Day 1 Start
Take the first “active” yellow pill of the first pack during the first 24 hours of your period.
Locate the top row of the blister card.
Identify the day of the week in the top row of the blister card that you are starting your pill.
Push the pill through the foil seal on the back of the blister card.
You will not need to use a back-up nonhormonal method of birth control, since you are starting the pill at the beginning of your period.

WHAT TO DO DURING THE MONTH
TAKE ONE PILL AT THE SAME TIME EVERY DAY FOLLOWING THE ARROWS UNTIL THE BLISTER PACK IS EMPTY.
Do not skip pills even if you are spotting or bleeding or feel sick to your stomach (nausea).

Do not skip pills even if you do not have sex very often.

WHEN YOU FINISH A PACK
Start the next pack on the day after your last pill. Do not wait any days between packs.

IF YOU SWITCH FROM ANOTHER BRAND OF COMBINATION PILLS:
When switching from a 21 pill pack: Start LYBREL on the first day of your period (withdrawal bleed). Be sure that no more than 7 days pass between the last day of your 21-day pack and your first LYBREL pill.

When switching from a 28 pill pack (21 active and 7 inactive pills, or 24 active and 4 inactive pills): Start LYBREL on the first day of your period (withdrawal bleed). Be sure that no more than 7 days pass after the last active pill and your first LYBREL pill.

IF YOU SWITCH FROM ANOTHER TYPE OF BIRTH CONTROL
When switching from other types of birth control such as pills containing only a progestin (progestin only pill or POP), an injection, or an implant, your health care professional will provide you with instructions for when to start LYBREL.

WHAT TO DO IF YOU MISS PILLS
Combination oral contraceptives may not be as effective if you miss pills. Instructions for what to do if you miss pills are provided in the following table.

# of pills missed in a row
 
What to do when you miss a pill(s)
 
1 missed pill  • Take the missed pill as soon as you remember.
        THEN
• Take the next pill at your regular time. This means you may take 2 pills in 1 day.
• You COULD BECOME PREGNANT if you have sex during the 7 days after you restart your pills. You MUST use a nonhormonal birth-control method (such as condoms and/or spermicide) as a back-up for those 7 days. 
2 missed pills

and remembered on the day of the second missed pill  • Take 2 missed pills on the day you remember. The following day you are back on schedule to take 1 pill a day.

For example, you take your pills in the morning and you missed 1 pill on Monday and 1 on Tuesday. On Tuesday evening you remembered that you missed your Monday and Tuesday pills. You take the 2 missed pills on Tuesday evening and on Wednesday morning you're back on schedule and you take 1 pill.
• You COULD BECOME PREGNANT if you have sex during the 7 days after you restart your pills. You MUST use a nonhormonal birth-control method (such as condoms and/or spermicide) as a back-up for those 7 days. 
2 missed pills

and remembered on the day after the second pill is missed  • Take 2 missed pills on the day you remember. The next day you take 2 pills. The following day you are back on schedule to take your pills.

For example, you take your pills in the morning and you missed 1 pill on Monday and 1 on Tuesday. On Wednesday morning you remembered that you missed your Monday and Tuesday pills. You take the 2 missed p