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Generic Alesse Ultra-Low-Dose Birth Control (Prescription Product)


Generic Alesse has extra-low amounts of estrogen, making it an ultra-low-dose pill. The lower dose of estrogen may reduce unpleasant side effects that some women experience with estrogen. Other names for generic Alesse are Aviane, Lutera, Vienva, and Falmina. Each pack contains 28 pills. Choose quantity below, up to 6 packs.

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Ultra-Low-dose birth control for lighter periods

This everyday 28 pack of generic Alesse contains 0.10mg of levonorgestrel (a progestin) and 0.02mcg (20mg) of ethinyl estradiol (an estrogen). Everyday birth control pills like Alesse contain inactive pills that women take to keep in the habit of taking a daily pill. 21-day packs do not include the reminder pills. 

What are the benefits of low estrogen birth control pills?

Low-dose and ultra-low-dose birth control pills may be more tolerable for women who have had side effects from higher doses of estrogen in other birth control pills. Women can expect lighter periods with low-dose and ultra-low-dose birth control pills.

There are 3 categories of COC: standard dose, low-dose, and ultra-low-dose. A standard dose birth control pill may have between 35-40 micrograms of estrogen. Birth control pills that have 35 micrograms or less of estrogen are considered "low dose". Ultra-low-dose birth control pills contain 20mg or less of estrogen. 

How do combination birth control pills work?

Because Alesse contains a combination of two hormones it is considered a combination oral contraceptive (COC). It's also classifieds as "monophasic," because hormone level in each active pill remains the same throughout the cycle. The active ingredients are synthetic sex hormones referred to as progestins and estrogens. They are lab-created so that they retain some of the properties of the hormones made by the body. These isolated, lab-created sex hormones help prevent pregnancy. Progesterone and estrogen created by the body support pregnancy.

How effective is generic Alesse?

The forms of progestins and estrogens in generic Alesse and other combination birth control pills are about 91 percent effective when taken as instructed, according to the Centers for Disease Control (CDC.)

How does generic Alesse prevent pregnancy?

Generic Alesse and all birth control pills prevent ovulation. If the ovaries succeed in egg release, the birth control pills prevent maturation of the egg. Another mechanic of action is thickening of cervical mucus. This makes it difficult for sperm to reach the egg. The other action is the prevention of uterine lining thickening. A thin uterine lining is not suitable for egg attachment.

What are off-label uses for generic Alesse?

  • Regulate the menstrual cycle and reduce heavy bleeding 
  • Reduce pain during the menstrual cycle
  • Reduce risk for developing ovarian cysts
  • Reduce risk for developing ovarian and uterine cancer
  • Reduce acne breakouts
  • Lower frequency of experiencing pelvic inflammatory disease

To ensure that we provide you with the best price, we may substitute one generic for another. 

More Information
Is a Prescription Product Yes
Use or Effects Birth Control
Form Pill
Drug Class/Pharmacology Estrogens, Progestin/Estrogen Combined Oral Contraceptive (COC)
Product Specifics

For a complete list of precautions and warning, refer to the information included with your prescription. Always follow instructions given to you by your doctor and pharmacist.

Generic Alesse (drospirenone eth estra) should not be taken by women who are pregnant or who are breastfeeding. Other brand names for drospirenone eth estra include Gianvi, Vestura, Nikki and Loryna. 

Possible side effects of Generic Alesse may include

  • Fluid retention
  • Nausea
  • Vomiting
  • Headache
  • Bloating
  • Breast tenderness
  • Weight change  
  • Breakthrough bleeding
  • Acne
  • Darkening of the skin
  • Problems with contact lenses

If you become pregnant or think you may be pregnant, tell your doctor right away. If you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about reliable forms of birth control, and which types are safe for your unique situation. 

No contraceptive method is 100% effective. Birth control methods such as having surgery to become sterile or not having sex are more effective than birth control pills. Discuss your options for birth control with your doctor.

This birth control medication does not protect against HIV infection or other sexually transmitted diseases. It will not help as emergency contraception, such as after unprotected sexual contact.

Please consult your doctor before starting any exercise, nutritional supplement program, and/or any prescription or OTC product during pregnancy or if you have a serious medical condition. 

Do I need to use a backup method if I miss a dose of Alesse?

If you miss a dose of a birth control pill, it is prudent to use a backup method of birth control. Non-hormonal methods are medically recommended. If you miss two or more of any birth control pill, non-hormonal backup methods are usually advised for at least 7 days. Refer to full prescribing and patient instructions that are included with your prescription. 

Who should not take combination birth control pills?

It is recommended that women who fit the criteria below do not take combination birth control pills:

  • Over 35 who smoke
  • Have experienced unpleasant side effects from estrogen
  • Are breastfeeding
  • Have a history of certain types of cancers such as breast cancer
  • Are at risk for heart disease
  • Have high blood pressure
  • Have a history of blood clots
  • Have migraines with aura

Instead, a physician may prescribe progestin-only (POP) birth control pills such as norethindrone 0.35mg, also sold under the names Lyza, Heather, Sharobel, Deblitane, Camila, Nora-be, Norlyda, Errin, Jolivette, Jencycla, Micronor and Nor-qd.

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