Brevinor Contraceptive Pill
The Brevinor contraceptive pill is a combination of the hormones ethinylestradiol and norethisterone. When you take the medicine correctly it provides 99% protection against pregnancy. You also have the options of flexible extended or continuous use and tricycling.
How to take Brevinor
Most women choose to take one daily Brevinor pill for 21 days, with a 4 or 7 day break before they start the next pack. You’re likely to have a withdrawal bleed during this break. However, there are other ways to take Brevinor:
Tricycling: You continue taking pills for 9 weeks without a break. After the nine weeks, you take a 4–7-day break before starting again.
Flexible extended use: Take 1 pill every day for at least 21 days. If you experience bleeding that bothers you, take a 4-day break. On the fifth day, resume taking your pill daily and continue for at least another 21 days.
Brevinor side effects
Many women experience no side effects with the Brevinor pill. However, some women might notice headaches, nausea, mood changes, or breast discomfort. In rare cases, blood clots can develop. It's worth noting that Brevinor carries a slightly higher risk of blood clots compared to some other pills. If you have any concerns, just send us a message through your account.
For detailed information about side effects and proper usage, please check the patient information leaflet. If you do get any side effects and they worry you, you can also contact us via your account.
It’s perhaps reassuring to know that when it comes to the Brevinor pill and weight gain, there’s typically no direct link between most forms of birth control and gaining weight.
How effective is Brevinor?
When used correctly, the Brevinor birth control pill provides you with 99% protection against pregnancy. However, if pills are occasionally missed or taken irregularly, the effectiveness drops, and about 9 in 100 women are likely to get pregnant. Follow the advice outlined in the section ‘If you miss your pill’ to ensure you stay protected.
Stomach issues can impact your protection. For example, vomiting or severe diarrhoea can affect how well the Brevinor combined pill works. That’s because the medication may not have been fully absorbed into your bloodstream. In these situations, keep taking your daily pill, but use condoms during sex until you're well again.
If severe diarrhoea continues beyond 24 hours or vomiting occurs within 3 hours of you taking Brevinor, follow the missed pill guidelines to ensure you stay protected.
It’s important that you should only begin taking Brevinor when you're confident you aren't pregnant.
Brevinor, like other combined oral contraceptives, may help with acne in some women due to its hormonal effects. However, results can vary significantly from one person to the next. So it’s best to ask your GP or other healthcare professional about using a contraceptive pill to treat acne.
How long after taking Brevinor are you protected?
As long as you do not have a short or irregular menstrual cycle, starting Brevinor on days 1-5 of your period typically provides immediate protection from pregnancy.
If you start after day 1 and have a short or irregular cycle, you will need to use condoms for 7 days if you have sex. Your clinician can advise if you need additional contraception during those 7 days.
How it works
Brevinor contains two hormones (ethinylestradiol and norethisterone) that work together to prevent pregnancy. These hormones stop your ovaries from releasing an egg and make it harder for sperm to reach an egg. They also prevent a fertilised egg from implanting in the womb lining.
Contraception medicines
Frequently asked questions
Missing one pill at any time will not affect your contraception. Missing two or more pills, or starting a new pack late, might reduce your protection.
The advice is:
Up to 48 hours since your last pill. Just take your next pill as soon as you remember and continue with the rest of the pack as normal. This might mean taking 2 pills on the same day.
Over 48 hours late. What to do varies based on 2 factors: which day in your cycle you missed the pill and which pills in the pack were missed. So you should follow the detailed instructions in the patient information leaflet.
Yes, you can request contraception via our Online Doctor service. Bear in mind though that treatments such as Brevinor are only available on prescription. So, one of our clinicians will first need to make sure the treatment is suitable and safe for you to use.
For all combined contraceptive pills, it’s important to tell us your height, weight, and blood pressure. You can provide this information during your short online consultation. This is free of charge as it’s only your prescription that you pay for.
Any combined contraceptive, including Brevinor, can cause a rise in blood pressure. That’s why yours needs checking before we can prescribe any medication. You may have had a recent blood pressure check at your GP practice or perhaps used a home blood pressure monitor. Either way, we’ll ask you to share this information during your online consultation.
It’s also important to make sure you check your blood pressure every year as a matter of course.
Although Brevinor can usually be taken alongside other medicines, it’s important to tell us about any prescription or over-the-counter medications, and recreational drugs you're taking. This is to make sure Brevinor is safe for you to use before we prescribe it.
NHS Inform also say that some antibiotics, such as rifabutin or rifampicin can stop the Brevinor from working. The same is true with medications for HIV and epilepsy.
If Brevinor isn’t right for you, there are alternatives including:
NuvaRing
Evra Patch
Combined pills
Low-dose pills
Mini pills
To find out more, view all our contraception options.
Condoms are always a good option as they provide both effective contraception and can protect against STIs.
Long-acting contraceptives, such as implants, the coil, and injectable contraception, are also available through your GP or family planning clinic.