Good morning. Yesterday at 19:00 I took the penultimate - 23 tablet from the blister. After an hour, vomiting occurred. I didn't accept the extra one because I don't have a spare blister. More than 12 hours have passed. Should I take the 24th tablet from the blister to make up for the 23? And then start taking placebo pills?
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Małgorzata Bekier Pharmacist
3 years ago
In this case, you should follow the instructions if you miss a tablet from the last week. Take the last missed tablet as soon as possible, even if it means taking 2 tablets at the same time. Then, you should continue taking the tablets at the usual time until the active tablets are exhausted. Discard the 4 tablets from the last pack (placebo tablets) and start taking the tablets from the next pack immediately. Withdrawal bleeding is unlikely to occur until the second pack of active tablets is finished, but spotting or intracyclic bleeding may occur on the days of taking the tablets. If the yellow tablet is delayed by more than 12 hours from the usual time (as in your case), the contraceptive effect is no longer assured. If you are not sure whether all previous tablets were taken correctly in the 7 days before you missed the first tablet, it is worth using an additional method of contraception for the next 7 days. I leave a link to the material related to the topic: