


Package Leaflet: Information for the User
Levonorgestrel/Ethinylestradiol Daily Stada 0.1 mg/0.02 mg film-coated tablets EFG
Read this leaflet carefully before you start taking this medicine because it contains important information for you.
Contents of the pack
General notes
Before you can start taking levonorgestrel/ethinylestradiol, your doctor will ask you some questions about your medical history and that of your close relatives. He/She will also measure your blood pressure and, depending on your personal situation, may perform other tests.
This leaflet describes several situations in which you should stop using levonorgestrel/ethinylestradiol or in which the reliability of levonorgestrel/ethinylestradiol may be decreased. In such situations, you should either not have sex or take extra non-hormonal contraceptive precautions, such as using a condom or another barrier method. Do not use the rhythm or temperature methods. These methods can be unreliable because levonorgestrel/ethinylestradiol affects the monthly changes in body temperature and cervical mucus.
Like other hormonal contraceptives, levonorgestrel/ethinylestradiol does not protect against HIV infection (AIDS) or any other sexually transmitted disease.
Do not use Levonorgestrel/Ethinylestradiol Daily Stada
Warnings and precautions
In some situations, you will need to take special precautions while using levonorgestrel/ethinylestradiol or any other combined hormonal contraceptive, and sometimes you will need to visit your doctor regularly. If you are in any of the following situations, you should tell your doctor before starting to use levonorgestrel/ethinylestradiol. Also, you should consult your doctor if any of the following conditions appear or worsen while using levonorgestrel/ethinylestradiol:
Levonorgestrel/Ethinylestradiol Daily Stada and thrombosis
Venous thrombosis
The use of any combined pill, including levonorgestrel/ethinylestradiol, increases the risk of a woman developing a venous thrombosis (formation of a blood clot in a blood vessel) compared to a woman who does not take any contraceptive pill.
The risk of venous thrombosis increases in users of combined pills:
Arterial thrombosis
The use of combined pills has been associated with an increased risk of arterial thrombosis (blockage of an artery), for example, in the blood vessels of the heart (heart attack) or brain (stroke).
The risk of arterial thrombosis increases in users of combined pills:
Stop taking levonorgestrel/ethinylestradiol and contact your doctor immediately if you notice any signs of a possible thrombosis, such as:
Levonorgestrel/Ethinylestradiol Daily Stada and cancer
There have been reports of breast cancer with a slightly higher frequency in women taking contraceptive pills, but it is not known if this is due to treatment. For example, it may be that more tumors are detected in women taking combined pills because they are examined by their doctor more frequently. The occurrence of breast tumors has been gradually lower after stopping the use of combined hormonal contraceptives. It is important to regularly check your breasts, and you should contact your doctor if you notice any lump.
In rare cases, benign liver tumors and even rarer cases of liver cancer have been reported in users of contraceptive pills. Contact your doctor if you notice any unusual severe abdominal pain.
Psychiatric disorders
Some women who use hormonal contraceptives like levonorgestrel/ethinylestradiol have reported depression or a depressed mood. Depression can be severe and sometimes may induce suicidal thoughts. If you experience mood changes and depressive symptoms, contact your doctor for further medical advice as soon as possible.
Bleeding between periods
During the first months of treatment with levonorgestrel/ethinylestradiol, you may have unexpected bleeding (bleeding outside of the placebo week). If this bleeding lasts for more than a few months, or if it starts after some months, your doctor should investigate the cause.
What to do if you do not have bleeding during the placebo week
If you have taken all the active pink tablets correctly, have not vomited, and have not had severe diarrhea, and have not taken any other medicines, it is very unlikely that you are pregnant.
If the expected bleeding does not occur in two consecutive occasions, you may be pregnant. Contact your doctor immediately. Do not start taking the next blister pack until you are sure you are not pregnant.
Taking Levonorgestrel/Ethinylestradiol Daily Stada with other medicines
Always consult the doctor who prescribed levonorgestrel/ethinylestradiol about other medicines or herbal remedies you are already using. Also, tell any other doctor or dentist who prescribes you other medicines (or the pharmacist who dispenses them) that you are using levonorgestrel/ethinylestradiol. They may tell you if you need to use additional contraceptive precautions (e.g. condoms) and, if so, for how long.
Some medicines reduce the effectiveness of levonorgestrel/ethinylestradiol in preventing pregnancy, or may cause unexpected bleeding.
These include medicines used for the treatment of epilepsy (e.g. primidone, phenytoin, barbiturates, carbamazepine or oxcarbazepine) and tuberculosis (e.g. rifampicin) or HIV infections (e.g. ritonavir) or other infectious diseases (such as griseofulvin, ampicillin or tetracycline), which increase intestinal motility (such as metoclopramide) and the herbal remedy St. John's Wort.
If you want to use herbal remedies that contain hypericum while taking levonorgestrel/ethinylestradiol, you should first consult your doctor.
Levonorgestrel/ethinylestradiol reduces the effectiveness of other medicines, such as those containing cyclosporin, or the antiepileptic lamotrigine (which may increase the frequency of seizures).
Do not take levonorgestrel/ethinylestradiol if you have Hepatitis C and are taking medicines that contain ombitasvir/paritaprevir/ritonavir and dasabuvir, glecaprevir/pibrentasvir or sofosbuvir/velpatasvir/voxilaprevir, as these medicines may increase liver test results (increase in liver enzyme ALT).
Your doctor will prescribe another type of contraceptive before starting treatment with these medicines.
Levonorgestrel/ethinylestradiol can be used again approximately 2 weeks after the end of this treatment. See the section "Do not use Levonorgestrel/Ethinylestradiol Daily Stada".
Consult your doctor or pharmacist before using any medicine.
If you need a blood test, tell your doctor or the laboratory staff that you are taking the pill, because oral contraceptives affect the results of some tests.
Pregnancy
If you are pregnant or breast-feeding, or think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
If you are pregnant, you should not take levonorgestrel/ethinylestradiol. If you become pregnant while taking levonorgestrel/ethinylestradiol, you should stop taking it immediately and contact your doctor.
Breast-feeding
If you are pregnant or breast-feeding, or think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Levonorgestrel/ethinylestradiol is not recommended for use during breast-feeding. You should consult your doctor if you wish to take the pill while breast-feeding.
Driving and using machines
There is no information that suggests the use of levonorgestrel/ethinylestradiol affects the ability to drive or use machines.
Levonorgestrel/Ethinylestradiol Daily Stada contains lactose
This medicine contains lactose. If your doctor has told you that you have an intolerance to some sugars, contact them before taking this medicine.
If you were taking another contraceptive before starting to take levonorgestrel/ethinylestradiol, you will already know that most contraceptives contain 21 tablets. With those contraceptives, you take a pill for 21 days and then there is a week when you do not take any tablets (medication-free interval).
The system to follow when using levonorgestrel/ethinylestradiol is different. After taking the 21 pink tablets, you must continue and take the 7 placebo tablets, i.e., there is no medication-free interval but a week of "placebo" (the week when you take the placebo tablets from row 4). Since you have to take one tablet every day and there is no medication-free interval between two packs, taking the tablets will become routine and, consequently, the risk of forgetting a tablet is lower.
The two distinct color classes of levonorgestrel/ethinylestradiol tablets are placed in order. One pack contains 28 tablets.
Take one levonorgestrel/ethinylestradiol tablet every day, if necessary with a small amount of water. You must take the tablets every day, more or less at the same time.
Do not confuse the tablets: take one pink tablet once a day for the first 21 days, and then one white tablet every day for the last 7 days. After that, you will have to start a new pack (21 pink tablets and 7 white tablets). Consequently, there is no medication-free interval between packs.
The blister pack contains 28 tablets. Daily intake for 28 consecutive days is important to maintain the contraceptive effect.
Along with the blister packs, adhesive labels with the days of the week are attached. Take the label for the day you start taking the pill. Put the label on the blister pack over the words "Stick the label with the day here". Each day will align with a row of tablets. It is essential that you take your pill every day. And take the first tablet from the first row where the word "START" is indicated.
Follow the direction of the arrow indicated on the blister pack, take the pink tablets first for 21 days and then the white tablets for 7 days, until you have taken all 28 tablets. After that, you will have to start taking the next blister pack. This means that there is no medication-free interval between packs.
During the 7 days of white tablets, you should start bleeding (usually on the 2nd or 3rd day). This is what is known as withdrawal bleeding and may continue when you start with the next blister pack.
You should start taking the next blister pack on the same day of the week, and the withdrawal bleeding should appear on the same days every month.
When can you start with the first blister pack
Start with levonorgestrel/ethinylestradiol on the first day of your cycle (which is the first day of your menstruation). If you start taking levonorgestrel/ethinylestradiol on the first day of your menstruation, you are immediately protected against pregnancy. You can also start on days 2-5 of your cycle, but in that case, you must use extra protection measures (e.g., a condom) during the first 7 days.
You can start taking levonorgestrel/ethinylestradiol the day after the tablet-free period of the pill you just finished (or after the last inactive tablet of your previous pill).
When switching from a vaginal ring or a combined contraceptive patch, follow your doctor's advice.
You can switch any day from the progestogen-only pill (if you used an implant or IUD, on the day of its removal, and if you received the progestogen by injection, on the date the next injection was due), but in all cases, you must apply additional protection measures (e.g., a condom) during the first 7 days of taking the new pills.
Follow your doctor's instructions.
After having a child, you can start taking levonorgestrel/ethinylestradiol between 21 and 28 days later. If you start after day 28, you must use a barrier method (e.g., a condom) during the first 7 days of using levonorgestrel/ethinylestradiol.
If after having a child you have had sexual intercourse before starting to take levonorgestrel/ethinylestradiol again, you must first check that you are not pregnant or wait until your next menstrual period.
Ask your doctor for advice if you are not sure when to start.
Read the section on "Breastfeeding".
If you take more Levonorgestrel/Ethinylestradiol Daily Stada tablets than you should
There are no reports of harmful effects from taking too many levonorgestrel/ethinylestradiol tablets. If you take several tablets at once, you may experience nausea and vomiting. Little girls may have vaginal bleeding.
If you have taken too many levonorgestrel/ethinylestradiol tablets, or if you discover that your child has taken some, consult your doctor or pharmacist.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
If you forget to take Levonorgestrel/Ethinylestradiol Daily Stada tablets
The tablets in the fourthrow of the pack are placebo tablets. If you forgot to take one of those tablets, it will not affect the effect of levonorgestrel/ethinylestradiol. You should discard the forgotten placebo tablet so as not to prolong the placebo week, which could have a negative effect on the effectiveness of levonorgestrel/ethinylestradiol.
If you forgot to take a tablet from rows 1, 2, or 3, you should follow these instructions:
The risk of incomplete pregnancy protection is greater if you forget to take a tablet at the beginning of a blister pack (1st row) or at the end of week 3 (3rd row of the blister pack).
Therefore, you must follow these rules (see also the diagram below):
Consult your doctor.
Take the forgotten tablet as soon as you remember, even if it means taking two tablets at the same time. Take the tablets afterwards at the usual time and take extra precautionsfor the next 7 days, for example, use a condom. If you have had sexual intercourse in the week before the missed tablet, or if you forgot to start a new blister pack after the inactive tablet period, you should be aware that there is a risk of pregnancy. In that case, consult your doctor.
Take the forgotten tablet as soon as you remember, even if it means taking two tablets at the same time. Take the tablets afterwards at the usual time. Pregnancy protection is not reduced, and you do not need to take extra precautions.
You can choose between 2 options:
Instead of taking the 7 white placebo tablets, go directly to the next blister pack.
It is likely that you will have a menstrual period (withdrawal bleeding) at the end of the second blister pack, but you may also have spotting or intercurrent bleeding when taking the second blister pack.
If you follow one of these two recommendations, you will remain protected against pregnancy.

What to do in case of vomiting or severe diarrhea
If you vomit within 3-4 hours after taking the active pink tablet or if you have significant diarrhea, there is a risk that the active ingredients of the tablet will not be fully absorbed into your body. The situation is similar to when you forget to take a tablet. After vomiting or having diarrhea, you must take another tablet from the reserve blister pack as soon as possible. If possible, take it within 12 hoursof the time you would normally take your tablet. If it is not possible, or if 12 hours have already passed, you must follow the advice included in "If you forget to take Levonorgestrel/Ethinylestradiol Daily Stada".
Delayed menstrual period: what you should know
Although it is not recommended, it is possible to delay your menstrual period (withdrawal bleeding) until the end of a new pack if you do not take the white placebo tablets and start taking a second pack of levonorgestrel/ethinylestradiol. You may have spotting (drops or spots of blood) or intercurrent bleeding while using the second blister pack. After the 7 days of taking the placebo tablets from the second blister pack, continue withthe next blister pack.
You may need to ask your doctor for advice before deciding whether to delay your menstrual cycle.
Changing the first day of your period: what you should know
If you take the tablets according to the instructions, your menstrual period or withdrawal bleeding will start during the week of the placebo tablets. If you need to change this day, do so by shortening the placebo period, i.e., when you take the white placebo tablets (but never lengthening it). For example, if your placebo period starts on a Friday and you want to change to a Tuesday (3 days earlier), you must start a new blister pack 3 days earlier than usual. If you shorten the placebo interval too much (e.g., 3 days or less), you may not have any bleeding during this placebo period. After that, you may have spotting (drops or spots of blood) or intercurrent bleeding.
If you are not sure what to do, ask your doctor for advice.
If you want to stop taking Levonorgestrel/Ethinylestradiol Daily Stada tablets
You can stop taking levonorgestrel/ethinylestradiol whenever you want. If you do not want to become pregnant, ask your doctor for advice on other reliable methods of birth control.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Always inform your doctor if you experience any side effects, especially if the side effect is intense or persistent, or if you notice any change in your health that you think may be due to the pill.
Severe side effects:
Contact a doctor immediately if you experience any of the following symptoms of angioedema: swelling of the face, tongue, and/or throat, and/or difficulty swallowing or urticaria with possible difficulty breathing (see also section "Warnings and precautions").
Several side effects related to the use of the pill are described in the sections "Levonorgestrel/Ethinylestradiol Daily Stada and thrombosis" and "Levonorgestrel/Ethinylestradiol Daily Stada and cancer". Read those paragraphs for more information and consult your doctor immediately if necessary.
Reporting side effects
If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines, website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not store above 30 °C.
Do not use this medicine after the expiry date stated on the outer packaging and on the blister pack after EXP. The expiry date is the last day of the month indicated.
Medicines should not be disposed of via wastewater or household waste. Dispose of the packaging and any unused medicine in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.
Composition of Levonorgestrel/Ethinylestradiol Daily Stada
Levonorgestrel/Ethinylestradiol Daily Stada contains tablets of 2 colors:
Appearance of the product and pack contents
Each active film-coated tablet is round and pink.
Each placebo film-coated tablet is round and white.
Levonorgestrel/Ethinylestradiol Daily Stada is marketed in blister packs of 28 tablets: 21 active pink tablets and 7 white placebo tablets.
Pack sizes are 1, 3, or 6 blister packs, and each blister pack contains 28 tablets.
Not all pack sizes may be marketed.
Marketing authorization holder and manufacturer
Marketing authorization holder
Laboratorio STADA, S.L.
Frederic Mompou, 5
08960 Sant Just Desvern (Barcelona)
Manufacturer
Laboratorios León Farma, S.A.
Pol. Ind. Navatejera
La Vallina s/n
24193-Villaquilambre (León)
Spain
Date of the last revision of this leaflet: September 2022
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.
The average price of LEVONORGESTREL/ETHINYLESTRADIOL STADA 0.1 mg/0.02 mg FILM-COATED TABLETS in November, 2025 is around 2.5 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.
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