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Lillow

Generic name: ethinyl estradiol and levonorgestrel

Brand names: Afirmelle (28 Day), Altavera (28 Day), Amethyst (28 Day), Aubra EQ (28 Day), Aviane (28 Day), Ayuna (28 Day), Balcoltra (28 Day), Chateal EQ (28 Day), Delyla (28 Day), Dolishale (28 Day), Enpresse (28 Day), Falmina (28 Day), Joyeaux (28 Day), Kurvelo (28 Day), Lessina (28 Day), Levonest (28 Day), Levora (28 Day), Lutera (28 Day), Marlissa (28 Day), Minzoya (28 Day)

Last updated November 2, 2026 0 views
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What is Lillow?

Lillow is used to prevent pregnancy. There are many brands and forms of this medicine available. Not all brands are mentioned in this leaflet.

Lillow may also be used for reasons not listed in this medication guide.

This section was rewritten for readability and reviewed for meaning.

How should I take Lillow?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Take your first pill on the first day of your period or on the first Sunday after your period starts. You may need to use back-up birth control, like condoms or a spermicide, when you first start this medicine. Follow your doctor's instructions.

Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the next day. You may get pregnant if you do not take one pill daily. Get your prescription refilled before you run out of pills completely.

Some birth control packs have seven "reminder" pills to help you stay on your regular cycle. Your period will usually start while you are using these reminder pills.

You should chew the chewable tablet (pill) and then swallow it with a glass of water, or if you prefer, swallow the chewable tablet (pill) whole. Take it on an empty stomach.

Use back-up birth control if you are sick with severe vomiting or diarrhea.

You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.

If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon treating you should know that you are using birth control pills.

While taking birth control pills, you will need to visit your doctor regularly.

Store at room temperature away from moisture, heat, and light.

This section was rewritten for readability and reviewed for meaning.

Warnings

Do not use birth control pills if you are pregnant or if you have recently had a baby.

You should not use birth control pills if you have: uncontrolled high blood pressure, heart disease, coronary artery disease, circulation problems (especially with diabetes), undiagnosed vaginal bleeding, liver disease or liver cancer, severe migraine headaches, if you also take certain hepatitis C medication, if you will have major surgery, if you smoke and are over 35, or if you have ever had a heart attack, a stroke, a blood clot, jaundice caused by pregnancy or birth control pills, or cancer of the breast, uterus/cervix, or vagina.

Taking birth control pills can increase your risk of blood clots, stroke, or heart attack.

Smoking can greatly increase your risk of blood clots, stroke, or heart attack. You should not take this medicine if you smoke and are over 35 years old.

This section was rewritten for readability and reviewed for meaning.

Before taking this medicine

Taking this medicine can raise your chances of getting blood clots, having a stroke, or experiencing a heart attack. You are at an even higher risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clots is greatest during the first year of taking birth control pills. Your risk is also high if you restart this medicine after not taking it for 4 weeks or more.

Smoking can significantly increase your chances of blood clots, stroke, or heart attack. Your risk grows as you get older and as you smoke more. You should not take combination birth control pills if you smoke and are over 35 years old.

Do not use this medicine if you are pregnant. Stop using it and inform your doctor immediately if you become pregnant or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before starting birth control pills.

You should not take birth control pills if you have:

  • untreated or uncontrolled high blood pressure;
  • heart disease (chest pain, coronary artery disease, history of heart attack, stroke, or blood clot);
  • an increased risk of blood clots due to a heart condition or a hereditary blood disorder;
  • circulation issues (especially if caused by diabetes);
  • a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina;
  • unusual vaginal bleeding that has not been evaluated by a doctor;
  • liver disease or liver cancer;
  • severe migraine headaches (with aura, numbness, weakness, or vision changes), particularly if you are over 35;
  • a history of jaundice from pregnancy or birth control pills; or
  • if you take any hepatitis C medication that includes ombitasvir/paritaprevir/ritonavir (Technivie).

Inform your doctor if you have ever had:

  • heart disease, high blood pressure, or if you tend to develop blood clots;
  • high cholesterol or triglycerides, or if you are overweight;
  • depression;
  • a seizure or migraine headache;
  • diabetes, gallbladder disease;
  • liver or kidney disease;
  • irregular menstrual cycles; or
  • fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.

Lillow can reduce breast milk production. You should not breastfeed while using this medicine.

This section was rewritten for readability and reviewed for meaning.

Lillow side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Birth control pills may cause serious side effects. Stop using birth control pills and call your doctor right away if you have:

  • signs of a stroke--sudden numbness or weakness (especially on one side of the body), severe headache, slurred speech, balance problems;
  • signs of a blood clot--sudden vision loss, sharp chest pain, feeling short of breath, coughing up blood, swelling or redness in an arm or leg;
  • heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, sweating;
  • liver problems--loss of appetite, upper stomach pain, tiredness, fever, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • increased blood pressure--severe headache, blurred vision, pounding in your neck or ears;
  • gallbladder problem--pale-colored stools, stomach pain after eating, nausea, heartburn, bloating, and severe upper stomach pain that may spread to your back;
  • swelling in your hands, ankles, or feet;
  • changes in the pattern or severity of migraine headaches;
  • a breast lump; or
  • symptoms of depression--sleep problems, weakness, feeling tired, mood changes.

Common side effects of Lillow may include:

  • nausea, vomiting (especially when you first start taking this medicine);
  • breast tenderness;
  • breakthrough bleeding;
  • acne, darkening of facial skin;
  • weight gain; or
  • problems with contact lenses.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

This section was rewritten for readability and reviewed for meaning.

What happens if I miss a dose?

Follow the instructions that come with your medicine. Missing a pill increases your risk of becoming pregnant.

If you miss one active pill, take two pills on the day you remember. Then take one pill each day for the rest of the pack.

If you miss two active pills in a row during Week 1 or 2, take two pills each day for two days in a row. Then take one pill each day for the rest of the pack. Use back-up birth control for at least 7 days after missing the pills.

If you miss two active pills in a row during Week 3, throw away the rest of the pack and start a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw away the rest of the pack and start a new pack that day.

If you miss three active pills in a row during Week 1, 2, or 3, throw away the rest of the pack and start a new pack on the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw away the rest of the pack and start a new pack that day.

If you miss two or more active pills, you may not get your period that month. If you miss your period for two months in a row, call your doctor because you might be pregnant.

If you miss a reminder pill, throw it away and continue taking one reminder pill each day until the pack is empty.

This section was rewritten for readability and reviewed for meaning.

What happens if I overdose?

Seek emergency medical help or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include nausea, vomiting, and drowsiness.

Do not smoke while taking birth control pills, especially if you are older than 35 years.

Birth control pills will not protect you from sexually transmitted diseases, including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.

This section was rewritten for readability and reviewed for meaning.

What other drugs will affect Lillow?

Other drugs may interact with birth control pills, including prescription and over-the-counter medicines, vitamins, and herbal products. Some drugs can make birth control pills less effective, which may lead to pregnancy. Inform your doctor about all your current medicines and any medicines you begin or stop using.

This section was rewritten for readability and reviewed for meaning.

Related medicines

Before you take this medicine: the information on this page is general and may not cover your personal circumstances. Read the label supplied with your medicine and ask a pharmacist or doctor if you are unsure, especially if you are pregnant, breastfeeding, taking other medicines or managing a long-term condition.
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Content is provided for education and is not medical advice. See our medical disclaimer.