Proper Use

Drug information provided by: IBM Micromedex

To make using hormonal contraceptives as safe and reliable as possible, you should understand how and when to use them and what effects may be expected.

This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.

If you are using Ortho Micronor®:

  • This medicine is available in a blister card with a tablet dispenser. Each blister card contains 28 tablets.
  • Take this medicine at the same time each day. You may take this medicine with or without food.
  • Start the next pack the day after the last pack is finished. There is no break between packs.
  • Your doctor may ask you to begin your dose on the first day of your menstrual period (called Day 1 Start). When you begin on another day, you need to use another form of birth control (eg, condom, spermicide) for the first 48 hours. If you have a miscarriage or an abortion, you may start the taking the pill on the next day.
  • You may have light bleeding or spotting when you first take the pill.
  • If you are switching from the a combination hormonal method to Ortho Micronor®, take the medicine the day after you finish the last active combined pill.


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (tablets):
    • For contraception (to prevent pregnancy):
      • Adults and teenagers—One tablet taken at the same time each day for 28 days.
      • Children—Use and dose must be determined by your doctor.
    • For treatment of secondary amenorrhea or abnormal vaginal bleeding:
      • Adults—2.5 to 10 milligrams (mg) once a day for 5 to 10 days.
      • Children—Use is not recommended.
    • For treatment of endometriosis:
      • Adults—At first, 5 milligrams (mg) once a day for 2 weeks. Your doctor may increase your dose by 2.5 mg per day every 2 weeks up to 15 mg per day for 6 to 9 months.
      • Children—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you take a pill more than 3 hours late, use another form of birth control for the next 48 hours.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.