Order Levest Online
Levest is an effective contraceptive pill that give reliable protection against pregnancy and can improve your periods too.
Once you've started Levest treatment, you can order more of your Pill online from Zava. Fill in a short online assessment and your Zava Doctor will check if your treatment is still right for you. If it is, you can have your order posted to you, or you can collect it from a local post office.
How to take Levest
- You should swallow whole
- You can take them with or without food or water but don’t chew or crush them
- You should take one Levest tablet each day at roughly the same time
- You should do this for 21 days and then after this, you will have a break period for 7 days
- During the break, you shouldn’t take the pill. In this break period, you’ll likely have a ‘withdrawal’ bleed, which is like your natural period
How Levest can improve periods
- Make your periods regular
- Reduce heaviness and pain associated with periods
- Help relieve premenstrual symptoms
Common Levest side effects
The most common side effects affect less than 1 in 100 users and include:
- Headache – this is the most common side effect and affects up to 24% of women
- Breakthrough bleeding or ‘spotting’
- Weight gain
- Abdominal pain
- Mood disturbances
- Breast discomfort– soreness or tenderness
What is Levest? – Levest is often called ‘the pill’ but is more specifically a combined contraceptive pill. The word ‘combined’ means that it contains synthetic versions of progesterone and estrogen, two sex hormones women naturally produce. The synthetic hormones are called ethinylestradiol and levonorgestrel.
Why do people choose Levest? – Levest is one of the easiest-to-use and most effective types of contraception there are currently. It’s taken by woman for a few reasons:
- Contraception – the hormones that make up Levest ‘trick’ your body into thinking that an egg has already been released from your ovaries (ovulation) but actually stops it from being released each month. The pill also increases the thickness of the mucus of the womb, making it harder for sperm to reach an egg, and changes the quality of the womb lining, making it less likely that a fertilised egg can implant there. Overall, these actions make a pregnancy very unlikely
- Managing your period – Levest can be prescribed for symptoms of your period, like intense pain or abnormal bleeding. Once you take the pill, you generally only have mild withdrawal bleeds, which mean that the menstrual symptoms significantly reduce
You can order Levest from Zava – if you’ve already been started on a combined pill by a nurse or doctor face to face. It’s an easy process – you simply pick your pill, then fill in a quick 3-minute questionnaire on things like your health and medications you might be taking. Once your answers are submitted, they’ll be assessed by our doctor and they’ll check whether you can be prescribed the pill you’ve chosen.
How to start treatment – in the same way, it’s easy to start your treatment first with Levest through your GP or nurse. You should have a talk with them first about your needs and any personal health aspects they should know about. Together you can then make a safe and effective decision for you.
When should you not take Levest? – if there aren’t any medical reasons for you not to take the pill, and you don't smoke, then you can take the pill until menopause. On the other hand, your physician might not think it’s a good idea or safe if you:
- Are or could be pregnant
- Are in the first 6 months of breastfeeding
- Are allergic to any of the ingredients of Levest (you can check the production information leaflet for these)
- Have a history or risk factors for thrombosis – examples are pulmonary embolism or heart attack
- Have diabetes
- Have a history of specific migraines
- Have/have had pancreatitis
- Have/have had severe kidney disease
- Have liver tumours or a history of them
- Have diagnosed or suspected cancer
- Have undiagnosed vaginal bleeding
- Have had breast cancer, of have a strong family history of breast cancer
Your Levest will comes with instructions – before you start taking the pill, you should make sure you read through the patient information leaflet that comes with the pill. Make sure you’re comfortable enough to ask your physician if you have any questions too, since they may want you follow some specific instructions instead of what’s in the leaflet.
When to take your first tablet – you should take your first pill on the first day of your period (the first day that you bleed) if Levest is the first hormonal contraceptive you’ve used in the past month.
How to keep track of doses – Levest comes in a packet of 21 pills, with the foil packaging labelled to show you what day each pill should be taken on. This is designed to help you effectively keep track of when you’ve had your doses. Something which could also help you remember to take your pill each day is setting reminds or alarms on your phone – this wouldn’t require you to actively think about whether you’ve had it or not and might be suitable if you happen to live a busy daily life.
You should do your best not to miss any of your pills – if you’re less than 24 hours late in taking your pill, your protection from pregnancy won’t be reduced. Take your pill as soon as you remember within this period and carry on the next day as usual. On the other hand, your protection from pregnancy could be reduced if you’re more than 24 hours late taking your pill. Depending on how far into your pill packet you are, your physician will let you know what your next steps should be, which could involve skipping your week treatment break, for example.
You could get side effects – the active ingredients in Levest tablets are levonorgestrel and ethinylestradiol and, like all medicines, Levest can cause some side effects. These don’t affect everyone, but it’s a good idea to discuss them with your physician before starting your treatment so you know what to look out for. Knowing about these might also help you become generally more attentive, which could translate into a better experience with your treatment. Common side effects are listed in the ‘common Levest side effects’ section to the right.
Some rarer side effects are considered include:
- High blood pressure
- Blood clots
- Liver tumors
- Swelling of the skin (angioedema)
- Occurrence or worsening of conditions like epilepsy or migraine
When to get medical help – if any of the side effects become serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist immediately. In cases of emergency, you should contact emergency services for immediate medical attention. Some of the cases in which you should see your physician immediately if you:
- Become pregnant
- Experience symptoms of an allergic reaction (rash and/or facial swelling) – this could be because of ingredients in the pill, such as lactose or sucrose
- Experience signs of a blood clot (sudden, severe pain in the chest, left arm or one leg; difficulty breathing; slurred speech; sudden weakness; seizure; collapse; vision loss)
The difference between Pills like Levest and mini Pills – the major difference between Levest and the mini pill is the hormones in each. While Levest is a combined pill with two active ingredients (ethinylestradiol and levonorgestrel), the mini pill only contains progesterone. Since it has only one hormone, the mini pill ends up delivering a lower dose of hormone into your body. This means that there are a lot of these mini pills that need to be taken frequently e.g. every three hours. Fortunately, there are some newer mini pills, which still protect against pregnancy if taken up to 12 hours late (which is similar to some combined pills) – Cerazette is an example.
Levest gives you a break but mini pills don't – one of the other differences between the combined pill and mini pill is the treatment regimen itself. You normally take Levest for 21 days then have a 7-day break, but mini pills are taken for 28 days continuously without a break in between.
Non-pill forms of contraception are quite varied and include:
- Barrier methods – the diaphragm and cervical cap are examples of these and they work as a barrier, essentially blocking a woman’s egg from sperm (fertilisation). There are more reliable methods of contraception than this, and these might need to be refitted after you give birth (since your size might change)
- Condoms – these act as an external barrier method (stopping the man’s sperm from reaching the woman’s egg), which isn’t fitted in the woman. This method has a higher chance of pregnancy than hormonal contraceptive methods, but some women might prefer this since it means not taking hormones. It also protects against sexually transmitted infections
- Intrauterine devices (IUDs) – these are usually small devices/coils, which are placed in the woman’s uterus. ParaGard is a non-hormonal type that works by releasing copper into the womb. Copper affects mucus in the cervix, making it tough for sperm to fertilise an egg, and then for the egg to implant and survive. The IUD has also been shown to be safe and effective for up to 10 years. Mirena is an example of a hormonal IUD that releases the hormone, levonorgestrel into the uterus. The hormone makes the mucus in the cervix thick to prevent sperm from entering your uterus and reaching the egg and thins the uterus lining. Mirena can prevent pregnancy for up to 5 years
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