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We got your back with a simple, easy-to-follow schedule

It’s super easy: One pill a day, same time every day for max pregnancy prevention.

It’s super easy: One pill a day, same time every day for max pregnancy prevention.

How to take Balcoltra

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Tips to help you remember to take your pill

Balcoltra works best if you take it at the same time every day. Here are some tips to help you get into the routine:

Take your pill at the same time as an existing part of your daily routine, like brushing your teeth.
Use a clock, calendar, or reminders app on your phone to notify you when it’s time to take your pill.
Use a visual reminder that you’ll see around the same time every day—like a sticky note on your bathroom mirror.
Put your Balcoltra pill pack in a place where you know you’ll see it every day around the same time, like your purse or backpack. “Keys, wallet, phone, Balcoltra—good to go!”
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We made it simple to start Balcoltra

You have 2 options for starting. Your doctor will help you decide what works best for you. Click or hover on the star, drop, or your squad besties to learn more

Start Balcoltra on the first Sunday after your period starts. If your period starts on Sunday, start that day.
Start Balcoltra on the first Sunday after your period starts. If your period starts on Sunday, start that day.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider for any questions you may have regarding a medical condition.

Real women who take Balcoltra say it's easy to take and works great

Hope G, 34, real Balcoltra woman

Balcoltra and other medications

Balcoltra may affect the way other medicines work, and other medicines may affect how Balcoltra works. 

Tell your doctor about all the medicines you take, including prescriptions, over-the-counter medicines, vitamins, and herbal supplements.

Forget a pill? Don’t worry, we got your back

We get it—life happens! Click on the option below that describes your situation. You can also ask your doctor what to do

  • Take it as soon as you remember, and then take the next pill at your regular time, even if that means taking 2 pills in 1 day.
  • Continue taking 1 pill every day until you finish the pack.
  • You do NOT need to use a backup birth control method.

In week 1 or 2

  • Take the 2 missed pills as soon as you remember. Take the next 2 pills the next day.
  • Continue taking 1 pill every day until you finish the pack.
  • Use a nonhormonal backup birth control method (like a condom or diaphragm) if you have sex in the first 7 days after missing your pills.

In week 3

  • If you started your pill pack on a Sunday, take 1 pill per day until Sunday. Then throw out the rest of the pill pack and start a new pack.
  • If you started your pill pack on any other day, throw out the rest of your pill pack and start a new pack that same day.
  • Use a nonhormonal backup birth control method if you have sex in the first 7 days after missing your pills.
  • You may not have your period this month. If you miss your period 2 months in a row, you could be pregnant and you should call your doctor.
  • If you started your pill pack on a Sunday, take 1 pill per day until Sunday. Then throw out the rest of the pill pack and start a new pack.
  • If you started your pill pack on any other day, throw out the rest of your pill pack and start a new pack that same day.
  • Use a nonhormonal backup birth control method (like a condom or a diaphragm) if you have sex in the first 7 days after missing your pills.
  • You may not have your period this month. If you miss your period 2 months in a row, you could be pregnant and you should call your doctor.

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Important Risk Information, including BOXED WARNING

What is Balcoltra?

Balcoltra is a prescription birth control pill used for the prevention of pregnancy.

IMPORTANT RISK INFORMATION for Balcoltra (levonorgestrel and ethinyl estradiol tablets and ferrous bisglycinate tablets)

WARNING TO WOMEN WHO SMOKE

Do not use Balcoltra if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects (heart and blood vessel problems) from birth control pills, including death from heart attack, blood clots, or stroke. This risk increases with age and the number of cigarettes you smoke.

Who should not take Balcoltra?

Do not use Balcoltra if you have or have had blood clots, history of heart attack or stroke, high blood pressure that medicine cannot control, breast cancer or any cancer which may be sensitive to female hormones, liver disease or liver tumors, unexplained bleeding from the vagina, hypersensitivity to any of the components, if you are or may be pregnant, or if you take Hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of liver enzymes in the blood.

What else should I know about taking Balcoltra?

Treatment with Balcoltra should be stopped if you have a blood clot, and at least 4 weeks before and through 2 weeks after major surgery. You should not take Balcoltra any earlier than 4 weeks after having a baby. If you are breastfeeding, talk to your doctor before taking Balcoltra. If you experience yellowing of the skin or eyes due to problems with your liver, you should stop taking Balcoltra. If you are prediabetic or diabetic, your doctor should monitor you while using Balcoltra. Your doctor should evaluate you if you have any significant change in headaches or irregular menstrual bleeding. Balcoltra contains FD&C Yellow No. 5 and may cause an allergic reaction, including in those with an allergy to aspirin.

What are the most serious risks of taking Balcoltra?

Balcoltra increases the risk of serious conditions, including blood clots, stroke, and heart attack. These can be life-threatening and require immediate medical care.

What are the possible side effects of Balcoltra?

The most common side effects of Balcoltra are headache, spotting or bleeding between periods or no menstrual bleeding, nausea, breast tenderness or pain, stomach pain, pain during periods, depression, acne, and vaginal infections.

Birth control pills do not protect you against any sexually transmitted disease, including HIV, the virus that causes AIDS.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see the Full Prescribing Information, including BOXED WARNING, and Patient Information.

REFERENCES: 1. Archer DF, Maheux R, DelConte A, O’Brien FB; North American Levonorgestrel Study Group. Efficacy and safety of a low-dose monophasic combination oral contraceptive containing 100 μg levonorgestrel and 20 μg ethinyl estradiol (Alesse®). Am J Obstet Gynecol. 1999;181(suppl):S39-S44. 2. Balcoltra [package insert]. Alpharetta, GA: Avion Pharmaceuticals LLC; 2018.

© 2023 Avion Pharmaceuticals, LLC
Alpharetta, GA 30005 | 1-888-612-8466 | 1224-v7.0

Balcoltra is a registered trademark of Avion Pharmaceuticals, LLC. All other trademarks are the property of their respective owners.

This site is intended for US customers only.

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Important Risk Information, including BOXED WARNING

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WARNING TO WOMEN WHO SMOKE

Do not use Balcoltra if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects (heart and blood vessel problems) from birth control pills, including death from heart attack, blood clots, or stroke. This risk increases with age and the number of cigarettes you smoke.

Who should not take Balcoltra?

Do not use Balcoltra if you have or have had blood clots, history of heart attack or stroke, high blood pressure that medicine cannot control, breast cancer or any cancer which may be sensitive to female hormones, liver disease or liver tumors, unexplained bleeding from the vagina, hypersensitivity to any of the components, if you are or may be pregnant, or if you take Hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of liver enzymes in the blood.

What else should I know about taking Balcoltra?

Treatment with Balcoltra should be stopped if you have a blood clot, and at least 4 weeks before and through 2 weeks after major surgery. You should not take Balcoltra any earlier than 4 weeks after having a baby. If you are breastfeeding, talk to your doctor before taking Balcoltra. If you experience yellowing of the skin or eyes due to problems with your liver, you should stop taking Balcoltra. If you are prediabetic or diabetic, your doctor should monitor you while using Balcoltra. Your doctor should evaluate you if you have any significant change in headaches or irregular menstrual bleeding. Balcoltra contains FD&C Yellow No. 5 and may cause an allergic reaction, including in those with an allergy to aspirin.

What are the most serious risks of taking Balcoltra?

Balcoltra increases the risk of serious conditions, including blood clots, stroke, and heart attack. These can be life-threatening and require immediate medical care.

What are the possible side effects of Balcoltra?

The most common side effects of Balcoltra are headache, spotting or bleeding between periods or no menstrual bleeding, nausea, breast tenderness or pain, stomach pain, pain during periods, depression, acne, and vaginal infections.

Birth control pills do not protect you against any sexually transmitted disease, including HIV, the virus that causes AIDS.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see the Full Prescribing Information, including BOXED WARNING, and Patient Information.

Sunday Start

Your doctor may recommend you start your first pack on the first Sunday after your period starts. If your period starts on a Sunday, start your pack that day.

Day 1 Start

If your doctor recommends it, you can also start Balcoltra on the first day of your period. Balcoltra comes with stickers for you to label the pill pack according to the day you start it.

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Now you can get a Balcoltra prescription online! Simply click the button below to leave balcoltra.com and be taken to a third-party telehealth service called Mint Clinic.

Mint Clinic helps potential patients virtually connect with independent healthcare providers. The best part? Mint Clinic will also ship your prescription directly to you!

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