly check your breasts for any abnormalities.

Most other side effects of the pill usually go away within a few days to a few weeks. If they do not subside, talk to your doctor.

To view a full list of side effects, check out the patient information leaflet.

How to manage side effects

The most common side effects of Eloine go away on their own after a few months of using it. This is because your body slowly gets used to the medication.

However, there are a few things you can do to reduce certain side effects:

How to manage side effects of Eloine

Image 1

Dizziness

Stay hydrated by drinking plenty of fluids. This can also help with nausea and diarrhoea.

Image 2

Headaches or cramps

Take over-the-counter painkillers, if you are able to, to help with headaches or cramps.

Image 3

Nausea and vomiting

Eat smaller portions and eat more slowly to help with nausea. Try to also go outdoors and get some fresh air.

Image 4

Diarrhoea

Eat soft and easily digestible foods to help with diarrhoea, like bananas and plain rice.

What interacts with Eloine?

Eloine may interact with other medicines you take. You should speak to your doctor if you are taking any other medications before using Eloine.

Medicines that reduce the effectiveness of Eloine

Some medicines may alter or reduce the effectiveness of Eloine, this includes:

  • certain antinausea medicines (e.g. fosaprepitant)
  • certain cancer treatments
  • medicines used to treat seizures (e.g. carbamazepine, phenytoin & cenobamate)
  • medicines used to treat narcolepsy (e.g. modanafil and pitolisant)
  • certain antibiotics (rifabutin and rifampicin)
  • bosentan (used to treat pulmonary arterial hypertension)
  • medicines for HIV (e.g. cobicistat or efavirenz)
  • St John’s Wort (a herbal medicine)
  • cytisine (a stop-smoking treatment)
  • mavacamten (used to treat symptomatic obstructive hypertrophic cardiomyopathy, a condition where the heart muscle thickens)
  • metreleptin (used to treat high levels of lipids in the bloodstream)
  • ulipristal (the morning-after pill)

Medicines that affect your exposure to Eloine

Some medicines may affect your exposure to Eloine, this includes:

  • medicines for HIV (e.g. atazanavir)
  • certain cancer treatments
  • clozapine (used to treat schizophrenia)
  • lumacaftor (used to treat cystic fibrosis)
  • sugammadex (used to reverse the effects of muscle relaxants in anaesthesia)

Other interactions

Some medicines used to treat blood cancer and types of anaemia may increase the risk of blood clots when taken with Eloine.

Eloine may also reduce the effects of certain medicines, this includes:

  • ospemifene (a treatment for vulvar and vaginal atrophy, a condition where the lining of the genitals becomes dry or irritated)
  • raloxifene (a treatment for post-menopausal osteoporosis, a condition where your bones become weaker)

Eloine may also increase the risk of increased concentration of certain liver enzymes when taken with treatments for hepatitis C.

You can find a full list of interactions here.

What safety advice should I follow when using Eloine?

For more information, refer to the safety information table below:

Safety Tips
Pregnancy Avoid

Do not take Eloine if you are pregnant or suspect you might be. If pregnancy occurs while taking Eloine, discontinue use and consult your doctor immediately.

Breastfeeding Consult your doctor

Eloine is generally not recommended while breastfeeding, as it may reduce milk production and pass small amounts of hormones to the infant. Consult your doctor for alternative contraceptive methods during this period.

Alcohol Caution

While taking Eloine, it's advisable to limit alcohol consumption, as excessive intake may increase the risk of side effects like dizziness.

Driving Caution

Eloine may cause side effects such as dizziness or headaches. If you experience these symptoms, avoid driving or operating heavy machinery until they subside.

Smoking Avoid

Smoking increases the risk of serious cardiovascular side effects when using combined oral contraceptives like Eloine, especially in women over 35. It's strongly advised to quit smoking while taking Eloine.

Blood Clotting Risk Important

Eloine may increase the risk of blood clots, particularly in the first year of use. Be aware of symptoms like severe leg pain or sudden shortness of breath and seek immediate medical attention if they occur.

How should I store Eloine?

Storage

Eloine has no specific storage instructions. However, you should keep it out of sight and reach of children and away from sunlight and moisture.

Disposal

You should take any unused or expired medication to a pharmacy for safe disposal. Do not throw it in the general waste or flush it down the toilet. This can harm the environment.

Can I buy Eloine without a prescription?

No, Eloine is a prescription-only medication. You need a valid prescription from a healthcare professional to purchase it. This ensures the medication is safe and suitable for your needs.

You can receive an online prescription from euroClinix.

How do I buy Eloine online from euroClinix?

Ordering Eloine online from euroClinix is convenient.

Follow these simple steps:

  • Complete a quick online consultation to check your eligibility.
  • UK-registered doctors review your responses to ensure the medication is right for you.
  • Upon approval, an e-prescription will be issued.
  • Enjoy free delivery from our licensed pharmacy with tracking details.

Your privacy is our top priority. euroClinix uses secure, encrypted transactions and complies with UK medical standards to keep your information confidential.

Start your online consultation today to enjoy professional care from the comfort of your home.

Why should I choose euroClinix?

euroClinix is trusted by thousands of UK users for its safe and convenient service. Here’s why:

  • Experienced doctors manage your consultations and prescriptions.
  • Online consultations, quick approvals, and discreet doorstep delivery add to the convenience.
  • A supportive team is on hand to answer treatment-related questions or concerns.
  • Patients can manage their prescriptions hassle-free through our secure platform.

Join thousands who trust euroClinix for their healthcare needs and take control of your health today.

How much is Eloine?

The price of Eloine at euroClinix includes everything you need:

  • Free online consultation with our experienced doctors
  • Free prescription, if approved
  • Free delivery straight to your door

Our pricing is transparent, with no hidden fees. Order today and benefit from our complete, all-inclusive service.

What are the alternatives to Eloine?

There are many types of hormonal contraception available if Eloine is not suitable for you.

Comparison of oral contraceptives
Choose what to compare:
Medicine name Active ingredients Key benefits Price from
Yasmin, Eloine Ethinylestradiol and drospirenone May reduce bloating, acne-friendly
Eloine is a lower oestrogen version of Yasmin
-
Brevinor Ethinylestradiol and Norethisterone Higher dose of oestrogen, may help cycle regulation -
Cilest Ethinylestradiol and Norgestimate May help with moderate acne -
Microgynon Ethinylestradiol and Levonorgestrel Well tolerated by many women -
Logynon Ethinylestradiol and Levonorgestrel Well tolerated by many women -
Orvanette Ethinylestradiol and Levonorgestrel Well tolerated by many women -
Femodene Ethinylestradiol and Gestodene Better cycle control -
Femodette Ethinylestradiol and Gestodene Better cycle control -
Mercilon Ethinylestradiol and desogestrel Offers lighter periods -
Marvelon Ethinylestradiol and desogestrel Offers lighter periods -
Qlaira Estradiol Valerate / Dienogest Closely mimics the natural cycle -
Zoely Estradiol with Nomegestrol Uses a naturally occurring estrogen, estradiol -

If you prefer taking a tablet but are unable to take or do not want to take a combined pill, a mini-pill or progestogen only pill (POP) is a good alternative. Other options also include the contraceptive patch and the vaginal ring.

To see all of your options, check out our page on contraception, or use this helpful tool below.

Eloine FAQs

Is Eloine the same as Yaz?
Is Eloine a mini-pill?
Does Eloine help acne?
Does Eloine stop your period?
Does Eloine cause weight gain?
Is Eloine safe?
Is it safe to buy Eloine online?
Will my order be confidential?
What are the delivery options available?

Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

Medically reviewed by Dr. Caroline Fontana Written by our editorial team Last reviewed 29-04-2025
Eloine information
Type of medicine Synthetic oestrogen/progesterone
Used for Contraception
Active ingredient(s) Ethinylestradiol/drospirenone
Works by Delaying ovulation, thickening the cervical mucus and thinning the uterus lining
Effective within Immediately if taken on days 1-5 of your period or after 7 days if taken any other day
Available as Tablets
Available dosage(s) 0.02mg Ethinylestradiol/ 3mg Drospirenone
Usage instructions Take one tablet once daily at the same time. Start with the 24 active tablets, then take the 4 inactive tablets to allow for a withdrawal bleed.
Manufacturer Bayer
Generic available? No
Storage Keep out of sight and reach of children
Prescription required? Yes, get it with our FREE online consultation
Who is suitable for an online consultation* Women of reproductive age who need contraception

*Note: Our medical team must review your online consultation before approving this treatment. They will determine if the requested treatment and quantity are safe, appropriate, and effective for you.

Eloine reviews
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Further reading

Understanding and managing side effects of the pill

Understanding and managing side effects of the pill

Reviewed by Dr. Caroline Fontana
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