Losing the 2nd pill of the daily pill pack of 28 pills, what to do?

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Question
Hello pharmacist,
I took the 28 pill blister pack every day, the 2nd pill I dropped and couldn't find it, I took the 3rd flight attendant, during this time I had sex on the 1st day of taking the 1st pill ya. The pharmacist asked me what to do if I lost the 2nd pill of the daily pill pack of 28 pills?
Pham Thi Hong (1980)
Answer
Hello,
To the question “Losing the 2nd pill of the daily pill pack of 28 pills, what should I do? ", the pharmacist would like to answer as follows:
Contraceptive pills 28 pills, in addition to 21 pills containing hormonal contraceptives, there are also 7 placebo pills containing sugar or iron, ... do not contain hormone ingredients. 7 placebo pills to help users take medicine continuously, avoid forgetting pills.
How to use: Take the first pill on the first day of the menstrual cycle, 1 tablet per day until the end of 28 tablets of the first pack, then switch to the second pack, ... and continue to finish this pack. then to another blister. If you forget to take a pill within 12 hours of your daily dose, you need to take the missed pill immediately, even if you have to take 2 pills that day. Then continue to take the other tablets on a regular schedule until the last pill in the pack.
No need to use additional methods of contraception during subsequent sexual intercourse.
If you forget to take a pill for more than 12 hours compared to your daily dose, you need to take the missed pill immediately, even if you have to take 2 pills that day, then continue the other pills according to the schedule. periodic schedule until the last tablet in the blister.
However, if you have had sex within the 5 days before you missed it, you should use backup with an emergency method of contraception (if the limit for using this method has not been exceeded). Within 7 days after a missed dose, it is recommended to use a mechanical method of contraception (such as a condom).
So when you drop the 2nd pill, you need to take the next pill immediately and continue taking the remaining pills as scheduled.
If you still have questions about the problem of losing the 2nd pill of the daily oral contraceptive pill pack of 28 pills, what to do, you can go to the hospital of Vinmec Health System to check you. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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Answered by Pharmacist Nguyen Thi Bich Phuong - Faculty of Pharmacy - Vinmec Ha Long International Hospital