How to take Lydia Lacta: Tablets must be taken in the order directed on the package every day at about the same time with some liquid as needed. One tablet is to be taken daily for 28 consecutive days. Each subsequent pack is started immediately after finishing the previous pack.
How to start Lydia Lacta: No preceeding hormonal contraceptive use [in the past month]. Tablet taking has to start on day 1 of the menstrual bleeding. Starting on days 2-5 is allowed, but during the first cycle a barrier method is recommended in addition for the first 7 days of tablet taking.
Changing from a combined oral contraceptive (COC): The woman should start with levonorgestrel on the day after the last active tablet of her COC. In this case, the use of an additional contraceptive method is not necessary.
Changing from a progestogens-only-method (minipill, injection, implant) or from a progestogens-releasing intrauterine system [IUS]: The woman may switch any day from the mini pill (from an implant or the IUS on the day of its removal, from an injectable when the next injection would be due). In all these cases, the woman should be advised to additionally use the barrier method for the first 7 days of tablet taking.
Following first-Trimester abortion: The woman may start immediately; an additional contraceptive method is not necessary.
Following delivery or second-trimester abortion: The woman should be advised to start at day 21 to 28 after delivery or second-trimester abortion.
When starting later, she should be advised to additionally use barrier method for the first 7 days of tablet-taking. However, if intercourse has already occurred, pregnancy should be excluded before the actual start of levonorgestrel use or the woman has to wait for her first menstrual period.
Management of Missed tablets: Contraceptive protection may be reduced if more than 27 hours have elapsed between two tablets. If the user is less than 3 hours late in taking any tablet, the missed tablets should be taken as soon as it is remembered and the next tablet should be taken at the usual time. If she is more than 3 hours late; she should follow the same advice but also additionally use a barrier method for the next 7 days of tablet taking. If tablets were missed in the very first week of use and intercourse took place in the week before the tablets were missed, the possibility of pregnancy should be considered.